Testosterone is a hormone that plays an important role in the health and wellbeing of both men and women. However, the optimal dosage can vary significantly between individuals based on factors like age, sex, medical history and goals. Women naturally produce much lower levels of testosterone than men, so therapy is approached differently.
When considering testosterone replacement for women, it's crucial to work closely with a doctor who can order bloodwork and help determine an appropriate, personalized dosage and administration method. Taking too much testosterone, or taking it without medical supervision, carries risks.
Some key points for women considering testosterone therapy:
- Do not take testosterone without a prescription. Taking supraphysiological doses or using testosterone without medical oversight can lead to side effects like excess facial/body hair, deeper voice, male-pattern baldness, skin changes, liver damage, heart disease and altered cholesterol. Always work with a doctor.
- Most women do not need testosterone therapy. Testosterone levels naturally decline slightly with age, but low testosterone is rare in women pre-menopause. Consider lifestyle changes, diet, exercise and stress management before pursuing hormone therapy.
- Oral testosterone is not recommended. Due to extensive first-pass liver metabolism, oral testosterone supplementation tends to negatively impact cholesterol values. Transdermal preparations (gels, creams, patches) are preferred.
- Start low, go slow. When prescribed, therapy often starts at perhaps 1/10th the dosage given to hypogonadal men. Effects and side effects are carefully monitored, and the dosage adjusted accordingly. Patience is required to find the ideal dosage.
- Each woman's optimal dosage is unique. Total testosterone levels of 15-70 ng/dL are considered normal for females. Within this range, each woman has an individual setpoint. The goal is to lightly nudge levels towards the setpoint, not necessarily the higher end of normal.
- Duration and cycling matter. Taking smaller doses more frequently (shorter acting preparations) and considering periodic off-cycles may help reduce side effects. Testosterone has a half life around 10 days.
- Monitor for changes. Periodic bloodwork to monitor testosterone levels, lipids, hematocrit, and metabolic markers can help ensure therapy is safe and effective. Note changes like oilier skin, more body hair, and deeper voice which may signal excessive dosing.
- Lifestyle choices optimize results. Diet, exercise, sleep, and stress management support healthy hormone levels and help testosterone work best. Wellness should be addressed alongside hormone therapy.
In summary, exogenous testosterone supplementation may benefit some women suffering from abnormally low testosterone. However, it requires close medical supervision and conservative dosing to maintain levels within the normal female range. Lifestyle optimization and trying other solutions first are recommended. Each woman is biochemically unique, so an individualized approach provides the best results and safety.
