The Importance of Testosterone in Women | Empowering Midlife Wellness

Today I'm sharing some interesting facts about testosterone for women, including the surprising fact that we actually produce more than five times more testosterone than estradiol throughout our lives. Around menopause, testosterone (along with estradiol) drop to levels close to zero- and not coincidentally a number of health conditions begin to increase.
I'm sharing exciting data supporting the fact that replacing testosterone significantly decreases the incidence of breast cancer, as well as other important diseases including osteoporosis and heart disease, while improving sexual wellness and general wellbeing.
Rebecca Glaser M.D. - www.Hormonebalance.org
Testosterone: Strong Enough For A Man, Made For A Woman: www.amazon.com...
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[@pamelamiller4289]

At 57 I was on HRT (pellets). Worked great for about 9 yrs. During those years, I never had any problems with bone loss. However, I started having too much hair loss (testosterone) even though I decrease it to a very low level. I continued for 2 more years and had finally had enough w/hair loss. I stopped at age 66 for 3 yrs. During that time, yes my hair fullness increased but I gained 22 pounds, no energy, no sleep, some hot flashes…. My last bone density test showed after 3 years of no HRT, there was a decreases. At age 69, I changed to injections of estradiol and testosterone. I take a lower dose then prescribed and after a few months felt like my old self. Lost 20 pounds just from the increased energy, more sleep…. Friday I will be 70. It’s great but it’s a balancing act with me to make sure I don’t get too much build up.

[@Frederiekje221]

Thanks, very interesting

[@benjaminshuetrim9874]

Libido?

[@CatamaranChannel]

How much testosterone do you inject and how often?

[@pamelamiller4289]

@@CatamaranChannel Once a week 2 ml. When I first started last year I was advised to take 1.5 3 x a week. No problems until about 8 months later when hair thinning. I’ve gradually reduced it to 2 ml once a week and I still feel great.

[@cilitagaspar2132]

How about twice a week 1mg each?

[@Gigi-kr6ek]

If a woman don't have enough Estradiol and Testosterone, that eventually equals possible nursing home from broken bones and definitely adult diapers.😝 .... I personally don't want that to happen to me, that's one reason I have to pay out of pocket for a Hormone Doctor & at a Compounding Pharmacy. Good luck to anyone who can get bioidentical hormones from any doctor under the big hospital umbrella. They are mainly good at covering up symptoms and Not getting to the root of any problem ... especially with Hormones & Vitamin/Mineral deficiencies. Be your own advocate & research, research, research ... your life depends on it!!!

[@cearilindubhlaoi9507]

But compounded pharmacy's are not regulated or FDA approved ..how do you know how much of anything do you know your getting?? I take BHRT have now for 3years but I'm am still not in a good place ..Too many tweaks / on testosterone off testosterone.. Had hairloss still struggling with that, my testosterone free & total was never high but Dermatologist said I had mild / moderate androgenic alopecia..He wasn't helpful so I asked him so that means I can't go back on testosterone??? assuming I'm more sensitive to androgens he just said listen to your body & give it what it needs !!!! So I guess if I want my libido bk I will have to go bald ...you just can't win menupause just robs you if your life as it was. I envy the women who swear by BHRT how amazing the feel how grt their skin & hair is ...well I guess that is only a minority...😢

[@drsusan]

It's a misconception that FDA approval makes something safe, and the lack of it makes it not safe. Think about all of the drugs that are FDA approve that can kill you and are full of multiple horrendous side effects! That being said bioidentical hormones are FDA approved, and you can get estradiol patches and progesterone for example, from any pharmacy that are bio identical, but we do not have a bio identical testosterone, yet that is FDA approved for women for the reasons that I mentioned, which doesn't mean that it's not good it just means that there's a lot of sexism and slowness within the FDA and the world. But the FDA has approved bioidentical testosterone just not in a method that's available for women, so the product is safe. It's just the delivery method for women that has not been approved yet because of all of the reasons mentioned !Compounding pharmacies are very tightly regulated and just like with vitamins or other things that we take, we need to make sure we have a very good resource and that we have our blood levels followed to make sure that we're in the right zone. And when hormones are managed this way it is much safer than the FDA options that some think of as being "normal" like birth control pills, or Prempro. If someone is taking bioidentical hormones, and they're not feeling great, I will just tell you that your levels are not correct, and keep searching for someone who can manage them in a customizable way for you or come visit me in Houston.

