What is manopause, really?

“Manopause” is a slang term for a midlife shift in men’s hormones. Clinically, it’s better known as andropause or late‑onset hypogonadism: a gradual decline in testosterone and related hormones that can show up in your late 40s and beyond. Unlike menopause in women—which tends to be abrupt and universal—this change is slower, varies widely, and doesn’t affect every man in the same way.

Common andropause symptoms in men

• Sexual changes: Lower libido, erectile changes, or less satisfying erections
• Energy: Persistent fatigue, lower motivation, or afternoon crashes
• Mood: Irritability, low mood, or reduced sense of well‑being
• Body composition: Loss of muscle mass/strength and increased body fat
• Bone health: Decreasing bone density over time
• Other: Sleep issues; occasionally hot flashes or night sweats

How is andropause diagnosed?

A healthcare professional will review symptoms and run morning blood tests (testosterone is highest then). Low total testosterone is often flagged when consistently below a typical threshold (your clinician will interpret values in context). Doctors also rule out other causes—like sleep apnea, thyroid issues, certain medications, obesity, or chronic illness—before concluding that andropause is the driver.

Treatment options and what actually helps

Treatment depends on how low your levels are and how much symptoms impact your life. Many men see meaningful improvement with foundational lifestyle changes, and some may be candidates for medical therapy.

Lifestyle foundations

• Strength training 2–4x/week: Builds muscle, improves insulin sensitivity, and supports healthy hormones.
• Sleep 7–9 hours: Consistent, high‑quality sleep can significantly influence testosterone.
• Nutrition basics: Adequate protein, whole foods, healthy fats; moderate alcohol; maintain a healthy waist circumference.
• Stress management: Breathwork, walks, sunlight, or short mindfulness sessions reduce chronic stress load.

Medical options

If persistent symptoms align with lab‑confirmed low testosterone, your clinician may discuss testosterone replacement therapy (TRT). This requires monitoring for side effects and regular follow‑ups. The goal is symptom relief and restoring quality of life, not chasing a number.

What’s the bottom line?

Yes, “manopause” is a thing—but the medical picture is andropause, a gradual and highly individual shift rather than a one‑day switch. If you’re noticing changes, you don’t have to white‑knuckle it. With smart lifestyle moves and a proper evaluation, you can make steady progress toward feeling clear‑headed, energetic, and strong again.