Hormonal Health for All: Navigating Andropause & Sexual Wellness

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 might include:

• Fatigue
• Decreased libido
• Mood changes or depression
• Loss of muscle mass
• Brain fog or reduced motivation

At Tuyo Health, we take these concerns seriously. Our current offerings include enclomiphene protocols, a non-controlled medication that can stimulate natural testosterone production. TRT (testosterone replacement therapy) is in development on our platform, and will be available soon pending final setup and regulatory compliance.

🔬 What’s Involved: Workup, Treatment Plans, Risks & Follow-Up

Hormonal care isn’t one-size-fits-all — and it’s more than just writing a prescription. Here’s what’s typically involved in a thoughtful, evidence-based approach:

🧪 Initial Workup

Before any therapy begins, we recommend:

• Detailed symptom and medical history
• Labs including testosterone, estradiol, SHBG, LH/FSH, prolactin, CBC, CMP, lipids
• Blood pressure, weight, and vitals
• Mental health screening for depression, anxiety, and body image concerns
• Sexual health history and fertility goals

💊 Treatment Planning

• Enclomiphene Therapy: A non-controlled oral medication that can help the body boost its own testosterone. Often preferred for those wanting to preserve fertility.
• Lifestyle & Supportive Interventions: We address nutrition, stress, sleep, and movement as foundational supports for hormonal balance.
• TRT (Coming Soon): We’re finalizing our ability to safely and legally offer testosterone replacement therapy via our platform.

⚖️ Risks & Benefits

• Benefits may include:
• Improved energy and mental clarity
• Enhanced libido and sexual function
• Better mood and motivation
• Muscle preservation and metabolic support

Risks (depending on therapy) may include:

• Polycythemia (increased red blood cell count)
• Fertility suppression
• Cardiovascular or lipid changes
• Potential prostate impacts (though risks remain low in properly screened individuals)

Your provider will walk you through all risks and tailor a plan that matches your body and your goals.

🔁 Ongoing Monitoring

• Labs every 3–6 months in the first year
• Regular follow-ups to fine-tune dosing and address side effects
• Mental health and sexual wellness check-ins
• Shared decision-making around evolving goals

🤝 Why Collaborative Hormonal Care Matters

Hormonal health isn’t just about numbers on a lab — it’s about how you feel in your body, your mind, and your relationships. Whether you're navigating age-related hormonal decline or broader concerns about sexual wellness, support matters.

🔹 Be Well Berlin Spotlight

Be Well Berlin is a queer-owned primary care practice based in Los Angeles, 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.