Andropause and the Ageing Male
As men age, their bodies undergo gradual hormonal changes, particularly a decline in testosterone levels. This process, known as Androgen Deficiency in Ageing Men (ADAM) or andropause, affects many aspects of men’s health, sexual function and overall well-being.
Unlike menopause, which occurs suddenly in women, testosterone levels decline gradually, typically starting in a man’s 30s or 40s, at a rate of around 1% per year. For some men, this process is subtle, but for others, it can lead to significant physical, emotional, and sexual changes that impact their quality of life.
ADAM is often overlooked or misattributed to “just getting older.” However, testosterone plays a critical role in energy levels, sexual function, mental clarity, and physical health. Low levels can lead to fatigue, reduced libido, difficulty maintaining erections, weight gain, and loss of muscle mass, all of which can have a profound effect on confidence, relationships, and overall health.
The good news? There are effective treatments available that can help restore balance and improve quality of life.
How ADAM Affects Men’s Health, Sexual Health & Urological Function
Testosterone Is Essential for More than Just Sex Drive
Low testosterone affects far more than sex drive. It intersects with men’s health, sexual function and urology, and its effects can show up right across the body.
Its impact on sexual health is often what men notice first. Low testosterone doesn’t directly cause erectile dysfunction, but it makes erections harder to achieve and maintain, and reduced libido, weaker erections and fewer morning erections are among the most common complaints. Its relationship with prostate and urinary health is more complex, as ADAM and benign prostatic hyperplasia (BPH) often coexist in ageing men, so persistent urinary symptoms deserve a full assessment rather than assuming testosterone is the sole cause.
The effects reach well beyond the bedroom. Low testosterone is linked to a higher risk of heart disease and type 2 diabetes and plays a role in cholesterol, blood vessel function and insulin sensitivity. It can also cause brain fog, poor concentration, low motivation and irritability, and is strongly linked to depression in ageing men. And because testosterone is essential for muscle strength, bone density and metabolism, low levels lead to muscle loss, increased belly fat and weaker bones, making fitness harder to maintain.
Symptoms of ADAM / Andropause
The symptoms of testosterone deficiency vary in severity. Some men notice only mild changes, while others struggle significantly with fatigue, low sex drive and mood shifts.
Physically, low testosterone can cause persistent fatigue and low energy, loss of muscle mass and increased belly fat, weaker bones with a higher fracture risk, hot flushes or excessive sweating, and reduced endurance with slower recovery from exercise.
Its sexual symptoms include reduced libido, weaker or less frequent erections, loss of morning erections, and decreased orgasm intensity and penile sensitivity.
Mentally and emotionally, many men experience low mood or depression, irritability and increased stress, brain fog or difficulty concentrating, and a general lack of motivation or drive. These changes are not simply an inevitable part of ageing, and they can often be improved with the right assessment and treatment.
How Is Andropause Treated?
The Best Treatment Depends on Your Symptoms, Overall Health, and Personal Goals. Treatment May Involve a Combination of Lifestyle Changes, Hormone Therapy, and Targeted Medical Support.
Lifestyle & Natural Approaches
- Weight loss & exercise: Losing excess weight and engaging in resistance training (lifting weights) naturally boosts testosterone.
- Better sleep: Restoring 7-9 hours of quality sleep per night improves hormone balance.
- Reducing stress: Managing stress through meditation, relaxation techniques, and reducing workloadhelps regulate testosterone production.
- Improved diet: Eating protein-rich foods, healthy fats, and reducing sugar intake can support testosterone levels.
Testosterone Replacement Therapy (TRT) (When Medically Indicated)
For men with clinically low testosterone and significant symptoms, testosterone replacement therapy (TRT) can be life-changing.
Options include:
- Gels & Creams: Absorbed through the skin, applied daily.
- Injections: Longer-acting, given every few weeks for steady testosterone levels.
- Implants: Slow-release formulations for consistent hormone delivery.
⚠️ TRT is only prescribed after thorough testing and evaluation, as it is not suitable for all men. Dr Ross will assess your symptoms, medical history, and bloodwork before determining if testosterone therapy is right for you. Referral to an endocrinologist may be required in select cases.
When Should I See a Doctor?
Don’t Ignore the Signs
Many men ignore the signs of low testosterone, assuming they’re just part of ageing. However, if symptoms are affecting your energy, mood, confidence, or sex life, it’s time to seek help.
Book a consultation with Dr Ross if you are experiencing:
Persistent fatigue and low energy
Low libido or changes in erectile function
Unexplained weight gain or muscle loss
Mood changes, anxiety, or depression
Difficulty concentrating or ‘brain fog’
It’s time to get your testosterone levels checked.
Ask Dr Ross.
If you are not ready to make an appointment, but would like to ask a question or get some more information, we are here for you.
Frequently Asked Questions (FAQ)
What Are the Symptoms of Low Testosterone?
Common symptoms include low energy, reduced libido, difficulty with erections, low mood, loss of muscle mass and poor concentration. Diagnosis is confirmed with blood tests.
How Is Testosterone Deficiency Treated?
Treatment is tailored to the cause and may include lifestyle and metabolic optimisation, and testosterone replacement therapy where appropriate. Dr Ross also considers fertility and overall health when planning treatment.
Is Testosterone Replacement Therapy Safe?
When properly assessed and monitored, testosterone therapy is safe for most men. Dr Ross reviews your individual risks and monitors your response with regular follow-up.
Visit Dr Ross at one of our convenient Sydney locations
Kalix Healthcare Specialists - Bella Vista
Suite 5.14 The Bond
8 Elizabeth Macarthur Drive, Bella Vista 2153
Kalix Healthcare Specialists - Kingsford
Prefer to stay at home? Book a Telehealth Appointment here.