Andropause Treatment: Navigating Hormonal Changes in Men, the UK Perspective

Andropause, also known as male menopause, is a natural stage of hormonal transition that occurs in men as they age. This article explores Andropause from a UK perspective, discussing its symptoms, hormonal changes, available treatment options, and practical tips for seeking appropriate treatment.

1. What is Andropause?

Andropause is a stage of life characterized by hormonal fluctuations in men. It is often associated with a decline in testosterone levels and can bring about various physical and emotional changes. While it is not universally recognized as a medical condition, many men experience symptoms and seek treatment to alleviate the impact of Andropause on their quality of life.

2. Understanding Andropause Symptoms and Hormonal Changes?

The Onset of Andropause

Andropause does not have a precise onset age for all men, as it can vary based on individual factors and genetics. However, it commonly occurs between the ages of 45 and 55, although some men may experience symptoms earlier or later.

Symptoms of Andropause

Andropause manifests through physical and emotional symptoms. The physical symptoms may include a decrease in muscle mass and strength, increased fatigue and reduced energy levels, sexual dysfunction, and issues related to bone health, such as osteoporosis.
Emotional symptoms of Andropause can include mood swings, irritability, depression, anxiety, and cognitive changes. These changes can significantly impact a man’s overall well-being and relationships.

Hormonal Changes in Andropause

The primary hormonal change observed during Andropause is the decline in testosterone levels. However, other hormones, such as estrogen and cortisol, may also be affected. Understanding these hormonal changes is crucial for determining appropriate treatment options.

Decline in Testosterone Levels

Testosterone, also known as the “male hormone,” is an essential component of many bodily processes. During Andropause, testosterone levels gradually decline, leading to the symptoms mentioned earlier. However, individuals can differ in the rate and severity of its decline.

Effect on Other Hormones

While testosterone decline is the most notable hormonal change in Andropause, other hormones can also be affected. Estrogen levels may increase relative to testosterone due to changes in the conversion process. Additionally, cortisol, a stress hormone, may become imbalanced, further contributing to the overall symptoms experienced during Andropause.

3. The Impact of Andropause on Men’s Health

Physical Well-being

The physical well-being of men can be significantly affected by Andropause. Understanding these impacts is crucial for seeking appropriate treatment and maintaining good health.

Loss of Muscle Mass and Strength

The gradual loss of muscle mass and strength is one of Andropause’s most common effects. In the growth and maintenance of muscles, role of testosterone is essential.  With declining testosterone levels, men may experience reduced muscle tone, making it more challenging to perform physical activities and maintain a fit body.

Increased Fatigue and Decreased Energy Levels

Andropause can also lead to increased fatigue and decreased energy levels. Men may find themselves feeling tired more frequently, lacking the vitality they once had. This can affect productivity, daily activities, and overall enjoyment of life.

Sexual Dysfunction

Sexual health is an essential aspect of overall well-being. Andropause can cause sexual dysfunction, such as erectile dysfunction or reduced libido. Intimate relationships and overall fulfilment may be significantly afffected by these changes.

Health of Bones and Osteoporosis

While osteoporosis is commonly associated with women, men are also at risk, especially during Andropause. The loss of testosterone can increase the risk of osteoporosis and fractures because testosterone helps to maintain bone density.

Emotional Health

Men’s emotional health should not be ignored when talking about andropause. Relationships and daily life may be greatly affected by emotional symptoms.

Swings in Mood and Irritability

Fluctuating hormones during Andropause can contribute to mood swings and increased irritability. Men may find themselves experiencing emotional highs and lows more frequently, affecting their interactions with others and overall emotional stability.

Depression and Anxiety

Andropause can also be linked to feelings of depression and anxiety. Hormonal imbalances can contribute to changes in brain chemistry, leading to these mental health concerns. It’s crucial to get the right help and support if you want to effectively handle these mental health issues.

Cognitive Changes

Some men may experience cognitive changes during Andropause. Memory issues, difficulty concentrating, and reduced mental clarity are examples of cognitive symptoms that can impact work performance and overall cognitive function.

4. Types of Hormone Replacement Therapy

HRT offers different options based on individual preferences and needs. Testosterone gels or patches are convenient for daily application, while injections and implants provide longer-lasting effects. Healthcare professionals can guide individuals in selecting the most suitable form of HRT.

HRT’s Capability to Manage Andropause

HRT has been proven to be successful in treating the symptoms of andropause. Physical symptoms like fatigue, erectile dysfunction, and muscle loss can all be helped by it. Moreover, it may contribute to improving emotional well-being and cognitive function. However, the effectiveness may vary among individuals, and regular monitoring is necessary to ensure optimal results.

Lifestyle Modifications

In addition to medical treatments like HRT, lifestyle changes can be extremely helpful in controlling the symptoms of Andropause and enhancing general health.

