Testosterone replacement at menopause: When and why to use it.

Testosterone replacement at menopause: When and why to use it // In this video, I discuss when women should consider testosterone replacement after menopause. Hormone therapy is confusing, and I am here to break it down for you. There are some important considerations that you may not have known about! Let me know what you think of this information
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[@StungbySamantha]

Thanks for this video!! It helped me so much to decide if I should take this!! You are the best!

[@heatherhirschMD]

So glad it was helpful. We should partner up again, because then I will know what other common questions women have!

[@DW...]

​@heatherhirschMD A little confused 😕 It's not FDA approved but the gel or cream is??

[@shireehatcher3169]

​@DW... none are FDA approved for women So you have to get it made at a componding pharmacy. There fore no insurance coverage. I am pretty sure T for men is FDA approved and probably covered . That I'm not 100% sure about.

[@kroyal4296]

There is a testosterone in Australia

[@aprilmouse8793]

It makes no sense that the medical community is only worried about libido and not prescribing testosterone for other reasons. I know people who have cured their chronic fatigue syndrome, and other issues by replacing lost testosterone. We should replace testosterone for women, the same way that we pre-place estrogen and progesterone after menopause.

[@ckratzer2]

My testosterone level was extremely low, I was experiencing low libido, very bad brain fog and depression. started a compound testosterone and my libido is ok now but the brain fog is what is the biggest difference. I can function at work again. So I believe that there’s more to it than just a positive impact on libido.

[@niltomega2978]

Maybe you should try a higher dose

[@lorimoore5589]

How long did it take for you to notice a change? I started estratest 2 weeks ago an feel like estrogen alone made me feel better. Also I noticed that my hair loss has come back just on top front part but its hard for me to believe it could cause this in 2 weeks. Thinking about going back to just estrogen.

[@tiffanyeulalah4781]

I'm going to have my bloodwork this week and I believe my testosterone is almost zero by my symptoms and if so will be starting TRT so I'm hoping the brain fog and energy will change afterwards

[@OrangeDiamond33]

If you don’t want Mr. happy stick every day you need to up the dose.

[@lorimoore5589]

@Chastity Kratzer how long before you noticed a difference?

[@MsBoxMx]

Yes it helps for libido, which is great, but for me the game changer is that it really does work for brainfog and memory..!

[@carolyn4407]

what dose do you take? Where do you get it from? And where on your body do you apply it? Thanks

[@MsBoxMx]

@@carolyn4407 Hi Carolyn, I get it from my gynaecologist (I live in the Netherlands, we can't get it via GP). I use Androgel, which I think is called Testogel in the UK. Just a pea-sized blob every day on the upper leg does the trick. But make sure you're balanced on your oestrogen and progesterone first, otherwise the testosterone just turns into another type of oestrogen. I don't see why there is so much stress about giving women testosterone, our ovaries produce more testosterone than oestrogen after all. And rest assured, I haven't turned into a man yet ;) Good luck! x Marion

[@riggs9688]

TRT really helped my wife out. I cant even list all her benefits since starting. She takes 20mgs test cypionate sub-q weekly. I wish more doctors were like you. Her last doctor wanted to give her 2 anti-depressants including an SSRI and refused to do a hormonal blood test.

[@pattyfluegel7816]

...more like her? She repeatedly says its not good for anything except libido. Im with you. I feel a lot better emotionally when I take it

[@Divinethreefold]

Thank you Dr. Hirsch! I just started topical testosterone it’s already helping it’s only been a couple of days but already noticing increase libido👏👏👏👏❤️ You sharing is so valuable to all of us!!

[@heatherhirschMD]

So glad it’s been so helpful for you that’s great to hear I’m glad that you’re feeling improvement!

[@victoriaaydelott6187]

Wow! This was the most informative video or info I’ve received on this subject. I started taking T under the misconception it would help with muscle loss and increase my energy. Thank you for posting this. Very helpful!

[@doreenryan7325]

I’m in Australia and androfeme is prescribed to help women keep bones and muscles strong and other benefits and other female hormone specialists in the field in UK prescribe it for this and more.

[@carolynmcdevitt1969]

FINALLY a doctor who can xplain this therapy!!! I wish you could open a clinic in the Phila area we need someone like you down here. Your patients are very lucky to have you and your clinic

[@heatherhirschMD]

Thank you ! Yes I am hoping to teach more young doctors to do what I do!

