03/08/2026
Testosterone for women is everywhere right now. And I want to add something the social media conversation is missing. The British Menopause Society has just updated its clinical guidance on testosterone replacement in menopause and it is more nuanced than the online conversation suggests. The best-evidenced indication is low libido that is distressing to the woman and not explained by other factors. There is also supporting evidence for a role in fatigue, mood and cognitive symptoms in some women. But the key word is some. Not every woman with fatigue or low mood has a testosterone deficiency. Women produce testosterone lifelong, even without ovaries. Not every woman who asks for it should r
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