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Andropause

Dr. Leonard Leng of ATA Medical Singapore.
Medically Reviewed By: Dr Leonard Leng – MBBS, MMed (FM), GDOM, DWD
Last updated: Dec 20, 2025

What Is Andropause?

Statistic showing 1 in 4 men in Singapore have low testosterone levels associated with andropause.

Andropause, also referred to as late-onset hypogonadism, is the gradual decline in testosterone levels that occurs as men age. This hormonal shift can lead to a range of physical, emotional, and psychological changes, similar to menopause in women, though the process tends to be slower and the symptoms differ.

Testosterone plays a key role in:

  • Muscle growth and maintenance
  • Bone density and strength
  • Sexual function and libido

According to a health screening study in Singapore conducted between 2007 and 2009, 26.4% of 1,000 men were found to have low testosterone levels, highlighting how common this condition is locally.

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.

Gradual decline in testosterone in men over 40.

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.

Aged asian man experiencing sleep disturbances due to andropause.

Diagnosis of Andropause

Testing testosterone levels for 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 $49.05
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
*Prices are NETT and inclusive of GST.

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

50 year old asian male exercising to manage symptoms of andropause and improve quality of life.

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 $49.05
Testosterone Injection $381.50 / injection
Testosterone Gel $196.20 / box
*Prices are NETT and inclusive of GST.

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.

Why Choose ATA Medical?

ATA Medical – One-Stop Health Screening Clinic With X-ray, CT Scan, Mammogram and Ultrasound scans.
ATA Medical – One-Stop Health Screening Clinic With X-ray, CT Scan, Mammogram and Ultrasound scans.
ATA Medical Orchard Clinic with Health Screening Nurses and Staff
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ATA Medical Tanjong Pagar Clinic with Health Screening Nurses and Staff
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Patient having a health screening review with Dr Jana Lim of ATA Medical
Health Screening Review with Dr Jana Lim
Female patient undergoing ultrasound scan procedure at ATA Medical Clinic.
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Female patient getting ready to undergo X-Ray procedure with a male staff assisting with the preparations.
One-Stop Clinic with X-Ray Facilities
Dr Leonard Leng of ATA Medical having a consultation session with a male patient.
Consultation About Men or Female Health With a Doctor of Your Choice

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What to Expect

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Want to do health screening in the comforts of your home with your family or partner? Try our home-based health screening.

Email Us at camden@atamed.sg for more information.

Book your Andropause with us at 88838892

Frequently Asked Questions (FAQs)

Men typically start to experience andropause in their late 40s to early 50s, although testosterone levels can begin to decline around age 40.
Treatment options include testosterone replacement therapy (TRT), lifestyle changes (diet, exercise, stress management), and addressing specific symptoms such as depression or erectile dysfunction.
Natural treatments involve regular exercise, a balanced diet, adequate sleep, and stress reduction techniques. However, for severe symptoms, medical intervention might be necessary.
While there's no guaranteed way to delay andropause, maintaining a healthy lifestyle can help. Regular physical activity, a nutritious diet, sufficient sleep, and effective stress management are beneficial for overall health, which can indirectly impact hormone levels.
Warning signs include fatigue, reduced libido, erectile dysfunction, mood swings, depression, loss of muscle mass, increased body fat, and sleep disturbances.
Andropause is a gradual process that can last several years as testosterone levels continue to decline.
The primary cause of andropause is the natural decline in testosterone levels that occurs with ageing.
It is best to consult your doctor to discuss the best approach to manage symptoms of andropause for overall health.
At 50, men may experience decreased testosterone levels, leading to symptoms like reduced muscle mass, increased body fat, fatigue, and decreased libido.
To lower male hormones naturally, focus on a healthy diet, regular exercise, maintaining a healthy weight, and reducing stress. However, it is important to consult a doctor concerning attempting to lower your hormone levels.
Attempting to increase oestrogen levels without medical supervision is not recommended. Hormone imbalances can have serious consequences.
While some men may experience lower testosterone levels in their 50s, the genetic influence on andropause is not fully established. There are no well-known, specific genetic causes or early risk factors for andropause.
Yes, andropause can affect sleep, leading to insomnia or disturbed sleep patterns due to hormonal changes.
During andropause, men may experience physical changes (like reduced muscle mass and increased body fat), emotional changes (like mood swings and depression), and decreased sexual function.
A 50-year-old man should only take testosterone if prescribed by a doctor after thorough evaluation, as it can have significant side effects and is not suitable for everyone.