[@BillMan3]

@@heatherhirschMD I’m looking to open a HRT practice clinic in south Jersey Philadelphia suburban) in a very nice area. I need a Dr to have on the board of directors and a PA at the practice. Let me know if any interest and we can go from there. All o warhead taken care of by me, just need your expertise

[@BillMan3]

All OVERHEAD taken care of by me.

[@juliecramer7768]

Testosterone helped me get rid of extra weight. The FDA is a hindrance not a help.

[@SS-dp7lt]

FDA is a joke

[@cindywhittaker3003]

I needed to hear this! Thanks

[@juliecramer7768]

@@SS-dp7lt Yes it is

[@misstere5132]

Testosterone only?

[@whocares7912]

Was that testo only?

[@omittapir5986]

Very informative and educational video. Thank you!

[@annwoolley7686]

Thankyou, very concise. Explained it very well. ❤

[@heatherhirschMD]

So glad it was helpful!

[@healthcarebeauties]

Thank you for the useful information❤

[@WhistleblowingGoodWitch]

My Uncle Dr. Mark Perrella works there too, Doc Heather! HRT saving my life... awaiting Testosterone test results. ❤ Best of luck to all here, Nichol

[@Michelle-bl8sz]

Thank you for this video

[@smilesandbestwishes8597]

Very informative!

[@heatherhirschMD]

Thank you smiles!

[@crystaldianestevens4553]

Hi Doc, I have the T gel pump, and my obgyn said 'one pump once a week' but another friend suggested a pea size every day, which is better? I am also taking estrogel (1 pump a day) and 100mg progesterone pill at night. Do you offer online private consultations?

[@DoralinDAN]

Hello Dr Hirsh, what is your opinion on the use of DHEA to raise testosterone level, and is it ok to use if on estrogen replacement?

[@stephaniehughes901]

How do you feel about estratest? My doc just prescribed it. Ive not picked it up yet, because ive not ever heard of it, so im tryi g to learn more b4 i get it. Thanks

[@kroyal4296]

Thank you so much it would be great if you could tell us what levels are considered too high

[@lisaa9346]

Can testosterone gel aromatize and increase your estrogen and cause bleeding? Going through this 6 weeks after very low dose. US scheduled and biopsy. But never had bleeding from my HRT for 15!years with premature menopause.

[@hellrule18]

Hi Heather. Can a woman in early 40s use Testosterone for anti ageing even though she doesn't have any low test symptoms? do you do online consultation?

[@kathyowens890]

I respectfully disagree. Testosterone replacement is NOT only for low libido in women. This is insulting and inaccurate.

[@birdgirl1516]

Well, the North American menopause society (many many doctor’s!) have this stance. Insulting?? Lighten up! Lol

[@kathyowens890]

@@birdgirl1516 yes, insulting. 😆

[@djuanaberuk9908]

Kathy Owens you are so right. Giving testosterone only for libido is definitely insulting. There are other health benefits to hormone replacement when hormones are low. The fact that maintaining health takes a back seat to someone who simply wants to transition is infuriating.

[@tiffanyeulalah4781]

@@djuanaberuk9908 I agree as well its terrible when there are sooo many benefits of having optimal testosterone levels in women I'm seeing more and more women saying there's lives have been transformed by TRT

[@niltomega2978]

I agree with Kathy. There is so much evidence that it helps more than just libido. How many tired women are going to have a high libido? A healthy libido is the outcome of many things going right in a womans body. Sick, cloudy headed fatigue women are NOT thinking about sex !

[@kroyal4296]

Thank you so much for these videos I would like to know how you test do you use blood tests or dry urine or 24 hr urine and what kevels are good vs high please?

[@lorimoore5589]

Started estratest 2 weeks ago an my hair on top has thinned dramatically. Is it possible for the hair to thin that quickly.

