With age, men often notice changes in energy, libido, and overall health, prompting a question of whether men have something similar to the female experience known as menopause. Popular terms such as "male menopause" have emerged in the culture, but the medical profession will clarify that the phenomenon is not directly analogous to the female menopause. Instead, the phrase "androgen decline in the aging male" or "low testosterone" is used to refer to the subtle hormonal changes occurring in men with age. There isn't the jarring hormonal downturn that occurs when women experience a sharp decrease in both estrogen and progesterone associated with menopause.

Instead, men gradually undergo a decrease in the levels of their testosterone, by about 1.6 percent per year around age 30. Still, this does not typically cause them to cease its production altogether like estrogen in the female.

For most healthy men, testosterone production can continue well into their later years. Yet for some, even subtle changes in testicular function are beginning between 45 and 50, although more pronounced effects often appear only after age 70.

What Is “Male Menopause”?

The term "male menopause" suggests a clear-cut hormonal event, which does not apply to the physiological processes in men. Female menopause marks the end of reproductive capability and is associated with dramatic hormonal changes within a short period. The so-called male menopause, associated with ADAM or late-onset hypogonadism, involves a slower decline in testosterone and affects a small percentage of men.

Late-onset hypogonadism, on the other hand, occurs in only about 2.1% of males. It is defined by three or more sexual signs or symptoms, such as erectile dysfunction, low libido, and reduced morning erections-as well as low testosterone levels lower than 11 nanomoles per liter (nmol).

Signs and Symptoms Often Attributed to "Male Menopause"

The symptoms of ADAM are less severe and develop more subtly than the symptoms of female menopause. These include:

• Fatigue and weakness
• Mood changes and irritability
• Hot flashes and sweating excessively
• Loss of muscle mass with more fat build up
• Loss of sex drive and erectile impotence

Low levels of testosterone can further contribute to several other health conditions including osteoporosis, cardiovascular diseases, and obesity, mainly in older males with testosterone less than 200 ng/dL.

Also Read: Can You Delay Menopause? Lifestyle Factors That Affect Its Onset

Hormone Replacement Therapy

Testosterone replacement therapy has become popular as a treatment for symptoms of low testosterone. Men with levels below 350 ng/dL who experience symptoms such as fatigue, sexual dysfunction, or weight gain may benefit from such interventions. However, for those with normal testosterone levels, the benefits of supplements or TRT are unclear and offer little to no advantage.

Critically, the long-term effects of testosterone therapy remain an area of active research. There are some studies that have shown potential risks to cardiovascular health.

Male Hormonal Changes vs. Female Menopause

Although similarities can be drawn between hormonal changes in men and women, it is fundamentally different in the two processes. For a woman, menopause is an absolute biological event that marks the end of reproduction, where the hormone estrogen plummets sharply within just a few years. In the male counterpart, testosterone declines gradually within decades, and most retain reproductive capacity throughout their lives.

For instance, although the estradiol levels of women decline to less than 0.3 pg/mL from their original 400 pg/mL following menopause, the testosterone level of men can never reach this low without certain medical conditions.

Managing the Effects of Aging

In many instances, these symptoms of low testosterone can mimic those of aging, lifestyle, or secondary medical conditions such as diabetes. All of these factors have easy ways of correction and can go a long way in improving quality of life.

The key strategies include:

• A diet rich in nutrients supports hormonal health and overall well-being.
• Strength training and aerobic activities to counteract muscle loss, weight gain, and fatigue.
• Avoid smoking or excessive alcohol consumptions. It will make bad the symptoms of being old and hormone imbalance. The stress and mind-related issues in a person must be controlled properly through mindfulness practices and therapy techniques to avoid any mood swings or depression.
• The medical community continues to debate whether "male menopause" is a valid concept or merely a misinterpretation of age-related changes. While some men report relief from symptoms through hormone therapy, others may find that lifestyle modifications are equally effective.

Experts emphasize that insufficient evidence exists to define "male menopause" as a diagnosable condition. Instead, addressing specific symptoms and underlying health concerns is a more effective approach.

Although men do not go through a similar process known as menopause, hormonal imbalances in ageing males are a true phenomenon and significantly affect their lives physically and mentally. Knowing these changes are progressive and getting professional advice from their physicians can also help them through this stage.

A healthy lifestyle, dealing with specific symptoms, and prioritizing, therefore, helps men maintain their vitality and, above all, their well-being well into the later years. Though not entirely accurate with the term "male menopause," it is important to realize the effects of aging and a decline in testosterone levels to enhance the quality of life for men.

