Sexual Health and Andropause: What You Need to Know

Andropause, often called the male menopause, can bring about changes in sexual health, which may feel challenging to navigate. Understanding these changes and knowing how to address them can help you maintain confidence and connection in your intimate life.

How Does Andropause Affect Sexual Health?

The hormonal shifts that occur during andropause, primarily a decline in testosterone, can lead to a range of sexual health changes. Some of the most common include:

• Reduced libido: A decrease in sexual desire or interest in intimacy.
• Erectile changes: Difficulty achieving or maintaining an erection, though this can also be influenced by stress, lifestyle, or other health factors.
• Changes in sexual satisfaction: A general feeling of reduced pleasure or fulfilment during intimacy.
• Performance anxiety: Worrying about sexual performance, which can create a cycle of stress and further affect intimacy.

Why Do These Changes Happen?

Testosterone plays a key role in regulating sex drive, energy levels, and mood. As levels decline, it’s natural for sexual health to be impacted. However, it’s important to remember that emotional factors, stress, and lifestyle habits can also influence sexual function. Identifying all contributing factors can lead to a clearer understanding and better solutions.

Improving Sexual Health During Andropause

There are several steps you can take to support your sexual health during andropause:

1. Prioritise Physical Health

• Exercise regularly: Physical activity, particularly strength training and cardiovascular exercise, can help maintain healthy testosterone levels and improve blood flow.
• Eat well: A balanced diet that includes lean proteins, healthy fats, and fibre can support overall health and hormone regulation.
• Sleep matters: Quality sleep is crucial for hormone balance and overall energy levels.

2. Address Emotional Well-being

• Open communication: Talking with your partner about concerns can help maintain intimacy and foster connection.
• Stress management: Stress can have a significant impact on libido and performance, so incorporating stress-relief practices, such as mindfulness or deep breathing exercises, can be helpful.
• Counselling: If performance anxiety or emotional concerns are affecting your sexual health, speaking with a therapist can provide support and coping strategies.

3. Explore Medical Options

• Testosterone Replacement Therapy (TRT): In cases where testosterone levels are significantly low, TRT may help restore hormonal balance. A healthcare provider can help assess if this is the right option for you.
• Medications: Depending on individual needs, medications for erectile dysfunction (such as PDE5 inhibitors) may be recommended.

When to Seek Professional Guidance

If sexual health concerns are affecting your confidence or relationships, it’s important to seek professional advice. Early conversations with a healthcare provider can help identify underlying issues and create a personalised plan to improve your well-being.

Support and Connection

Sexual health is an important part of overall well-being and deserves attention and care. If you’re unsure where to start or feel overwhelmed, we can help guide you to trusted local providers who specialise in men’s health and sexual wellness. You don’t have to face these changes alone.

Your Next Steps

By taking proactive steps and seeking the right support, you can navigate the changes of andropause with confidence. Remember that your sexual health journey is personal and unique—maintaining open communication and prioritising self-care will help you feel empowered and connected as you move forward.