Do Women Really Need Testosterone? The #1 Urologist Explains

4 snips

Jun 18, 2025

Dr. Kelly Kasperson, a board-certified urologist and hormone expert, sheds light on the critical role of testosterone in women's health, especially during menopause. She discusses how testosterone is often misunderstood and its impact goes beyond libido, affecting energy and mood. Dr. Kasperson tackles common myths about hormone therapy and emphasizes the need for accurate testing. She also explores what's available for women, including options like gels and creams, and advocates for better access and education around female hormonal health.

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INSIGHT

Testosterone Is Not Just A Male Hormone

Hormones aren’t gendered; testosterone is a key hormone for women too.
Dr. Kelly Kasperson says testosterone is actually women’s dominant sex hormone and often higher than estrogen in women.

INSIGHT

Testosterone Declines Gradually

Testosterone doesn’t drop off sharply at menopause; it slowly declines from the twenties.
Dr. Kelly Kasperson predicts more perimenopausal treatment with testosterone as awareness grows.

ADVICE

Get The Right Testosterone Test

Order a female-range testosterone blood test using mass spectrometry (look for “testosterone, female, MS”).
Use labs as a baseline and then recheck 6–8 weeks after starting treatment to confirm levels moved.

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Most women in menopause are never told the full story about testosterone. We’re told it’s a male hormone or that it’s just about sex, if it’s mentioned at all. But the truth is, testosterone plays a major role in women’s health during perimenopause and menopause. And for many women, it’s the missing piece of hormone therapy.

In this episode, Tamsen sits down with Dr. Kelly Casperson, a leading urologist and one of the top experts prescribing testosterone to women every day, to cut through the confusion. If you’ve been told no, if you’re not feeling like yourself, or if you’re just trying to figure out what is going on with your hormones, this conversation is for you.

In this episode they uncover:

- Why testosterone matters for women in menopause and why it’s not just about libido

- The most common myths about hormones and what doctors are still getting wrong

- How to know if you’re a candidate for testosterone and what testing actually works

- What to say if your doctor shuts you down

- How testosterone affects energy, mood, sex, and identity in midlife

- What women in other countries already have access to and what’s coming next.

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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