Disclaimer: This article is for informational purposes only and is not intended to provide medical advice. Always consult a healthcare professional for personalized guidance.

Endocrine changes with aging. Endocrinology and Metabolism International Journal. 2016

Symptoms of male menopause unzipped. Science Daily. 2010

The medicalization of male menopause in America. Social History of Medicine. 2007

The Optimal Indication for Testosterone Replacement Therapy in Late Onset Hypogonadism. J Clin Med. 2019

There has been a recent increase in aviation-related headlines and tragic incidents that has triggered renewed anxiety about air travel. This has happened to even those who have previously felt at ease about boarding a flight. Statistics have continued to show that flying is one of the safest ways to travel, whoever, the number of people who have been affected by the fear of flying, or aerophobia has only grown.

This is based on the reports from psychologists, airport staff, and airline crew suggested a noticeable uptick in passengers expressing nervousness about flying. This trend is not just limited to those who have a long-standing fear of air travel. This has now been affecting to even those who were not concerned about it before. This may be due to the increasing media coverage, heightened safety concerns, and ongoing stress from broader life circumstances.

The recent data from the industry reflects a decline in air travel during early spring. While some airlines have suggested economic uncertainty and reduced government travels, the evidence suggest that there have been concerns over safety and psychological toll on recent aviation events, which has led to the decline in numbers.

Flight crews, especially those based near recent accident locations, have also felt the impact. Some crew members have taken time off to cope emotionally, and in a few cases, even left the profession due to increased stress.

What Is Aerophobia?

As per Trauma Research UK, aerophobia is an irrational fear or anxiety related to flying or being in aeroplanes. It is a type of specific phobia, which is an excessive or irrational fear of a particular object, situation, or activity. People with aerophobia may also experience intense anxiety, panic attacks, or avoidance behaviour when faced with situations involving air travel, such as boarding a plane, visiting an airport or even just thinking about flying.

How Does It Start?

It usually starts like how all other phobias start, from a 'learned behaviour'.

Bad Experience: A bad experience can be anything from experiencing turbulence, experiencing some form of trauma whilst abroad, seeing a frightening film as a child or feeling unwell on a plane

Copying A Parent: A lot of behaviour that we often do comes from looking at our parents If as a child, you have witnessed a grown up, who is supposed to be your protector, be scared of flights. Chances are, you will be scared too.

Becoming A Parent: Your parental protection instincts have kicked in and this fear may accelerate and become a phobia.

Transference: This often occurs when facing a stressful event whilst on holiday. As you are sitting on the plane homeward bound, the suppressed anxiety and stress catch up with you, causing an anxiety attack.

Psychologists also suggest that as individuals take on more responsibilities—like starting families or advancing in careers—their sense of vulnerability can increase, sparking fears that didn’t exist before.

Traumatic flight experiences, such as severe turbulence, can also act as a trigger. In some cases, broader anxiety disorders—such as social or travel-related stress—intersect with aerophobia, compounding the fear.

What Are The Symptoms?

For some, the fear of flying can lead to full-blown panic attacks. These may involve shortness of breath, dizziness, nausea, or a sense of being trapped. Airline crew members often assist passengers experiencing panic, sometimes administering oxygen or offering calming support during the flight.

How Can You Cope?

Deep breathing: Practicing longer exhales helps activate the body’s relaxation response.

Exposure therapy: This can involve gradually facing flight-related triggers—starting with looking at plane photos, watching flight videos, or using virtual reality simulations.

Mindfulness and acceptance: Learning to tolerate uncomfortable feelings rather than fight them can make anxiety more manageable.

Journaling symptoms: Some therapists recommend keeping a count of anxious moments to foster acceptance and track progress.

As times are changing, all of us are going back to traditional approaches, whether it is Ayurveda, Homoeopathy or Naturopathy. These are alternative medicines and are useful in treating many diseases, especially through lifestyle changes. Most of these alternative medicines focus on preventive care. Today, we try to find out what one might be in for when they choose Naturopathy as a way of healing. What does it do? How does it differ from Ayurveda? How can it complement the regular day-to-day modern medicines?

For this, the Health and Me team spoke to Dr Prashanth Shetty, Principal at SDM College of Naturopathy and Yogic Science, Ujire.

What Is Naturopathy?

