Unveiling andropause: Understanding men's midlife hormonal changes

Written by: Dr Sherif El Wakil
Edited by: Kate Forristal

Menopause has long been associated with women, but what about men? Contrary to popular belief, men experience a similar phenomenon called Andropause, a natural process characterised by hormonal shifts that can significantly impact their well-being as they age.


Andropause involves a gradual decline in androgen levels, particularly testosterone, as men grow older. Unlike women, who undergo a more abrupt hormonal change, Andropause tends to manifest gradually and varies widely among individuals. In his latest online article, Dr Sherif Wakil, a pioneer in regenerative and functional medicine, sheds light on this under recognised but significant aspect of men's health.


The decline in testosterone associated with andropause can lead to various physical and psychological changes. Reduced libido, decreased muscle mass, fatigue, mood swings, and even erectile dysfunction are among the symptoms that men may experience during this phase. While these changes may not occur in every man, they can significantly impact their quality of life.


In fact, erectile dysfunction, loss of libido, and mood swings can often intertwine with stress, depression, and anxiety, creating a complex interplay between physical and mental health. Erectile Dysfunction refers to the inability to achieve or maintain an erection sufficient for sexual performance, while loss of libido entails a decreased interest in sexual activity. Both can be influenced by psychological factors such as stress, which may impact hormone levels and blood flow, affecting sexual function. Stress, often a precursor to anxiety and depression, triggers hormonal changes that may contribute to these sexual dysfunctions and mood alterations. The cycle can be cyclical: experiencing erectile dysfunction or loss of libido due to stress can lead to further anxiety or depression, creating a feedback loop that exacerbates the initial issues. Seeking medical help is essential to address these interconnected concerns effectively, as they often require a holistic approach.


Dr Wakil's ground-breaking approach, known as the O Concept™, stands at the forefront of addressing andropause-related concerns. This innovative concept encompasses a series of unique protocols that incorporate cutting-edge non-surgical treatments for sexual rejuvenation, specialised weight management, pain management and personalised hormonal therapy.


Central to the O Concept™ is the recognition that each patient's condition is unique. Through a comprehensive understanding of individual needs, Dr Wakil tailors’ treatment plans that optimise health and vitality. By leveraging advanced technology and combining it with the principles of regenerative medicine, this approach aims to alleviate the symptoms of andropause and enhance overall well-being.


One of the key focuses of the O Concept™ is sexual rejuvenation, recognising the significance of intimacy and its impact on men's mental and emotional health. By utilising non-invasive procedures, Dr Wakil aims to restore and enhance sexual function, providing a renewed sense of confidence and satisfaction for his patients.


The O Concept™ isn't solely limited to addressing andropause-related concerns. Dr Wakil's approach extends to comprehensive wellness, emphasising the importance of a holistic lifestyle that includes nutrition, exercise, and stress management.


Dr Sherif Wakil is an esteemed aesthetic doctor. You can schedule an appointment with Dr Wakil on his Top Doctors profile.

By Dr Sherif El Wakil
Aesthetic medicine

Dr Sherif el Wakil is one of London’s leading cosmetic and sexual aesthetic doctors and Clinical Director of Dr SW Clinics on Harley Street in the heart of the UK’s capital. His areas of expertise include penis enhancementsvaginal rejuvenation, erectile dysfunction, female sexual dysfunction, non-surgical blepharoplasty and rejuvenation medicine

Dr Wakil is highly experienced and has worked in a number of leading hospitals in the UK and the Middle East, including the Royal London Hospital NHS Trust.

He has performed more than 19,000 procedures and has introduced a number of new treatments to the UK, including the P-Shot and O-Shot, the Vampire Breast Lift and the Vampire Facelift. He also introduced the Thermiva treatment to the country, which is a radio frequency treatment for vaginal laxity. He also offers vaginal dryness treatments, using O Concept™. 

He is a master trainer of the soft surgery approach and was the first practitioner in the UK to introduce treatments such as non-surgical blepharoplasty and needle shaping. His signature treatments include the Dr SW FaceLift and the Organic FaceLift. He is a leader in the provision of penis enhancements. He is also an expert in the bum enlargements with dermal filler. 

Dr Wakil offers minimally invasive treatments which are safe, effective and that achieve natural-looking results. He says: “I believe in enhancing my patients’ natural beauty so that they look like themselves at their very best. Not different.”

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