Andropause is a collection of symptoms that affects middle-aged men due to a gradual decline in testosterone levels. Symptoms include fatigue, decreased libido (sex drive), erectile dysfunction, depression, irritability, abdominal weight gain, increased body fat, decreased muscle mass and strength and hot flashes. The symptoms have a significant negative impact on your daily quality of life. Furthermore, decreased testosterone is associated with increased cardiovascular problems, dementia, osteoporosis, more aggressive prostate cancer. You do not need to suffer and put yourself at risk for illness as testosterone replacement therapy is safe and effective.