As the doctor explains, Naturopathy is a holistic approach to medicine that believes in the body’s innate ability to heal itself. It focuses on the root cause of illnesses, not just symptoms, and promotes natural healing through diet, lifestyle modifications, herbal remedies, hydrotherapy, and physical therapy.

"Naturopathy emphasizes natural healing, disease prevention, and lifestyle modification, aiming to restore balance and promote long-term wellness,” says Dr Shetty.

Unlike allopathic medicine, which often relies on pharmaceuticals and surgeries to treat disease symptoms, naturopathy works by supporting the body’s self-healing process.

How Does Naturopathy Complement Modern Medicine?

Naturopathy is increasingly being integrated with modern medical practices. It works well as a complementary therapy, especially in managing chronic conditions. For instance, naturopathic therapies such as acupuncture and nutrition counselling can reduce side effects of medications or improve treatment outcomes.

Patients undergoing treatment for diabetes, hypertension, arthritis, or even cancer may benefit from a combined approach—using conventional medications alongside naturopathic suggestions on diet, exercise, and stress reduction. This not only reduces dependency on medication but also empowers patients to actively participate in their healing journey.

Can It Help With Chronic Conditions?

Dr Shetty points out instances where Naturopathy has helped patients who have been battling with chronic diseases:

Diabetes: Naturopathic approaches like dietary changes, herbal supplements, and stress management can complement conventional treatments.

Hypertension: Lifestyle modifications, such as diet, exercise, and stress reduction, can be used alongside medication to manage blood pressure.

Arthritis: Naturopathic treatments like acupuncture, herbal remedies, and physical therapy can help manage pain and inflammation.

Mental Health

Anxiety and Depression: Naturopathic approaches like mindfulness, meditation, and herbal supplements can be used alongside conventional treatments.

Stress Management: Naturopathic techniques like yoga, deep breathing, and relaxation can help manage stress.

Digestive Health

Irritable Bowel Syndrome (IBS): Naturopathic approaches like dietary changes, probiotics, and stress management can help manage symptoms.

Inflammatory Bowel Disease (IBD): Naturopathic treatments like dietary modifications, herbal supplements, and stress reduction can complement conventional treatments.

Women's Health

Menstrual Disorders: Naturopathic approaches like herbal supplements, dietary changes, and stress management can help regulate menstrual cycles.

Menopause: Naturopathic treatments like herbal supplements, dietary changes, and lifestyle modifications can help manage symptoms.

Naturopathy vs Ayurveda: Are They the Same?

Though both systems promote natural healing, they are fundamentally different. “Naturopathy and Ayurveda are not the same—they are distinct systems of natural medicine with different foundations and limitations,” says Dr Shetty.

Naturopathy is grounded in the belief of self-healing through nature, whereas Ayurveda is rooted in the concept of balancing the body's three doshas—Vata, Pitta, and Kapha. Naturopathy commonly uses diet, hydrotherapy, and herbal medicines, while Ayurveda may include massages, herbal formulations, and treatments based on dosha types.

Additionally, naturopathic education is often structured and formalized, while Ayurvedic learning can also be passed down traditionally through apprenticeships.

While both the systems do share certain similarities—like emphasizing prevention, detoxification, and the use of herbal remedies; they follow a different framework and diagnostic methods. Naturopathy focuses more on individual's lifestyle and the environmental factors, whereas Ayurveda relies more on the ancient texts and doshic assessments, points out the doctor.

Personalized and Preventive

What makes naturopathy stand out is that it is personalized in nature and is based on each individual's lifestyle, their dietary habits, what suits them and what does not and their stress levels. It also evaluates emotional well-being, as well as the environment that may be the cause of their diseases or disorders.

At the core of naturopathy is prevention. It focuses more on preventing a disease even before the symptoms show up. By encouraging early lifestyle interventions, regular detoxification, and stress management, naturopathy helps reduce disease incidence, hospital visits, and the long-term burden on healthcare systems.

Reducing Healthcare Burden

There is an overgrowing burden on the healthcare system. While it is not to say that this must not be changed however, with alternative medicines like naturopathy, which emphasizes on preventive care, it can help lessen the burden. Naturopathy also focuses on educating individuals to take control of their health. The approaches used are: balanced nutrition, exercise, and mindfulness. As Dr Shetty notes, this not only empowers patients but also reduces the reliance on medication and minimizes hospital visits—ultimately easing the strain on healthcare infrastructure.