[@marjoriemartinez9973]

Im 2 yrs post menopause i do very little trt ...i feel amazing but my estrogen is super high..what should i do i don't want to stop

[@maureenvarner540]

Love your channel and so informative! I am a 59 yr old with extremely low testosterone. Menopause was hell and I refused HRT due to a family hx of breast cancer. Mom at 64. My adrenals were zapped and my cortisol levels were off the charts. I changed my diet, exercise and with adrenal support my energy levels are so much better! Now after getting my labs back my testosterone is below low levels and my doctor is talking about a topical support. This will also assist with the weight loss. My concerns are - is this a cancer risk given my family history. Also due to the lack of estrogen and testosterone libido is low, frequent vaginal yeast issues. Would love to hear your thoughts? Many thanks!

[@royalchainess]

How did you find out about your adrenals/cortisol levels and how to control it?

[@cameorose1431]

Use oestrogen cream to keep vagina healthy..there is no cancer risk

[@DenieHintonHomes]

@@royalchainess My Dr did a first of the morning urine sample. I go to a holistic doctor.

[@Vidyra]

How did they fix adrenal levels

[@crepesuzette5540]

You are wonderfully informative. 55 almost 1 year since last period. All sex hormones showed up very low on serum & urine tests and symptomatic in 100 different ways including thinning hair & low libido. A year ago I was put on 0.75mg Divigel (estradiol), 200mg Prometrium and 1mg T cream replacement. Felt pretty good including libido but my peri hair loss went from bad to worse over time. I kept complaining about persistent hair loss, loss of volume, more scalp showing, receding hairline, massive change from vibrant hair to dry/frail hair. My doc said weak hairs were most likely falling out and are probably being replaced by stronger hairs after a resting phase. Also was told that peri hormone changes cause temporary hair loss called Telegen Effluvium common, lower E,P&T levels cause loss/thinming/dryness and to be patient because the hair cycle is so long it can take a year to see improvement. Fast forward to now over a year after E, P, T replacement and E&P low side of premeno range and T level very low range and my hair is worse. My temple hairs are all gone, my crown and apex are so thin you can see my scalp. 6 weeks ago my primary care doctor had me stop T and started me on Finasteride 5mg orally daily. Do you know if this will stop loss or regrow the damage that T most likely caused for women like me?

[@heatherhirschMD]

Hard to help without seeing you myself. But often its the testosterones that can cause hair loss and stopping it for a bit can help. Hari takes a long time to grown and you have to just give it time ( > 6 months).

[@crepesuzette5540]

@@heatherhirschMD Thank you for your response. I wish you were located near me.

[@terrir.7604]

May I ask how you did on Finasteride? I'm on 1 mg of T cream as well and hair loss gets bad when my E gets low. It's like my Free Testosterone flies up and I lose more hair. I don't do well with a lot of Estradiol so the balancing act is tough. I've been loosing hair (probably from T) since 2018. First doc wanted me on Spironolactone but then changed his mind to Finasteride due to less side effects. I've tried to get off the T and get terribly fatigued and just feel awful with zero motivation. No tolerance for exercise. If you don't mind giving me and update I'd much appreciate it!

[@terrir.7604]

@@crepesuzette5540 see my message below. It didn't tag your name so wanted to make sure you saw it.

[@crepesuzette5540]

@Terri R. I used Finasteride 1mg orally daily for 1 year and saw absolutely no improvement and quit. I also experienced loss of libido which was a real bummer.

[@annap9441]

I am 43, not any perimenopausal symptoms other then a slightly less libido but my mood was worse than usual the period days, like weirdly sad, and I am a very joyful person. I started 2mg cream a day, just this little dose has made a huge difference in my mood, I feel soooo positive than I might be annoying for some people 😂😂 and normalized my libido, I feel like me again and well, my body composition was good but now it’s better, I can see an improvement in my strength levels and muscle gains at the gym. I tried to 4 mg a day, that was the dosage my doctor recommended but even it increased more my libido, I had estrogen unbalance symptoms in my cycle, so, I reduced it to 2 mg. Oh, and a benefit I didn’t expect, I sleep amazing!!! By the way, testosterone has powerful immunomodulator effects (in perim. and menopause we have increased risk to autoimmune disorders) and incredible for osteoporosis , muscle is so important for that too

[@QueenBee-xd1xk]

It's also protective against breast cancer

[@SirenaSpades]

There is more of a reason than just libido. Such as CFS, fatigue, low energy and how important it is to exercise and keep a healthy weight, brain fog and the need to maintain a normal job and lifestyle, unusual fat around the midsection when you've never had that type of body figure (which is not healthy for females anyway) and have a healthy weight

[@stevemunday1968]

Testosterone is more of a well being hormone in women. Testosterone is converted into estrodiol through an aromatisation reaction. Women make testosterone in the ovaries and adrenal glands. So post hysterectomy involving oophorectomy can reduce testosterone and therefore well being, brain fog, hot flashes and also increase libido which shouldn’t really be the target but there are also studies pointing toward brain atrophy. The dose should be minute! Endocrinology is highly complex.