[@betqpublic9901]

Same experience Gyn dropped me because he didn’t want to prescribe at levels that worked for me. Gave me a googled list of providers - non were valid . Going to mgh midlife clinic but took 3 months to get appt . Hope I don’t run out before appt.

[@mihaeladog7187]

It’s not FDA approved but also not disapproved . It’s just that FDA was not involved .Like supplements, FDA doesn’t go against nor approve . Do what works for you and don’t wait for mother FDA to save you.👍

[@betqpublic9901]

Because it’s for women

[@mikecara3271]

I’m 70. Been on TRT for 6 mos. Game changer! Finally, convinced my wife to jump on board. She has an appointment next week. Found you as I was trying to research women’s stuff. Love your channel….subscribed. Blessings

[@debbietalbert959]

How wonderful that you are concerned and reaching out to help your wife. Most men, even though they care wouldn’t begin to try to figure any of this out. Kudos to you!

[@mihaeladog7187]

I am on test and trying to get my husb too. He’s so stubborn.😡

[@Russellviews]

I simply share my testosterone (we call it Vitamin T) with my wife. I'm only sacrificing 10% of my dose for her and its WORTH IT!...lol

[@mihaeladog7187]

@@Russellviews 👍awesome .we don’t need much but a little makes a huge difference 🤪

[@Srmisterio27]

Do you go to a specialized clinic, urologist or just primary doctor? I went to primary doctor and my vitamin-T is in the low 200 and he said I didn't need it 🤦

[@kathyclark9268]

I’ve been doing Biote pellet therapy for over 4 years. I’m 69 years old. I feel better than I have ever felt. Sleep good, more stamina, my recently bone density test is normal. Sex drive is back big time, which hubby loves!

[@drsusan]

Yay ! So happy to hear 🎉

[@Contessa998]

Wow!

[@giovana4228]

👏👏👏

[@anaf9314]

How often do you get the pellets? To what doctor or clinic do you go?

[@kathyclark9268]

I go every 11 weeks

[@Apexpurrfection]

Im on estrogen and progesterone and after an hr of argument, i got my dr to give me testosterone. What a pita we have to fight fpr what we need.im 46 and ive been suffering in periomenopause for a year. Started hrt a month ago.

[@mindyloulou3528]

And frustrating that we have to pay to have it compounded when men only have to pay copay.

[@omittapir5986]

Thanks doc... that was a ground breaking information. I was just thinking how much women suffered before youtube came into being as we women knew nothing about how to take care of all the hormonal havoc it was causing to our health. Its huge- Oesteoporosis, thyroid issues, menopause... now so many highly experienced, informative docs are coming out with podcasts and on KZbin. I just love this era of digital information. Every common women have full access to world renowned providers, doctors, scientists and research. Thank you Doc for such valuable information.

[@annierichards7367]

Yes Thank God for KZbin! At 59 I am working with my Doctor for me to start HTR, must get cholesterol down first because every Doctor I've seen in person says estrogen causes heart attacks and strokes.

[@Sariah]

I found this out the hard way. Now have osteopenia, memory issues, hair loss..its not just for libido. Took 4 visits just to get my Dr to prescribe it

[@Dzulcic]

My female, mid age doctor was mute when I mentioned I was on pellets. Maybe she knows the benefits but does not offer it to her patients, but she encouraged patches available at the pharmacy. Thank you, Dr.Susan!

[@BARBELLS-AND-BUDS]

Injections over pellets

[@soniaf7794]

Pellets are not good for you. Pellets are not regulated by FDA. "Currently, no drug manufacturers in the United States make estrogen pellets under FDA approval. Instead, hormone pellets are made only by “compounding pharmacies.” Compounding pharmacies make non-FDA-approved customized medications that may not be commercially available." With pellets, you don't really know what you are putting in your body. And, if something happens to you, the compounding pharmacies are not responsible.

[@natusha_andrade]

Listening to Dr. Susan's channels over the past weekend has been a HUGE eye opening for me. Now, I understand what has been happening on my body and on my mind over the past four years. Thanks You so much for sharing your findings and your wisdom based on your own experience.

[@carlyeslinger]

Great information and so true - the sexism when it comes to hormone treatment. I think the generation coming into menopause now is not going to settle for sub-par treatment. I'm incredibly thankful for the information spreading now for women. We want to feel vital and healthy and get stuff done! It's so important to have both sexes contributing to a better world, well beyond our 40s. If anything, people beyond 40 are MORE important to be present and available to share and contribute in our world due to experience and wisdom gained.

