Men’s Hormonal Health: Navigating Andropause, Libido & Low Testosterone
As our bodies change with time, so do our hormones — and for many, those shifts can feel confusing, frustrating, or even isolating. Whether it's declining testosterone, fatigue, changes in mood, or concerns around libido and performance, hormonal health is deeply personal.
At Be Well Berlin and Tuyo Health, we believe in compassionate, inclusive care that recognizes how hormones impact every part of our wellbeing — from sleep to sex drive, from mental clarity to emotional balance.
Andropause: The “Male Menopause”
Often overlooked, andropause refers to the gradual decline in testosterone that many men experience beginning in their 40s or 50s. Symptoms may include:
- Fatigue or low energy
- Decreased libido
- Mood changes or depression
- Loss of muscle mass
- Brain fog or reduced motivation
These symptoms are real — and treatable. At Tuyo Health, we offer enclomiphene protocols, a non-controlled medication that stimulates your body’s own testosterone production. We’re also in the final stages of launching TRT (testosterone replacement therapy), with safety and compliance at the forefront of our approach.
What’s Involved: Workup, Treatment Plans, Risks & Follow-Up
Hormonal care is more than just writing a prescription — it's about creating a personalized, evidence-based plan. Here's how we approach it:
🧪 Initial Workup
Before starting treatment, we typically recommend:
🧪 Initial Workup
Before starting treatment, we typically recommend:
- Comprehensive symptom review & medical history
- Lab work: Total & free testosterone, estradiol, SHBG, LH/FSH, prolactin, CBC, CMP, lipids
- Vital signs: blood pressure, BMI, weight
- Mental health screening
- Sexual health & fertility goals
💊 Treatment Planning
- Enclomiphene Therapy: Oral, non-controlled option ideal for those wishing to preserve fertility
- Lifestyle Support: Nutrition, sleep, stress, movement — all addressed as part of the plan
-
TRT (Coming Soon Tuyo Health, Active Be Well Berlin): Injectable or topical testosterone available through our platform after final compliance review
⚖️ Risks & Benefits
- Potential Benefits:
- Improved mood, libido, and energy
- Better sexual function and motivation
- Muscle retention and metabolic support
- Possible Risks (varies by treatment type):
- Elevated red blood cell count (polycythemia)
- Temporary fertility suppression (with TRT)
- Cholesterol or cardiovascular changes
- Prostate monitoring (routine and low risk if screened)
- Your provider will walk you through the pros and cons to design a plan that fits your needs and values.
- Ongoing Monitoring
- Labs every 3–6 months during the first year
- Regular follow-ups to adjust treatment
- Ongoing mental health & sexual wellness check-ins
- Shared decision-making as your goals evolve
Why Collaborative Hormonal Care Matters
Hormonal health isn’t just about lab results — it’s about how you feel in your body, mind, and relationships. Whether you're facing age-related hormone decline or broader concerns around sexual wellness and vitality, having the right support team matters.
🔹 Tuyo Health:
At Tuyo Health, we specialize in men’s hormonal and sexual health using a functional, integrative approach. We currently offer enclomiphene therapy and are preparing to offer safe, ethical TRT. Our plans address the whole person — not just hormones — including gut health, sleep, stress, and nutrition.
Learn more at www.tuyohealth.com
Learn more at www.tuyohealth.com