Andropause

What Is Andropause?

Andropause — sometimes called "male menopause" — refers to the gradual decline in testosterone and other hormones that occurs in men, typically beginning in the late 30s or 40s and continuing through later decades. Unlike female menopause, which involves a more abrupt hormonal shift, andropause is a slow, progressive change that can be easy to miss or attribute to "just getting older."

However, these hormonal changes have real, measurable effects on quality of life, health, and longevity — and they are treatable.

Symptoms of Andropause

The symptoms of andropause are wide-ranging and can affect physical, mental, and emotional health:

• Fatigue and decreased energy levels
• Reduced libido and sexual performance
• Loss of muscle mass and increased body fat (especially around the abdomen)
• Mood changes — depression, irritability, or emotional flatness
• Difficulty concentrating or memory lapses ("brain fog")
• Reduced bone density (increasing fracture risk)
• Sleep disturbances and insomnia
• Decreased motivation and competitive drive
• Hot flashes or night sweats (less common, but possible)

Diagnosis and Testing

Andropause is diagnosed through a combination of symptom assessment and comprehensive blood testing. Dr. Risher evaluates total and free testosterone, SHBG, estradiol, DHEA, thyroid hormones, and other markers to build a complete picture of your hormonal health.

Treatment with Bioidentical Hormone Replacement Therapy

Bioidentical Testosterone Replacement Therapy (BHRT) is the cornerstone of andropause treatment at Nuestra Vida Well Living. Because bioidentical hormones are molecularly identical to your body's own testosterone, they are well-tolerated and effective at restoring levels to an optimal range.

Dr. Risher creates a personalized protocol — which may include topical gels, subcutaneous pellets, or other delivery methods — tailored to your lifestyle, preferences, and lab results. Ongoing monitoring ensures your treatment remains safe and effective.