Andropause

Gradual testosterone decline in men, typically 1% per year after age 30.

Environment changes

• Testosterone and DHEA decline
• Muscle mass and bone density reduction
• Metabolic changes
• Sleep quality may decline

Key considerations

• Distinguish normal aging from pathological hypogonadism
• TRT only for documented deficiency with symptoms
• Resistance training and protein intake critical
• Cardiovascular and prostate monitoring if on TRT