[@stevemunday1968]

Edit; libido which shouldn’t be the target of therapy.

[@Beasel]

You repeatedly state test is not indicated for metabolism, weight loss, increased muscle mass but it does in fact increase those characteristics along with increase libido (usually). In my experience creams are inconsistent in delivering the + benefits of testosterone. Weak effect on serum and tissue levels. I think low dose injectable test is more predictable and reliable. Speaking of doses in the 4-15mg per week range of testosterone esters. What do you consider supraphysiological levels of serum testosterone in peri or menopausal women? Reference ranges are typically 15-70ng/dL in many labs. I agree with your stance on testosterone pellets in women.

[@ambarlopez3920]

Hi. I am 43 on Lexapro for anxiety. I’ve been given other meds to try and combat the low libido from SSRI and they don’t work. My Gyn recommended testosterone cream but I can’t find any info on use of testosterone cream in females to help with low libido caused by SSRI.

[@annamunro4639]

How do I come off it, can I go cold turkey or should I do it gradually. It’s not benefitting me I feel. Many thanks

[@comelon3]

Hi, do you offer online or on the phone appointments? My wife is very interested in make an appointment. Thank You!

[@SusanBerdinka]

I have a script for estradiol cream from my doctor. I was recently told I should be using ESTRIOL instead because it is a safer form of estrogen over estradiol. What should I know about estriol?

[@halfgridhomestead]

from what i have seen younger we have 3 estrogens, estrone--1, estrodial-2, and estriol-3, we mainly need a certain amount of estrodial-2 I believe when approaching the pause. Menopause Taylor explains it in one of her videos also. certain quantities to be protective against the big diseases we can get as we age including heart disease

[@kroyal4296]

What do you do when you don't know which hrt is working or what combo symptoms fluctuates so much I thought the testosterone was helping for sexual function and libido and then I get clitoral atrophy again and low desire

[@sherriwashington9465]

I will be 51 next month and my tests show low estrogen and testosterone. Low libido, dry skin, hot flashes, waking at 2am. Pretty textbook menopause 😫 My doc prescribed EstraTest. Do you have thoughts/comments on this product? Thanks!!

[@heatherhirschMD]

Glad to see your comment and hope you get relief soon! Just be sure if to take progestin with uterus

[@veestu9308]

@@heatherhirschMD please explain better thanks

[@lelacintron3540]

I just began estrartest yesterday , I wish she would elaborate as well. I have had total hysterectomy and my free testosterone is 0.3 I believe

[@melindachisholm6418]

Estratest saved my life. Been on it for 8 years. With 100 ml progesterone. I am 59 now!

[@joannepigliavento7930]

Can you recommend an alternative to Testosterone? Thanks

[@ownerdirector]

How can we get the topical if our Gyn's refuse to prescribe it?

[@piperlucille]

I was on compounded HRT and my last testosterone level was high. My hair has been thinning lately, could the high T be the cause? Everything else is normal. (Iron and thyroid too) My Dr did stop the testosterone but she said high T would only cause hair thinning at the top of the head and not all over thinning. Is this true?

[@heatherhirschMD]

100% Why I dont recommend or do pellets.

[@piperlucille]

@@heatherhirschMD I wasn’t using pellets. It was a compounded cream. Needless to say I’ve switched to the patch and oral progesterone. ❤️

[@niltomega2978]

Obviously your dose was too high. Normal levels should stimulate hair growth in women, too high of levels can cause thinning.

