The symptoms of andropause occur gradually and are the direct result of an age-related decline in testosterone and progesterone production, along with an increase in estrogen production. Symptoms can be further exacerbated by declining levels of human growth hormone and DHEA.

While men don’t experience menopause in the same way that women do, they may experience symptoms such as:

  • Body fat gain, particularly abdominal
  • Loss of lean muscle tissue
  • Bone and hair loss
  • Wrinkling and drying of the skin
  • Fatigue, poor sleep quality and insomnia
  • Decreased libido and Erectile dysfunction (ED)
  • Hot flashes, blushing, sweating
  • Aches and pains
  • Nervousness, anxiety, irritability, and depression
  • Memory lapses
  • Reduced motivation, apathy


We begin your treatment with a thorough examination and diagnostic tests to rule out underlying conditions or diseases that might cause a significant drop in testosterone levels. After analyzing your results, Dr. Berger will discuss the potential benefits and risks involved with testosterone hormone therapy in Los Angeles and Beverly Hills.

Depending on your needs, Dr. Berger may prescribe injections of a synthetic bioidentical hormone. By restoring testosterone to youthful levels, you may notice increased libido and erectile function, improved mood and memory, amplified muscle mass, and overall better quality of life.

Frequently Asked Questions about Low Testosterone

What are the different treatment options available for low testosterone?

Treatment options for low testosterone include testosterone replacement therapy (TRT) in various forms such as injections, gels, patches, and pellets implanted under the skin. Other treatments involve lifestyle changes like improving diet, increasing physical activity, reducing stress, and ensuring adequate sleep. Additionally, medications that stimulate the body's natural testosterone production, such as Clomiphene Citrate or hCG (human chorionic gonadotropin), can be used under medical supervision.

How long does it typically take to notice improvements after starting testosterone replacement therapy?

Improvements after starting testosterone replacement therapy (TRT) can vary, but many individuals begin to notice changes within a few weeks. Enhanced energy levels and mood improvements are often observed within 3 to 4 weeks, while significant improvements in muscle mass, strength, and sexual function may take up to 3 to 6 months. The timeline can depend on factors such as the individual's baseline testosterone levels, the form of TRT used, and overall health.

How often will I need to have my testosterone levels monitored during treatment?

During testosterone replacement therapy (TRT), it is generally recommended to have testosterone levels monitored every 3 to 6 months initially to ensure proper dosage and effectiveness. Once stable levels are achieved, monitoring may be reduced to every 6 to 12 months. Regular monitoring helps to track progress, adjust dosages if necessary, and ensure there are no adverse side effects.

Are there any lifestyle changes I should make to enhance the effectiveness of testosterone replacement therapy?

To enhance the effectiveness of testosterone replacement therapy (TRT), it is beneficial to maintain a healthy diet rich in lean proteins, healthy fats, and complex carbohydrates, which supports hormone production and overall health. Regular exercise, particularly strength training and cardiovascular workouts, can improve muscle mass, strength, and cardiovascular health, complementing the effects of TRT. Additionally, managing stress through relaxation techniques and ensuring adequate sleep can optimize hormone balance and overall well-being.

Can testosterone replacement therapy interact with any medications I am currently taking?

Yes, testosterone replacement therapy (TRT) can interact with certain medications, such as blood thinners, insulin, and corticosteroids, potentially altering their effectiveness or increasing the risk of side effects. It is crucial to inform your healthcare provider about all medications and supplements you are taking before starting TRT. This ensures proper monitoring and adjustment of dosages to avoid adverse interactions and optimize treatment outcomes.

Hormone Replacement Therapy Los Angeles and Beverly Hills


With over 25 years of experience in the medical field, Dr. Berger has geared his practice towards the soothing and therapeutic side of cosmetic medicine. By specializing in anti-aging treatment along with cosmetic enhancement, his goal is to help each patient live a long, healthy, and beautiful life. Call us, or complete the form on this page.


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