Andropause: What Is the Male Menopause and How Can TRT Help?
You’ve likely heard of menopause in women - but did you know that men experience a similar shift in hormones too? Known as andropause, or the "male menopause," this stage involves a gradual decline in testosterone and can affect your energy, mood, strength and sexual health.
Unlike menopause, which tends to happen quickly, andropause is subtle and slow. But its impact on quality of life can be just as significant. At Omniya Clinic in London, we support men experiencing the symptoms of andropause with personalised Testosterone Replacement Therapy (TRT).
What Causes the Male Menopause?
Testosterone peaks in your twenties and gradually declines from your thirties onward. But for many men, this natural drop becomes more pronounced in their 40s or 50s — particularly when combined with lifestyle stress, obesity, poor sleep, or chronic health conditions like type 2 diabetes.
Research shows that low testosterone isn’t just about age - it’s a broader health issue. You can learn more about the symptoms of low testosterone here.
Common Symptoms of Andropause
Men going through andropause often describe a sense of "not feeling like themselves." Some of the most common signs include:
- Fatigue and low energy
- Reduced libido or sexual performance
- Depression, irritability or mood swings
- Weight gain (especially around the waist)
- Brain fog and reduced concentration
- Muscle loss and declining physical performance
If these symptoms sound familiar, you’re not alone - and it may be time to explore treatment options.
Is Poor Mental Health a Symptom of Andropause?
It can be. However, in middle-aged men prone to depression and anxiety, there may be other causes than low testosterone. For example, psychological stress from work and family commitments may be taking its toll.
These symptoms may also be linked to drinking excessively, a lack of sleep or a poor diet.
How Testosterone Replacement Therapy Can Help
TRT works by restoring testosterone to a healthy range. For many men, this relieves the symptoms of andropause and helps them feel more energised, focused and resilient.
At Omniya, we take a careful, personalised approach. You’ll begin with a detailed consultation and blood tests to confirm whether your testosterone is clinically low. Learn more about the TRT process here.
Key Benefits of TRT for Andropause:
Energy and Vitality
Many patients report a huge increase in energy and can get back to living life to the full.
Libido and Sexual Function
TRT can rekindle a flagging sex drive and improve erectile function and restore confidence and intimacy.
Mood and Mental Clarity
By balancing hormones TRT can alleviate depression, irritability and brain fog and improve cognitive function and emotional wellbeing.
Muscle Mass and Strength
Testosterone is key to building and maintaining muscle. Patients often see significant gains in strength and physical fitness.
Bone Density
Testosterone helps maintain healthy bones and reduces the risk of osteoporosis and fractures.
Heart Health
Research is emerging that optimal testosterone levels may benefit heart health by improving cholesterol profiles and reducing inflammation.
See a full list of TRT benefits here.
Is TRT Safe?
When prescribed and monitored properly, TRT is considered safe for most men. At Omniya, your safety is paramount — we carry out regular follow-ups to monitor hormone levels, blood markers, and overall wellbeing. Learn more about TRT safety.
TRT Delivery Options
TRT isn’t one-size-fits-all. At Omniya, we offer multiple delivery methods depending on your preferences and lifestyle:
- Injections (weekly or monthly)
- Topical gels and creams
- Oral capsules or lozenges
Your clinician will guide you through the best option for your needs. Learn more about TRT treatment types.
Are There Alternatives to TRT?
Yes. For men with mild symptoms or concerns about treatment, we may suggest supportive steps like:
- Lifestyle changes (exercise, diet, sleep)
- Supplements (e.g. DHEA or vitamin D)
- Medications that stimulate your own testosterone production (e.g. hCG)
You can read more about alternatives to TRT on our blog.
Real Patient Experiences
Many of our patients describe TRT as transformative. It’s not just about more energy or improved sex drive — it’s about feeling like yourself again.
“Before TRT I was tired, short-tempered, and struggling with motivation. Within three months, I felt like my younger self again — physically stronger, mentally sharper, and genuinely happier.”
Explore our patient stories here.
Beyond TRT: Holistic Health Improvements
While TRT addresses the root hormonal imbalance, it’s often part of a broader approach to health optimisation. Our team might recommend complementary treatments such as:
- Polynucleotide treatments to improve skin elasticity and hydration
- Injectable moisturisers for a refreshed complexion
- Lifestyle guidance on nutrition, exercise, and sleep for long-term wellbeing
These additional treatments can further enhance your confidence, appearance, and overall quality of life.
What We Offer at Omniya Clinic
- Experienced clinicians in hormonal health
- Full diagnostic testing and personalised treatment plans
- Ongoing support and monitoring for long term results
- Luxurious and discreet clinic in the heart of London
Next Steps: Book Your Consultation
If you suspect you're experiencing the effects of andropause, don’t ignore it. At Omniya Clinic, we offer expert diagnostics and tailored TRT plans that focus on long-term health, confidence, and vitality.
Book your consultation today and take the first step toward feeling like yourself again.
