Understanding Andropause, Enclomiphene, and TRT
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:
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
🔹 Be Well Berlin
Be Well Berlin is a queer-owned primary care practice based in Los Angeles / West Hollywood, with telehealth available across California and Alaska — including Anchorage, Fairbanks, and the Mat-Su Valley. Led by Isaac Berlin, FNP-C, the practice provides inclusive care across the lifespan, including men’s hormonal health, mental health care, PrEP/DoxyPEP, and gender-affirming services. Isaac’s training in primary care psychiatry means your care includes attention to mood, body image, sexual wellness, and the lived experience of hormonal change.
Explore care options and book a visit at www.bewellberlin.com