Andropause is the name given to that constellation of symptoms experienced by men as a result of age-related decline in testosterone. Some of the common symptoms & signs are:

  • Loss of Energy & Stamina
  • Sleep disturbances
  • Mood changes  apathy, anxiety/depression , grumpiness, decreased drive or assertiveness
  • Cognitive changes  foggy thinking, memory lapses-recollection of names and words, spatial memory ( route navigation), short-term working memory, increased risk of Alzheimer’s Disease.
  • Loss of libido, Erectile Dysfunction- difficulty getting and maintaining erections, decreased arousal response, decreased morning erections 6.Body composition changes decreased muscle mass, increased abdominal fat, increased waist circumference, decreased bone density, osteoporosis*
  • Increased risk cardiovascular disease and insulin resistance
  • Prostate enlargement 9.? Male- pattern hair loss… this is not a symptom of low testosterone, but is a response to a metabolite of testosterone, DHT, and is covered in the website section Skin: Alopecia

* men with osteoporosis should always have testosterone levels checked, and be put on TRT if no contraindications to therapy

Testing Male Hormones
Causes of low testosterone
Metabolism of testosterone
Estrogen Dominance
Dihydrotestosterone (DHT)
Testosterone and Cardiovascular disease
Testosterone and Prostate Cancer
Erectile Dysfunction
Treatment of erectile dysfunction
Testosterone Replacement Therapy
Preserving Testicular sperm production
Monitoring TRT for response and side effects