Low libido can take many women by surprise in midlife. “They love their partner, they miss intimacy, and they want it back,” said Dr. Mary Claire Haver on The Tamsen Show.
Testosterone naturally declines by about 50 percent by age 50. Restoring levels within normal female ranges, not male ones, can help many women regain desire and energy. But Dr. Haver warns that how testosterone is delivered matters.
Pellet implants, often compounded without FDA oversight, can deliver male-level doses of testosterone (up to 500 ng/dL), many times higher than female physiologic ranges (40–70 ng/dL). That can lead to acne, hair loss, and clitoral enlargement that may be irreversible (Journal of Clinical Endocrinology & Metabolism, 2021).
Safer alternatives include low-dose topical gels or creams, which can be compounded or borrowed from male formulations in carefully titrated doses and monitored with regular lab work.
While more research is needed, evidence suggests that balanced testosterone can support sexual wellbeing, muscle mass, and bone health in postmenopausal women (Martel et al., Menopause, 2022).
For the full conversation, listen to this episode of The Tamsen Show
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