Andropause
Last updated: Jun 17, 2025
What Is Andropause?
Andropause, also called late-onset hypogonadism, is when testosterone
levels gradually decrease in aging men. It brings about a mix of physical,
emotional, and psychological changes, similar to menopause in women, but it
happening more slowly and with different symptoms.
Testosterone is a hormone that helps develop male
features like muscle growth, strong bones, and sexual desire. A health screening at a clinic
done on 1,000 men in Singapore from 2007 to 2009 found that 26.4% had low testosterone
levels. Recognizing the symptoms and getting tested early is important because early
treatment can greatly improve quality of life and overall
health.

Causes of Andropause
The primary cause of andropause is the natural decline in testosterone levels that occurs with age. Generally, testosterone levels start to drop by 1% every year after age 40, and men can start to experience andropause although most would exhibit signs in their 50s. Certain medical conditions such as testicular cancer and surgical removal of the testes can lead to early onset of andropause. Additionally, prostate cancer patients undergoing anti-testosterone therapy to maintain very low testosterone levels may also experience symptoms.

Symptoms of Andropause
Common andropause symptoms can include:
- Fatigue and reduced energy levels
- Decreased libido (sexual drive) and erectile dysfunction
- Mood swings, depression, and irritability
- Hot flashes or sweats
- Loss of muscle mass and strength
- Increased body fat, particularly around the abdomen
- Sleep disturbances and insomnia
It is important to note that these symptoms may be caused by other conditions, and not all men with low testosterone levels will experience symptoms. Recognising these signs and consulting a doctor is crucial for accurate diagnosis and appropriate treatment.

Diagnosis of Andropause
Diagnosis of andropause involves a thorough evaluation of symptoms and medical history,
alongside blood
tests to measure testosterone levels.
Your doctor may also conduct
additional tests to rule out other conditions that could cause similar symptoms. Diagnosis
is confirmed if low testosterone levels are detected and other potential causes are
excluded.
At ATA Medical, we provide testing for testosterone levels:
Test | Price* |
---|---|
Consultation | $38.15 |
Total Testosterone1 | $38.15 |
Total Testosterone + Free Testosterone1 | $147.15 |
Comprehensive Deficiency / Hair Loss Screen (Folate, Vitamin B12, Vitamin D, Iron, Total Iron Binding Capacity, % Iron Saturation, Ferritin, Zinc, Magnesium, Free T4, TSH) | $263.78 |
Men Wellness (Full Body Screening + Total Testosterone) 2 | From $152 |
1. Fasting and testing early in the morning is recommended for accuracy
2. Fasting and testing early in the morning is required for accuracy

Andropause Treatment
Treatment for andropause focuses on managing symptoms and improving quality of life which can include:
- Testosterone Replacement Therapy (TRT): TRT to restore hormone levels, administered through injections, patches, or gels.
- Lifestyle Changes: Regular exercise, a balanced diet, stress management, and adequate sleep.
- Counselling and Support: Psychological support to address emotional and mental health issues such as depression and anxiety related to andropause.
We also offer Testosterone Replacement Therapy (TRT) at our clinics with the prices as follows:
Test | Price* |
---|---|
Consultation | $38.15 |
Testosterone Injection | $381.50 / injection |
Testosterone Gel | $196.20 / box |
Summary
Andropause can significantly impact a man’s quality of life and those around him. Recognising the symptoms and seeking timely medical advice is important for effective management of the condition. Regular health checks and open communication with your doctor can help you understand and address any concerns. If you are experiencing symptoms associated with andropause, schedule an appointment to consult a doctor for evaluation and treatment.
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