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NAVIGATING
CHANGE
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What is TD?The roles of hormonesHelping your partnerSymptom questionnaires

Fatigue, mood changes, weight gain and reduced libido... by now, you'll know that these can be symptoms of menopause.    

But did you know they can also be a sign of testosterone deficiency in men?1-3    

A decrease in hormones can naturally occur in men as they get older.1,3        
           
If you have a male partner, being there for one another and having honest conversations about changes you’re experiencing may help you both to feel understood, supported and strong in your relationship.4    

By starting the conversation, you could make a real difference to your health, his wellbeing and your connection as a couple.             
 

Together, you can discuss what changing hormones might
mean – and navigate change as a united partnership.

Are you and your partner ready to check your symptoms?

MENOPAUSE QUESTIONNAIRETESTOSTERONE DEFICIENCY QUESTIONNAIRE

WHAT IS TESTOSTERONE DEFICIENCY?


Testosterone deficiency (TD) happens when a man’s body produces too little testosterone, which can happen for several reasons.1      

Testosterone is a hormone that plays a key role in controlling energy levels, mood, sex drive and more.1,5

 

TD is believed to affect 8-12% of men over 50, though many go undiagnosed.1,6,7 This number rises for men who are obese or who have type 2 diabetes, with TD being seen in:


 

~40% of men with type 2 diabetes8      

45–57.5% of obese men9


 

Testosterone levels in men gradually decline with age so symptoms of TD often get worse over time.11      
Left unmanaged, it can lead to issues such as reduced bone density, depression, fatigue and problems with intimacy.1,5,10

 

However, the good news is that TD is manageable,1 so if you think your male partner may be affected, it’s important that they speak to their doctor to get help.      

A small nudge to start that journey could make a big difference to his health. 

The role of hormones in WOMEN'S AND MEN'S health

To help you understand changing hormone levels in you and your partner, explore the hormone sliders below.

Woman
LowTypical
LowTypical
LowTypical
Man

Did you know?

Men produce oestrogen and progesterone as well as testosterone.22 
While their oestrogen and progesterone levels are lower than in women, these hormones still play a role in mood, fertility and bone health.22

MENOPAUSE QUESTIONNAIRE FOR WOMEN

In just a few minutes, both you and your partner can complete questionnaires to see how hormone changes may be affecting you!     

Why not start with the menopause questionnaire, and then encourage your partner to take the testosterone deficiency questionnaire? You might notice some crossover between the symptoms of menopause and TD - so it makes sense to share your experiences.

MENOPAUSE QUESTIONNAIRE

TESTOSTERONE deficiency QUESTIONNAIRE FOR MEN

The Aging Males' Symptoms (AMS) scale is a tool to help men assess
the symptoms of aging. It helps to measure some of the key
symptoms of TD, such as low sex drive, depressive
mood and difficulty sleeping.23         

Men may find it helpful to bring their results when discussing
symptoms with their healthcare team.

