Andropause Treatment Options

So, you’ve tried the lifestyle changes (please do give them a good try) , and you’re still not feeling right. What happens next?

If your symptoms are severe or persistent, the next step is a formal conversation with a healthcare professional. This means getting a definitive diagnosis and discussing clinical treatment options. Remember: only a doctor can officially diagnose Andropause (Low T) and prescribe medication—your role is to be prepared and informed!

The Formal Diagnosis Process (What to Expect) 

Don't worry, it's not a scary process! A formal diagnosis in the UK usually requires two things:

A Clear Medical Review

The doctor will talk through your symptoms, your full medical history, and rule out other potential causes (like thyroid issues or depression).

Blood Tests

You will need two separate blood samples taken early in the morning (usually between 7 am and 11 am) to confirm consistently low Testosterone levels. Both tests must show unequivocally low T, along with correlating symptoms, for a diagnosis of Hypogonadism (clinical low T)

Understanding Treatment: Testosterone Replacement Therapy (TRT)

If a diagnosis is confirmed, the main treatment pathway (if lifestyle changes on their own are not working) is Testosterone Replacement Therapy (TRT). This involves supplementing your body with external testosterone to bring your levels back up to a healthy, mid-normal range. TRT is a significant, long-term commitment that requires regular monitoring.

• TRT is Life-Changing: For many men, TRT can be completely transformative, clearing brain fog, restoring libido, boosting energy, and improving mood.
• TRT is a Commitment: It is generally a lifetime treatment. You will need regular blood tests and monitoring appointments (usually every 3-6 months initially) to ensure the dosage is right and to check for potential side effects.

Forms Of TRT Available In The UK

TRT is not a 'one-size-fits-all' pill. The method used is based on patient preference, cost, and availability.

Gels & Creams (e.g., Testogel, Testavan)

• How it Works: Applied daily to the skin (shoulders, abdomen) for gradual absorption.
• Pros: Non-invasive, mimics the body's natural daily cycle well.
• Cons to Discuss with Your Doctor: Risk of transference to partners/children, requires daily routine.

Short-Acting Injections (e.g., Sustanon)

• How it Works: Administered into the muscle every 2–4 weeks.
• Pros: Can be available on the NHS, can be highly effective.
• Cons to Discuss with Your Doctor: Can cause hormone "peaks and troughs" (feeling great right after, low before the next shot).

Long-Acting Injections (e.g., Nebido)

• How it Works: Administered by a nurse/doctor every 10–14 weeks.
• Pros: Very infrequent administration, provides very stable levels over time.
• Cons to Discuss with Your Doctor: Less flexible if dosage needs immediate adjustment.

TRT is not a decision to be taken lightly. It's a treatment that requires dedication and understanding. The best place to start is with knowledge.

Need help talking to your partner or family about TRT and the changes ahead? Move on to Support & Communication