top of page

A Lot of Men Think Something Is Wrong With Them. It Might Be Hormones.

A person sits in a dim room, head in hands, looking pensive. Warm light filters through blinds. Candles and pillows decorate the space.
Early 40's man struggling with stress and andropause


Many men wonder, “Do men have menopause?” While men do not experience menopause in the same way women do, research shows a gradual decline in testosterone — often referred to as andropause or late-onset hypogonadism — can significantly impact mood, energy, libido, cognition, and relationships as men age. Testosterone levels typically decline by about 1–2% per year after age 30, and lower levels have been associated with fatigue, irritability, low motivation, depression-like symptoms, and cognitive changes such as brain fog. Unlike female menopause, male hormonal changes happen slowly and vary widely, which is why symptoms are often overlooked or misattributed to stress, burnout, or aging. Understanding the science behind male hormonal shifts helps men — and their partners — approach these changes with clarity, compassion, and effective support.


The Thing No One Prepared Men For

Most men don’t wake up one day and think, “This must be hormones.”

They think:

  • I’m tired all the time.

  • I’m more irritable than I used to be.

  • I feel flat or disconnected.

  • I don’t want sex the same way.

  • I’ve lost my drive.

  • What’s wrong with me?

They assume it’s stress. Or aging. Or burnout. Or personal failure.

What almost never crosses their mind is this:

Their hormones may be changing — and no one ever told them what that could look like.


So… Do Men Have Menopause?

No — men do not experience menopause the way women do.

There is no sudden shutdown of hormone production. No single biological event. No clear milestone.

But here’s the part that matters:

Men experience a gradual, clinically significant decline in testosterone and related hormones that can affect emotional regulation, motivation, energy, sexuality, and relationships.

This process is commonly called:

  • Andropause

  • Age-related testosterone decline

  • Late-onset hypogonadism

The name matters less than the lived experience.


What Research Shows About Testosterone and Male Well-Being

Testosterone is not just a “sex hormone.”

Research shows it plays a role in:

  • Mood regulation

  • Energy and vitality

  • Motivation and reward processing

  • Cognitive function

  • Emotional resilience

  • Sexual health

Large reviews in endocrinology journals confirm that testosterone levels decline gradually with age and that lower levels are associated with depressive symptoms, fatigue, reduced quality of life, and relationship strain.


Springer – Age-Related Testosterone Decline

Psychology Research – Testosterone & Mental Health


What Hormonal Changes in Men Can Actually Look Like

Many men never connect these symptoms to hormones:


Emotional & Psychological Symptoms

  • Irritability or increased anger

  • Emotional numbness or flatness

  • Anxiety

  • Depressive symptoms

  • Reduced stress tolerance

  • Withdrawal from relationships

  • Loss of motivation or purpose

  • Feeling “not like myself anymore”


Cognitive Symptoms

  • Brain fog

  • Difficulty focusing

  • Slower mental processing

  • Trouble initiating tasks

  • Reduced mental stamina


Physical Symptoms

  • Chronic fatigue

  • Reduced muscle mass

  • Increased body fat

  • Decreased stamina

  • Poor sleep quality


Sexual & Relational Symptoms

  • Reduced libido

  • Erectile changes

  • Less interest in intimacy

  • Increased shame or avoidance

  • Relationship strain tied to emotional withdrawal

Many men read this list and think:

I thought this was just me.

It isn’t.


If This Sounds Familiar, You’re Not Alone

Many men recognize themselves here:

  • You feel less driven than you used to

  • Stress hits harder and lasts longer

  • You’re quicker to anger or shutdown

  • You want to be present but feel depleted

  • Your partner says you seem distant

  • You don’t feel like the best version of yourself anymore

None of this means you’re broken.

It means something in your system may be changing — and ignoring it often makes things worse.


Why This Is So Often Missed

1. Men Are Socialized to Push Through

Men are taught to override discomfort, not investigate it.

Hormonal distress gets mislabeled as:

  • Weakness

  • Laziness

  • Attitude problems

  • Burnout

Instead of being recognized as a biological shift affecting emotional regulation and energy.


2. There Is No Clear “Event”

Women have menopause.

Men have a slow drift.

Without a clear marker, changes are easier to dismiss — until relationships absorb the cost.


3. Medicine Often Focuses on One Symptom

Unless sexual dysfunction is present, testosterone-related symptoms are frequently overlooked.

Mood, motivation, and relational changes get treated as psychological or character issues instead of whole-system issues.


How Male Hormonal Changes Affect Relationships

Partners often notice the changes first.

They may experience:

  • Emotional distance

  • Reduced communication

  • Increased irritability

  • Loss of intimacy

  • A sense of “losing” their partner

Men, meanwhile, often feel:

  • Ashamed

  • Confused

  • Less capable

  • Afraid of appearing weak

  • Unsure how to talk about what’s happening


Journal of Sexual Medicine – Hormones & Relationship Health

If you’re a partner reading this and thinking, “This explains so much,” you’re not imagining it.


The Hopeful Truth: This Is One of the Most Addressable Midlife Issues

Here’s the research-aligned good news:

When men understand what’s happening and get appropriate support, outcomes improve.

Men often report:

  • Better mood

  • More energy

  • Increased motivation

  • Greater emotional presence

  • Stronger relationships

  • Higher life satisfaction

Support doesn’t mean “just take hormones.”

It often includes:

  • Medical evaluation when appropriate

  • Stress and sleep regulation

  • Movement and nutrition

  • Mental health support

  • Coaching or therapy

  • Relational skill-building

The goal isn’t to go back to who you were at 25.

It’s to adapt wisely to who you are now.


This Isn’t a Men vs. Women Conversation

This is a human hormone conversation.

Women experience dramatic hormonal transitions. Men experience gradual but impactful ones.

Both affect mood. Both affect identity. Both affect relationships.

Understanding this doesn’t excuse harm.

It creates responsibility with compassion — and relationships do better in compassion.


Many men don’t need to “push through.”

They need context. Language. Permission to adapt.

Understanding what’s happening doesn’t make men weaker.

It makes connection possible again.

If you want to explore how hormonal shifts — female or male — interact with stress, behavior, and relationships, I share education and coaching resources at christinewaltercoaching.com.


Want a simple way to reflect on what might be changing? This worksheet helps men—and their partners—notice patterns and start conversations without blame.


 
 
 

Comments


​​Christine Walter Coaching provides expert psychotherapy, life coaching, and emotional health resources for individuals, couples, and professionals worldwide.

© 2025 Christine Walter, LMFT, PCC
Therapy • Coaching • Nervous System Education

Specialties:
Marriage Counseling • Couples Therapy • Executive Coaching • Trauma-Informed Therapy

ADHD • Emotional Regulation • Tennis Psychotherapy • Bitcoin Mental Health™

Explore:
About | Therapy Resources Blog | Contact

Serving Clients:
Fort Lauderdale • Miami • Traverse City

Global Online Coaching

Get Support:
Free worksheets, toolkits, and courses at christinewaltercoaching.com/resources

954 319-7010

  • Google Places
  • Facebook
  • Instagram
bottom of page