09/27/2026
🩺 More women are being sold testosterone as a solution for everything from low libido to brain fog, fatigue and night sweats during menopause. CBC Health took a closer look at whether the science actually supports the hype.
The short answer: not yet, and certainly not for everyone.
Testosterone is not approved in Canada or the U.S. as a general treatment for menopause symptoms, although off-label use is growing. Researchers told CBC there is some evidence for specific situations, particularly certain post-menopausal women with hypoactive sexual desire disorder, but the data does not support treating testosterone as a cure-all for mood, cognition or general well-being.
One of the more useful points in this story is that menopause care has swung between two extremes.
For years, many women were scared away from conventional hormone therapy because of overstated fears about its risks. Now, some experts worry the pendulum has swung toward aggressive marketing of hormone treatments that can run ahead of the evidence.
As gynecologist Dr. Marie Christakis put it: “In the past, a lot of the fear around hormone therapy was really not based on evidence. And now a lot of the salesmanship of hormone therapy is also not based on evidence.”
Researchers also stressed that women’s testosterone levels usually decline gradually beginning well before menopause, unlike the sharper changes in estrogen and progesterone. That means there is no simple biological reason every menopausal woman would need testosterone.
There are also unanswered questions about long-term safety, dosing and side effects. Oral testosterone is not recommended because of effects on cholesterol, while excess dosing can cause unwanted hair growth, oily skin and other physical changes.
The bigger issue is access to good menopause care. Women deserve to have their symptoms taken seriously, but they also deserve treatment based on solid evidence rather than social-media trends or sales pitches.
CBC’s health reporting is especially valuable here because it cuts through both fear and hype.
How much of the current testosterone boom is being driven by genuine unmet medical needs, and how much by marketing?
And what kind of research would women need to see before testosterone should become a mainstream menopause treatment?