There is debate in the medical community about whether such a thing as male menopause actually exists. The disorder is more accurately termed "late-onset hygonadism" or "andropause." Sufferers complain of non-specific symptoms like weight gain, sexual dysfunction, lethargy and fatigue. The most likely culprit is decreased testosterone production in aging males, but studies on the causation have been inconclusive. Coping with male menopause could mean simple life changes or doctor-administered therapy, depending upon the range of symptoms and the severity of the disruption to daily life.
Step 1
Begin an exercise regimen that includes 30 minutes of light to medium physical activity each day. There are many causes for decreased testosterone production in addition to age, and exercise promotes hormonal balance and increased vitality.
Step 2
See a therapist to work through some of the psychological impacts of andropause. Include your spouse in the sessions if your primary symptom is a lack of sexual energy or enthusiasm. While decreased testosterone is likely the physiological cause of the sexual dysfunction, stress over the changes can exacerbate the problem. Communication, with the therapist and your spouse, can alleviate the psychological symptoms and reduce the associated stress which should improve your sex life.
Step 3
Eat a balanced diet that provides between 20 and 35 percent of your daily calories from fat with the rest evenly divided between carbohydrates and protein, as recommended by the American Dietetic Association. You should also supplement with calcium and vitamin D as well as zinc. Zinc prevents testosterone from being converted to estrogen. Low zinc levels prevent the pituitary from producing follicle stimulating hormones that promote testosterone production.
Step 4
Begin hormone replacement therapy if your lowered testosterone level cannot be attributed to another cause such as alcoholism, poor diet or nutritional deficiency. Patients with extremely low levels of active or total testosterone -- around 200 ng/dl -- show significant improvement with testosterone therapy while men with borderline levels may or may not benefit. Ask your doctor for a testosterone blood test to determine if you are a candidate for the treatment.
