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Is Male Menopause Real?

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Author of Male Menopause and The Irritable Male Syndrome. Come visit me at www.MenAlive.com

“You’re a guy in your late 50s. You’ve just awakened and are looking at yourself in the bathroom mirror—as you do every morning. Only today you notice for the first time what must have been there for a while: the love handles, the once bulging pecs that now sort of sag. It gets you thinking.” These are the opening lines of an article in this week’s (January 15, 2007) Newsweek. The cover story is Understanding Menopause and the view of the 50-Something women and the 50-Something men couldn’t be more different.

Have you seen this issue of Newsweek?

There are a number of stories on “the change” for women and one interesting article on male menopause. The articles are full of factual information about menopause in women and andropause (male menopause) in the guys. But this is definitely a case where a picture is worth a thousand words.

Newsweek photographer Mackenzie Stroh has a picture of 10 women for the lead article on menopause with the title The New Prime Time. The women are smiling, laughing, leaning on each other in companionable support. They look like they’ve just learned the secret of how to stay happy, healthy, and orgasmic for the rest of their lives and they can’t wait to share the good news with the rest of us.

I turned to the article on men, titled Is Male Menopause Real? The 10 guys in this photo all look depressed, confused, and disconnected. They appear to be half dead--advertising, it seems, the horrors of losing your job, finding out you have prostate cancer, or spending the rest of your life with a limp penis.

Is this how men feel about moving through male menopause? Are men doomed to decline while women are surging ahead with post-menopausal delight?

I think part of the problem is the different ways Boomer men and women are portrayed in the media. The sub-head for the Newsweek article on women says, “Two of our writers explain how the years after 40 are a time for critical changes.” Looking at the accompanying picture of the women laughing with delight, it’s clear that the critical changes are going to be fun.

The men’s article, written by two Harvard MDs, has a sub-head that says “As men age, testosterone levels decline, which can lead to lots of problems.” Looking at the men, you might well believe that their changes are going to lead to disease, dishonor, and despair. The article suggests that we aren’t even sure if male menopause exists and if it does exist it is bad news for us guys.

I think the media, and many health-care professionals, are badly out of touch with the realities of male menopause. First, there is no doubt that it exists. Perhaps the Harvard MDs who wrote the article are not aware of my books, Male Menopause and Surviving Male Menopause: A Guide for Women and Men. Published in 1997 Male Menopause began with these words:

“Male menopause (also called andropause) begins with hormonal, physiological, and chemical changes that occur in all men generally between the ages of forty and fifty-five, though it can occur as early as thirty-five or as late as sixty-five. These changes affect all aspects of a man’s life. Male menopause is, thus, a physical condition with psychological, interpersonal, social, and spiritual dimensions.”

I went on to describe the research that I had conducted and other research that had been going on throughout the world demonstrating that male menopause is not only real, but can be effectively treated. I also reported our findings that proved that when properly treated male menopause can be a very positive change of life for men.

The second paragraph of the book said, “The purpose of male menopause is to signal the end of the first part of a man’s life and prepare him for the second half. Male menopause is not the beginning of the end, as many fear, but the end of the beginning. It is the passage to the most passionate, powerful, productive, and purposeful time of a man’s life.”

When I wrote Male Menopause I noted that over 25,000,000 men in the U.S. alone were going through the “change of life.” Many millions more men were going through “the change” throughout the world (That’s why Male Menopause has been translated into more than 25 foreign languages).

By 2020 I noted that the numbers in the U.S. would increase to over 57,000,000. When Male Menopause came out in 1997 I quoted a number of leading medical experts who were just beginning to do research on male menopause. Ronald Klatz, M.D., president of the American Academy of Anti-Aging Medicine said, “One of the best-kept secrets is that men go through a male form of menopause called andropause.”

Marc Blackman, M.D., chief of endocrinology and metabolism at Johns Hopkins Medical Center said, “The male menopause is a real phenomenon and it does similar things to men as menopause does to women, although less commonly and to a lesser extent.”

