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The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time. Common signs and symptoms of BPH include: Frequent or urgent need to urinate. Increased frequency of urination at night (nocturia) Difficulty starting urination.
During andropause, diminished testosterone levels are a major cause behind insomnia or sleep apnea, both of which contribute to fatigue in men. In addition to diminished testosterone, interruption of sleep in men can be caused by symptoms such as night sweats, depression, irritability, weight gain and stress. Night sweats in men with fatigue add to insomnia and fatigue because they make it difficult to get a good night's rest. Having to get up in the middle of the night over a period of time can lead to sleep deprivation and ultimately fatigue.