Testosterone

Body Composition:

  • A moderate rise in testosterone levels improved aerobic performance and lean mass [1,2,32,37,39,42,43,44]
  • Testosterone increases lean body mass and decreases fat mass without significantly improving muscle strength or physical function [26,37,39,42,43,45]
  • Testosterone can increase muscle mass and strength [4,46]

Libido:

  • Testosterone treatment significantly improves sexual function in postmenopausal women [2,3,32,33,37]
  • Transdermal testosterone patch effectively improves sexual function in menopausal women [5]
  • Adding methyltestosterone to combined hormone therapy significantly increased sexual energy and function, and, improved quality of life in postmenopausal women  [6,7]
  • Testosterone combined with estrogen therapy significantly improves sexual desire and satisfaction compared to estrogen alone [8]
  • Testosterone improves sexual arousal, function, and desire in postmenopausal women experiencing hypoactive sexual desire disorder (HSDD) [10,11,12,13,14,15,16, 17,18,19,34,38]
  • Testosterone can significantly enhance sexual function, particularly desire, response, and satisfaction [19,20,21,22,23,24,25,30,32,33,37,39,41,42,43,44,47]

Bone Health:

  • Testosterone therapy can increase bone density, which may reduce fracture risk [28,40]

Brain Health:  

  • Testosterone might have beneficial effects on verbal learning and memory in postmenopausal women [9]
  • Testosterone may help improve cognitive performance and reduce the risk of neurodegenerative diseases [31,32,33,35,36]

Cardiovascular Health: 

  • Testosterone therapy might offer cardiovascular advantages, such as improved lipid profiles and endothelial function [27]

Mental Health: 

  • Testosterone supplementation might improve mood and wellbeing [19,29,36,41,47,48]

References:

  1. Effects of moderately increased testosterone concentration on physical performance in young women:  a double blind, randomised, placebo controlled study. 2019 Oct 15. https://pubmed.ncbi.nlm.nih.gov/31615775/

  1. Effects of conjugated estrogen in postmenopausal women with hysterectomy: the Women’s Health Initiative randomized controlled trial. 2004 Apr 14. https://pubmed.ncbi.nlm.nih.gov/15082697/

  1. Safety and efficacy of testosterone for women:  a systematic review and meta-analysis of randomised controlled trial data. 2019 Jul 25. https://pubmed.ncbi.nlm.nih.gov/31353194/

  1. Risks and benefits of estrogen plus progestin in healthy postmenopausal women:  principal results from the Women’s Health Initiative randomized controlled trial. 2002 Jul 17. https://pubmed.ncbi.nlm.nih.gov/12117397/

  1. Testosterone treatment of HSDD in naturally menopausal women:  the ADORE study. 2010 Apr. https://pubmed.ncbi.nlm.nih.gov/20166859/

  1. Effects of the addition of methyltestosterone to combined hormone therapy with estrogens and progestogens on sexual energy and on orgasm in postmenopausal women. 2008 Feb. https://pubmed.ncbi.nlm.nih.gov/18202961/

  1. Effect of androgens combined with hormone therapy on quality of life in post-menopausal women with sexual dysfunction.  2008 Dec. https://pubmed.ncbi.nlm.nih.gov/19172538/

  1. The benefits of androgens combined with hormone replacement therapy regarding patients with postmenopausal sexual symptoms.  2006 Jul 5. https://pubmed.ncbi.nlm.nih.gov/16822626/

  1. Estrogen and estrogen-androgen replacement in postmenopausal women dissatisfied with estrogen-only therapy.  Sexual behavior and neuroendocrine responses. 1998 Oct. https://pubmed.ncbi.nlm.nih.gov/9800666/

  1. Effects of testosterone replacement in androgen-deficient women with hypopituitarism: a randomized, double-blind, placebo-controlled study. 2006 Feb 14. https://pubmed.ncbi.nlm.nih.gov/16478814/