[@yrunaked4]

thats solid

[@juliestapleton589]

Fabulous! Thanks. I just saw my lovely NZ gyn for a routine check-up. She asked about my hrt, as part of the picture (the appt wasn't about hrt). She said that although she knows nothing about hrt, she thinks I should stop testosterone, as it's not required!!! God give me strength!

[@proverbs3150]

I can totally relate!!! Lord help us all!

[@deedywoodruff9224]

It’s Amazing how Everything continues to CHANGE in What we are Told is True throughout our Lives!! Like what was pumped into our heads Most of my Life & I just turned 74 like what you said about ESTROGEN & Testosterone is Not causing Cancer is Just the opposite of what was ingrained into or minds Forever‼️I take Both! Sometimes you have to really pay attention to your Own body & gauge what’s good & what’s not good for Us because more than likely in just 10 years or less it WILL CHANGE ‼️I’ve seen it Over & Over in All kinds of health topics! Just One example: When I had my first child at the young age of 18 my Dr. was Not teaching how Great Breast Milk is for my baby but Formula⁉️Nobody I knew or saw was Breast Feeding‼️What a waste of such a Natural Milk that was soo very important for good health! 🤷‍♀️❤️‍🩹🤦‍♀️

[@csstudio3648]

Thanks so much for this important information! I'm going to ask about all of this in my next annual gynecological appt. I've been doing the Keto diet/ lifestyle for the last 3 1/2 years. It has had significant health benefits including 50lbs weight loss, increased energy, cleared brain fog and also increased libido. 👍I'm very thankful for this at 65 yrs old.😂

[@cilitagaspar2132]

How do you do the Leto style? In three years you now must have learned the do and don't

[@csstudio3648]

@cilitagaspar2132 I did keto for a couple of years and have transitioned to carnivore. It's a huge topic. I follow quite a few doctors who are carnivore or keto here on KZbin. That's how I learned about it. Dr. Boz, Dr. Berry, Dr. Cywes, Dr. Westman, Carnivore Doctor (Dr. LIsa Wiedeman. .. eye doc), Dr. Chaffee and others.

[@The_New_Abnormal_World_Order]

I seriously cannot wait to try it. I have virtually every symptom you can have.

[@leighfoti9363]

She is 100% on point about Pellets... Got a # of my Female Clients in there late 40's & 50's on Test Pellets with fantastic results & almost zero side effects. This is a Ultra Low Dose!!!

[@Brickhouse212]

Thank you! I was feeling exhausted, moody and irritated all the time in addition, my sex drive was decreasing. I had a blood test and found out I had 0 testosterone. I decided to receive the Biote pellets and I’m starting to feel so much better. This is not talked about enough!

[@nancycaron8227]

how long did it take for you to feel better?

[@Brickhouse212]

@@nancycaron8227 about 2 weeks,

[@Brickhouse212]

@@nancycaron8227 about 4 weeks.

[@nancycaron8227]

@@Brickhouse212thank you for responding. I really hope it’ll also work for me. I’m getting so desperate. I’m also extremely deficient in VitD and iron so supplementing with that as well. Hopefully I’ll feel more like myself soon. It’s been years and I feel like I’ve missed out on so much.

[@gosiak3267]

​@@nancycaron8227here in the world are you?

[@rondacompton7206]

I started testosterone in 2019, and after two years, my testosterone jumped to 386!! I stopped taking it, started again after a couple of months now im at 40.

[@tdane5017]

Good call. Too high levels will give you masculine features real fast.

[@rondacompton7206]

@@tdane5017 That 386 I typed by mistake, it was actually 886!

[@jenniferv]

​@@rondacompton7206 😵‍💫Wow! Are you on topical compounded testosterone now?

[@cilitagaspar2132]

I actually want to start, but still not sure the safe/best dose and administration of it. Would you please share.

[@melissab467]

I do well with transdermal DHEA which converts to testosterone and other hormones. Relatively cheap, easy to find and no prescription required. Please consider doing a video about this. Not everyone has the $$ for repeated testing, dr visits and prescriptions.

[@PeaceIsYeshua]

@Melissa, thank you so much. You are right, and a lot of the less expensive, telemedicine HRT clinics don’t offer testosterone, so it’s great to know that about DHEA. ❤

[@chorebunny8080]

How much dhea do you take and how often?

[@julieellis6793]

Where do you get the transdernal DHEA?

[@chorebunny8080]

@@melissab467 I bought on ebay and I started with 5 mgs a day and now I do 10mgs a day The difference for me has been amazing. No more brain fog and better energy! Good luck !