At 36-year-old Liam Handley, a fit, non-smoking man from Derbyshire, U.K., walked into his doctor’s office for the first time complaining of chest pain and palpitations, cancer was the last thing anyone suspected. Diagnosed instead with anxiety—a condition he had quietly battled for much of his adult life—Liam was sent home with increased doses of medication. What followed was a tragic and avoidable series of delays, assumptions, and overlooked warning signs that would eventually lead to his untimely death from terminal lung cancer.

Liam’s story is a heartbreaking reminder that lung cancer is not confined to those who smoke. It’s a wake-up call to patients, families, and healthcare professionals alike: lung cancer can strike anyone—regardless of lifestyle, age, or medical history.

Liam, who had red hair and dyslexia, often found himself subject to ridicule growing up. Later, his anxiety became a quiet undercurrent of his identity—something that doctors all too readily used as a blanket explanation for any new symptoms. When he reported persistent chest pain, shortness of breath, and palpitations, these signs were attributed to psychological stress.

His mother, Lynn Handley, still wonders how such critical symptoms could be missed. “Liam did not fit the stereotypical image of a lung cancer patient. He was young, a non-smoker, and in relatively good shape,” she said. “It wasn’t in our heads—and it clearly wasn’t in the GP’s either. And that’s the problem.”

How Early Signs Were Overlooked

When Liam’s symptoms intensified in mid-2020, his father took him to the hospital fearing a heart attack. Doctors discovered blood clots in his lungs—a red flag for a more serious underlying issue—but treated the clots with blood thinners and planned a CT scan that never happened due to COVID-19 delays.

As weeks passed, Liam's pain spread to his shoulders and lower back. He was prescribed stronger pain medication, but still, no further imaging or diagnostic testing was conducted by the public healthcare system. Eventually, the family paid out-of-pocket for a private CT scan. That scan changed everything.

Liam was diagnosed with metastatic lung adenocarcinoma, a form of non-small cell lung cancer that had already spread to his liver, spine, lymph nodes, and bones. The subtype—EGFR Exon19 positive—is a genetically driven mutation that disproportionately affects non-smokers and younger patients.

Despite being given just 5-6 weeks to live, Liam initially responded well to targeted therapy with Osimertinib, chemotherapy, and immunotherapy. He even married his long-term partner Louise in a quiet ceremony. For a brief moment, life seemed to regain some normalcy.

But by April 2021, the cancer had progressed. His treatments stopped working, and Liam’s health began to deteriorate rapidly. Dependent on oxygen, and weakened by disease, Liam passed away in October 2021—just shy of his 37th birthday.

Lynn Handley is now committed to raising awareness about lung cancer in people who don’t smoke. “We were angry. It took nine months for Liam to get a diagnosis. Those were months we could have used to fight harder, to plan better, to say goodbye on our own terms.”

Her advocacy isn’t just rooted in grief—it’s a call to action for healthcare systems and patients around the world.

Can Non-Smokers Get Lung Cancer?

Contrary to long-held assumptions, a significant proportion of lung cancer cases now occur in people with no history of smoking. The American Cancer Society reports that approximately 10-20% of lung cancers in the U.S. are found in non-smokers, often attributed to genetic mutations like EGFR, environmental exposures, or radon gas.

These cases are more common in women, younger adults, and individuals of East Asian descent, but—as Liam’s story demonstrates—they can affect anyone.

Early Signs and Symptoms to Look Out For

Lung cancer symptoms can mimic less serious conditions, which is why they’re often dismissed or misdiagnosed. If you experience the following symptoms persistently, don’t ignore them—regardless of your age or smoking history:

• Chest pain or discomfort
• Unexplained shortness of breath
• Persistent cough or wheezing
• Shoulder, back, or rib pain
• Fatigue or sudden weight loss
• Blood in sputum (though not always present)

Liam’s story is not just about a misdiagnosis—it’s about systemic bias. The assumption that lung cancer is a “smoker’s disease” delays diagnoses in healthy, younger adults. Primary care physicians and specialists must rethink their criteria for imaging and referrals. As Lynn Handley put it, “Why wasn’t a chest X-ray even considered?”

The COVID-19 pandemic added another barrier to care—delaying critical scans and overwhelming systems worldwide. But the cost of that delay, in Liam’s case, was irreversible.

If you're experiencing unexplained respiratory symptoms—don’t hesitate to ask for further investigation. Insist on imaging. Seek second opinions. Cancer doesn’t always follow the rulebook, and neither should your approach to protecting your health.