Testosterone Replacement Therapy: Benefits and Risks

Estrogen and progesterone are the primary sex hormones in women, whereas testosterone is the primary sex hormone in men. However, the female body also produces testosterone, which plays a vital role in women’s health and well-being.

Supplementing testosterone can be an important part of hormone replacement therapy (HRT) for some women. However, there is no FDA-approved testosterone replacement therapy (TRT) treatment for menopause symptom relief. In some cases, the hormone may be prescribed off-label with dose modifications or, more commonly, in combination with estrogen for postmenopausal women experiencing decreased libido.(1) While testosterone is a controlled substance, DHEA is a non-controlled option for increasing natural testosterone levels. 

In women, testosterone is mainly produced by the ovaries, with levels peaking during their 20s and then decreasing by approximately 50% as menopause approaches.(2) When women have both ovaries surgically removed via a procedure called oophorectomy, levels drop precipitously. Because testosterone has many important functions in female physiology, those functions can suffer when testosterone decreases.

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