[@melissab467]

@@julieellis6793 Amazon

[@kcopkcop9370]

Thank you so much for your continued education and support for those of us out here struggling to find ways to optimize our health. 🙏 Much gratitude.

[@sherrycoody1204]

This is perfect timing for me. I was really, really discouraged today. Being 63yo I don't qualify to start estrogen therapy. This gives me hope that I can access the benefits of hormone therapy. THANK YOU for your podcast!

[@drsusan]

Well- just because you're 63 doesn't mean you can't take estrogen! That's another common myth that doctors often talk about based in the women's health initiative, but not necessarily true! For sure there are lots of options ...and if anyone is telling you that you can't take hormone replacement because you're 63 you need to knock on some more doors or come visit me in Houston! 💕

[@valeriescafe2879]

Well I am 63 and was not denied HRT. But in almost a year I still can not find a balanced dose. I am now weaning down to one pump and one oral micronized progesterone every other day ,? (for the second time around.) Thinking of weaning completely off Hrt.and going on Testostrone only. Tried Testostrone with a higher dose of P And E...but that was not a great addition for me. Maybe reintroducing it back with the low dose progesterone and estrogen will be the magic dose. If not I am done with this dance. Especially when the options seem limited here in Canada (at least where I live). My doc tries to consider my individual needs but GP are care full not to go over the set guidelines . I have seen a naturalpath but she can't prescribe HRT. But I gained some inside on alternatives if I can't sort this out.. Good luck to you and I sure hope Testostrone works for you.

[@sherrycoody1204]

@Dr. Susan Hardwick-Smith my identical twin sister has been to your clinic after trying dr after dr that did more harm than good. I have used Indian Health Services who are woefully uninformed. I have an appt in May with a dr in my area who gave me my O Shot a couple of years ago. If she doesn't listen, I'll be seeing you. I'm at the age where I'm not afraid to be cheeky. 😉

[@valeriescafe2879]

@@Kara-1 Hi..glad your Dr was agreeable. How are you making out with your HRT so far ?. I am on my second time trying this i am age 63 . I am having a problem adjusting. What did your Dr start you on.? I have been on a very low dose...100 micronized progesterone and I pump estrodial every OTHER day...I could not tolerate a daily dose. Hoping to work my way up to at least daily. But when I up the progesterone I get bad symptoms. Eastrogen is kinder to me but I have to take progesterone with it because I have a uterus. Take care and happy hormones to you.

[@valeriescafe2879]

@@Kara-1 Thank you. That is helpful as I am thinking that might be my next move. I have heard that some gals do better on the combi patch even tho the progesterone is synthetic. The micronized progesterone seems to kick my butt .I just got my standing order blood work back and my iron is very low not enemic but only 2 points off. I was enemic as a child and most of my adulthood. Wondering if I was blaming the hrt for my symptoms when it maybe low iron ?. Heres a little something I read about iron deficiency....estrogen can block iron. This was not told to me by my Doc...I just read it while researching low iron stores. So something to be aware of as we introduce estrogen back into our bodies. Time will tell. Is it hormones or iron deficiency. ? Oh to be a lady. Glad to hear you are adjusting well. Thank you again it is great to hear how others are actually doing on their doses and choice of hrt. Doctors don't always expand the options.

[@deinacayten6610]

This gave me so much hope! I just started with the pellets

[@63earthlover]

Thank You for mentioning sexism as a problem when it comes to help with libido issues in women. I’ve experienced this so many times🙄

[@lavielyle168]

You are so lovely and honest. I hope you keep discussing this, we can't get pellets in Cananda.

[@BLE000]

We can now! Calgary and Toronto.

[@gosiak3267]

@BLEE000. Do you have source info? I'm close to Toronto

[@Jamie5633]

I am so glad I have found you I have been on androfemme cream for about 8 months and estradiol patch 50 for a year The patch is ok but I get a few side effects with circulation if exercise is down and I not want breast cancer risk although not in family I’d love to wein off this and stay on testosterone only but my doc and GYNO are not as up with this as you are so what do I do ? Go to diff doc You are such a help I do notice testosterone is good on so many levels 🙂💕

[@bmwanlass]

I'm 69. I take HRT. I still have my uterus, so I chose the Femring for my estradiol and progesterone 100mg nightly. I have osteoporosis. HRT stopped further bone loss. But, it has not increased sex drive. I've been curious about taking testosterone.

