Male menopause, or age-related androgen deficiency, involves a decline in the body’s production of key hormones, especially testosterone. In men, this shift can bring a range of symptoms that go beyond simple fatigue. Common signs include a diminished sexual drive, difficulties with erection, reduced stamina, and the accumulation of fat around the midsection. Expert urologist andrologist Dmitry Korolev, associate professor at the Institute of Urology and Human Reproductive Health at Sechenov University, commented on these changes in conversations with socialbites.ca, noting that the hormonal balance taken in adulthood carries far-reaching consequences for overall well-being.
According to Korolev, the initial and most noticeable change is often a disruption of sexual function. This includes a drop in libido, reduced spontaneity of erections, and erectile dysfunction itself. Testosterone plays a central role in many body systems; its influence extends to energy levels, mood, muscle and bone health, and metabolic processes. When levels fall, men may experience persistent fatigue, a sense of general weakness, and a drop in performance that can ripple through daily life. The hormone supports muscle mass, bone density, and a healthy distribution of body fat, so a deficiency can translate into weaker strength, more rapid fatigue during physical activity, and greater susceptibility to musculoskeletal discomfort as time goes on.
Another outward signal of androgen decline is the gradual increase of abdominal fat. Excess fat tissue can alter hormonal dynamics by enhancing the conversion of testosterone to estrogen in the male body, which in turn can further suppress testosterone production and alter the way cells respond to available hormones. This cycle can contribute to a broader set of metabolic concerns, including insulin sensitivity changes and shifts in energy use. The connection between fat distribution, hormonal balance, and receptor activity helps explain why abdominal adiposity is more than a cosmetic issue; it reflects deeper hormonal and systemic changes that deserve attention and management.
For men approaching middle age and beyond, awareness of these signs is important for early assessment and intervention. Diagnosing androgen deficiency typically involves clinical evaluation of symptoms alongside blood tests that measure total testosterone and free testosterone levels, often performed in the morning when levels peak. In men with persistent complaints, healthcare providers may review additional indicators such as mood, sleep quality, energy, bone density, and muscle strength to build a complete picture. Management strategies can include lifestyle adjustments, targeted therapies, and regular monitoring to preserve sexual health and overall vitality. It is helpful to discuss concerns with a physician who specializes in male health and endocrinology to determine the most appropriate approach for long-term well-being. See further notes on conditions that can emerge after age 40 and the pathways to diagnose and sustain vitality. [Citation: socialbites.ca] [Citation: Queen]