The Truth About Testosterone for Women After Menopause

Testosterone, once thought of as a male sex hormone, has gained popularity in recent years as a potential solution for women experiencing low libido after menopause. However, experts warn that the hormone’s benefits and risks are often misunderstood.

While testosterone can improve sexual desire in some postmenopausal women, its effects on other aspects of health are less clear-cut. Some proponents claim it can boost mood, energy, and muscle strength, but research is still inconclusive.

The safest way to take testosterone for sexual desire is through a topical gel applied to the skin, which reduces the risk of side effects. However, accessing the drug remains challenging due to FDA approval restrictions. Women must ration or import a women’s testosterone cream, often at a high cost and without insurance coverage.

High doses of testosterone can lead to reversible side effects such as hair thinning, acne, and irritability, but prolonged use may cause irreversible issues like hair growth on the face and chest, deepening of the voice, and increased risk of endometrial cancer. Compounded hormone capsules, known as “pellets,” are also discouraged due to their high dose potential and inability to be removed.

As women consider testosterone therapy, it’s essential to understand its limitations and potential risks. Consult with a healthcare provider to determine the best course of treatment and weigh the benefits against the costs.

Source: https://www.nytimes.com/2025/02/04/well/testosterone-therapy-menopause.html