Menopause and andropause are both age-related hormonal transitions, but they differ in onset, progression, and biological impact.

Menopause typically occurs between the ages of 45–55 and marks the end of ovarian function. Estrogen and progesterone levels drop sharply, leading to:

• Hot flashes and night sweats
• Vaginal dryness and discomfort during intercourse
• Mood swings, anxiety, and sleep disruption
• Decreased bone density and increased cardiovascular risk

Treatment may include hormone replacement therapy (HRT), vaginal estrogen, and lifestyle strategies like resistance training and nutritional support.

Andropause, often called “male menopause,” is a gradual decline in testosterone, usually beginning in the late 30s and progressing over decades. Symptoms include:

• Reduced libido and sexual performance
• Fatigue and decreased physical performance
• Loss of muscle mass and increased fat accumulation
• Mood changes and cognitive slowing

Treatment options include testosterone replacement therapy (TRT), resistance training, sleep optimisation, and nutritional support (e.g. zinc, vitamin D). While menopause is a distinct biological milestone, andropause is more variable and often influenced by lifestyle and metabolic health.