Most Doctors Have Never Even Heard of Andropause! – Ross Tomkins on Low Testosterone

Mar 5, 2025

The andropause, or the male menopause, is the decline in testosterone that occurs naturally in men from their mid 30s onwards. Unlike the female menopause, the hormonal changes we experience are slow and subtle. And unlike the menopause, andropause is not a widely recognised medical condition. But the impact of low testosterone can be significant in some men.

Ross Tomkins is the co-founder of Alphagenix, which offers medically supervised testosterone replacement therapy. He founded the company to help men following his own experiences within both the NHS and private practice. He believes that not only are many men misdiagnosed with depression rather than low testosterone, but that most GPs have not even heard of the andropause. 

This week Paul talks to Ross about how low testosterone typically manifests and what the impact can be on men’s mental and physical health. Ross shares his personal journey of struggling with low testosterone, being dismissed by multiple doctors, and ultimately finding answers through testosterone replacement therapy (TRT). He discusses why men are often prescribed antidepressants instead of addressing underlying hormonal imbalances.

The conversation explores the stigma around low testosterone, the reluctance of men to seek help, and how lifestyle factors like diet, sleep, and exercise can naturally boost hormone levels before considering TRT. Ross also highlights the potential long-term implications of declining testosterone levels, including its links to midlife crises and even male suicide rates.

If you feel like you’ve lost your drive, energy or motivation, this episode provides crucial insights into why that might be, and what you can do about it.

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You can find out more about testosterone replacement therapy at www.alphagenix.co.uk and contact Ross on LinkedIn.

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I’d love to hear about your experiences, so if you’d like to get in touch email me at paul@middlemanpodcast.com and let me know what’s on your mind or sign up to the newsletter at www.middlemanpodcast.com

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