When most people think of testosterone, they typically associate it with the male sex hormone. Currently, the FDA approves supplemental testosterone treatments exclusively for cisgender men who exhibit low levels of this hormone. These treatments are available in various forms, including injections, topical creams, gels, patches, and pills. However, it’s essential to recognize that testosterone plays a significant role in women’s health as well. Women’s ovaries produce testosterone alongside estrogen and progesterone, all of which decline as women age.
Despite the FDA's limited approval, many women are exploring testosterone supplementation and reporting positive experiences. As women age, the decline in testosterone levels can lead to various symptoms. Similar to men, women may find that testosterone enhances their sex drive and increases feelings of aggression. Furthermore, emerging studies suggest that testosterone therapy might also contribute to improved bone health, mood stability, and energy levels.
Testosterone production in women typically peaks during their late teens and early twenties, followed by a gradual decline. After menopause, testosterone levels can drop by as much as half. According to a recent feature by the New York Times, many women perceive testosterone supplements as a potential fountain of youth. One 41-year-old marketing consultant shared her transformative experience, stating that testosterone therapy revitalized her marriage, enabling her to go from minimal interest in sexual activity to having sex six times a week.
The benefits of testosterone therapy extend beyond just sexual desire. Many women report experiencing increased energy levels and ambition. One source even humorously mentioned that her daughter remarked on her newfound argumentative nature, likening it to that of a “teenage boy.” This observation is not surprising, as adolescent boys produce over ten times the amount of testosterone compared to their female counterparts. Other claimed advantages of testosterone supplementation include reduced body fat, increased muscle mass, enhanced cognitive performance, and improved skin quality.
Despite the positive testimonials, not everyone is convinced about the safety and efficacy of testosterone therapy for women. Medical professionals caution that some women experience adverse effects, such as increased facial and body hair growth and changes in body odor. Additionally, the long-term risks associated with testosterone use remain largely under-researched. The treatment has also been subject to distortion through social media and influencer culture, leading to exaggerated claims about its benefits.
As Elektra Health's chief medical officer, Nora Lansen, pointed out in an interview with National Geographic, the narrative surrounding testosterone therapy is still evolving. She emphasized that while women should feel empowered to explore treatments that may benefit them, the notion that testosterone can solve a host of issues is premature. “It’s inappropriate for now because we don’t know whether, like, you know, what the real story is,” Lansen stated.
Access to testosterone therapy for women remains limited, primarily because the medical system has historically underserved women’s health. Women seeking testosterone treatment often have to turn to nontraditional routes, such as wellness centers, nutritionists, med-spas, and longevity practitioners. Unlike the testosterone clinics available for men, these options are typically not covered by insurance.
Interestingly, the New York Times' enthusiastic coverage of testosterone therapy for cisgender women highlights a stark contrast with its previous fear-driven narratives regarding hormone treatments for transgender individuals. Regardless of these discrepancies, the importance of testosterone as a therapeutic option cannot be overstated. “Testosterone is like a religion,” stated one urologist, capturing the strong emotions and opinions surrounding this powerful hormone. Everyone should have the opportunity to explore treatments that might enhance their quality of life.
