The primary cause of andropause is a gradual decline in testosterone production, which typically begins in a man’s 30s and continues slowly with age. By the time men reach their 40s, 50s, or 60s, hormone levels may have dropped enough to trigger noticeable symptoms. However, andropause is not just about aging—other factors can accelerate or worsen the effects of testosterone decline, including:
Chronic Stress and Poor Sleep: Long-term stress raises cortisol, a hormone that directly interferes with testosterone production. Poor sleep quality further disrupts hormone balance, making fatigue, mood changes, and low libido worse.
Weight Gain or Obesity: Excess body fat—especially around the abdomen—converts testosterone into estrogen through a process called aromatization. This not only lowers available testosterone but can also intensify symptoms like fatigue and reduced muscle mass.
Sedentary Lifestyle: Lack of regular physical activity reduces natural testosterone production, contributes to weight gain, and weakens muscle and bone health.
Certain Medical Conditions: Chronic illnesses such as diabetes, cardiovascular disease, thyroid disorders, or metabolic syndrome can interfere with hormone regulation and worsen the symptoms of andropause.
Excessive Alcohol Use or Poor Diet: Overuse of alcohol, processed foods, and nutrient-poor diets deplete the body of key vitamins and minerals needed for hormone production, compounding testosterone decline.
Together, these factors can create a cycle where lower testosterone leads to fatigue and weight gain, which in turn further reduces testosterone levels. Recognizing and addressing these contributing causes is essential to restoring hormonal balance and improving overall health.