You have probably heard of menopause and may have noticed the growing awareness and workplace initiatives surrounding it. But have you heard of its male counterpart, andropause? Chances are, you have not, and that is part of the issue. As a coaching psychologist and andropause specialist, I meet many men who are experiencing differences in midlife without any understanding of andropause. In fact, research suggests that almost half of men over 45 experiences at least one symptom linked to low testosterone, yet most are not familiar with the term ‘andropause’ at all*.
In this article, I offer a clear and evidence-informed overview of andropause, the signs and shifts that often accompany it, why organisations should take notice, and practical steps employers can consider to better support midlife male employees. The aim is not to diagnose or offer medical advice but to help workplaces understand an important and often overlooked factor in male wellbeing.
Recognising the changes
Some men in midlife report changes such as reduced muscle mass, low energy, weight gain around the midsection, lower libido, reduced confidence, difficulty concentrating, anxiety, or brain fog. These experiences are often attributed to stress or ageing but for some, they may also relate to declining testosterone levels.
In high-performance workplaces where focus, stamina, and resilience matter, ignoring these factors can quietly affect wellbeing and productivity. Having worked with numerous companies on male midlife health programmes, I’ve seen the same reaction time and again:
“Why weren’t we talking about this sooner?”
What Is Andropause?
Andropause refers to the gradual age-related decline in testosterone and other hormones that some men experience as they get older. It is not a direct equivalent of menopause, because the biological processes differ. While menopause typically occurs over a defined period, while testosterone levels in men usually decrease slowly over time, often by an average of 1 to 2 percent per year after the age of 30 1 .
This slow onset means changes can be unnoticed. Men may experience gradual changes in their overall wellbeing such as energy levels, concentration and emotional balance as well as physical performance without realising the underlying connection.
Adding to this is a cultural challenge: many men still feel uncomfortable speaking about how they feel or worry it might be seen as a weakness. Combine that with data showing men in midlife have the highest suicide rates of any demographic 2 , and it becomes clear that open discussion and support are essential.
Why Workplaces Should Take Notice
Corporate environments rely on clarity, performance, and stability; all of which can be affected when health and wellbeing decline. Leaders or team members experiencing the effects of hormonal shifts or stress which may be linked with reduced motivation, concentration, potentially influencing overall workplace wellbeing and productivity.
Stress often makes things tougher. When pressure is constant, it can influence how people feel, think, and perform. Without open conversations and the right support, organisations could lose valuable experience and insight from their senior teams.
What Organisations Can Do
Forward-thinking employers are beginning to expand wellbeing policies to include male midlife health. If your organisation already supports menopause awareness, consider taking a similar approach with andropause.
Practical steps include:
- Education & Awareness: Provide information and safe spaces for open dialogue.
- Wellness Programmes: Integrate support around stress management, nutrition, sleep, and exercise.
- Health Access: Encourage men to seek professional medical advice or routine health checks.
- Cultural Change: Normalise the conversation so employees feel supported, not stigmatised.
It doesn’t take much to make an impact, often just an open conversation or reassurance that it’s okay to ask for help. The result? Greater engagement, loyalty, and wellbeing across your workforce.
Practical Ways Men Can Take Charge
On an individual level, there are simple, effective ways to support midlife health:
- Stay active with strength, cardio, and flexibility training.
- Eat a balanced diet rich in whole foods, lean proteins, and vegetables.
- Prioritise sleep and recovery.
- Manage stress through mindfulness, exercise, or time outdoors.
- Seek medical advice for persistent symptoms. A qualified healthcare professional can discuss options, including when hormone therapy may or may not be appropriate.
- Most importantly: talk. Open discussion is key to breaking stigma and improving resilience.
Final Thought
Andropause isn’t “just getting older.” It’s a recognised stage of male ageing that can bring physical, emotional, and cognitive changes and it’s already affecting workplaces.
The question is whether your organisation is ready to address it. Companies that do are finding real benefits: healthier, more engaged, more loyal teams and a culture where midlife men stay in the game at their best.
Disclaimer:
This article is for general information only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider regarding any medical condition or before making changes to your health or lifestyle.
The Midlife Male Handbook: A Man’s Guide To Thriving Through Andropause is available at all good book shops Amazon, Waterstones and WH Smith.
*Censuswide, 2024. Survey of 1006 males in the UK aged between 40-55, July 2024. Research conducted for Health & Him
