Get the most out of life and have more energy. Are you feeling run-down, irritable, and anxious? Are you off sex and generally desperate to get your “mojo” back? If so, you could be suffering from a hormone imbalance.

Previously referred to as the male menopause or andropause, now officially known as Testosterone Deficiency Syndrome (TDS). The female menopause occurs within a window of time between age 45 and 55 due to a relatively rapid decline in the production of estrogen and testosterone. There is no “male menopause”: male testosterone declines from age 30 in a more or less linear trajectory to age 100. With this decline comes deterioration of mental and physical capacities at a rate predetermined by genetic inheritance, or the intervention of disease or lifestyle factors.


Obesity often causes a dramatic fall in testosterone and sperm production, resulting in erectile dysfunction and attendant symptoms, along with infertility. Conversely, a low testosterone causes obesity. This is avoidable and can be addressed: it is not a disease.


The symptoms of low testosterone are numerous, but the “red flags” are:

1Loss of libido

2Erectile dysfunction

3Diminished nocturnal and early morning tumescence

4Fatigue and lassitude

5Increased sweating, night sweats

6Depressed mood, anxiety and lack of well being

7Poor concentration and memory

8Irritability, Loss of drive and enthusiasm

9Less frequent are weight gain, urinary symptoms, disturbed sleep, loss of muscle mass, decline in athletic performance, dry skin, poor wound healing, reduced facial hair growth, reduced testicular volume and pain or discomfort in the testes

Chronic stress is known to suppress production of the hormone, and men with low testosterone levels are more likely to suffer from diabetes, heart disease, obesity and emotional disturbances. Low testosterone can be potentially devastating to your relationship and career, and, according to recent medical research, leads to a shorter life expectancy.


The good news is that testosterone replacement therapy (TRT) could help. Men taking TRT report greater sexual desire, improved ability to achieve and maintain erections and a feeling of vitality and vigour. The treatment also increases muscle mass and strength, cuts body fat and improves mood and cognitive function, thereby booting self-esteem. In the long-term, TRT can also lead to an increase in bone density, reducing the risk of osteoporosis. Find out more by contacting us at our Birmingham Clinic at 205.823.0151

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