What is andropause and when does it begin?

Andropause is a natural process of age-related hormonal changes in men. It mainly involves a decline in testosterone levels and a reduction in its biological activity. It is a long-term process that develops gradually – most commonly after the age of 40–50 – and can last for many years.

The hormonal changes accompanying andropause can affect the functioning of the entire body – including sexual function, metabolism, mental well-being and overall physical fitness. The nature and severity of symptoms vary greatly from person to person and depend, among other things, on lifestyle, health status, body weight and any underlying medical conditions.

However, andropause does not mean the end of an active life or the need to give up staying in good shape. Appropriate diagnosis, a proactive approach to health and the right medical support can effectively alleviate symptoms and help maintain energy, fitness and quality of life as you move through the next stages of life.

The diagnosis of andropause is based primarily on a detailed medical history and laboratory tests. One tool that aids in assessing symptoms is the Morley questionnaire, which allows for an initial assessment of the risk of androgen deficiency. It serves as a starting point for further diagnosis, but is not in itself sufficient to establish a diagnosis.

The next stage involves hormonal tests – primarily measuring testosterone levels (ideally in the morning), as well as hormones regulating its secretion, such as LH. In selected cases, the doctor may also order an assessment of other parameters, e.g. FSH, DHEA, depending on the clinical picture and reported symptoms.

Only by comparing clinical symptoms with laboratory test results can the doctor reliably assess the patient’s hormonal status and decide on the next course of action – observation, further diagnostic tests or treatment.

The symptoms of andropause are often ignored or attributed to fatigue or stress, even though they have a real impact on a man’s health, well-being, relationships and day-to-day functioning.

Typical symptoms of andropause include, amongst others:

• erectile dysfunction,
• decreased libido,
• sleep disturbances,
• chronic fatigue and reduced energy,
• problems with memory and concentration,
• thinning hair,
• decrease in muscle mass and strength,
• increased sweating and hot flushes,
• increase in body fat, particularly around the abdomen,
• pain and discomfort in the musculoskeletal system,
• increased susceptibility to injuries and strains,
• reduced motivation to perform daily activities,
• irritability and nervousness,
• depression and anxiety.

Male menopause is a period during which some men may experience what is known as a midlife crisis. This is often linked to the need to change one’s lifestyle, but it is not uncommon for it to be accompanied by low mood or depressive symptoms, which can pose a real barrier to adopting new habits. In such situations, it is worth considering therapy or a psychological consultation.

Andropause is a result of the natural ageing process, but other factors also influence the rate and progression of this phenomenon. Leading an unhealthy lifestyle over many years can contribute to its earlier onset – in some cases as early as around the age of 30–35. What exactly contributes to a decline in testosterone levels?

• A hectic lifestyle and prolonged exposure to stress.
• A sedentary lifestyle.
• Lack of regular physical activity.
• An unbalanced diet, low in nutrients, and the consumption of highly processed foods and unhealthy snacks.
• Overweight and obesity (as well as co-existing conditions such as type 2 diabetes, high blood pressure and cardiovascular disease).
• Addictions – in particular smoking and excessive alcohol consumption.

A diagnosis of andropause does not preclude well-being or a fulfilling life. Rather, it is a moment when it is worth pausing for a moment and consciously taking stock of your health and daily choices. The pace of your day, your habits, and how you recharge — all of these begin to have a real impact on your vitality and fitness.

During this period, regular check-ups, medical consultations and the consistent implementation of specialists’ recommendations become particularly important. What specific steps should you take to look after your health and energy on a daily basis? Below, we outline the most important areas.

• A varied, balanced diet and regular physical activity
  A well-balanced diet and regular physical activity form the basis for preventing health issues and supporting good health at various stages of life. During andropause, it is particularly important to ensure that your diet provides all the necessary nutrients.A healthy diet should include, amongst other things, vegetables, lean meat, fish, pulses, avocados, nuts and olive oil. Foods that are sources of zinc, vitamin D, magnesium and omega-3 fatty acids are also important. To ensure that your diet is properly balanced and meets your body’s individual needs, it is worth consulting a dietitian.

  A decline in muscle mass can be counteracted not only through an adequate intake of protein, but also through regular physical activity. The most important thing is to choose a form of exercise that can easily be incorporated into your daily routine on a permanent basis. The type of activity is less important than its frequency. This could include walking, cycling, swimming or gym workouts – depending on your preferences and capabilities.

• Sleep and recovery during andropause
  The body needs an average of 7–8 hours of sleep per night to fully recover and function properly. During andropause, many men experience difficulty falling asleep, insomnia or a decline in sleep quality, which can have a negative impact on their well-being and energy levels during the day. A well-balanced diet and regular physical activity can be helpful. However, if these measures prove insufficient, relaxation techniques that help calm the body and emotions, such as Yoga Nidra, meditation or Schultz’s autogenic training, can be a good addition to your daily routine.
• The emotional aspect
  A decline in libido and erectile problems are issues that many men find difficult and embarrassing. They often undermine self-confidence and affect daily life and relationships. During andropause, when testosterone levels gradually decline and other hormonal changes occur, such problems become increasingly common. In such a situation, an honest conversation with your partner is very important, but seeking medical support is equally essential. A consultation with a specialist allows for an assessment of hormonal health and the selection of an appropriate course of action, which can genuinely improve comfort and the quality of sexual life.

Taking a proactive approach to health means being open to modern and effective methods of supporting physical and emotional well-being.

Personalised programmes for men at NAMI include comprehensive care from a team of specialists – including doctors, dieticians, physiotherapists and naturopaths. These are complemented by supportive treatments and therapies, such as sessions in a hyperbaric chamber or cryotherapy. The programmes also include access to a regeneration and sports zone, a gym, training sessions led by a physiotherapist, and procedures aimed at improving libido.

Thanks to individually tailored treatments and the support of experienced specialists, andropause can become a natural stage of life – one that helps restore energy, balance and well-being.

NAMI Medical Resort and Clinic exclusively offers medical programs.