It is said that it can take ten years and three health care professionals before the diagnosis of male menopause is made. Impotence can be one of the symptoms of menopause, but can also be caused by other factors: some related to the patient’s age and not necessarily as menopausal. Yet, some of these factors present for male menopause as well! You can see why diagnosis is tricky, and perhaps why it is only recently that the concept of male menopause is becoming accepted in Western medicine.