  1. Cognitive function in association with sex hormones in postmenopausal women. 2012 Sept. https://pubmed.ncbi.nlm.nih.gov/22967437/

  1. Testosterone improves verbal learning and memory in postmenopausal women:  Results from a pilot study. 2011 Sep 17. https://pubmed.ncbi.nlm.nih.gov/21930354/

  1. Evaluation of high-doses estrogen and high-dose estrogen plus methyltestosterone treatment on cognitive task performance in postmenopausal women. 2002. https://pubmed.ncbi.nlm.nih.gov/12218381/

  1. Effects of testosterone therapy on cardiovascular risk markers in androgen-deficient women with hypopituitarism. 2007 Apr 10. https://pubmed.ncbi.nlm.nih.gov/17426086/

  1. Effects of testosterone treatment on endometrial proliferation in postmenopausal women. 2007 Mar 6. https://pubmed.ncbi.nlm.nih.gov/17341565/

  1. Differential effects of oral estrogen versus oral estrogen-androgen replacement therapy on body composition in postmenopausal women. 2002 Apr. https://pubmed.ncbi.nlm.nih.gov/11932273/

  1. Beneficial effects of testosterone therapy in women measured by the validated Menopause Rating Scale (MRS). 2010 Dec 21. https://pubmed.ncbi.nlm.nih.gov/21177051/

  1. Effects of Estradiol/Micronized Progesterone vs. Conjugated Equine Estrogens/Medroxyprogesterone Acetate on Breast Cancer Gene Expression in Healthy Postmenopausal women. 2023 Feb 18. https://pubmed.ncbi.nlm.nih.gov/36835533/

  1. Effects of percutaneous androgen replacement therapy on body composition and body weight in postmenopausal women. 1998 Jun 17. https://pubmed.ncbi.nlm.nih.gov/9699197/

  1. Transdermal testosterone therapy improves well-being, mood, and sexual function in premenopausal women. 2003 Sep-Oct. https://pubmed.ncbi.nlm.nih.gov/14501599/

  1. Neuropsychological effects of methyltestosterone in women using menopausal hormone replacement.  2001 Sep. https://pubmed.ncbi.nlm.nih.gov/11571096/
  1. Effects of treatment with testosterone alone or in combination with estrogen on insulin sensitivity in postmenopausal women. 2006 Jun 5. https://pubmed.ncbi.nlm.nih.gov/16750207/
  1. Sublingual administration of micronized estradiol and progesterone, with and without micronized testosterone: effect on biochemical markers of bone metabolism and bone mineral density. 2000 Sep-Oct. https://pubmed.ncbi.nlm.nih.gov/10993031/
  1. A two-year, double-blind comparison of estrogen-androgen and conjugated estrogens in surgically menopausal women. Effects on bone mineral density, symptoms and lipid profiles.  1999 Dec. https://pubmed.ncbi.nlm.nih.gov/10649811/
  2. Comparison of oral estrogens and estrogens plus androgen on bone mineral density, menopausal symptoms, and lipid-lipoprotein profiles in surgical menopause.  1995 Apr. https://pubmed.ncbi.nlm.nih.gov/7898828/

  1. Transdermal testosterone improves verbal learning and memory in postmenopausal women not on oestrogen therapy.  2014 May 5. https://pubmed.ncbi.nlm.nih.gov/24716847/

  1. Testosterone dose-response relationships with cardiovascular risk markers in androgen-deficient women: a randomized, placebo-controlled trial.  2014 Apr 8. https://pubmed.ncbi.nlm.nih.gov/24712568/

  1. Effects of transdermal testosterone on natriuretic peptide levels in women: a randomized placebo-controlled pilot study.  2011 Dec 2. https://pubmed.ncbi.nlm.nih.gov/22137497/

  1. Effect of methyl testosterone administration on plasma viscosity in postmenopausal women.  2002 Aug. https://pubmed.ncbi.nlm.nih.gov/12153599/