[@Russellviews]

If anything is going to increase your sex drive, besides the man of your dreams...lol....its testosterone.

[@Zinnie988]

Is there a video in your list that explains what changes women will or should typically notice from first week of T-hormone gel use? 🤔

[@herminiarodriguez5346]

I’ve been doing testosterone for years. I’m 68 and had to stop due excessive hair on face and back. One year after and most hair growth gone, I’ve decided to give it a try again and here comes the hair back. Advice

[@user-xs9835]

What dosage you were on?

[@drsusan]

My guess is you're getting too much and I would look for a blood levels in the 100 to 150 range with a pellet -often people are giving too much and that can create side effects

[@Vic-nr2jz]

This is great information. Thank you!

[@Lilylibra]

Yet another superbly presented factual video. Thank you Dr Susan. 🩷

[@farrahgoff557]

You are a breath of fresh air, esp to those of us struggling with peri/menopause. Thank you. 💗

[@CH-cm4qe]

You are amazing for making this video. I learned a ton! Thank you!

[@letajones8556]

Thank you for your great information! ❤❤

[@denisemay3996]

Great video, thank you so much for making this video!!!👏🏻👏🏻👏🏻❤️❤️❤️🙏🏻💫

[@angelpaschall4378]

I thought my estrogen was low (had a hysterectomy at 40,kept both ovaries but had one removed in 2020) so I had my blood work done with my GYN who has been with me since my TTC infertility years delivered my son, and has don every reproductive surgery sense . At 50 years old she told me I was still a far way from menopause but my testosterone was at 10. I started the pellet last week. Hopeful my symptoms will be relieved.

[@Russellviews]

Any change?

[@bmcdonald7303]

Any update??

[@julieferreras64]

Thank for all of this information .

[@RaleighRamos-w8f]

Subscribed! This was so informative, thank you. Do you have any videos that talk about the effects of DHT for women?

[@wagnersara7210]

Thankyou for all the information ❤

[@Zinnie988]

1) Apart from dosage, is there any difference between testosterone hrt creams, gels, jabs, for men and women? 2) Progesterone is great when you take it at night, SO when's the best time to apply the T-hormone gel/cream? Morning, night? 3) Because it's not oral or pellets, If you apply the T-hormone gel/cream, say, in the morning after a shower, do you need to reapply after an evening shower before bed to keep it going? 🤔

[@linneasimchah1621]

Total testosterone with high SHBG is an unhelpful scenario. SHBG (sex hormone binding globulin) decreases free testosterone in many people. There are speculative suggestions on how to decrease SHBG, but nothing conclusive. Would appreciate your take on how to reduce SHBG, so that free testerone is actually available in the body. Many sources say after menopause, the adrenal glands produce some sex hormones. Do you not agree? You never mention this. Thanks!

[@drsusan]

Yes, a small amount of testosterone can be produced by the adrenal glands. I did actually mention that briefly in the video. Not much conclusive information on how to lower SHBG ...but in that case, we would follow free testosterone, rather than total, and try to keep the free testosterone at the desired level

[@donnawhitecotten361]

@@drsusan what is the desired level for free T?

[@_FightForYourFreedom_]

If you take a small dose of boron daily you will bring down your SHBG and increase your free testosterone. I'm a male and have done before and after bloodwork to confirm this is indeed the case. You'll have to figure out the correct dose for you but for me it was 3 mg per day.

[@linneasimchah1621]

@@_FightForYourFreedom_ I've heard of this approach (boron), but research results are inconclusive. I average 20 organic dates daily from the Middle East and also 1 avocado. I'm getting at least 3 mg boron daily.

[@_FightForYourFreedom_]

@@linneasimchah1621 in that case I would recommend you abstain for a while, then do some before blood work, then get back on the dates for boron formula for a few months and do another set of blood work and see how things might have changed.

[@deniseren4211]

51 going through menopause and feel absolutely miserable. Recent labs indicate T

[@Anisky123]

Keep looking for another doctor. I suffered horribly until 59 and then saw 4 docs was given all the crap you were had horrible vaginal pain even and so bad at night. Now after 6 weeks taking oral estrogen/progesterone (it’s what the doc I found decided to give me so I agreed I’ll look into possibly a patch maybe later) but anyway I can sleep. No more pain. Im gonna look into T next. I have other health issues so get them mixed up and it makes it harder to figure out what to do especially when you have hope a doctor will help you. Ask them on the phone specific questions. Don’t give up. Cheers.

