03/06/2026
ANDROPAUSE
Symptoms
* Persistent Fatigue
* Constant tiredness that doesn't improve with rest.• Daily activities feel like a struggle.
* Loss of Muscle
* Declining muscle mass and strength despite regular exercise, or difficulty building muscle.
* Increased Body Fat
* Weight gain, especially around the midsection, that resists diet and exercise.
* Reduced Libido
* Decreased interest in s*x and s*xual thoughts, or feeling disconnected from your s*xuality.
* Erectile Changes
* Fewer spontaneous erections, less firm erections, or difficulty maintaining erections.
* Sleep Disturbance
* Difficulty falling asleep, staying asleep, or waking unrefreshed despite enough time in bed.
* Mood Changes
Irritability, low mood, depression or lack of motivation that feels out of character.
* Mental Fog
* Difficulty concentrating, memory problems and reduced mental sharpness.
* Loss of Drive
* Diminished self-assurance, reduced ambition, loss of the competitive edge you used to have.
RESTORING BALANCE
Treatment approach
1. Comprehensive Assessment
Thorough blood work and a detailed discussion of your symptoms. Understanding the complete hormonal picture — not just testosterone — is essential.
1. Testosterone Replacement
When indicated, testosterone replacement therapy can substantially improve symptoms. Multiple delivery methods available; Dr Heyns helps find your optimal dose and method.
3. Supporting Hormones
Andropause often involves more than testosterone. DHEA, thyroid, cortisol and growth hormone are assessed and addressed as needed for complete balance.
4. Lifestyle Optimisation
Exercise, nutrition, sleep and stress management all influence hormonal health. Dr Heyns provides guidance on lifestyle factors that support your treatment.
5. Ongoing Support
Regular monitoring and follow-up ensures the protocol continues to work. Adjustments are made based on labs, symptoms and your goals.
www.drthysheyns.co.za
Bryanston
Brooklyn - Pretoria (012) 346 1552
