Menopause FAQs: Testosterone Therapy explains why testosterone therapy may be used to treat some menopause symptoms in some women.


What is the role of testosterone in women?

In Testosterone Replacement In Menopause: 2. What Is Its Role In Women? the British Menopause Society (BMS) elaborate on:

“Testosterone contributes to libido, sexual arousal and orgasm by increasing dopamine levels in the central nervous system. Testosterone also maintains normal metabolic function, muscle and bone strength, urogenital health, mood and cognitive function”.

Testosterone, Aging, Women

Is there an association between testosterone and aging in women?

In What You Should Know About Testosterone for Midlife Women With Sexual Problems: How Does Testosterone Affect Female Sexual Desire? the North American Menopause Society (NAMS) elaborate on:

“The decline in testosterone in women is solely age related, not menopause related, and begins years before perimenopause”.

Menopause Symptoms

Is there an association between testosterone and menopause symptoms?

In Testosterone for Women: Why Use Testosterone? the (British) Women’s Health Concern explain:

“A low dose of testosterone can sometimes be beneficial at improving your energy, mood, concentration and also sex drive (or libido). It does not help everyone”.

Menopause Libido

Is there an association between testosterone and menopause libido?

In Menopause FAQs: Your Health After Menopause: Q. Ever since my periods stopped, my desire for sex has decreased. Is this normal? the NAMS elaborate on:

“A. Sexual desire decreases with age in both sexes, and low desire is common in women in their 40s and 50s, but not universal. Some women have increased interest, while others notice no change at all. There is no major drop in testosterone at menopause. If lack of interest is related to discomfort with intercourse, estrogen may help. What’s important to remember is that there is a full range of psychological, cultural, personal, interpersonal and biological factors that can contribute to declining sexual interest, so if the decline in desire is bothering you, tell your healthcare provider. A clinical evaluation can identify any underlying medical or psychological causes of low sexual desire, which then can be treated as appropriate”.

Testosterone Therapy

Is there an association between testosterone therapy and menopause libido?

In Libido: Managing & Treating Low Libido – Testosterone Therapy the (Australian) Jean Hailes for Women’s Health explain:

Menopause FAQs: Testosterone Therapy
“Some studies have shown women who experience a loss of sexual interest at menopause may benefit from testosterone therapy when it is used in high doses. Due to potential complications of testosterone therapy, using high doses may not be the right thing to do however.

While some women seeking help from health professionals because they are concerned about their decreased sexual function do have low testosterone levels, researchers have concluded that the relationship between testosterone and libido is likely to be complex and you need to take into account age, mood, general wellbeing, sexual function and the risks of testosterone therapy also”.

Revised Global Consensus Statement

What is one of the points of consensus about testosterone therapy?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

  • “The use of continuous testosterone therapy, either alone or with MHT, is supported in carefully selected postmenopausal women with sexual interest/arousal disorder (in countries with regulatory approval)”.

Systematic Review and Meta-Analysis

What did a recent systematic review and meta-analysis suggest about testosterone treatment for women?

In The Lancet Diabetes & Endocrinology: Testosterone May Significantly Improve Sexual Function and Sexual Wellbeing In Postmenopausal Women published 25 July 2019, it was noted:

“The most comprehensive systematic review and meta-analysis of testosterone treatment for women undertaken, including 46 reports on 36 trials involving 8,480 women, published in The Lancet Diabetes & Endocrinology journal, suggests it can significantly improve sexual wellbeing for postmenopausal women. Benefits include improved sexual desire, function and pleasure, together with reduced concerns and distress about sex”.

Healthcare Provider

What if I am considering testosterone therapy?

In Menopause Management: Menopausal Hormone Therapy (MHT) – What Are the Risks of Testosterone Therapy? the JH elaborate on:

“If you are considering testosterone therapy, talk to your doctor to gain a clear understanding of what is currently known about this therapy. It is essential for women undergoing testosterone treatment to be supervised by doctors who are experts in this area”.

Menopause FAQs

Where may I find more menopause FAQs?

In Menopause FAQs: Expert Answers To FrequentlyAsked Questions About Menopause the NAMS include Menopause FAQS: Your Health After Menopause explain:

“You’ve gone more than a year without a period and are considered to be postmenopausal. In these years, women may begin to feel the effects of normal aging but also still may be affected by the hormone changes that came with menopause. Our experts answer your questions and will help you to figure out whether the physical changes you are experiencing are normal and suggest coping strategies”.

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Last Updated: 02 September 2019 – Last Revised: 05 August 2019
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