Theresa Crenshaw, M.D., author of The Alchemy of Love and Lust said, “In the case of male menopause, we are still in the Dark Ages. Men have fewer guideposts to help them today than women had a generation ago. Only recently have we begun to understand the biochemistry of these events, tilting the scales toward a physiological explanation.”

In 2005, 2,300,000 prescriptions were written for testosterone. Millions more men received treatment for male menopause using other healing techniques. Although more men are recognizing that they are going through male menopause and are getting treatment, we are just scratching the surface. This is a time for men to stand up and be counted.

I believe that all men will go through this change of life, just like all males (and females) go through puberty. The question is how well will we go through it? I don’t think male menopause needs to be a time of doom and gloom. I believe it is prime time for men as well as women. Are you between the ages of 35 and 65? Have you or someone you care about dealt with male menopause? What kind of treatments have you tried? What has worked for you? Would you like to learn more about what you can do to make the “change of life” more passionate, powerful, productive, and purposeful?

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Jude Rossi's picture
Well, now, Jed, I knew all that, didn't I? It is just a matter of giving credit where credit isn't due. I've yet to see a man ripping his clothes off because he feels like he is about to explode in spontaneous combustion. Etc. Nope, not the same.
jdiamond's picture
Jude, I used the name because my research showed that there were many similarities between the "change of life" for women and men. The more correct term is Andropause. Male Menopause, of course, is a misnomer in actuality. Men don't have a menstrual cycle, so don't stop having one. Yet I found the term spoke to a reality that we now have scientific evidence to support. Men, like women, have a hormonally based change of life that occurs in most men between 40 and 55. Like women, the hormonal change affects our emotions, physical well-being, sexuality, and spirituality. Unlike women, men can continue to conceive children. Viva la similarities and viva la difference.
Jude Rossi's picture
WHY do people insist of saying, "Male Menopause?" NO SUCH THING. Men DON'T have menses.
Mr Normal's picture
Male menopause is just a reaction to the real menopause of women.
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Josh's picture
About 6 years ago I noticed some things that are classic symptoms of male memopause, but like most folks, I was ignorant of them. So, over time, I lost interest in sex, energy and became moody. My wife, rather than riding this out with me, decided to jump ship. She had an affair and left me for the other man. Just what a guy in male menopause needs, right? Today, I take better care of myself. Knowledge is power, and knowing what my body is going through helps me deal with it. I eat better, get more exercise, have an extra glass of wine with dinner, and take time to have fun. Most of the symptoms are gone. The doctor had me on testosterone for a while, but I have backed off that and decided to change my attitude instead. What a difference! Today, I am a much better man. I have started dating a few ladies and find that they seem to like this new guy. My current girl-friend is 61 and six years older than me. Yet, she stirs up my hormones and makes me feel like a teenager again. I think I like older women! Someday I hope to remarry.
Deb's picture
Thanks!!! for the words of 'been there and done that' as well as for the 'smile', yikes I can still smile...that came with reading your response... As soon as I am on my 'feet' and ready to fly I will.
Male Menopause's picture
Great article Jed. I just posted a new article on this topic at my blog greatestofhealth.com.
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Jude Rossi's picture
Life is too short to spend it with a miserable grumpy person like that. I can only imagine what kind of old man he will be...ewwww! Yuck. And he'll take you right down with him. The fact that he was once on meds and quit them says he likes being miserable. Some people do. Others will argue that point, but I swear, there are people who are happiest when they are angry and showing it. This guy KNOWS he has a problem...and he refuses to try to fix it. I can imagine how when you wake up in the morning, you have to wonder what kind of mood he will be in, and walk on eggshells so as not to set him off. I HATE THAT. Been there, done that. And your kids are living the same thing. NOT good. I'd give him ONE chance, "Either you get help, or I am leaving you." Then I'd dump him, as soon as I could figure out a plan to do so. He makes plenty of $$ as an engineer..he'd have to pay. You'd get the house, too. I also hope you have a really good insurance policy over two years old on him.
