Testosterone is a crucial hormone in all humans at varying levels, regardless of gender. While people often underestimate its importance, it is essential for health and vitality, working alongside estrogen and progesterone.
It is the most well-known androgen, influencing several important systems, including cardiovascular, muscular, skeletal, and reproductive systems.
As women age, testosterone levels decline, especially during perimenopause and menopause. It can significantly impact intimate relationships and possibly bone density, cognitive performance, and mood.
Approximately 40% of U.S. women report sexual problems, with hypoactive sexual desire disorder (HSDD) being the most prevalent issue, characterized by low desire and distress.
Currently, no testosterone product is approved for treatment in women. However, it is prescribed “off-label” for the treatment of HSDD, most commonly with FDA-approved gel or a compounded cream.
So why hasn’t more attention been given to the use of testosterone for women?
It’s plain and simple. We live in a society where a woman’s libido is not a priority.
According to the British Journal of General Practice:
“Numerous studies have shown that adding testosterone to hormonal therapy can improve sexual function and general wellbeing among women during their menopause. A recent systematic review and meta-analysis of testosterone treatment in women has provided robust support for a trial of testosterone in women when clinically indicated. In postmenopausal women, testosterone supplementation improved several domains of sexual response, including sexual desire, pleasure, arousal, orgasm, and self-image.
It has also been shown to have additional benefits including the improvement of urogenital, psychological, and somatic symptoms, an increase in bone density, and enhancement of cognitive performance when combined with oestrogen as part of HRT. Many women notice that taking testosterone improves their mood, concentration, motivation, and energy levels.”
The UK has published some guidance on testosterone dosing for women, putting them ahead of the US on this issue.
Also, a paper just released on January 7th, 2025, shows that testosterone in both males and females correlates with osteoarthritis. The lower your testosterone, the more likely you will experience OA.
PS - the annual economic burden of osteoarthritis is $136B!
It seems there is more to the testosterone connection than meets the eye.
You can read more about my personal experience with testosterone here.
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