  1. The Women's Health Initiative randomized trials of menopausal hormone therapy and breast cancer: findings in context.  2023 Jan 22. https://pubmed.ncbi.nlm.nih.gov/36727752/

  1. Menopausal hormone therapy and cancer risk: An overestimated risk? 2017 Aug 4. https://pubmed.ncbi.nlm.nih.gov/28783542/

  1. Menopausal Hormone Therapy Formulation and Breast Cancer Risk.  2022 May 3. https://pubmed.ncbi.nlm.nih.gov/35675607/

  1. Review of menopausal hormone therapy with estradiol and progesterone versus other estrogens and progestins.  2022 Sep 8. https://pubmed.ncbi.nlm.nih.gov/36075250/

  1.  Reduced risk of breast cancer mortality in women using postmenopausal hormone therapy: a Finnish nationwide comparative study.  2016 Nov. https://pubmed.ncbi.nlm.nih.gov/27465718/

  1. Use of hormone replacement therapy and risk of breast cancer: nested case-control studies using the QResearch and CPRD databases.  2020 Oct 28. https://pubmed.ncbi.nlm.nih.gov/33115755/

  1. Breast cancer and hormone-replacement therapy in the Million Women Study.  2003 Aug 9. https://pubmed.ncbi.nlm.nih.gov/12927427/

  1. Does hormone replacement therapy cause breast cancer? An application of causal principles to three studies. Part 4: the Million Women Study.  2012 Jan 16. https://pubmed.ncbi.nlm.nih.gov/22262621/

  1. Levels of serum estradiol and lifestyle factors related with bone mineral density in premenopausal Mexican women: a cross-sectional analysis.  2016 Oct 19. https://pubmed.ncbi.nlm.nih.gov/27756278/

  1. Association between serum estradiol level, sex hormone binding globulin level, and bone mineral density in middle-aged postmenopausal women.  2021 Oct 30. https://pubmed.ncbi.nlm.nih.gov/34717706/

  1. Bone health in estrogen-free contraception.  2019 Aug 24. https://pubmed.ncbi.nlm.nih.gov/31446440/

  1. Minimal levels of serum estradiol prevent postmenopausal bone loss.  1992 Nov. https://pubmed.ncbi.nlm.nih.gov/1458336/

  1. A Comparison of Bone-Targeted Exercise With and Without Antiresorptive Bone Medication to Reduce Indices of Fracture Risk in Postmenopausal Women With Low Bone Mass: The MEDEX-OP Randomized Controlled Trial.  2021 May 25. https://pubmed.ncbi.nlm.nih.gov/34033146/

  1. High-Intensity Exercise and Geometric Indices of Hip Bone Strength in Postmenopausal Women on or off Bone Medication: The MEDEX-OP Randomised Controlled Trial.  2022 Jun 12. https://pubmed.ncbi.nlm.nih.gov/35690931/

  1. A dose-response and meta-analysis of dehydroepiandrosterone (DHEA) supplementation on testosterone levels: perinatal prediction of randomized clinical trials.  2020 Oct 10. https://pubmed.ncbi.nlm.nih.gov/33045358/

  1. Administration of dehydroepiandrosterone (DHEA) increases serum levels of androgens and estrogens but does not enhance short-term memory in post-menopausal women. 2012 Sep 14. https://pubmed.ncbi.nlm.nih.gov/22985672/

  1. The Effects of Transdermal Estrogen Delivery on Bone Mineral Density in Postmenopausal Women: A Meta-analysis.  2017. https://pubmed.ncbi.nlm.nih.gov/28496491/
  2. Prevention of bone loss with alendronate in postmenopausal women under 60 years of age. Early Postmenopausal Intervention Cohort Study Group.  1998 Feb 19. https://pubmed.ncbi.nlm.nih.gov/9443925/

  1.  Effect of methyl testosterone administration on plasma viscosity in postmenopausal women.  2002 Aug. https://pubmed.ncbi.nlm.nih.gov/12153599/

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