ANDROPAUSE THE SEEMINGLY UNHEARD OF COMMON CONDITION

“Androwhat??” said a group of 3 men in their 60’s at my husband’s house a few weeks ago. “Surely you’re joking” These are educated folks who work in the mental health industry so I was quite surprised they had never heard of it.

Andropause, often referred to as "male menopause," is a condition associated with a gradual decline in testosterone levels in aging men. Unlike the abrupt hormonal changes seen in female menopause, andropause develops slowly, typically beginning around the age of 40 and continuing into the later decades of life. Symptoms may include fatigue, depression, reduced libido, erectile dysfunction, decreased muscle mass, and cognitive changes such as lack of concentration or irritability. While modern medicine may suggest hormone replacement therapy, there are significant problems with long term use and testosterone levels are not always the whole picture. Traditional Chinese Medicine (TCM) offers a unique, holistic perspective on this transitional phase in a man's life.

In TCM, andropause is not viewed as a disease, but as a natural part of aging related to a decline in Kidney Jing (essence), Qi (vital energy), and Yang energy. The Kidneys, in TCM theory, are considered the foundation of life. They store the essence (Jing) that governs growth, reproduction, and aging. As men age, their Kidney Jing is gradually depleted, leading to the symptoms associated with andropause. This is why Asian cultures are very pro-active on Yang boosting foods regularly in their diet (see below) and ‘restraining the essence’ sometimes known as tantric sex to conserve essence.

Kidney Yang Deficiency is one of the most common patterns seen in men experiencing andropause. This deficiency manifests as low libido, cold limbs, frequent urination, fatigue, and lower back or knee weakness. Treatment in TCM focuses on warming and tonifying the Kidney Yang using both herbal formulas and acupuncture. Common herbs include Rou Cong Rong (Cistanche), Yin Yang Huo (Epimedium or ‘Horney goat weed’), and Du Zhong (Eucommia), which help restore vitality, support sexual function, and strengthen the lower back.

Kidney Yin Deficiency, on the other hand, can present with symptoms like night sweats, irritability, insomnia, decline in sexual function (rather than low desire) and dry skin. This pattern is addressed by nourishing the Kidney Yin with herbs such as Shu Di Huang (Rehmannia), Gou Qi Zi (Goji berry), and Tian Men Dong (Asparagus root). These herbs help moisten dryness, calm the mind, and replenish essence.

TCM also recognizes the role of the Liver and Heart in emotional and mental health during andropause. Emotional symptoms such as irritability, anxiety, and depression may indicate Liver Qi stagnation or Heart Blood deficiency. Acupuncture points like Liver 3 (Taichong) and Heart 7 (Shenmen) are often used to regulate mood and promote emotional balance.

Diet and lifestyle are integral parts of TCM treatment. Foods that nourish the Kidneys—such as black sesame seeds, walnuts, lamb, oysters and bone broth with black mushrooms —are recommended. Stress reduction techniques like Tai Chi, Qigong, and meditation are encouraged to maintain a balanced flow of Qi and support overall health.

TCM offers a comprehensive and individualized approach to andropause, focusing on restoring internal balance rather than merely replacing hormones. By addressing root imbalances in Kidney Jing, Yin and Yang, and supporting emotional well-being, TCM not only alleviates symptoms but also promotes healthy aging and longevity.

Until next time, stay well

Dr Angela Palmer Kinglake Chinese Medicine.