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At What Age Do Women Start Using Testosterone With Their HRT?
While we normally think of testosterone use with Testosterone Replacement Therapy (TRT). It is typically associated with men, as it’s commonly used to address low testosterone levels in males.
There are, however, several reasons and situations where women want, need or might receive testosterone therapy. While, the use of testosterone in women is not as common as itis in men, it is fairly often prescribed for various medical problems or situation.
Here are some 23 reasons why a woman might want or need to testosterone:
Low Testosterone Levels:
Often referred to as hypogonadism, some women have naturally low blood testosterone levels and may require supplementation to address symptoms like fatigue and low libido. As in men this can occur as early as the mid 20’s or later in the mid to late 40’s and unrelated to menopause.
As Part of a Normal Female Hormone Replacement Therapy (HRT) Program:
Testosterone may be prescribed as part of an HRT or BHRT program for otherwise normal women when their own testosterone levels is below normal. The loss of testosterone can be a relatively normal part of a women’s hormone imbalances. It may used to regulate the signs and symptoms of hormonal imbalance. Treatment of Menopausal Symptoms: Testosterone therapy may help alleviate symptoms such as hot flashes, low energy, night sweets, and mood swings during menopause. After onset of menopause 40 years of age or older.
Post-Total Hysterectomy and the Removal of Both Ovaries:
Women who have undergone a total hysterectomy, especially when both ovaries have been removed they may be prescribed testosterone in order to address the overall hormonal imbalances especially when a surgical menopause has been created. This usually around 40 years of age or older, but can occur much earlier in some cases.
Hypoactive Sexual Desire Disorder (HSDD):
Women might require testosterone replacement therapy when they have conditions like HSDD. HSDD is characterized by a persistently low sex drive, low libido, persistent lack of sexual desire that causes distress decreased feelings of personal distress or interpersonal difficulties or loss of feelings of well-being. Testosterone can enhance sexual desire, arousal, and satisfaction in some peri-menopausal and menopausal women experiencing HSDD Testosterone replacement therapy may be considered when:- other treatments haven’t been effective.
- this condition occurs starting during the individuals teens.
- TRT may help increase libido and overall well-being in women with HSDD. At any age.
Libido Enhancement:
A general decrease in sexual desire or interest, which may not meet the full criteria for HSDD but still impacts quality of life. Some women, who do not have HSDD, but still have a low sexual desire, may require the use testosterone to boost their libido (sex drive) and improve sexual function.- Testosterone therapy can help improve libido and sexual function.
Menopausal Symptoms (as an adjunct to estrogen therapy):
Symptoms such as fatigue, mood changes, and cognitive issues can persist despite estrogen therapy. In some cases, adding testosterone to estrogen therapy can help alleviate these symptoms more effectively than estrogen alone.Vulvovaginal Atrophy (VVA) and Sexual Dysfunction:
VVA includes symptoms like vaginal dryness, irritation, and painful intercourse. While estrogen is the primary treatment, testosterone may be added to improve overall sexual function and reduce discomfort during intercourseLoss of Muscle Mass and Strength:
Menopausal women can experience a decline in muscle mass and strength, contributing to frailty and reduced physical function. While athletes and bodybuilders normal otherwise healthy women might need to use testosterone to enhance muscle development and performance. They may have low testosterone production and need to have incremental increase in muscle bulk and strength. Testosterone may help improve muscle mass, strength, and physical performance. This can occur almost anytime during the mid 20’s and after.Muscle Wasting Diseases:
While not necessarily related to testosterone deficiency or low testosterone, testosterone can be prescribed to combat muscle wasting in medical conditions such as muscular dystrophy.Osteoporosis and Bone Health:
Decreased bone density leads to an increased risk of fractures. Testosterone can help improve bone density and reduce the risk of osteoporosis in some cases. Testosterone has a positive impact on bone density, and creates a reduction in the risk of osteoporosis and reduce risk of bone fractures.Improved Mood and Confidence:
Many women often report improved self-esteem and increased overall confidence with testosterone therapy.Athletic Performance:
Female athletes may use testosterone to enhance their athletic performance, although this practice is often prohibited in sports organizations.Energy Stamina and Vitality:
Testosterone can boost energy levels and alleviate fatigue. It can increase energy levels and overall stamina, making it beneficial for those looking to enhance mental and physical performance.Mood Regulation:
Some women experience mood swings, depression, anxiety, and even panic attacks during menopause. Testosterone can have a beneficial effect on mood as well as have a positive impact and potentially reduce symptoms of depression, anxiety and even panic attacks.Well-Being:
Testosterone not only helps improve mood but it can also help improve total overall emotional well-being. Studies suggest that patients on TRT can have significant 20% or more, overall improvement in their perceived well-being.Hair Loss:
Testosterone can lead to increased body hair growth, which may be desired by some individuals. Testosterone can stimulate hair growth and counteract hair loss.Cognitive Function:
Some women may use testosterone to improve focus, memory, and cognitive function. Many studies now suggest that testosterone can enhance cognitive abilities in women.Fat Loss and Improving Body Composition:
Testosterone can help women reduce body fat, particularly when combined with a healthy diet and exercise. Testosterone can assist in reducing body fat and promoting a leaner more muscular physique. It can contribute to a reduction in body fat percentage and increased muscle mass.Polycystic Ovary Syndrome (PCOS) Management:
Testosterone therapy may be recommended for women with PCOS to balance hormonal levels. In cases of Polycystic Ovary Syndrome (PCOS), elevated testosterone levels are common, and therapy may help regulate them.Endometriosis:
Testosterone therapy can help manage the symptoms of endometriosis, such as pain and inflammation. Testosterone can be used as part of a treatment plan for endometriosis-related pain.Chronic Fatigue Syndrome:
Some women with chronic fatigue syndrome may benefit from the use testosterone to alleviate their fatigue symptoms an increase overall feelings of well-being.Enhanced Recovery:
Testosterone may accelerate recovery after intense physical activity or injuries.Improving Fertility:
In some cases, perimenopausal women who still would like o get pregnant, testosterone therapy may be used to improve fertility by increasing ovulation.
The decision to start TRT should be made in consultation with a healthcare provider who specializes in hormone therapy or endocrinology. They will assess your specific needs, taking into account your health history, current hormone levels, and any potential risks or benefits associated with the therapy.
The age at which women might begin TRT can vary widely, as it depends on individual health, symptoms, and medical advice. It’s essential for women considering TRT to consult with a healthcare provider who specializes in hormone therapy and can determine the appropriate age and dosage based on their specific needs and health status.
It’s crucial to emphasize that the use of testosterone in women should always be done under the guidance and supervision of a qualified healthcare provider to ensure its safety and appropriateness for individual health needs.
Article by Dr. Allen Lawrence, M.A., M.D., Ph.D.
