Andropause
Testosterone evaluation | Andropause treatment | TRT



Andropause
Testosterone deficiency
More and more men have questions about testosterone treatment and/or testosterone therapy. They wonder whether the various symptoms they experience could be related to andropause, and whether they could improve with testosterone treatment.
As men age, the testes generally begin to produce less testosterone. This occurs in all men to varying degrees, but men differ in the extent to which testosterone levels decline. And men also differ in how their bodies react to a given drop in testosterone.
Please note:
Younger men looking to increase their testosterone levels are increasingly interested in this treatment. Although we assess symptoms and check testosterone blood levels accordingly, it is not our practice to prescribe testosterone replacement therapy to younger men with normal or borderline testosterone levels. Sexual symptoms should always be assessed, and can usually be managed without hormone therapy.
Really low blood levels of testosterone usually lead to a constellation of symptoms (a syndrome) that can include low libido ( low sexual desire ), lack of energy, irritability, depression, poor concentration, loss of physical strength and reduced muscle mass. Sometimes, erectile dysfunction is present. This syndrome, associated with laboratory results indicating low testosterone levels, is often referred to as andropause or testosterone deficiency syndrome (TDS) , which is the term we prefer.
As you can see, the symptoms involved can be quite vague and can overlap with many other pathologies. These symptoms also often appear when our lives are too busy or stressful. This can complicate the diagnosis of testosterone deficiency / andropause.

Hormone replacement therapy (HRT) for andropause, also known as male menopause. Testosterone replacement therapy can be administered as an injection or gel, or by patch.
Testosterone can be administered in a number of ways, including:
- Injections: These can be administered under the skin or in the muscle, and can be short- or long-term. Injections can be given every week, every two weeks or every month.
- Gels: These can be applied to the skin or in the nose. Skin gels are generally applied to the arms, abdomen, upper arms or thighs. Nasal gels are applied to the walls of the nostrils.
- Tablets: Can be taken orally.
Andropause, also known as male menopause, is a condition that can cause a range of physical and emotional symptoms in older men:
- Mood changes: depression, anxiety, irritability, mood swings and low self-esteem
- Sexual changes: decreased libido, erectile dysfunction and impaired ejaculation
- Physical changes: loss of muscle mass, weight gain, hair loss and loss of height
- Energetic changes: reduced energy, motivation and confidence
- Sleep changes: insomnia, sleep disorders and increased sleepiness
- Mental changes: poor concentration, short-term memory and brain fog
- Other changes: hot flushes, sweating, nervousness and increased LDL cholesterol.