What Happens to a Man’s Body During Manopause?

Dr A McIlwraith

We hear a lot about menopause in women, but not nearly enough about the very real and often overlooked experience men go through in midlife: manopause.

Also known as andropause, this stage is marked by a gradual drop in testosterone levels and can cause a cascade of changes in both the body and mind. If you’ve been feeling "off" lately — physically, emotionally, or mentally — and you're in your 40s or beyond, this might explain why.

Here’s what really happens to a man’s body during manopause.

🏋️️ Hormonal Shifts

Testosterone plays a central role in male health. As levels start to decline (usually around age 40 and beyond), the body reacts in multiple ways:

• Reduced muscle mass and strength

• Slower metabolism and potential weight gain (especially around the belly)

• Lower libido and sexual performance issues

• Fatigue and low energy levels

• Mood swings, irritability, or increased anxiety

These changes don’t usually come all at once, but they build gradually. Unlike female menopause, which happens in a more defined timeframe, manopause can stretch over years.

⚖️ Physical Changes You Might Notice

1. Loss of Muscle Tone

Even with the same workout routine, you may notice your muscles look and feel less firm. That’s testosterone at work — or rather, not at work like it used to be.

2. Increased Body Fat

Particularly around the midsection. This isn’t just about diet. Hormonal changes influence how your body stores fat.

3. Decreased Bone Density

Yes, men can experience bone loss too. Lower testosterone can lead to weaker bones, increasing the risk of injury.

4. Sleep Disruptions

You might struggle to fall asleep, stay asleep, or wake up feeling unrefreshed. This is often linked to hormonal imbalance.

5. Hot Flushes and Sweating

Surprising, right? Some men experience hot flushes, night sweats, or sudden temperature sensitivity similar to female menopause.

📈 Mental & Emotional Effects

It’s not just the body that feels the shift — your mind does, too.

• Lower motivation and drive

• Brain fog or trouble focusing

• Depression or feelings of emptiness

• Withdrawal from relationships or social life

These symptoms can have a real impact on relationships, career performance, and overall quality of life.

⚖️ What You Can Do About It

✅ Get Tested

A simple blood test can measure your testosterone levels. If they’re low, you and your healthcare provider can explore options like testosterone replacement therapy (TRT) or natural alternatives.

✅ Prioritise Exercise

Resistance training and regular movement help boost testosterone and preserve muscle.

✅ Nutrition & Sleep

Fuel your body with healthy fats, lean protein, and plenty of water. Aim for 7–9 hours of quality sleep.

✅ Talk to Someone

A coach, therapist, or health professional can help you navigate the emotional shifts with clarity and support.

🌟 Final Word

Manopause isn’t a crisis — it’s a transition. And like any transition, it comes with challenges, but also an opportunity to reconnect with your health, redefine your goals, and re-engage with your life.

You're not broken. You're evolving. Let’s face it with knowledge, action, and confidence.

Want to learn more?

Check out the Manopause Workshop, download our free symptoms checklist, or book a 1:1 coaching session today.