Normal aging in the male is accompanied by a decline in serum levels o
f testosterone. Unlike the female menopause, however, this age-related
change in serum androgens in men is gradual, there is a great deal of
inter-individual variability, and only some men eventually will becom
e hypogonadal. Although these changes in serum androgens in the aging
male could be considered normative, this does not necessarily imply th
at they are without adverse effects or that they lack clinical signifi
cance. Androgens have many important physiologic actions, yet little i
s known about the consequences of the age-related decline in testicula
r function and how this decline might affect androgen target organs. F
urthermore, there are scant data on the effects of androgen supplement
ation in the aging adult male. The possible physiologic effects of and
rogens in the aging male are reviewed in this article; and currently a
vailable information regarding androgen supplementation in this age gr
oup is highlighted.