(310) 979-3434
Dr. Rashel, Integrative Medicine


Men can benefit from bio-identical hormones when their hormone levels decline.  In Men this is called Andropause which is the male menopause.  Andropause is a gradual decline of hormones in men namely the drop in testosterone levels.  Andropause begins in men in their late twenties.  When men get into their early 30’s they begin losing testosterone at a rate of about two percent per year.  Testosterone levels in 70 year old men are only 10 percent of the level of 25 year old men.  Most men begin to experience some of the symptoms of andropause around age 40 to 50 although some men may experience symptoms earlier.  The time of onset of male menopausal symptoms or andropause is associated with fitness routine, nutrition quality, environmental toxins and stress level.

Testosterone has many crucial functions in men and women.  Loss of testosterone in males leads to atherosclerosis and heart attacks, obesity, fatigue, depression, and anxiety.  Most people associate testosterone with sex drive which is appropriate, interestingly most of the above symptoms come on long before a man loses his sex drive or experiences impotence.  There has been some research in the area of healthy testosterone levels being protective against prostate enlargement and prostate cancer. There is no evidence that testosterone therapy in males causes prostate enlargement or prostate cancer.

Some of the symptoms of andropause are weight gain, muscle loss, fatigue, diminished libido, depression, gynecomastia (male breasts), and memory loss to name a few.

Unfortunately andropause is a very under diagnosed and under treated condition in men.  The condition has been in the medical literature since the 1940’s but because the symptoms appear so gradually and vary from man to man little was done about it.

Some doctor’s may have some familiarity with testosterone therapy but amongst those few have specialty training in the area.  When treating andropause it is important to be familiar with all factors that can influence therapy such as levels of other blood proteins such as SHBG and other hormones such as estradiol in men.  SHBG (Sex Hormone Binding Globulin) is an androgen binding protein that increases in men while testosterone is declining.  SHBG’s binding of testosterone inhibits a portion of the available testosterone from working.  For this reasons monitoring levels can aid in appropriate therapy. Estradiol levels can rise in men with age and since testosterone is partially converted to estradiol it’s important to monitor levels since elevated estrogen levels in men are related to heart disease.  It is very important to work with a physician who has specialty training in the area of bio-identical hormones and anti-aging medicine so that you can get the utmost benefit from your therapy and effectively treat andropause and improve the quality of your life.

For more information about our treatments for andropause or to learn more about our programs in Testosterone Therapy  contact us at (310)979-3434 or fill out our New Patient Form.

Andropause -  Los Angeles