Andropause

What is Andropause?

Andropause — often referred to as “male menopause” — is the gradual decline in testosterone production that occurs as men age. Unlike menopause, where hormonal changes are more abrupt, andropause is slow and progressive, often developing over several years. Testosterone typically begins to decrease around age 30 and continues to decline by about 1–2% per year.

 

However, the effects of andropause are not just about aging. They involve energy levels, mood stability, metabolic function, strength, sexual health, cognition, confidence, and overall vitality. Many men describe feeling like they “lost their edge” — physically, mentally, or emotionally.

 

At First Call DPC, we don’t dismiss these experiences as “just getting older.”
Your energy, strength, motivation, and drive matter.
And when hormone levels shift, you deserve real medical support, not reassurance to “tough it out.”

 

Andropause is real — and with the right care, men can feel strong, clear, energized, and confident again.

What Causes Andropause?

Andropause results primarily from declining testosterone production in the testicles. However, many additional biological factors can amplify or accelerate that decline:

Hormonal Causes

Reduced testosterone and DHEA production

Increased conversion of testosterone into estrogen

Changes in luteinizing hormone (LH) signaling from the brain

Lifestyle & Environmental Factors

Chronic stress (elevated cortisol suppresses testosterone production)

Poor sleep quality or sleep apnea

Sedentary lifestyle or muscle loss

Excess alcohol consumption

Nutrient deficiencies

Metabolic & Health Factors

Weight gain or insulin resistance

Chronic inflammation

Thyroid dysfunction

Medications that interfere with hormone signaling

Hormones don’t just influence sex drive — they influence motivation, emotional resilience, drive, competitive instinct, muscle tone, and metabolic stability.

So when testosterone drops, men often feel it deeply.

What Symptoms Will I Experience With Andropause?

Andropause symptoms can be subtle at first, then become more pronounced over time.

Physical Symptoms

Fatigue or reduced stamina

Loss of muscle mass or strength

Increased body fat, especially around the midsection

Reduced endurance or slower recovery after exercise

Joint or muscle discomfort

Emotional & Cognitive Symptoms

Irritability, anxiety, or increased stress sensitivity

Mood changes or depressed outlook

Reduced motivation or drive

Slower cognitive processing, brain fog, or reduced focus

Sexual Health Symptoms

Low libido

Difficulty with arousal or maintaining erections

Reduced morning erections

Decreased orgasm intensity

Men often describe it as:

  • “I’m not myself.”
  • “I feel less sharp, less driven, less energetic.”
  • “My body is changing in ways I don’t recognize.”
  • “I want that sense of strength and confidence back.”

These symptoms are not inevitable — they’re signals.

What Should I Try at Home Before Seeing a Provider for Andropause?

There are supportive lifestyle practices that can help maintain hormonal balance:

Prioritize Sleep

Deep sleep is where testosterone is produced.

Strength Train 2–4 Times Weekly

Muscle mass directly stimulates testosterone production.

Reduce Alcohol and Processed Sugar

Both increase estrogen conversion and reduce testosterone availability.

Eat More Protein and Healthy Fats

Your body needs cholesterol and amino acids to build hormones.

Manage Stress

Chronic stress increases cortisol — which suppresses testosterone.

However if symptoms persist, worsen, or interfere with your quality of life, hormonal evaluation is the next step.

Best Treatment Options for Andropause

At First Call DPC, we treat andropause using a root-cause, whole-body approach, not just symptom relief.

Your treatment plan may include:

Testosterone Replacement Therapy (TRT)

Restores healthy testosterone levels to improve energy, libido, mood, strength, and drive — safely and thoughtfully.

Peptide Therapy for Recovery, Strength, and Metabolic Health

Helps improve muscle growth, sleep quality, tissue repair, and neurological clarity.

Thyroid and Metabolic Optimization

Since thyroid and testosterone are synergistic, balancing one supports the other.

Nutrient and Lifestyle Support

We assist with nutrition, sleep, exercise, stress management, and metabolic stability.

Weight and Inflammation Management

When needed, we incorporate medical weight loss strategies to improve hormone signaling and vitality.

This is about reclaiming your physical presence, emotional resilience, and inner momentum — not just raising numbers on a lab report.

Our Process for Treating Andropause

Comprehensive Evaluation

We begin with a thorough conversation about symptoms, energy levels, stress, sexual health, sleep, and lifestyle — without judgment or rush.

Advanced Lab Testing

We examine:

  • Total & Free Testosterone
  • Estradiol (E2)
  • LH & FSH signaling
  • Thyroid panel
  • Inflammation markers
  • Metabolic function and nutrient status

Clear, Personalized Treatment Plan

We explain your results in straightforward, empowering language — and build a plan tailored to your physiology and goals.

Ongoing Support & Adjustments

You stay directly connected to your provider — no waiting rooms, no rushed visits, no insurance obstacles.

At First Call DPC, men don’t have to go through andropause alone — or silently. Strength. Clarity. Drive. Confidence. They are still yours — your body just needs support to access them again. When you’re ready to feel like yourself again — we’re your first call.