Men with stressful jobs likely to be a flop in bed Symptoms including lack of energy, depression, decreased libido, and erectile difficulties are often observed in middle-aged or elderly men. Those symptoms collectively are termed 'andropause' to imply a state of hormone deficiency, similar to menopause symptoms suffered by women. The authors from universities in Osaka and Okayama, Japan, reported: "The findings suggest that psychosocial job characteristics are related to andropause symptoms in Japanese middle-aged male workers. Specifically, high job demands could intensify the association between testosterone levels and andropause symptoms. Symptoms of andropause fatigue can be explained not only by hormonal changes but also by stress. Adverse psychosocial job characteristics should be improved to prevent andropause symptoms and mental health disorders in middle-aged male workers. The research is published in the science journal Maturitas.