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Adding Testosterone to your Hormone Replacement Therapy

senior-couple-walking-happyAre you taking hormone replacement therapy but still feel like something’s missing?  Are you experiencing loss of muscle mass, low energy, or cloudy/foggy brain?  Or have you noticed that you feel pretty good, but your libido is gone?  Adding testosterone to your hormone therapy routine may be the missing piece.

Testosterone has traditionally been thought of as the “male” hormone, the opposite of estrogen.  But testosterone is actually quite important for women– a woman’s ovaries make a very small amount of testosterone that begins its production during puberty and starts to decline during menopause or after the ovaries are removed surgically.  Testosterone affects bone and muscle mass, fat distribution, fertility, sex drive, and just an overall sense of feeling well and balanced.  Women who don’t have enough testosterone may experience any of the following symptoms:

  • reduced sex drive
  • reduced sexual satisfaction
  • cloudy headed or fogginess
  • muscle weakness
  • fatigue
  • sleep problems
  • weight gain
  • mood changes


Adding testosterone is actually quite simple.  We prescribe a small low-dose sublingual pill that only needs to be taken a couple of times per week, usually in the morning or early afternoon.  Ladies usually respond very quickly to the testosterone.  (Unfortunately, and not surprisingly, testosterone for women is not covered by most insurance companies even if it’s doctor prescribed or deemed medically necessary.  If you’re local, we’ll send you to Apothecary Options where you will get a compounded prescription for a good price.)

It’s important to realize that many of the low testosterone symptoms mimic other issues like low vitamin D for example, so prescribing testosterone might not be the first thing your doctor thinks of.  Luckily, we have decades of experience identifying and treating hormone imbalance and low testosterone, so you know you’ll be in good hands.


Posted in Hormone Therapy, Hormones, Hysterectomy, Symptoms, Treatments

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