Nutrition Facts with Dr. Greger cover image

Nutrition Facts with Dr. Greger

Menopause Updates

Feb 27, 2025
Discover the impacts of testosterone therapy on libido in postmenopausal women and whether natural methods can help. Delve into the effectiveness of vaginal versus oral estrogen therapies for managing menopausal symptoms. Explore intriguing findings about how the age at which women become mothers might affect longevity. Finally, learn how diet and lifestyle choices can influence the timing of menopause, with a spotlight on the advantages of a plant-based diet.
15:05

Podcast summary created with Snipd AI

Quick takeaways

  • Testosterone replacement therapy may enhance libido in postmenopausal women, but its overall mood benefits and long-term safety remain uncertain.
  • Vaginal estrogen therapy is more effective and safer for alleviating menopausal vaginal symptoms compared to systemic oral estrogen treatments, requiring careful monitoring.

Deep dives

Testosterone and Sexual Desire in Postmenopausal Women

Testosterone levels naturally decline in women as they age, particularly post-menopause, contributing to a decrease in libido. Research indicates that while testosterone replacement therapy can increase sexual desire in postmenopausal women, it does not significantly affect overall mood or other health-related symptoms. A review of randomized control trials involving thousands of women found that testosterone treatment led to only a slight increase in satisfactory sexual events, raising concerns about its clinical significance. Additionally, testosterone usage in women lacks FDA approval, reflecting uncertainties regarding its long-term safety and potential side effects.

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