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Cranky, moody, or depressed middle age men with loss of libido – know any?

May 28, 2011

The first thing to consider is “Low T,” which is a decrease in the level of natural testosterone. This occurs gradually over the age of 30 in all men,  but for 25% of men over the age of 45 the level drops below normal on a blood test. When there are troublesome symptoms the process can be called andropause or “male menopause.” Symptoms may include:

  • Lethargy
  • Depression
  • Irritability
  • Mood swings
  • Loss of sexual drive
  • Loss of sense of well-being
  • Gradual loss of muscle mass and strength

These changes can result in a crisis. There are other causes for crankiness and loss of desire in men, but if it’s Low T, it’s easy to diagnose and treat. Your doctor will likely prescribe a gel to rub on your skin once a day, and possibly give you injections to jump start your system. In two weeks you could feel like you have a new lease on life, however it may not be cheap at the pharmacy.

While the prescribed dose can give you more energy and strength in the gym, fire up your love life, and even shrink belly fat, it won’t turn you into a Schwarzenneger or give you Chippendale abs. Body builders and some male models and actors take several times the recommended dose. Ever wonder what’s up with the guys on men’s magazine covers and in infomercials promoting a plastic pole or an absurd rubber cord as the ultimate tool for getting sculpted and ripped? Steroids and hard workouts gave them that look, not the cheesy equipment. See the popular documentary “Bigger, Stronger, Faster” if you want some documentation on these scams. If your blood test is normal, ask for a prescription anyway. Some doctors are treating the symptoms of Low T and finding that they improve even with a normal test result. You might have to see a specialist who is comfortable with that.


  • Journal of Urology 2000;163:460-463.
  • ‘Manopause’ Hits Middle-Aged Men April 7, 2007
  • Debating the Existence of Male Menopause Andrea M. Braslavsky WebMD Health News March 24, 2000 (Atlanta)and British Medical Journal
  • J Clin Endocrinol Metab, Vol. 73 (5): 1016-1025 Copyright © 2011 by The Endocrine Society

One Comment leave one →
  1. Rodger Dulany permalink
    February 9, 2013 8:41 pm

    At about the age of 40 men start noticing that their libido and vitality are slowly diminishing. At this time they experience sleeping disorders, memory problems, hair loss, and gaining extra weight. They experience strange fluctuations in mood; they do not feel motivated, get tired and cranky more and more often. The situation may get even worse when they experience other unwanted symptoms, such as aches and pains, flushing and sweating, depression, increased weight and decreased sexual desire accompanied by erectile dysfunction. ;

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