By Joshua R. Gonzalez, MD | Sexual Health + Urology
Understanding “Male Menopause”
When people hear the term “menopause,” they typically think of women. However, men also experience age-related hormonal changes—often referred to as “andropause” or male menopause. While it’s not identical to female menopause, it involves a gradual decline in testosterone levels that can affect energy, mood, libido, and overall well-being.
Men typically experience this hormonal shift starting around age 40, though it can occur earlier or later depending on lifestyle, health status, and genetics. The decline is usually slow—about 1% per year after age 30—making symptoms subtle and often mistaken for normal aging.
Signs and Symptoms of Male Menopause
Testosterone influences nearly every system in the male body, from sexual function to cognitive performance. When levels dip too low, men may notice:
- Reduced libido and sexual performance
- Erectile dysfunction or changes in erection quality
- Fatigue and loss of stamina
- Mood changes, irritability, or depression
- Decreased muscle mass and increased body fat
- Reduced motivation and focus
- Hot flashes or night sweats (less common but possible)
If several of these symptoms develop simultaneously, it’s worth getting hormone levels checked to determine if testosterone deficiency is to blame.
What Causes Testosterone Decline?
While aging is the primary factor, several other contributors can accelerate testosterone loss:
- Chronic stress and elevated cortisol
- Poor sleep and sleep apnea
- Obesity and poor nutrition
- Alcohol or drug use
- Certain medications (e.g., opioids, steroids)
- Untreated medical conditions like diabetes or thyroid disorders
A thorough evaluation by a specialist like Dr. Joshua R. Gonzalez helps identify whether testosterone decline is natural, lifestyle-related, or due to an underlying condition that needs treatment.
Diagnosis: Beyond Just a Number
Dr. Gonzalez takes a comprehensive approach to diagnosing low testosterone. This includes:
- Detailed symptom review and medical history
- Physical examination
- Laboratory testing for total and free testosterone, as well as other hormones like LH, FSH, estradiol, and SHBG
Hormone testing is ideally performed in the morning when levels are highest. By correlating blood results with symptoms, Dr. Gonzalez ensures a precise and personalized treatment plan.
Treatment Options for Male Menopause
If low testosterone is confirmed, several treatment options can restore balance and vitality:
- Testosterone Replacement Therapy (TRT): Delivered via gels, injections, patches, or pellets to normalize testosterone levels.
- Lifestyle Optimization: Nutrition, exercise, sleep, and stress management all help support hormonal balance.
- Peptide or Supplement Support: In certain cases, natural precursors and targeted supplements can enhance endogenous testosterone production.
- Addressing Root Causes: Managing metabolic issues or other medical conditions that may contribute to hormonal imbalance.
Dr. Gonzalez emphasizes evidence-based, safe, and individualized care, closely monitoring patients to ensure optimal results and long-term well-being.
The Benefits of Balanced Hormones
When testosterone levels are optimized, men often experience:
- Renewed sexual desire and improved performance
- Greater mental clarity and motivation
- Increased muscle tone and reduced fat mass
- Better sleep quality and mood stability
- Enhanced confidence and vitality
Restoring hormonal balance doesn’t just improve how you feel—it can also reduce long-term health risks associated with low testosterone, such as cardiovascular disease and osteoporosis.
Q&A: Common Questions About Male Menopause
Q: Is male menopause real?
A: Yes, but it differs from female menopause. In men, testosterone levels decline gradually, not abruptly. However, the symptoms can be just as disruptive to quality of life.
Q: How is male menopause diagnosed?
A: Through a combination of bloodwork, medical history, and symptoms. A single low testosterone test isn’t enough—Dr. Gonzalez evaluates the full hormonal picture to ensure accuracy.
Q: Can testosterone therapy help with mood and energy?
A: Absolutely. Many men notice significant improvements in energy, motivation, and mental focus once their hormone levels are restored to an optimal range.
Q: Are there risks to testosterone therapy?
A: When properly managed, TRT is safe. Dr. Gonzalez monitors every patient’s blood levels, prostate health, and cardiovascular risk to ensure treatment remains effective and low-risk.
Q: Can lifestyle changes alone fix low testosterone?
A: In mild cases, yes. Weight loss, better sleep, reduced alcohol use, and regular strength training can naturally boost testosterone. However, for clinically low levels, medical intervention is often necessary.
Q: How soon will I feel results from treatment?
A: Many patients notice improvements in energy, libido, and focus within a few weeks, with continued gains over several months as hormone levels stabilize.
Take Control of Your Hormonal Health
Aging doesn’t have to mean losing your vitality. If you’re experiencing symptoms of low testosterone or “male menopause,” it’s time to take action. Dr. Joshua R. Gonzalez specializes in helping men restore hormonal balance, sexual function, and confidence through personalized, science-based care.
📍 Joshua R. Gonzalez MD | Sexual Health + Urology
5757 Wilshire Blvd, Suite 475
Los Angeles, CA 90036
📞 (323) 607-2895
🌐 joshuagonzalezmd.com
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