Deb's picture
Hi Jude, He was on Meds, when I first met, but after a year, he said that he didn't need them anymore, that they went 'doing anything'. Yes, most of the time he does go around with "his cloud", mumbling to himself, and then it does seem to escalate. Like Dr Jekyll and Mr. Hyde. I get so used to the complaining, (we live with it on a daily basis), then on the days he 'rants' about everything, I realize that I begin to blame myself and take it personally. I do not want to live like that for much longer. It is a series of events and comments that are like the 'straw on a camel's back'. Thanks for allowing me to 'vent', there is no one else to talk to about this. His own family will tell him to quit being so 'neg', but they don't live with him. I have gone back to school and am working hard to be more independent. I do realize that I have to have a plan, for going on with life in a positive and fulfilling way. Thank you
Jude Rossi's picture
Deb, you've been on my mind ever since I read your letter. Do you have a support system of your own? Financial? Family?
Jude Rossi's picture
Deb.....It must be so hard for you living with someone so down, negative, and depressing. He sounds like that old cartoon character that used to go around with the black cloud hanging over his head everywhere he went. Honey,,,this guy is in serious trouble. He needs help..and unfortunately since he is a know-it-all, it might take a crisis before he gets it. And that is too bad, because, although it sounds like deep rooted depression, it could be something as simple as a chemical imbalance that could be patched with medication. We can't guess, or know. It could be that he IS just plain unhappy. That nothing has turned out like he thought it would. It sounds like he hates everything, though, his job, his life, his kids, etc. Including himself. Whatever it is, he is obviously smart enough to know he has a BIG problem. Since he seems to not want to do anything about it but bemoan his circumstances, my concern is YOU. It sounds to me like he is esculating, too...and that could be dangerous. I fear it is going to have to be you who takes action. But please be very careful not to push him over an edge when you are alone with him. You never know when people will snap when they have smoldering issues seething below the controlled surface. I find your situation a bit scary.
Deb's picture
Sandra, Thank you for sharing, I thought "I was going crazy and the blame for the way my partner is feeling." He too says "that nothing has filled that void he feels “deep down in his soul”. That this void has been there all his life. He is constantly saying “I’m unhappy” I’ve found that the more educated the man, the easier it is for him to think “I know best what’s wrong with me, and the only thing wrong with me is the people around me.” Yes, he is educated and an accomplished aerospace engineer, he is talented in so many other ways and yet all of that is "not good enough", he seeks recognition and even when he receives it, he perceives it as not being enough. He totally avoids everyone…I can’t tell if it’s out of fear or selfishness. He will tell you right up front that he’s unhappy but won’t say why and I wondering if he isn’t using this as some sort of crutch. He once told me, that he is with his parents because they give him sympathy. What exactly is that about? In my partner's case, not even his family ever offered him any sympathy, which I know for a fact is not true. He is also a perfectionist and of course some of the people he works with are “idiots” and he gets frustrated and seems to really suffer because of it. He claims that his education was a waste of time. All I get is poor me and that I am wasting my time on a “looser”. The theme of I am a looser and my life sucks, my kids suck (which is not true, they need a positive male influence) I noticed that now they are the ones telling him, "Dad, please don't say that. And asking him why he is making negative comments. (this hurts me) "He told me that he is full of shame and is constantly putting himself down." He says that he ruins everything and that no one likes him or likes to be around him... (For a while I thought that he might have been molested as a child, he kept saying how full of shame he is) "He likes to play it safe and then complains how safe it is." Yes... This line of thinking confused me, he started to talk about wild fantasies and yet he is so clean cut and afraid of what other people think of him. Today he called and left a message, ranting about how he messes everything up and how he wished he was dead. "That nothing is good in his life". I don't know how much more I can take. He has been talking like this for the last 5 years, he is 36. I did think to myself that it seemed like he was having PMS because of the cycles he would go through, sometimes worse than others....
Kochanie's picture
