Does testosterone naturally decline after 40?
On average, yes, slowly. But age is only part of the story, and a lower number on a blood test is not the same thing as a medical condition.
By Men's Health Istanbul Editorial Team
3 min read
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Why erectile dysfunction can be an early health warning
Erections depend on healthy blood vessels.
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How inflatable penile prostheses have changed in 50 years
The first inflatable penile prosthesis was described in 1973.
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Picked by the Men's Health Istanbul editorial team. We do not rank stories by reading figures.
Lead story
Sex After 40What happens to erections after 40?
From the forties onwards, many men notice their erections are not quite what they were. Some change is common and gradual. Knowing what is typical, and what is not, makes it easier to act early.
By Men's Health Istanbul Editorial Team4 min read
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Male sexual health guideRead: Male fertility after 40
The Man Cave
Sexual Health
Erections, ejaculation, desire and intimacy — explained without embarrassment.
Why sexual health is increasingly treated as part of overall health
Sexual problems used to be treated as a private matter, separate from the rest of medicine. Over the past two decades, health organisations and guidelines have moved in the other direction.
By Men's Health Istanbul Editorial Team
4 min read
The Man Cave
Erections & ED
Understanding how erections work — and what changes when they don't.
The pillarErections & Erectile HealthAn erection depends on blood vessels, nerves, hormones and the mind working together. When one of them changes, erections change too. Start here to understand why, and what the realistic options are.Open the complete guide
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What every man should know about his urinary and reproductive health.
News
Around the World
- Scientists are looking again at the connection between sleep and testosterone
The research is not new, but the question keeps returning: can short or disturbed sleep lower a man's testosterone?
- Male fertility is becoming a bigger global health conversation
Infertility affects men as well as women, and two widely reported pieces of research from 2023 have helped move male fertility from the margins into mainstream health discussion.
Every report answers: What happened? Why are doctors talking about it? What does it mean for men? What we know, and what we still don't know.
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The question
Testosterone therapy and the heart: what the TRAVERSE trial showed
For years, doctors and patients were unsure whether testosterone treatment raised the risk of heart attack and stroke.
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The question
How to read a health headline without being misled
Health news moves fast, and headlines often go further than the research behind them.
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Myth vs Fact
Myth
“ED is just part of getting older.”
Fact
Age increases risk, but persistent ED deserves assessment.
Myth
“A penile implant makes the penis permanently erect.”
Fact
An inflatable implant can be deflated when it is not being used.
Myth
“Testosterone is the main cause of every erection problem.”
Fact
Erections depend heavily on blood vessels and nerves as well as hormones.
Myth
“A bigger penis automatically improves sexual satisfaction.”
Fact
Sexual satisfaction depends on many anatomical and psychological factors.
Myth
“Testosterone therapy automatically causes infertility.”
Fact
Testosterone usually lowers sperm production, so men trying to conceive should discuss alternatives first.
Myth
“Penile implants increase penile length.”
Fact
An implant restores rigidity for intercourse. It is not a lengthening operation.
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Question of the week
“Does testosterone naturally decline after 40?”
On average, yes, slowly. But age is only part of the story, and a lower number on a blood test is not the same thing as a medical condition.
Read the answerSend the question you have never asked out loud. Our editors choose questions that help many readers; a specialist answers and we publish it anonymously.
- Erections
- Penis health
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In their own words
Expert Opinion
Signed pieces from our specialists appear here once written. Until then, meet the doctors who review the Man Cave, and read where the evidence divides opinion.
Prof. Dr. Ateş Kadıoğlu
Urologist and andrologist; lead andrology and penile implant surgeon
Prof. Dr. Bülent Alıcı
Urologist and andrologist
Prof. Dr. Zülfü Sertkaya
Urologist and andrologist
Assoc. Prof. Dr. Tuncay Taş
Urologist and andrologist
Asst. Prof. Dr. Yusuf İlker Çömez
Urologist
Prof. Dr. Nika Akhvlediani
Urologist and andrologist
The Debate
TRT: overprescribed or underused?
ForAgainstEvidenceExpert view
The Debate
PSA screening: who should actually be tested?
ForAgainstEvidenceExpert view
The Man Cave
Testosterone & Hormones
What testosterone actually does — beyond the internet hype.
The Man Cave
The Prostate
The small gland every man eventually starts hearing about.
What does an enlarged prostate feel like?
An enlarged prostate is rarely felt as pain. It shows up in the way you pass urine: slower, more often and less completely. Here is what men typically notice, and when to get it checked.
By Men's Health Istanbul Editorial Team
4 min read
- Sex after prostate surgery4 min read
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Healthy ageing
Sex After 40
Because sexual health doesn't come with an expiry date.
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