Testosterone for Women Booklet

Testosterone for women booklet

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This test will help with the diagnosis and management of progesterone deficiency in women. It will assess your symptoms and provide you with a series of action steps to assist you in managing these.

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Testosterone Deficiency in Women: Causes and Symptoms

Natural testosterone levels in women can be affected by a variety of factors. Regardless of the cause, the symptoms for testosterone deficiency in women are fairly universal.

Symptoms of testosterone deficiency in women include:

  • Diminished sense of well-being,
  • Mood changes
  • Reduced motivation
  • Persistent, unexplained fatigue and tiredness
  • Decreased libido/loss of sexual desire
  • Decreased sexual receptivity and pleasure
  • Body shape changes
  • Sleep disturbances

Testosterone deficiency can also have a negative effect on bone density and an increased chance of osteoporosis.

Causes of Testosterone Deficiency in Women

Female testosterone levels can be affected by external factors such as:

  • Aging
  • Pregnancy
  • Oral estrogens (such as oral contraceptives, HRT tablets)
  • Thyroxin tablets
  • Smoking
  • Alcohol abuse
  • Some anticonvulsants (e.g. phenytoin)
  • Chronic disease and the treatment of chronic disease
  • Reduced liver function
  • Drug use (such as opiates, glucocorticoids, anabolic steroids)
  • Acute critical illness, burns, major trauma or surgery

Disease of the brain, ovaries or adrenal glands can also affect testosterone production in women.

  • Removal (bilateral oophorectomy) or premature failure of both ovaries results in an immediate 50% reduction in testosterone levels
  • Removal of adrenal glands (adrenalectomy) results in a 50% reduction in testosterone levels
  • Disease or damage to pituitary gland in the brain (hypopituitarism) can result in as much as a 100% reduction in testosterone production

How Estrogen Tablets and Oral Contraceptives Affect Testosterone in Women

Testosterone cannot be stored within the body. It is released by the ovaries. Sex hormone binding globulin (SHBG) in the blood binds to 98% of what is released and carries this around the body.

Testosterone not bound to SHBG is ‘free’ and can be used by the body at any time.

Reduced levels of ‘free’ testosterone can lead to the symptoms of testosterone deficiency in women.

Estrogen tablets and oral contraceptives (the Pill) reduce ‘free’ testosterone by increasing the amount of SHBG in the blood.

If you are experiencing symptoms of testosterone deficiency and are using estrogen tablets or the Pill it is worth considering a change to a non-oral alternative. This should improve symptoms.

Treating testosterone deficiency in women is straightforward but it must be diagnosed correctly by an experienced doctor. Find out more about diagnosing and treatment on the following pages.

Next: Diagnosing Deficiency

Testosterone Deficiency Causes Informational Videos

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AndroFeme 1 testosterone cream packaging

For women

AndroFeme® 1% Testosterone Cream is designed for use in women with testosterone deficiency and/or low libido.

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