[@SheBeast1987]

Do not except NO! So many are against hormones/testosterone! This was my answer from Dr’s as well! Since I found a new female dr who cares- I started Pellets… WOW- What A game changer! On my second round of pellets! 🙏🏼🫶

[@DD19701]

Give me a break, black cohosh doesn't do ANYTHING when your menopause symptoms are out of control. I had a doctor waste my time for two months with the black cohosh. Thankfully I found a doctor to turn my symptoms around!

[@annmarie3573]

Midi Health online had been great for me! Couldn't find anyone to help locally.

[@pumpkinpie025]

I'm very confused. The general concept of testosterone needs in women certainly make sense but my Estradiol is in pc/dl and Testosterone is measured in ng/dl. Also conversion is 1 ng : 1000 pc not 10 as you are suggesting. Can you offer clarifications?

[@WisdomCalls]

Thank you for this wonderful video. I’ve been on testosterone for two years and I tell everyone about it

[@PureExistence1]

Hello, hope you're still around to answer this! I'm just curious what your level of testosterone was as far as the dose when they first started you out and if they tie trade it up or not. My doctor just ordered me a testosterone cream 2% in the pharmacy called me to say that that's too high and then I would have all kinds of side effects and they don't usually compound cream for women thats that high and said I should be more around 2 so they wanted the Dr to call them back and confirm the dosage and the amount of testosterone. They said they had already reached out to her twice and they had gotten a response so they were letting me know to see if I would have better luck with reaching her. So I'm just wondering where you started off at and where you ended up at testosterone wise. Thanks for reclining for your answer I appreciate it

[@cilitagaspar2132]

Thank you for sharing, may I know the dose you have tried, was it progressive? Is it gel? Thank you so much

[@frednot2far]

When I was about 27 years old (I am 51 now) I got given testosterone cream and it was really good in leveling emotions and my endometriosis. But I was single at the time so it was a tough time in that way. 😂 I highly recommend it though, just from a personal perspective, I have some very basic knowledge of hormones and changes, due to the previous hormonal problems I have had. I am on my 4th Merina now which is progesterone. I have benefited from this video thanks so much.

[@L.living.a.goodlife]

I would like to know more.. You say you were put on testosterone to help with endometriosis... My daughter has Endometriosis she had it removed last year but it could grow back... Q: what help was testosterone with endometriosis

[@healthcarebeauties]

Thank you for the useful information

[@hulasenorita]

Dr. Susan you’re a blessing. I’d like to make an appointment with you for BHRT for my repellet. I’m here in Houston area for four months.

[@chiggedycheckyoself]

It should be noted that it depends on the lab performing the test and what country you live in. My testosterone measured by different labs always showed ng/dl. If you’re in Europe you’ll probably see nmol/L. So it’s not a given you’ll see pg/ml. If you want to compare the numbers to other publications or previous test that measured with different units there are several good conversion calculators online.

[@cilitagaspar2132]

I am in Canada, was trying to find a good conversation for the us results, did not find one that is easy to use

[@suzysandiego6478]

You are wonderful…thank you so much doctor for your guidance for us women!

[@abigailtate1648]

Hi Dr Susan, so relieved and thankful to have come upon your videos! I am unable to get the pellets where I live according to the website and am wondering if we have no choice but to use the testosterone cream how often should our levels be checked and do we always need to take a dht blocker with it? Thanks for your help 😊

[@DD19701]

Love Dr. Susan!!🙂

[@DoralinDAN]

Hello Dr. Susan, Question? is DHEA a different option for women with low testosterone?, ,was told testosterone gel can convert to estrogen dependent on the path it's metabolized and therfore can be liitle to no benefit to testosterone level, I'm confused.... my testosterone (which is very low) and DHEA (mid range) and provider prescribed a DHEA tablet?..... no option for testosterone pellet. I did the search button option on your YT channel and couldn't find anything in regards to this topic? Could you please address this, much appreciated, and much appreciation to you for your time, dedication and wisdom to educate women.❤👍

[@melissamccormick3153]

My pellet insertion was quite unpleasant and took over 10 days to heal. It doesn't just implant under the skin, its burrowed in the upper butt muscle and I was quite sore. Normal? who wants to go through this every 3 months?? I tried the cream and it did't budge my low levels.

