Understanding Andropause: The So-Called Male Menopause

As men age, they may find themselves experiencing a variety of symptoms that can dramatically affect their everyday life.

Often referred to as “manopause,” the more accurate medical term is andropause. This phase is associated with a gradual decline in testosterone levels, and while it may not carry the same stigma as menopause in women, the changes can certainly be just as impactful.
In this blog, we will explore the topic of male menopause and its symptoms. We will also discuss the role of testosterone in men’s health and how testosterone replacement therapy can help.

Common Symptoms of Andropause

Just as women experience a shift in hormones during menopause, men can suffer from what is known as testosterone deficiency. Some common symptoms include:

• Low energy levels: A general feeling of tiredness and lack of enthusiasm.
• Mood swings: Irritability and mood changes that seem uncharacteristic.
• Erectile dysfunction: Difficulty in achieving or maintaining an erection, which can affect sexual function and desire.
• Poor concentration: Challenges with focus and cognitive clarity, sometimes referred to as “brain fog.”
• Loss of muscle mass: Not just an aesthetic issue – this can impact metabolism and overall health.

Symptoms can vary widely among individuals; some might notice a gradual decline over the years, while others may experience a sudden drop in testosterone levels.

Impact on Daily Life

Andropause can have a significant impact on daily life, both physically and emotionally. Men may feel a loss of interest in activities they once enjoyed, have difficulty maintaining relationships, or struggle to find motivation at work.

In some cases, men may also experience depression and anxiety as a result of hormonal changes. It is essential to address these symptoms and seek support when needed.

The Role of Testosterone

Testosterone is the primary male hormone responsible for many physical and psychological functions. In addition to its role in sexual function, testosterone also plays a vital role in maintaining bone density, muscle mass, mood regulation, and overall wellbeing.

As men age, their testosterone levels naturally decline at a rate of about 1% per year after the age of 30. While this gradual decline is normal, it can still have a significant impact on overall health and wellbeing. 

Diagnosing Andropause

The most common way to diagnose andropause is through a blood test that measures the level of testosterone in the body. Dr. Bruice will check your total and free testosterone, DHEA, PSA (prostate), TSH (thyroid), estradiol, dihydrotestosterone (DHT), CBC (hematocrit), and human growth hormone levels.

Dr. Bruice tests for a range of hormonal and health markers to ensure a thorough understanding of a man’s overall health.

• Total and Free Testosterone: These measurements indicate the levels of testosterone available in the body, which are crucial for diagnosing testosterone deficiency and understanding its impact on overall health.
• DHEA (Dehydroepiandrosterone): This hormone serves as a precursor to both testosterone and estrogen. Evaluating DHEA levels helps in assessing adrenal function and overall hormonal balance.
• PSA (Prostate-Specific Antigen): Elevated PSA levels can indicate prostate health issues, including benign prostatic hyperplasia or prostate cancer. Monitoring PSA is essential for men undergoing hormonal treatment.
• TSH (Thyroid-Stimulating Hormone): Thyroid function is closely linked to metabolism, energy levels, and mood. Testing TSH ensures that thyroid issues, which can mimic or exacerbate symptoms of andropause, are identified.
• Estradiol: This form of estrogen plays a role in male sexual health and function. Elevated estradiol can lead to symptoms associated with hormonal imbalance, such as gynecomastia or decreased libido.
• Dihydrotestosterone (DHT): DHT is derived from testosterone and is integral to prostate health and sexual function. Monitoring DHT levels assists in understanding hormonal conversion processes in the body.
• CBC (Complete Blood Count): A CBC provides a broad snapshot of overall health, including red and white blood cell counts, which can help identify potential issues like anemia or infections that might influence hormonal health.
• Human Growth Hormone (HGH): Although less commonly associated directly with andropause, HGH influences muscle mass, fat distribution, and overall vitality. Assessing HGH can aid in understanding the broader context of health and wellbeing.

This comprehensive testing regime allows Dr. Bruice to customize treatments and recommendations to the individual’s specific hormonal profile and health needs.

Treatment Options for Andropause

Hormone replacement therapy is the primary treatment option for andropause. It involves replacing testosterone levels in the body through injections or pellets.

The Benefits of Pellet Therapy

Pellet therapy is a form of testosterone replacement that involves inserting small pellets under the skin in the hip area. These pellets slowly release testosterone into the body over several months, providing consistent levels without the need for daily injections.

Some benefits of pellet therapy include:

• Convenience: Pellets only need to be inserted every few months, making it a low-maintenance option compared to other forms of testosterone replacement.
• Consistency: Because pellets release testosterone gradually, they provide more stable levels and reduce fluctuations in symptoms.
• Customization: Through comprehensive testing and monitoring, Dr. Bruice can tailor dosage and frequency to meet each individual’s needs.

Addressing Other Health Concerns

While testosterone replacement therapy can address many symptoms of andropause, it is essential to address other health concerns that may contribute to the condition. Such issues may include:

• Sleep disorders: Poor sleep quality can lead to fatigue, irritability, and other symptoms associated with andropause.
• Obesity: Excess weight can lead to hormonal imbalances and increase the risk of developing chronic health conditions such as diabetes or heart disease.
• Stress: Chronic stress can disrupt hormone production and contribute to mood changes and sexual dysfunction.

Dr. Bruice takes a holistic approach to treating andropause, addressing not only hormonal imbalances but also underlying health issues that may be exacerbating symptoms. By addressing these concerns, he aims to help men achieve optimal health and wellbeing in all aspects of their lives.

Feel Your Best With Dr. Kenton Bruice

Andropause is a normal stage of life for men, but it doesn’t have to negatively impact overall health and quality of life. With proper diagnosis and treatment, men can manage symptoms and maintain optimal health well into their later years. Contact Dr. Bruice today to schedule a comprehensive evaluation and take the first step towards feeling your best at any age.

If you are searching for testosterone replacement therapy in Denver or ‘TRT near me’, we can help.  We have two locations in Colorado, including Denver and Aspen. For our Denver location, call (303) 957-6686. For our Aspen location, call (970) 925-6655. For our St. Louis location, call (314) 222-7567.