Dear MHI reader

When we think of testosterone, we often refer to it as the “male hormone”. But this hormone also plays an important role in women’s health. From maintaining libido to supporting muscle strength, testosterone is vital, even though women need it in much smaller amounts than men. But what happens when testosterone levels drop, especially during the menopause? In this newsletter, we find out how testosterone affects women, what the signs of a deficiency are and what treatment options are available.
The role of testosterone in women
Although testosterone is usually associated with men, it is also important for women. It is produced in the ovaries and adrenal glands and helps to regulate libido, energy levels, bone density and muscle mass. As women age, especially during the menopause, testosterone levels naturally decline, which can lead to noticeable changes in well-being.
Causes of testosterone deficiency in women
Women’s testosterone levels peak in their 20s and gradually decline thereafter. When a woman enters the menopause, this decline can lead to various symptoms. The main reason for this deficiency is the reduced activity of the ovaries during the menopause, which reduces the production of all sex hormones, including testosterone.
Symptoms of testosterone deficiency
While the symptoms of testosterone deficiency are more commonly discussed in men, they can be just as severe in women. Possible symptoms include:
– Urinary incontinence
– High blood pressure
– Memory problems
– Lower stress tolerance
– Joint and muscle pain
– Persistent fatigue and lack of energy
– Mood swings, including depression
– Decreased bone density, which can lead to osteoporosis

For women who suffer from symptoms such as decreased libido that do not improve with oestrogen/progesterone therapy, testosterone treatment may be an option. However, this treatment is not approved as there are no testosterone products specifically approved for women. Some female doctors use low-dose testosterone gel designed for men and achieve good results. It is important that any testosterone therapy in women is carefully monitored to ensure that testosterone levels remain within the normal range for women, as an overdose of testosterone can lead to unwanted side effects such as increased body hair, a deeper voice and hair loss on the scalp.
The risks of a testosterone overdose
While testosterone therapy can be beneficial, overdosing also carries significant risks. Overdosing can lead to irreversible side effects, including “masculinization” symptoms such as hirsutism (excessive hair growth), deepening of the voice and balding in men. Careful dosing and regular monitoring by a doctor are therefore essential.
The steroid hormone DHEA as an alternative
In some cases, female doctors may consider the steroid hormone DHEA (dehydroepiandrosterone) as an alternative to testosterone. DHEA is a hormone produced by the adrenal glands and can be converted into testosterone or estrogen in the body. It is sometimes promoted as an anti-aging agent or for heart health. However, the efficacy and safety of DHEA are still the subject of ongoing research and its use remains experimental. It should only be taken under medical supervision.
Testosterone and urinary incontinence
Recent studies suggest that testosterone may help reduce stress incontinence, a condition in which women involuntarily leak urine during activities such as sneezing, exercising or laughing. This condition often worsens around menopause when hormone levels drop. Some research suggests that women with higher testosterone levels have stronger pelvic floor muscles, which are important for bladder control. However, it is important to note that these are preliminary findings and that further research is needed before testosterone can be recommended as a treatment for urinary incontinence.
Conclusion
Testosterone plays an important role in women’s health, especially as they approach the menopause. While testosterone deficiency can cause various symptoms, there are treatment options available, although these should be used with caution. Whether through carefully monitored testosterone therapy or alternatives such as DHEA, it is important to tailor treatment to the needs of the individual woman. As always, talking to a doctor is the first step in finding the best solution.