For women who continue to experience low sexual desire, low motivation, or persistent fatigue after estrogen has been optimized, testosterone may be considered as an adjunct. Testosterone in women is off label, and we use it at physiologic female doses with careful monitoring. It is not a first line treatment, not a default add on, and not appropriate for everyone.
We also offer FDA approved non hormonal medications for female sexual dysfunction, including flibanserin and bremelanotide (PT 141), for women who may benefit from targeted treatment for low desire.
Frequently Asked Questions
What about testosterone for women?⌄
Testosterone can play a role in improving libido, motivation, and energy in select women, but it is not a first line treatment and it is not appropriate for everyone. In our program, testosterone is considered only after estrogen therapy has been optimized and specific symptoms persist. It is used at physiologic female doses, and patients are advised that this is an off label use. We monitor carefully for side effects and adjust as needed.
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