Psychosomatic symptoms and vasodilatory symptoms are common clinical manifestations of male menopausal syndrome. Psychosomatic symptoms include forgetfulness, anxiety, depression, fear and panic, loss of interest in things you used to enjoy doing, lack of self-confidence, poor concentration, reduced efficiency, reduced thinking ability, poor self-perception and other cognitive and emotional abnormalities; vasodilatory symptoms include hot flashes, sweating (bouts of sweating), palpitations and dizziness. How to deal with these two conditions? After diagnosis, androgen supplementation therapy is first administered, initially on an experimental basis, for a course of generally 3 months, and then relatively long-term if symptoms improve, and should be followed up regularly for treatment effects and possible drug side effects. Concomitant etiologic treatment is performed to remove or alleviate the primary disease. Decreased androgen levels and androgen receptor abnormalities are associated with age-related factors, hypothalamic pituitary factors, sudden pain, sudden events, and emotional damage. Other factors are various sequential testicular injuries such as incomplete testicular descent, testicular torsion, orchitis, varicocele and treatment of testicular cancer; acute and chronic systemic diseases such as acute heart attack, cirrhosis, renal failure, chronic obstructive pulmonary disease, sleep apnea, diabetes mellitus, hyperthyroidism, hypothyroidism, Cushing’s syndrome, pituitary tumors (especially prolactinoma); chemical drugs such as hexestrol, drugs and stimulants, the opiates, barbiturates, glucocorticosteroids, ativan, cimetidine, digoxin, progesterone, etc.; severe trauma and major surgical procedures; excessive obesity; adverse lifestyle and environmental factors such as smoking, alcohol abuse, pesticides, heavy metals, environmental chemical estrogen analogs, harmful chemicals, food additives, colorants, preservatives, etc.; adverse psychosomatic factors. Symptomatology treatment to improve clinical symptoms. (1) Hot flashes: Hot flashes are harmless to the body and are a temporary phenomenon in the process of endocrine adaptation and adjustment. Some patients should learn to wait and persevere and let the hot flashes fade with the passage of time until they disappear; some patients should mainly pay attention to the precipitating conditions such as living regime, dietary habits and environmental factors, and use relevant drugs if necessary. Behavioral modifications: Hot flashes are induced by stress, special diets and unfavorable environmental factors. For example, hot flashes are particularly likely to occur in stressful situations; eating overheated food, stimulating food, drinking alcohol, hot beverages (hot coffee, hot tea), and eating too much are all associated with the occurrence of hot flashes; dressing excessively is also prone to hot flashes due to heat; doing things too quickly or coming to a warm environment can also induce hot flashes. Therefore, we should pay attention to the behavior and those foods, drinks, and clothing that may trigger hot flashes, and try to avoid them. Drug applications: Colotin, chlormadinone acetate, low-dose pregnenol, megestrol, antidepressants, γ-aminobutyric acid analogue Gabapentin, etc. (2) Depressive symptoms: There are a large number of antidepressants available, but no single antidepressant is perfect for treating depressive symptoms in male menopausal syndrome, and all require familiarity with the properties of the respective drugs, careful selection and careful monitoring of treatment effects. Commonly used medications include: amitriptyline, Anafenil, Mysuru, Zoloft, Prozac, Remeron, and venlafaxine. A recent medical study has shown that depression is not a condition specific to menopause, but is closely related to the underlying depressive psychological qualities of the individual. If depression is already present, when entering menopause, the hormonal and internal environmental changes in the body tend to promote depression, thus constituting a pathological state in which depression and menopausal syndrome coexist. Psychological changes and psychological adjustment; learning to self-adjust, relieve bad moods, and heal trauma. At the same time the wife can play an important role. Revisit the relationship between husband and wife, enrich family life, create a relaxed environment, increase cultural and sports activities, and adjust the husband’s psychology. Strengthen physical exercise, enhance physical fitness; adjust lifestyle; nutritional support and dietary care; protect the prostate. Traditional Chinese medicine treatment. The application of testosterone supplementation therapy alone requires relatively long-term application if the symptoms improve, and some drug side effects may occur; if the improvement of symptoms after treatment is not obvious or completely ineffective, continued treatment cannot be carried out. In contrast, Chinese medicine treatment has certain efficacy and less side effects, so the combination of Chinese and Western medicine treatment has more significant advantages.