As they pass middle age, men can experience hormonal changes that have profound effects on overall health, mood and energy levels. This is known as ‘the male menopause‘ or andropause, a relatively common, age-related condition that often goes unrecognised.

It leads to low levels of testosterone which can cause:

• Diminished sense of general health and well being
• Poor concentration and memory
• Development of male breasts
• Low mood
• Decreased sex drive
• Erectile dysfunction

Diagnosis of testosterone insufficiency is done by early morning blood tests (before 11am) for testosterone levels as they fluctuate through the day. Restoring testosterone levels to a normal range can help drugs like ‘Viagra’ work more effectively and give men a better sense of wellbeing.

We can discuss the advantages and disadvantages of restoring testosterone levels to normal values with you. This can be done by either using a gel once a day or having an injection every 3 months.

It is important to have your PSA and other blood tests checked before starting treatment, and once on treatment you will need blood tests a month after starting treatment, at six months and then an annual basis if stable.