[@mihaeladog7187]

I took estro and progest for 4 months and almost all perimenop symptoms are gone … except one : the ankle pain. I am 48 and from an energetic Tasmanian devil who’s always right 😂I turned into a slow motion oldie who almost needed a cane . It’s been almost 2 months my nurse put me on 1 mg testosterone . ANKLE PAIN IS GONE!!!!!I am confused, why suffered for so long ?😢My GP dismissed me saying I have long Covid.😮

[@sarahhuls4591]

I would treat for parasites

[@ReasonablySpeaking9808]

@@sarahhuls4591how did you come up with parasite issue?

[@cilitagaspar2132]

Thank you for sharing, do you mean 1mg a week? Is it cream/gel. Thank you

[@DonaInman-y8h]

Thank you

[@LilaCWest-cn6cb]

🙏🏼👌🏽 thanks! Wonderful to hear this!

[@paulohlsson27]

Hi Lila, how's your day going with you?

[@user-ll1ox7xq6x]

Amazing video and info...

[@8181Shannon]

Thanks so much for this information! I can not wait for my appointment with you. I just had my blood work done at my GP office so I will have it when I drive in from Arkansas! 😊Your office has been amazing with answering my questions and sending me information. I want to also Thank You because some how my email was sent to you and you responded back to me and directed my email to Carolina which has been a huge help! Thank You!

[@drsusan]

So glad to hear !

[@anaf9314]

PLEASE DR. WHAT IS A GOOD DOSAGE OF TESTOSTERON FOR A WOMAN ON A CREAM PRESENTATION? PLEASE AND THANK YOU

[@Mordecai06]

The most important hormone for me and women is thyroid hormone, optimal levels of TH by otself can increase levels of testosterone sometimes, avoiding the need for TRT.

[@Elena-rt9yu]

How many women are on the fda board that approves medications for women?

[@t.t.8878]

Why doesn't anyone talk about how much it costs for these hormones? I'm on low income & don't know if I can afford them!

[@mkwil65]

So informative and eye opening thank you Dr.Susan! I’ve been on estrodial patch (.050) and progesterone pill (100 mg) and really want to introduce testosterone for all the reasons you explained. Can you recommend an HRT doc in Miami or the South Florida area please and thank you!

[@drsusan]

I don't have any colleagues that I know of personally but you can check the biote.com website

[@mkwil65]

@@drsusan thank you!

[@idaniam469]

Hi Mary, I live in Coral Springs and I’ve been going to 4ever young. Hope it helps.

[@betsyeberle8116]

Did you find a doc? I’m in Port St. Lucie and looking for an HRT place. Not pellets.

[@mkwil65]

@@betsyeberle8116 not yet but I do have a consultation with a highly recommended doc here in Miami. Good luck to you!

[@sandymarquez6184]

I was wondering what your thoughts are on taking DHEA post menopause

[@julieellis6793]

Are you taking DHEA?

[@catanac1]

What would be the suggested dosage by IM injections for post menopausal women?

[@pallavisreetambraparni6995]

dr. thank u so much this is very very helpful. do you know of any home test kits that can be bought online to test these hormones in women? unfortunately, i don’t trust many pcps or gynecologists to do this. and I would like to test my own hormone levels at home and go from there.

[@crystalsanchezTV]

Dr. Susan! You got it backwards! You meant to say testosterone is measured in nanograms and estradiol is measured in picograms. You said it backwards @1:30 in the video

[@we4utube2]

Great video.

[@sammartini3643]

Dr. Hardwick-Smith - I'm 7 years into Post menopause with no help and had a stroke in August 2023. I finally found a Toronto Doctor who does BHRT. I was intending to come see you (or to your office) in Houston. They've told me that because I had a stroke I couldn't have estradiol. Is this true?

[@cilitagaspar2132]

I am so sorry that happened to you, hope you are better. I am in Toronto too and it is almost impossible to get a doctor that has knowledge on HRT

[@ModernClassicLifeStyle]

I just got the BioTe pellet with estradiol and testosterone, 2 weeks in, feeling better but still getting hot flashes in the day (not as many). Are these considered bio-identicals? And are they compounded if they go in a pellet? Dr. Taylor is totally against non-pharmaceuticals and testosterone, so I am very confused. It is really difficult to weed out all of the medical opinions. I saw you on Dominiques channel and starting watching your videos. I also saw Dr. Taylor, there and she says the bio/Ids do nothing to prevent heart, bone, etc. diseases. BTW in one month it will be exactly a year since my last period, so now is the perfect time for me to start - and get this sorted out. Thank you for your education!

