Both men and women experience symptoms related to production of sex hormones (sex steroids) as they get older.
These changes are inevitable, but affect individuals differently. For men, the production of testosterone (the principal male-determining sex steroid) falls gradually and progressively from the 40s onwards. This is a natural process and not a disease, and can be helped with medical treatment effectively. 

The fall in sex hormone production is much more gradual for men, developing over decades rather than months or years. Mental and physical changes can occur, and are much more subtle in onset and often easily be missed. As such, the term 'male menopause', or andropause, is not really accurate, instead, andrology experts prefer to talk about 'partial androgen deficiency of the ageing male' (PADAM).

The diagnosis of PADAM is based on the presence of clinical symptoms together with evidence of reduced testosterone, however they can be numerous and non-specific, so it is not an easy condition to diagnose.

They may include the following;

decreased sex drive

erectile dysfunction

reduced quality of orgasm and weakness of ejaculation

reduced muscle mass and muscle strength

decreased vigour and energy

increased fat deposition


fatigue, irritability and tiredness

difficulty with short term memory

hot flushes and sweating

decreased bone density

However some studies have suggested no correlation between testosterone levels and these symptoms and conditions other than male menopause may cause similar symptoms in some men.

Male Menopause or Andropause is treated at the Cadogan Clinic by our award-winning Consultant Uro-Andrologist, Mr Giulio Garaffa who has over 20 years’ international medical experience in this area. Mr Garaffa has a global reputation for his excellence in uro-andrology and is one of the leading experts in this field.