It's increasingly discussed in relation to women, but much less so in relation to men. Yet, starting in their forties, fifties, or sixties, some men may experience symptoms related to what is commonly called andropause.
Andropause is neither sudden nor systematic
Unlike menopause, andropause is neither sudden nor systematic. It develops gradually and does not affect all men in the same way. It can be triggered by chronic illnesses (such as diabetes, obesity, or chronic kidney disease), certain medications, stress, or lifestyle factors. Depending on the individual's medical history, up to 50% of men may be affected.
Better information for better diagnosis
Due to insufficient awareness, many men live with symptoms that they downplay or are too embarrassed to discuss. However, a simple diagnosis is possible, based on a combination of clinical symptoms and a morning blood test for testosterone.
Solutions Exist
When a deficiency is confirmed and there are no contraindications, testosterone replacement therapy (TRT) gradually improves symptoms and quality of life over several months. Different forms are available (injections, daily gels). This treatment requires regular medical monitoring and should be discussed with a urologist or endocrinologist.
When to Consult?
If symptoms persist—unusual fatigue, decreased libido, mood swings, hot flashes—it is recommended to speak with your doctor, who can refer you to a specialist if necessary.
More information at www.urofrance.org
 Didier Galibert
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16/02/2026 | 
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