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Testosterone — Hormone Replacement Therapy for Women

Testosterone — Hormone Replacement Therapy for Women

The stereotypical view of testosterone as a purely masculine hormone is misguided and biologically inaccurate. To the contrary, testosterone is also a female hormone of ovarian origin that makes essential contributions to a woman’s health and well-being (just like estrogen does for men).

Testosterone levels in women peak in their 20’s and decline with each passing year, culminating symptomatically and as a health risk when menopausal estrogen and progesterone deficiencies collide. The good news: both the symptoms and health risks can be easily alleviated with an appropriate feminine dose (about 5 – 10% of that received by men) of biologically-identical testosterone replacement therapy.

Rejuvenating Sexuality and Gratification

Low levels of testosterone can depress mood, energy levels, and well-being. If that weren’t enough of an anti-aphrodisiac, the most dramatic manifestation of pre- and post-menopausal testosterone depletion is a decrease in libido. This decline in sexual desire is exacerbated in the menopausal woman by the development of estrogen deficient vaginal atrophy and dryness.

And yet there’s hope. The complementary combination of testosterone and estrogen replacement produces impressive results that address both the emotional and anatomic aspects of pre- and post-menopausal sexual dysfunction. Along with improvement in mood, energy levels, and a general sense of well-being, women on natural testosterone replacement describe a resurgence of sexual interest and satisfaction. Results from a study published in the New England Journal of Medicine concluded that:

Testosterone administration in the highest dosage resulted in increased sexual activity, pleasure, and orgasm in women. There was an increase in sexual fantasies, masturbation, and frequency of sex. There was an improvement of well-being and mood.

And others:

Testosterone improves sexual function, bone density, mood, energy, and well-being. Testosterone increases sexual gratification, desire, arousal, libido, and frequency. Quality of life is adversely affected with low testosterone. -Female Patient 2004

From our experience, the sexual reawakening of women (and men) following natural testosterone replacement can be a wonderful and welcome aspect of their relationship, well-being, and life. And, if that weren’t enough, there are additional compelling benefits of bioidentical testosterone replacement therapy.

Maintenance of Bone Mass

Another benefit is the maintenance of bone mass for strong musculo-skeletal support and decrease in longer-term danger of osteoporotic fractures. Bone density, after all, declines sharply after menopause and testosterone can double or triple bone density relative to estrogen. The combination of testosterone and estrogen can, in fact, potentially improve bone loss up to 41 percent and that can have a dramatic effect one’s ability to achieve long term longevity and well-being.

Physique and Performance

Weight bearing exercises can complement maintenance of bone mass. Natural testosterone replacement can revitalize your energy and optimism in a manner that will help both motivate you to return to a regular workout routine and provide you with more stamina, strength, and endurance along that journey. Natural testosterone replacement can also help you regain your youthful physique and performance by augmenting muscular tone, mass, and definition and diminishing your fat reserves. Even your skin texture and structure may improve.


In this piece, we haven’t touched on the benefits of testosterone for improved cognition, memory, prevention of Alzheimer’s disease or reduction in cardiovascular risk. But those benefits are indeed present as well and they only add further to the conclusion that natural testosterone replacement therapy is as essential a complement to hormonal optimization in women as it is to men. Biologically identical testosterone should be returned to optimal feminine levels in women to achieve the greatest possible improvements in health and quality of life.

To quote the Journal of the American Medical Association:

“Low testosterone levels adversely affect women’s health. Testosterone improves women’s energy and well-being. Treatment should begin when a woman’s testosterone drops below mid-range of normal. Testosterone administration has many benefits and no risks.” JAMA May 2004; Vol. 283 (20): 2463-64.

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