TESTOSTERONE DEFICIENCY QUESTIONNAIRE

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  1. Cleveland Clinic. Low Testosterone (Male Hypogonadism) [Internet] Available at: https://my.clevelandclinic.org/health/diseases/15603-low-testosterone-male-hypogonadism Last accessed June 2025.
  1. Medical News Today. What are the 34 symptoms of menopause, and what helps? [Internet] Available at: https://www.medicalnewstoday.com/articles/what-are-the-34-symptoms-of-menopause. Last accessed June 2025.
  1. BUPA. What are the signs of low testosterone in men? [Internet] Available at: https://www.bupa.co.uk/newsroom/ourviews/low-testosterone-men. Last accessed June 2025.
  1. Kiełek-Rataj E, Wendołowska A, Kalus A, Czyżowska D. Openness and Communication Effects on Relationship Satisfaction in Women Experiencing Infertility or Miscarriage: A Dyadic Approach. Int J Environ Res Public Health. 2020;17(16):5721.
  1. University of Rochester Medicine. Testosterone Deficiency Syndrome [Internet] Available at: 
https://www.urmc.rochester.edu/conditions-and-treatments/testosterone-deficiency-syndrome Last accessed
June 2025.
  1. Maggi M, Schulman C, Quinton R, Langham S, Uhl-Hochgraeber K. The burden of testosterone deficiency syndrome in adult men: economic and quality-of-life impact. J Sex Med. 2007;4(4 Pt 1):1056–1069.
  1. Rohrmann S, Platz EA, Selvin E, Shiels MS, Joshu CE, Menke A, Feinleib M, Basaria S, Rifai N, Dobs AS, Kanarek N, Nelson WG. The prevalence of low sex steroid hormone concentrations in men in the Third National Health and Nutrition Examination Survey (NHANES III). Clin Endocrinol (Oxf). 2011;75(2):232–239.
  1. Association of British Clinical Diabetologists. ABCD Testosterone & Diabetes Worldwide Audit. [Internet] Available at: https://abcd.care/audit/abcd-testosterone-diabetes-worldwide audit#:~:text=There%20is%20a%20high%20prevalence,a%20morning%20serum%20testosterone%20level. 
Last accessed June 2025.
  1. Fernandez CJ, Chacko EC, Pappachan JM. Male Obesity-related Secondary Hypogonadism - Pathophysiology, Clinical Implications and Management. Eur Endocrinol. 2019;15(2):83-90. 
  1. Morales A, Bella AJ, Chun S, Lee J, Assimakopoulos P, Bebb R, Gottesmen I, Alarie P, Dugré H, Elliott S. A practical guide to diagnosis, management and treatment of testosterone deficiency for Canadian physicians. Can Urol Assoc J. 2010;4(4):269–275.
  1. Tsujimura A. The Relationship between Testosterone Deficiency and Men's Health. World J Mens Health. 2013;31(2):126–135.
  1. Cleveland Clinic. Low Testosterone in Women [Internet] Available at: https://my.clevelandclinic.org/health/diseases/24897-low-testosterone-in-women. Last accessed June 2025.
  1. Nunes E, Gallardo E, Morgado-Nunes S, Fonseca-Moutinho J. Steroid hormone levels and bone mineral density in women over 65 years of age. Sci Rep 13, 4925 (2023).
  1. Scott A, Newson L. Should we be prescribing testosterone to perimenopausal and menopausal women? A guide to prescribing testosterone for women in primary care. Br J Gen Pract. 2020;70(693):203-204.
  1. WebMD. Slideshow: 10 Effects of Low T [Internet] Available at https://www.webmd.com/men/ss/slideshow-low-t-effects. Last accessed June 2025.
  1. Edemekong PF, Bomgaars DL, Sukumaran S, Levy SB. Activities of Daily Living. [Internet] StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK470404/. Last accessed June 2025
  1. Davis SR, Pinkerton J, Santoro N, Simoncini T. Menopause—Biology, consequences, supportive care, and therapeutic options. 2023;186(19):4038–4058.
  1. Cleveland Clinic. Low Estrogen [Internet] Available at: https://my.clevelandclinic.org/health/diseases/22354-low-estrogen. Last accessed June 2025.
  1. Haufe A, Baker FC, Leeners B. The role of ovarian hormones in the pathophysiology of perimenopausal sleep disturbances: A systematic review. Sleep Med Rev. 2022;66:101710.
  1. Cleveland Clinic. Low Progesterone [Internet] Available at: https://my.clevelandclinic.org/health/diseases/24613-low-progesterone. Last accessed June 2025.
  1. Lo JC, Burnett-Bowie SA, Finkelstein JS. Bone and the perimenopause. Obstet Gynecol Clin North Am. 2011;38(3):503-517.
  1. Healthline. Estrogen vs. Progesterone: Functions in the Human Body. [Internet] Available at: https://www.healthline.com/health/womens-health/estrogen-vs-progesterone. Last accessed June 2025.
  1. Heinemann LA, Saad F, Zimmermann T, et al. The Aging Males' Symptoms (AMS) scale: update and compilation of international versions. Health Qual Life Outcomes. 2003;1:15.