I think the media, and many health-care professionals, are badly out of touch with the realities of male menopause. First, there is no doubt that it exists. My husband and I could not agree with you more on this point. When my husband began experiencing some of the symptoms of andropause over 10 years ago before he turned fifty, I was hurt and bewildered by the change. We enjoyed a satisfying sex life and when that diminished, I felt that I had lost a buffer against the worries and stresses of everyday life, a few moments of forgetfulness that made those difficult days and difficult more endurable. At first, my husband did not understand what was happening to him either, and in his frustration, found fault with just about everyone, including me. Neither of us had even heard of andropause, even though I had read everything I could on the topic of menopause when I started experiencing those symptoms. If we had known about andropause at that time, perhaps we could have weathered that storm with more compassion and less resentment. So please, get the word out.
Newman's picture
Jed, I appreciate the research and work you have put into this important male issue. I’ve implemented many of the practices in these books as well as The Whole Man Approach. Quoting from your book: “These changes affect all aspects of a man’s life. Male menopause is, thus, a physical condition with psychological, interpersonal, social, and spiritual dimensions.” I often wonder if the many in the professional arena approach this Midlife Transition one dimensionally. Treating only the physical condition or the psychological without further regard to the interpersonal, social, and spiritual dimensions? You asked “What kind of treatments have you tried?” I’m 50 years old and have experienced a full plate serving of this mid-life much of which has not been pretty to those I love. I have found that modulating hormones through diet, resistance exercise, and vitamins & supplements has helped a great deal. One thing I have noticed with the hundreds of midlife men I correspond with at FortySixty.Org is that the feelings inventory associated with Male Menopause tend to cycle during periods when testosterone level peak at either high or low seasons; not only the low. I wonder if you might address this? You also asked – “Would you like to learn more about what you can do to make the “change of life” more passionate, powerful, productive, and purposeful?” Jed, I believe this is key to the entire Midlife Transition. This is EXACTLY what we men in midlife need! Indeed it is the heartbeat of this passage into the second half of life. If this is your next project I applaud you and encourage you in the undertaking. Many Thanks, Newman Hart – FortySixty.Org
Gippy's picture
I have a long-time friend (male) who is going through male menopause in his early 70s and is devastated and astounded! The life this man has led, believe me, leads me to believe that is the cause of alot of his problems now and not anything called menopause. He is still a good-looking man (looks a little like Clint Eastwood as he is now), but suffering many health problems that are keeping him from his desires. I've tried to get him to concentrate on other things in life - he lives near the beach, he has friends around him, he and I share many laughs since we were together for five years in my 20's and his 30's. I know that sex is still important to many people our ages (I'm 60) as it should be, but if it is not possible, how about appreciating what you do have? I'm sorry, but if I were to look for a mate at this point in my life, I'd be looking for a 'grandfatherly-type' gentleman first, not a 65 year old with abs of a 45 year old, with a hair piece and driving a sportscar. That is so not where I am today. I had all of that superficial stuff in my 20's and 30's and, to be honest, even with lots of illnesses behind me, I still am enjoying the 'golden years' for what they are (not what I can remake them to be). I've seen many men (some husbands) leave, or 'almost' leave their marriage to capture their youth again (I suppose that's male menopause). Women usually (not always) instead get a makeover, a face lift, get a new hobby or join a health club -- not wreck their marriage. Just my view from 60 years. Gippy.
jdiamond's picture
As I noted, Male Menopause (Andropause), generally occurs when men are between 40 and 55, though it can start as early as 35 or as late as 65. Many people assume that men are just getting "old and crabb" when in fact they are going through a change of life that can be treated. Too many men, and the women who love them, suffer needlessly because they don't understand that male menopause is real, it involves multiple body/mind/spirit aspects of health, and can be treated when a proper diagnosis has been made.
Sandra's picture
