Menopause and peri-menopause can be full of surprises, and loss of libido is one of them. Every woman is different; some women are more bothered by this than others.
Testosterone is a hormone made in the woman by her ovaries and her adrenal glands. Our testosterone levels are highest at age 20 and slowly decline. A woman in her 40s has roughly half as much testosterone as a 20-year-old woman.
Testosterone may be linked to sex drive in women. But here’s the rub, so to speak: There is no FDA-approved testosterone for women with sexual problems. The testosterone on the market is FDA approved only for men.
So what can you do?
One option is to have a pharmacy mix testosterone for you, which is usually referred to as compounding.
Testosterone might be a good choice if you
- Have had a hysterectomy where both of your ovaries were removed; this causes a sudden drop in testosterone that may decrease sex drive
- Are not on any medicine that could cause any issues
- Have an underactive pituitary gland
You should not use testosterone if you
- Have had breast or uterine cancer
- Have high cholesterol or heart disease
- Have liver disease
- Could be pregnant
Unfortunately, testosterone gets mixed reviews. Using testosterone to treat low sex drive in women has not been studied enough. But there is some evidence that if your ovaries are gone, then testosterone and estrogen will help.
Many women report testosterone having a direct effect on their sex drive and sexual response. Some women report more sexual satisfaction when using testosterone.
You need to know there is no solid link between women having high testosterone and high sex drive nor between low sex drive and low testosterone. Some women who have low testosterone report a normal sex drive.
Sexual interest in women is complicated. So many factors can affect your sex drive, and a complete health history that includes the medications you take and your age, emotional health and menopausal history are imperative to help make a good recommendation for you.
If you have questions about low sex drive — or any other health concern — call 317-338-4-HER to talk to a registered nurse or use this form to talk to me directly.