[@theletsbehonestatheist6131]

I'm 53, my wife and I have been on testosterone injections for the past 10 years. I got to disagree with this advice. Yes, pellets are terrible. Don't do those. But cream is not good either. Because of different absorption rates it's not consistent. And it's also messy. The best route to go is injections. For women I would start off with injecting 5mgs of testosterone cypionate on Mondays and Thursdays. After eight weeks, have blood drawn to see where you're at however feeling good is what really counts. If you feel no real affect from that dosage, I'll pay a little bit more to 8MGS. Test again after eight weeks, see how you feel. Basically, you are looking for the lowest effective dose, or essentially your particular sweet spot. Injecting is hands-down, the best method

[@joeblow9548]

Is she on anything else like estrogen or progesterone,,testosterone should increase estrogen

[@Zinnie988]

Can testosterone replacement help combat ovarian cysts, uterine fibroids, polyps, and /or endometriosis that lead to chronic pelvic pain. Then there is weight gain, fatigue, low moods, loss of focus, etc

[@veestu9308]

I suffer from all of that also. My blood work came back severely low. I also have shortness of breath at bedtime.

[@anonanon1406]

I had large uterine fibroids and found a doctor who specializes in uterine myoectomy. Kept my uterus and had fibroids removed. Such a huge difference. Then I started HT.

[@elizajoe2834]

Hi, all's I can say after a lifetime of uterine fibroids 29 years and ovarian cysts and large but harmless Nabothian cyst on my cervix, well after 6 years of vaginal micronised progesterone Utrogestan, I've nothing in my womb or on my ovaries. I've had repeated transvaginal scans and pelvic scans and all clear.. I was also on oestradiol transdermal gel but no testosterone at that point.

[@redpeach8416]

Great video! I'm 48 and really struggling with low libido. Where does the topical get applied?

[@lorimoore5589]

This is probably a dumb question but what is considered low libido? Is it no desire for sex or hard time having orgasm? I don't really think about or desire to sex but when I do I can orgasm very easily an enjoy having sex so I am not sure if not really wanting sex is me just being lazy😂

[@OrangeDiamond33]

My girlfriend and I are 47 and she is peri metapausal but we have sex 2-4 times a day everyday. She’s gonna go on testosterone to make sure her drive dosent dip because I need a lot of sex.

[@EmpressLestat]

@@OrangeDiamond33 Lets say you couldn't get it because medically, your GF could not achieve that drive. Would you leave her? My husband has a high sex drive and I am his 3rd wife. We have sex once a week and have been together 11 years and i know how important sex is to him, BUT, a man must look further than his drive to be in a balanced, commited relationship. I have been under tremendous stress trying to please him before tending to my own needs.

[@OrangeDiamond33]

@@EmpressLestat She’s not complaining! She loves it and now been on testosterone 20mg per week for 3 months now and even chases me for it. My advice to you is unless you want him to have a 4th wife is get in the game and give it to him more.

[@OrangeDiamond33]

@@EmpressLestat Another thing, you can’t “talk through” or “compromise “ a man with high sex drive. You either meet the need or he goes else where eventually. Be a good wife and be naked when he gets home

[@agsjnsks4538]

I actually got major libido boost with testosterone pellets, while the blood test shows me at too high levels, the affect on my libido, energy levels is amazing! Also my thyroid blood labs show dramatic improvement! Would I want to try cream and have my levels lower and no improvement on anything? NO! No side effects, maybe slightly agressive. I am fine with that. It’s up to me to what I am willing to deal with as far as side effects. Not to the doctor.

[@joannepigliavento7930]

How about Oxytocin?

[@mariposaazul4450]

I’m 50 menopausal with hysterectomy including ovaries. On estradiol patch for months. Still feeling exhausted, brain fog, no sleep, crazy mood swings etc. Plz explain what can I do? Help!!!!

[@echase416]

You’re not sleeping oral Progesterone for bedtime. Prometrium 100 mg capsules. They also reduce risk of breast cancer from unopposed estrogen.

[@sharonbrown9721]

Ask your doctor about taking a higher dose of estradiol.

[@pennystang6065]

Who Else is takeing it for ivf?

[@sharoncampbell4593]

What is the best hormone med to take

[@heatherhirschMD]

Check out my hormone therapy / menopause playlist or the course for this! Very individualized.

[@robertm7637]

Will you hair grow back once a pellet’s testosterone has worked its way out of your system?

[@jedheart8059]

What is too high testerone levels for menopausal women?

[@ironmaidenfitness654]

Why can’t you elect to replace the testosterone you lose and use blood test results to govern this and ensure the levels are within normal/younger ranges?