I believe there is a male menopause and I think it would help for my husband to find out about it. But I am dealing with a man who is a physican and thinks he can cure himself and a suffocating mother-in-law. In fact when he moved out at 45 years old, he moved back in with mom and Dad. He went to a psychiatrist who told him that he is prone to depression and needs to be on medication. In our 17 years together I have seen this man, who is passionate about his work, slip in and out of depression. I have the journals and the scars to prove it. He went after everything out there, including a younger woman. He remarked to me that nothing has filled that void he feels "deep down in his soul". I believe nothing in a material world can. I believe only God can do that. And the only remark he makes is "I'm unhappy". I consider my husband sick and I just can't walk away from him but I can't help him either. How can I convince this man, this physcican, to get the proper diagnosis? To truly look into male menopause? I can't seem to convince his family, especially his parents that he needs help. My mother-in-law, who I was as close as a daughter to, told me in no uncertain terms that she was going to do everything for her son and that I should just get on with my life. I mentioned another woman to her and his depression and her response was "I don't know when he would have time for another woman, he is always with me. And he is not depressed because he is "lucid at the dinner table." He is a doctor but he has a fool for a patient and a mother that I think may be the end of him and us. God help us all..only He can.
jdiamond's picture
Sandra, Good for you for taking care of yourself. There certainly is a lot to learn about Male Menopause. Unfortunately one of the main symptoms is denial. The man often refuses to recognize that he has a problem and will go to great lengths to blame it on everyone but the changes going on inside. I've found that the more educated the man, the easier it is for him to think "I know best what's wrong with me, and the only thing wrong with me is the people around me." You might send him the Newsweek article, knowing that he won't be ready to read it until life offers him the lessons he may need to realize that something is wrong, and it just might be what's going on inside him.
Gippy's picture
Hi Sandra and I'm sorry for all of your heartache! I'm thinking about your husband being a physican and not to get too personal, but maybe think about what type of physican. Although all physicians deal with life and death at some point, does he deal with life and death every single day (like an oncologist or surgeon etc.?) I'm sure they think they can handle it having done it for so long, but maybe they too get burnt out just like some law people do since they see and experience so much. Perhaps that mixed with what could be male menopause also is causing such a drastic change now more than ever. Doesn't he have a sibling or good friend you could get to interact with him without his mom knowing? But, by all means, take care of yourself too. It just sounds like you still care for this man and it's just a thought. Gippy
Sandra's picture
Jed, your right about him thinking it's the people around him. He totally avoids everyone...I can't tell if it's out of fear or selfishness. He will tell you right up front that he's unhappy but won't say why and I wondering if he isn't using this as some sort of crutch. He once told me, that he is with his parents because they give him sympathy. What exactly is that about? He is also a perfectionist and of course some of the people he works with are "idiots" and he gets frustrated and seems to really suffer because of it. He claims that his edcuation was a waste of time. All I get is poor me and that I am wasting my time on a "looser". He told me that he is full of shame and is constantly putting himself down. I did send him the Newseek article and I hope he reads it and maybe considers that it's more than meets the eye. Is this male menopause, mid life crisis or depression? How do you know the difference? I think I need a vacation from it all.:o) To answer your question Gippy, he is a radiologist. Not exactly life and death but his diagnosis has saved some lives. And I'm sure sitting in the dark most of the day doesn't help either. And I agree that he is burned out but he said that he doesn't know how to do anything else. He is not a man for taking a chance or a risk. He likes to play it safe and then complains how safe it is. He has a very good friend, a best friend, one that is as close as a brother who tried desperately to talk to him but he avoids him now too and his friend is hurt by it and doesn't understand it. Everyone has tried talking to him and he sits and listens and stays quiet. His family are not emotional people,and they surpress everything. Yes I do still care for him, as a mater of fact, I still love him. I know that "love endures all"...and I truly wish it were the answer. But I believe that God is in control and all I can control is how I respond to it all.
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