Diagnosis of Male Menopause

There are no definite diagnostic criteria for the diagnoses of male menopause at present. When a man experiences the symptoms as described it is recommended that he goes for a full medical check-up and blood testosterone levels.

medical history

Medical history will guide the medical professional

  1. Medical History
  2. A good medical history will guide the medical professional to specific conditions and to which special investigations need to be performed. Family medical history can also be useful. History of medication, drug use and abuse forms an important part of the medical history.

  3. Medical Examination
  4. A complete medical examination needs to be performed by a medical professional. The cardiovascular and respiratory systems are especially important as heart and lung disease can present in a similar way to male menopause. Physical signs of decreased testosterone levels can be noted on physical examination.

  5. Weight, Diet and lifestyle analysis
  6. The patient should be weighed and his abdominal circumference measured. The doctor might refer the patient to a dietician for further analysis of diet. If not done in the medical history, amount of physical activity should also be noted. Ideas and recommendations of how to be more active should be discussed.

  7. Exclusion of other diseases
  8. It is very important for other diseases and conditions to be excluded before the diagnoses of male menopause or andropause is made. Many of the symptoms of male menopause are also part of other conditions. Although medical professionals should be aware of andropause and not under-diagnose this condition, any symptoms associated with andropause should not be called male menopause until other possible medical or psychological conditions have been excluded.

  9. Blood testosterone levels
  10. Testosterone levels of healthy males range from 300-800 nanograms per deciliter (ng/dl). If the patient’s blood testosterone levels is lower than 300ng/dl, he has low testosterone levels. If low testosterone is diagnosed it doesn’t mean other diseases don’t need to be excluded. Other diseases could be the cause of the patient’s low testosterone. Testosterone levels vary throughout the day, so one sample of blood may not be sufficient for an accurate determination of testosterone levels. Blood is usually taken in the morning as this is when testosterone levels are at their highest.