Andropause \u2014 also known as male menopause<\/strong> or medically as Late-Onset Hypogonadism (LOH) syndrome<\/strong> \u2014 is a gradual decline in testosterone that affects men typically from their 40s onward<\/strong>. Unlike female menopause, which occurs relatively suddenly, andropause develops slowly over years, making it easy to dismiss as simply “aging.” Yet the impact on quality of life can be profound: persistent fatigue, mood deterioration, reduced sexual function, and loss of motivation are not inevitable parts of growing older \u2014 they are often treatable.<\/p>\n\n\n\n Last updated: March 2026. Content supervised by medical professionals at Tokyo Hub Clinic.<\/em><\/p>\n\n\n\n\n\n At Tokyo Hub Clinic<\/strong>, Dr. Ichiro Kamoshita, M.D., Ph.D., is one of Tokyo’s few English-speaking physicians with specialized expertise in andropause diagnosis and treatment. If you are an expat or international resident experiencing these changes, you can discuss your concerns entirely in English<\/strong> at our clinic inside Hotel New Otani Garden Court, 2F<\/strong> (Chiyoda-ku, Kioicho 4-1).<\/p>\n\n\n\n Andropause does not arrive with a single dramatic event. Instead, symptoms accumulate gradually, and many men do not connect them to a hormonal cause. Common symptoms include:<\/p>\n\n\n\n Many of these symptoms overlap with depression, burnout, or thyroid disorders \u2014 which is why proper medical evaluation is essential<\/strong> rather than self-diagnosis.<\/p>\n\n\n\n Dr. Kamoshita brings a unique advantage to andropause care: his dual expertise in psychosomatic medicine<\/strong> and men’s hormonal health<\/strong>. This combination is critical because andropause symptoms frequently intertwine with psychological factors. A doctor who only looks at hormone numbers may miss the full picture, while a therapist who does not check hormones may treat the wrong cause.<\/p>\n\n\n\n Our diagnostic approach includes:<\/p>\n\n\n\n In Japan, LOH syndrome is generally diagnosed when free testosterone falls below 8.5 pg\/mL<\/strong> in the presence of clinical symptoms. However, some men experience significant symptoms even with testosterone levels in the “low-normal” range. Dr. Kamoshita considers the complete clinical picture<\/strong> \u2014 not just numbers \u2014 when developing your treatment plan.<\/p>\n\n\n\n While female menopause involves a relatively rapid cessation of reproductive hormones over 2\u20135 years, andropause is a slow, continuous decline<\/strong>. Testosterone typically decreases by approximately 1\u20132% per year after age 30. This gradual nature means many men adapt to their declining function without realizing how much they have lost. Additionally, not all men will develop clinically significant andropause \u2014 genetic, lifestyle, and health factors all play a role.<\/p>\n\n\n\n Andropause remains significantly under-recognized in Japan<\/strong> compared to Western countries. Many Japanese physicians outside of specialized urology clinics may not routinely test for it, and public awareness is low. For English-speaking residents, this gap is compounded by the language barrier \u2014 making it even harder to find appropriate care. Tokyo Hub Clinic bridges this gap by providing expert-level andropause evaluation in English.<\/p>\n\n\n\n Call 03-6261-7070<\/strong> or use our online booking<\/a>. We operate on a reservation-only basis. When booking, let us know you are interested in an andropause or hormone evaluation.<\/p>\n\n\n\n Your first visit includes a detailed interview with Dr. Kamoshita (entirely in English), physical assessment, and blood draw for hormone testing. Plan for approximately 30\u201345 minutes. Morning appointments are preferred, as testosterone levels are highest in the early morning.<\/p>\n\n\n\n Once blood results are available (typically 3\u20135 business days), you will return for a follow-up where Dr. Kamoshita explains your results clearly, discusses the diagnosis, and outlines treatment options. There is no rush \u2014 your questions are welcome.<\/p>\n\n\n\n Based on the severity of your condition and personal preferences, a treatment plan is created. This may involve hormone therapy, lifestyle modifications, psychological support, or a combination.<\/p>\n\n\n\n Regular follow-up appointments allow us to track your progress, adjust treatment, and re-test hormone levels to ensure optimal outcomes. Most men begin to notice improvements within the first few weeks to months.<\/p>\n\n\n\n Treatment is tailored to each patient’s needs and may include:<\/p>\n\n\n\n At Tokyo Hub Clinic, you benefit from:<\/p>\n\n\n\n You do not need to suffer through these symptoms alone or assume they are a normal part of aging. Help is available \u2014 in your language.<\/p>\n\n\n\n Andropause evaluation and treatment are covered by Japan’s National Health Insurance (NHI)<\/strong> when medically indicated. Typical costs with insurance:<\/p>\n\n\n\nRecognizing the Symptoms of Andropause<\/h2>\n\n\n\n
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How We Diagnose and Treat Andropause<\/h2>\n\n\n\n
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Understanding Your Results<\/h3>\n\n\n\n
How Andropause Differs from Female Menopause<\/h3>\n\n\n\n
Awareness in Japan<\/h3>\n\n\n\n
What to Expect at Your Visit<\/h2>\n\n\n\n
Step 1: Appointment Booking<\/h3>\n\n\n\n
Step 2: Initial Evaluation<\/h3>\n\n\n\n
Step 3: Results Review and Diagnosis<\/h3>\n\n\n\n
Step 4: Treatment Plan<\/h3>\n\n\n\n
Step 5: Follow-Up and Adjustment<\/h3>\n\n\n\n
Treatment Options for Andropause<\/h2>\n\n\n\n
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For Expats and International Residents<\/h2>\n\n\n\n
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Insurance & Pricing<\/h2>\n\n\n\n
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