[@tiffanyeulalah4781]

It's sad that doctors don't do replacement therapy all the way around so many women are benefiting from TRT I'm actually about to start next week and I'm very excited to start I've done alot of research and talked to many women who have literally got there lives back from TRT!

[@ironmaidenfitness654]

@@tiffanyeulalah4781 I’m on HRT progesterone and DHEA for the moment and when I get through menopause I’ll be hopping onto estrogen and testosterone for sure 👏🏼

[@jamiehoward6906]

This is my question? What not restore people to youthful levels? Ideally take levels while young and at healthiest and work from there to return person to their optimal state.

[@jamiehoward6906]

@@tiffanyeulalah4781 how’s it going for you?

[@tiffanyeulalah4781]

@@jamiehoward6906 it is going fantastic! Literally I feel better than I have felt in 4 years or probably more! I am soooo thankful I did my research and found that women need testosterone as well as men obviously only about a tenth of what men do but none the less we need it. I was able to go through Frontline Alternative Medicine and get full panel labs drawn where I then found out I only had total testosterone of 4 and my free testosterone which is what is usable that is free for the body to use was 0.06 so that being no wonder I had zero sex drive, loss of muscle mass big time, super dry skin, fatigue, no energy and the list goes on. I have been on TRT now for 4 full weeks and I am feeling so great I could write a book about it and I'm being told I will keep feeling better as my levels get stable and get to where they need to be I urge any lady who is having issues like I did whether young or old to have a FULL hormone panel ran as most doctors and OB's will not order a full hormone panel and most will only treat with testosterone replacement if you have sexual disfunction as apparently the any other reason is not good enough no matter what your test say per the FDA whom we all know are full of crap but then you have to think all those supplements doctors tell us to use arent FDA approved either so sounds a little fishy to me they want to push more meds but cant do that if people are well 🤷‍♀️. I tried to get my OB to order it and she said no its not FDA approved for women so I took matters into my own hands and I'm so thankful I did! If you are having any of the symptoms I'm having contact Frontline Alternative they are super helpful and have there own doctors that understand all women need their hormones in complete balance all the way around that goes for estrogen and progesterone as well my other levels are great thankfully Tell them you were referred by Tiffany Griffin and you'll receive your labs for $125 instead of 150 I think it's important to hear from actual ppl and there experiences because everyone's body is different and we can't always go strictly by the text books that doctors use. You will also find many doctors coming on board with TRT for women as it is literally changing lives 🙌

[@dpcuellar5853]

Frustrating trying to figure out what to do

[@kiwichickie1975]

Testosterone is btreast protective, meaning it prevents breast cancer. It should routinely be prescribed for all women on HRT

[@cindywhittaker3003]

What about hirtuism? Should we take spironolactone as well? I have a script for testosterone and spironolactone for my beard.

[@heatherhirschMD]

Hmm.. You could, I would wonder if the dose is too high? Hard to say without seeing you in person.

[@cindywhittaker3003]

@@heatherhirschMD I’ve had the beard since my twenties, lol! Just started the T recently.

[@carascottvo]

What about normal injections of testosterone? I saw a YT video of a young woman doing beautifully on 5mg injected twice a week.

[@ruebenbaca6301]

@lokiteddy can you point me to that video? I know several clients, ex-clients going thru different paths of HRT and one might be using a doctor whose doing something like, I think 5mg every 5-7 days. Also I read all the comments in my research for clients on menopause/HRT videos- you ask great questions that should be addressed- like the injection option.

[@carascottvo]

@@ruebenbaca6301 I should've marked it for myself- I'm having a hard time finding it right now. It didn't involve a doctor or anything, it was just a normal YTer talking about her experience. I'll keep looking! And yes, injections are easier to stop than say, pellets, where you're stuck with weight gain, acne and a hairy chin for 3 months! :)

[@JesusSaves7012]

What is a good physiological daily dose of cream?

[@heatherhirschMD]

I often prescribe a very low amount of 1% testosterone

[@tuffstuff2U]

@@heatherhirschMD hi, what would you consider a low dose, 5 mg?

[@Hollowmoon007]

Testosterone=a zest for life. I have read research that testosterone helps protect breasts, as well.