Fitness and Diet

A healthy lifestyle must include both a balanced diet and regular exercise. A diet high in nutrients, such as lean meats, fruits, vegetables, and whole grains, can promote general health. Regular exercise, such as strength training and cardiovascular activities, can help maintain muscle mass, improve energy levels, and enhance mood.

Stress Reduction

The signs of andropause may worsen under stress. Utilising stress-reduction strategies like deep breathing exercises, meditation, and engaging in hobbies can help lower stress levels and improve emotional well-being.

5. Natural Solutions

Some people might favour using natural remedies to treat the symptoms of andropause. While their efficacy varies, they can be considered as complementary approaches.

Herbal Supplements

To support men’s health and hormone balance, some herbal supplements, including ginseng, tribulus terrestris, and maca root, have been used traditionally. Before using these supplements, you should speak to a doctor because they might interact with other medications or have unwanted side effects.

Vitamins and Minerals

Vitamins and minerals, including vitamin D, zinc, and magnesium, play a role in hormone production and overall health. Adequate levels of these nutrients can support hormone balance and mitigate the impact of Andropause symptoms. A well-balanced diet and, if required, supplements can help guarantee adequate intake.

Multiple Therapies

Alternative therapies such as acupuncture, massage, and yoga have been reported to provide relief from Andropause symptoms for some individuals. While research on their effectiveness is limited, they can be explored as additional approaches alongside conventional treatment.

6. Seeking Treatment for Andropause in the UK: Practical Tips and Guidance

Consultation with a Healthcare Professional

It’s crucial to speak with a doctor who specialises in men’s health when seeking treatment for andropause.General practitioners or specialists in men’s health can provide appropriate guidance and create personalized treatment plans. Contact BioID right away to take the first step towards achieving your desired  hormone balance.

Discussion and Evaluation of Treatment Options

During the consultation, it is crucial to have open discussions about treatment options, including HRT, lifestyle modifications, and natural remedies. Evaluating the potential benefits, risks, and individual preferences can help determine the most suitable approach.

Regular Monitoring and Follow-up

Once a treatment plan is established, regular monitoring and follow-up are necessary to assess its effectiveness and make adjustments if needed. Hormone level monitoring and other relevant tests can provide valuable insights into the progress of treatment and ensure optimal results.


Andropause is a natural phase in a man’s life that brings about hormonal changes with various physical and emotional symptoms. Seeking appropriate treatment is crucial for managing Andropause-related concerns effectively.
Hormone Replacement Therapy (HRT), lifestyle modifications, and natural remedies are among the available options. Consulting with healthcare professionals, evaluating treatment options, and regular monitoring are essential steps in navigating Andropause and improving overall well-being.


Is Andropause the same as menopause?

No, Andropause refers to the hormonal changes in men as they age, while menopause is specific to women and signifies the end of their reproductive years.

How long does Andropause typically last?

The duration of Andropause varies among individuals. It can last for several years, and symptoms may gradually diminish over time.

Can lifestyle modifications alone manage Andropause symptoms?

Modifying a lifestyle, including a balanced diet, regular exercise, stress reduction techniques, and getting enough sleep, can help some men with mild symptoms.. However, severe symptoms may require additional interventions such as HRT.

Is testosterone replacement therapy safe?

When prescribed and supervised by medical professionals, testosterone replacement therapy can be safe and effective. 

It is important to assess individual risks and benefits before initiating treatment.

Can natural remedies completely alleviate Andropause symptoms?

Natural remedies can provide relief for some men experiencing Andropause symptoms. However, their effectiveness varies from person to person, so speaking with a healthcare professional before using them as complementary approaches is crucial.

Dr. Martin
Dr. Martin

Dr. Kinsella's profound knowledge and expertise extend beyond traditional boundaries. His unwavering dedication to anti-ageing medicine and skin rejuvenation has positioned him as one of the pre-eminent aesthetic doctors in the United Kingdom. His unique ability to merge artistry with medical science has led to the development of innovative treatments that consistently yield remarkable results.
At BioID Health, Dr. Kinsella's co-founding role underscores his dedication to shaping the future of aesthetic medicine. His passion for empowering individuals to look and feel their best is a driving force behind his continuous pursuit of cutting-edge techniques and treatments. With an illustrious career marked by transformation and enhancement, Dr. Martin Kinsella remains at the forefront of the aesthetic industry, embodying a legacy of innovation, expertise, and unwavering commitment to patient well-being.

Articles: 6

More than just standard hormone replacement therapy.A treatment plan tailored to your health & wellbeing



Fill out our symptom questionnaire and speak to one of our BioID specialists. 


Our process is easy and straight forward – complete your blood test and attend an online prescriber-led consultation to discuss your results and formulate your tailored treatment plan.


Your bespoke hormones will be sent directly to your door as either gels, lozenges or capsules with clear instructions of how to use. You will receive a 3-month supply at each delivery.


Monthly follow up online consultation and further blood test at 8 – 10 weeks.