Testosterone Deficiency in Women

The Safe use of Bio-identical Testosterone Supplementation

Roles of Testosterone in women

  • Improvement of mood and assertiveness
  • Reduction in depression and anxiety
  • Improvement of bone density
  • Improvement of muscle size and strength
  • Improvement of skin sebum secretion
  • Enhancement of sex drive and sexual sensitivity including orgasm
  • Maintenance of female genital system (nipples, vulva, clitoris)
  • Possible protection against atherosclerosis

Normal daily production

  • Young healthy women make approx. 250 micrograms/day
  • 20-30 times lower than men

Progressive decline with age

  • Women age 40 have less than half their level at age 21

Life Style factors that deplete Testosterone

  • Intense physical activity e.g. Marathon training
  • Intense emotional stress
  • Diet high in sugars & refined carbohydrates
  • Wholegrain cereals (lower the reabsorption of hormones in the digestive tract)

Symptoms of Testosterone deficiency

Mental complaints

  • Lack of confidence
  • Lack of mental firmness, hesitating
  • Lack of assertiveness
  • Depression
  • Excessive emotions
  • Excessive sensitivity to difficulties
  • Low resistance to stress
  • Excessive fear & anxiety

Physical complaints

  • Abdominal obesity
  • Reduced muscle strength
  • Hot flushes
  • Day & night sweat outbursts
  • Fatigue that increases with physical activity
  • Low energy, tires easily
  • Back pain
  • Joint pain
  • Decreased or absent libido
  • Decreased or absent ability to orgasm
  • Urinary incontinence
  • Painful intercourse
  • Itchy vagina

Treatment

Bioidentical Testosterone cream 1mg-10mg/day
Apply to soles of feet or inner side of arm

Balancing with female hormones

  • Most women who are testosterone deficient are also deficient in the female hormones estrogen & progesterone

Signs of Testosterone excess

  • Note: a lack of female hormones can also cause this
  • Women usually get the warning of acne & oily skin well before any body hair changes.
  • Symptoms go away with decreasing dose of hormone treatment if this is the cause
  • If you notice any of these symptoms developing on testosterone supplementation decrease your dose & discuss with one of our doctors
  • Oily hair or skin
  • Acne
  • Excessive sex drive
  • Excessive clitoral swelling or sensitivity
  • Irritability
  • Excessive muscle development
  • Excessive body hair