Women have menopause and so do men! However, most men do not know that it can be treated and choose to “carry on”; a few will go to the hospital and see all the departments but cannot find the “cause”! 40% of men will experience a decrease in testosterone (the main androgen in the body, a sign of maintaining male sexual characteristics) after the age of 40. It is best to add this item to your physical examination, and for those who have significantly low testosterone and whose symptoms are already causing problems in their lives, it is best to receive testosterone supplementation therapy. Case: Wing, who is engaged in administration, has always been a strong worker and an easy-going person. Since last year, he has been feeling panicky and uncomfortable, and he can’t work hard enough, and he tends to lose his temper and even slap his colleagues on the table. Wing himself is also very distressed, at first thought that his work is too much stress caused, after a month of leave still did not improve. So he went to the hospital, has seen the cardiology, gastroenterology, neurology, orthopedics …… spent tens of thousands of dollars, but has not been able to find the cause of the disease. Some doctors even suspected that he had a psychological problem. The male department was the last department he saw, and once he checked his testosterone, it was significantly lower than normal, and it turned out that all his discomfort was due to menopause. After two months of testosterone supplementation, Wing’s discomfort disappeared one by one and he was back to his old self. Most men don’t know that menopause can be cured by “carrying on”: Men will experience a decline in androgen secretion after the age of 50, but in recent years, this time has tended to advance due to the aggravation of poor lifestyles. The decline of androgens will lead to a series of organ and system dysfunctions, which will then affect the physical, mental and sexual functions of men, and eventually impair the quality of life of men. The symptoms of male menopause are complex and lack specificity. For example, some people may feel tired, have less energy, lose memory, sleep less, have less interest in their surroundings, and have less ability to work. Some patients have dizziness and panic attacks, chills in the extremities, and pain in unspecified areas, but no abnormal findings on physical examination. Depression, anxiety, irritability, and nervousness are also more common and often affect the patient’s relationship with family or colleagues. The majority of patients who come to urology or male medicine present with reduced libido, erectile dysfunction, heartburn, and great frustration and distress. In fact, it is the changes in sexual function that cause some patients to start noticing their other symptoms. Most men think of these as a natural part of getting older, or as a result of recent stress, and choose to “get over it” on their own. Rest and a healthy lifestyle will indeed provide some relief from these symptoms, but they will still be present. As time goes on, many men have no choice but to accept this state, and only they know the hard work. Testosterone testing should be added to the physical examination after the age of 40: Men should receive their first testosterone test after the age of 40, and this should be included in the annual physical examination afterwards, so that they can clearly understand whether their androgen deficiency. The general testosterone test includes serum testosterone and bioactive testosterone, which cost more than 100 yuan in total. The latter is more important when comparing the two tests. He made a graphic analogy that testosterone testing is like knowing how much water is left in your pool, while bioactive testosterone is how much of this pool you can drink, which is the most critical. If your testosterone and bioactive testosterone are below normal and you are experiencing some of the symptoms mentioned earlier, then you are diagnosed with “male menopause” and if these symptoms are already causing problems in your life and work, then your doctor will recommend testosterone supplementation. When you hear that you need to take hormones, many people will talk about it and worry about the side effects. Most men are concerned about the risk of cardiovascular disease, prostate disease, and increased risk of hormone-related tumors. However, numerous studies have shown that with better monitoring, the associated risks can be reduced and avoided.