[@jln8186]

I had listened to 3 well known Drs on youtube that said Testesterone helps get your muscles ( that turns to mush after menapause) back and energy. This is confusing

[@doreenryan7325]

Yes I have also been prescribed androfeme for those reasons not libido and listened to other doctors who specialise in hormones and they prescribe for bones, muscles, mood and brain fog.

[@jln8186]

@@doreenryan7325 did it help at all? Im a little worried Ill grow hair or get a man-voice....

[@boplop5406]

I agree and disagree Although having a low sex drive can be unrelated to testosterone if someone has a low testosterone then they are probably going to have a very low sex drive and them having family issues or other issues may make it worse imho. Total testosterone is not that great of a test especially if someone has a higher shbg and the free testosterone ranges for women are not that good. The ammg says (if I remember correctly) the free testosterone should be about 5-10pgml. testosterone does have many functions even in women especially with cognition. And thyroid meds can increase shbg which can lower free testosterone I do hear your point on pellets I personally have never used them because I'm afraid of not being able to take it out if there is a problem. I have partaken in using shots and gels and a nasal testosterone gel (that was the worst form by far) Biobalance Health cast on KZbin is a very good resource in my humble opinion. I would really like to hear your thoughts :)

[@heatherhirschMD]

certainly agree that sex drive and libido are made up of many things! we also live in society that insists on unrealistic sexual desire and drive. Normal is different for every woman. Testosterone certainly has a role, but looking at lifestyle and stresses is another place to investigate. I do often calculate free testosterone which is a bit better than total testosterone. Great comment!

[@boplop5406]

@@heatherhirschMD and for many women I know they do well on shots and pellets. Some use compounded creams and some use gels. As another side note and point I have a friend and she has a total testosterone from using 10 mg of the shop at 1000ngdl with a free testosterone of only 2.4 and a shbg in the 200s or so... Just saying Her total is higher than most men I know

[@jamiehoward6906]

@@boplop5406 I am reading your comment and find it interesting about your friend who seems to have high free testosterone even though she has low bound testosterone. Did I understand that correctly? Would a Dutch test be helpful to see how a person metabolizes their hormones in this instance or maybe she is ok with it? How does she feel overall? When my testosterone was that high I felt great with energy etc but had really bad symptoms like hair loss, muscle and fat gain….

[@shelleyoplotnik1672]

Wow, no age discrimination there. Will give more t if younger because apparently under 40 you need more. What is that? T does a lot more than just sex drive.

[@kroyal4296]

What if you have desire but the sexual function aspect clitoral atrophy estrogen and estrogen creams but not enough for complete sexual function

[@claudiaguzman6092]

Where are you located?

[@lpdc5911]

Hair loss and acne is more common when using gel/cream due to the higher DHT compared to injections. There is a reason why most men dont use gel/creams. Injections are more steady releasing which leads to less spikes. Do not apply gel/cream to your arms like the woman says as you will grow hair at the application site.

[@pattyfluegel7816]

I apply on underarms, as hair already grows there.

[@crystaldianestevens4553]

"A very low dose" well how low? Can you let us know.

[@tealatata]

Is 2mgs to much for a woman ? I’m on troches

[@niltomega2978]

More like 20mg per week.

[@jaesmith3517]

Nice video! I am currently taking a compound cream of estrogen, progesterone and testosterone. I've been taking it for a week, and no changes in libido so far😞. I did want to share with those concerned with vulvar atrophy, and my recent experience. I went through the Mona Lisa Touch procedure, this is a 3 cycle laser treatment to this area (inside and out). I'm 51 just had my last treatment and my doctor said I looked like a 20 yr old down there😱. Of course I didn't know if she was just saying that, but my fiance' did his duty in really giving me the 411 and he said she is right, that it's a huge difference 🙏. Sorry so lengthy, but I just wanted to share in case it could help someone someone else. Best regards!

[@pamelasaba7885]

yeap!

[@Divinethreefold]

I’m so happy you shared this is great news! I also just started topical testosterone and already day 2 libido is in gear!! But I may have put on a little more than prescribed but so happy!! It can be difficult to get dose right! All the best to you!

[@Eye4stars]

Don't know why I thought the Mona Lisa treatment would increase libido.

[@eleanor7242]

In the uk , GP would not prescribe testosterone to women as it is not approved .

[@deborahc7113]

where should testosterone be applied

[@heatherhirschMD]

I often recommend the back of the knee or upper thigh.

