Male Menopause is a Myth: An Andrologist’s 40-Year Perspective on Testosterone and Aging

After four decades as andrologist, I have witnessed the rise of a dangerous misconception: “male menopause” or andropause. Testosterone replacement therapy (TRT) clinics promise restored youth & vitality, but the truth is simple — male menopause does not exist.

The Critical Difference

True menopause is a universal female event: ovarian function stops, estrogen and progesterone collapse, and menstruation ceases permanently. This transition occurs in all women.

Men, however, never experience complete testicular shutdown. Testosterone & sperm production continue—sometimes reduced but never absent—even into their 80s and 90s. There is no sudden hormonal cliff or universal threshold.

Wh ...