Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts
Do all Women Need Testosterone in Menopause? Urologist Breaks Down the Science
Mar 21, 2025
In this engaging discussion, a urologist delves into the critical role of testosterone in women's health, particularly during menopause. The conversation highlights its effects on sexual function, mood, brain health, and bone density. Listeners learn about the potential benefits and risks of testosterone replacement therapy, the importance of personalized medical care, and the complexities of determining normal testosterone levels. The pressing need for more research into the long-term safety of testosterone therapy is also emphasized, providing valuable insights for women navigating menopause.
29:22
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Quick takeaways
- Testosterone significantly enhances sexual function and satisfaction in postmenopausal women, correlating with improved libido and reduced sexual distress.
- Current clinical guidelines advocate cautious testosterone therapy use for women, emphasizing the need for further research on its long-term safety and efficacy.
Deep dives
Understanding Testosterone's Role
Testosterone, a steroid hormone primarily produced in the ovaries and adrenal glands, plays a crucial role in various bodily functions. It influences sexual function, brain health, bone density, muscle mass, and mood by binding to androgen receptors found in many tissues throughout the body. Approximately 98% of testosterone circulates in the bloodstream bound to proteins, while only about 2% is free and bioavailable. Recent observational studies have linked higher testosterone levels in women to improved cardiovascular health and reduced risks for osteoporosis and other serious health issues.
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