[@deborahc7113]

@@heatherhirschMD ty, do u do zoom consult, cuz i been to a wellness doc/pa she put me on biest/prog/test. went to another hormone doc ny nyc, she said no to that and gave me Dotti/prog no test. so confusing, i kno my test level very low. wellness doc says i need to take DIM, adrenal support. she sell all these supplements. is this all a marketing biz. help, so confused. ty

[@cindywhittaker3003]

@@heatherhirschMD What about the clitoris?

[@kroyal4296]

Do you recommend bhrt from pharmacy or comp some doctors say the pharmacy ones are tested and were consistent and reliable and other people have better results with the compounding? Also what testing do you rely on bloods 24-hour urine or dried or do u base on symptoms?

[@SanctifiedLady]

My goodness!! Seriously! I new something was odd… clitoral Megoly 🤔 no longer depressed, no jaw acne but acne scars on back… hyper sexual for 8weeks so far I glad I’m seeing this video, we can go down on this one… but topically I would not remember to apply r/t brain fog from needing more estrogen

[@dianaa.8270]

Hi Doctor, I just emailed you today. Can you please respond to me so I can move forward. Thank you doctor

[@graceperiod5352]

T injection is king 🤴 Micro dosing of course 👍

[@OrangeDiamond33]

My girlfriend takes 20mg of testosterone cyp. Injection a week. No problems and we do the crusher 2-3 times a day everyday.

[@Tara-jt8yk]

Low dose of topical transdermal testrogen

[@SS-dp7lt]

I’m on topical cream applied to the labia for low T - I’m 32. It’s 2mg. I hope that’s not too high. I have no energy or sex drive or strength and vulvar atrophy. Also on estrogen vaginally. Hope this helps not hinder me 😭 both ways I’m suffering

[@heatherhirschMD]

I see. Are you in early menopause?

[@SS-dp7lt]

@@heatherhirschMD no I have iron overload in pituitary which then stopped signals to ovaries hence low levels of all hormones and need hrt sucks I need to reverse the vulvar atrophy I’m depressed

[@heatherhirschMD]

I see if you have panhypopituitaryism you should definitely consider systemic hormone therapy. I would check menopause.org for a doc near you!

[@SS-dp7lt]

@@heatherhirschMD no I have iron overload from thalassemia major in my pituitary hence to shutdown of cycles and low hormones. I’m on estradot patch and progest pills at nite. So far I feel just as bad being on them but have no choice as otherwise I have too low hormones. I pray that my vulvar atrophy can be reversed. I’m very depressed.

[@jamiehoward6906]

@@SS-dp7lt I am seeing your comment and I know it’s an older one but how are you doing now?

[@Donnaconrad1]

I am on estradiol and testoserone injections. Why doesn't anyone use injections? I have been on this since my hysterectomy in my 30's and now in 50's

[@Donnaconrad1]

@@Socialmediaruinedsocietyy your doctor should tell you how much you need

[@trishnardone6187]

Disappointed. Why are you treating early menopause different than later menopause? Isn’t this ageist? It would seem that muscle mass and bone density are VERY important for postmenopausal women. By you NOT adding testosterone to get perimenopausal and postmenopausal women up to an OPTIMAL dose is too-narrow thinking, and you are ultimately harming those two areas.

[@trishnardone6187]

Continued… bone breaks correlate highly with mortality. Muscle mass correlates highly with Optimal weight, an optimal blood sugar levels. You know this. So all middle-age women who are not in relationships, Who are married to men with whom they fell out of love with, for whatever reason, and who DO NOT SLEEP WELL , for whatever reason, are automatically thrown into the group Who do not get to enjoy the benefits of adequate muscle mass and increased bone density. I expected more from Brigham and women’s. You and your society need to do better by ALL women.

[@sylwiakowalczyk3270]

Bla bla bla..no info at all.

[@lfhillman]

I find it both sad and mind-boggling that someone who heads a B&W dept is so heterocentric and “husband”-focused. I’m sure Boston has plenty of unmarried and queer menopausal women; I appreciate your sharing your perspective, and it would be wonderful if you made an effort to be more inclusive.

[@heatherhirschMD]

Thank you! I agree and will work on that.

[@niltomega2978]

Then start your own gay Vitamin T site.