[@carriebilbrey]

I am in late peri and having pain during intercourse. My family doc is wonderful and prescribed me estradiol and testosterone gel. I told him I wanted to try them vaginally and he is all for me trying it. I am just not certain how much to use of the testosterone gel. They come in tubes containing 50 mg each. I just don’t know how much to apply and my doc knows I will find the answers myself 😀 Any advice?

[@1245JL]

Test creams do not always work well. Pellets much better.

[@AmyMcLin-ms3xx]

You also need to be taking progesterone to balance the estrogen

[@ReasonablySpeaking9808]

@@AmyMcLin-ms3xxthat’s if you still have a uterus, then include progesterone. If you do not have one, you needn’t add it.

[@theworldofjuniperthecat1307]

Does taking testosterone along with estradiol in pellet form have a decrease in breast cancer as testosterone alone does?

[@judithbrighton3040]

I'm curious if your clinic accepts insurance? None of the providers available to me, and covered by insurance are supportive of HRT. I am almost 70, and have been doing bioID HRT for 20 years. I was recently persuaded that I should stop because "breast cancer." After two MRIs, a biopsy, and a surgery, there was nothing more sinister than some "atypical cells," not a mass, not a lump - some cells. After a horrible OA flare in late December, I am back on my HRT regimen, and hope to add testosterone to it, though I've only used transdermal testosterone in the past. I just requested that my doctor send in a prescription to my compounding pharmacy, but have not been encouraged by her attitude toward HRT. I know there are some doctors around here who could help, but I'm not in the bracket of people who can pay cash for medical services. Sad. Anyway, just really feeling "seen" by your videos - thank you so much for all you do!

[@Hasmiral]

I am a 51 year old female from germany and I have been fighting many months until I finally got a testosterone gel (originally licensed only for men) to use it off license because there is no testosterone medication at all for women in Germany at this point. I use a pea size of gel on my thigh every other day and I feel good/ besser mentally and my concentration and sharpness are back. BEeore, I often lost names, got anxious and confused and I was tired all the time. In combination with estrogen gel and progesterone I feel better, allthough I still have symptoms which seem to stay.

[@mmanacguy]

That's what I been hearing about a lot of European countries. No TRT clinics or access. That's a shame. You got to know what the right dose is for a woman. Any testosterone will help, but you got to get your estradiol and progesterone tested. Your progesterone could be low and estradiol could be high. Or vice versa. They should be balanced. The testosterone will help, but you will not be optimized if those two hormones are out of balanced. Also other hormones that are important. Your free Testosterone and SHBG (sex hormone binding globulin)The 2 go hand in hand. Also take some DHEA (Dehydroepiandrosterone) Also an important hormone that declines with age. The body uses DHEA to make androgens and estrogens. Should be able to get that anywhere. 15-25mgs a day.

[@patriceferguson7340]

Good luck with that. My case is a strange one for sure and at 58 still not able to get obgyn to give me hormone replacement therapy at all. I finally decided to go to a compound pharmacy to get it after mailing them a full test kit. And chromosomes check because the doctors all my life said I had PCOS. I am hairy. And have masculine features since puberty in the worst way possible even grown a full beard never had period. Turns out it wasn’t PCOS at all and was never told I have both male and female chromosomes. No one will touch this.

[@Sheshe661972]

Oh, bless your heart. Your entire life of not knowing... I cannot even imagine. When I first started my HRT, no one near me offered the service. I am thankful for the internet and Google; I was able to find a doctor about 60 miles away, but she has been well worth the drive and the investment for my better self.

[@marilynrichardson2070]

This was extremely important information. Unfortunately you got the the unit of measyue reversed for E2 and T. T is measured in ng/dL while E2 is pg/mL. Otherwise -great presentation.

[@DoralinDAN]

In another of her videos in regards to levels, Dr Susan also mentions testosterone is best between 100-150 PG/ML units, as I took notes, she is consistant with this unit of measurement for testostosterone. As I needed to convert this via online testosterone conversion calculator, as different labs use different units to take to my hrt provider.

[@jameskozlowski5496]

150 would be way to high in that unit of measurement of pg/ml. That would be 1500 ng/dl ad that level would be 500 over normal range fpr a 25 year old male. 100 to 150 is a good range in ng/dl units. Which would be 10 to 15 pg/ml

[@Srmisterio27]

My wife Testosterone level was 75 ng/dl back in 2022 and doctor said it was high because it was above normal range of 9-55, but biote website says optimal Testosterone should be 150 to 250. So confused 🤦

[@Srmisterio27]

At that test time she was 27, now 37 and a testosterone of 40. Symptoms testosterone related or just hormonal in general: moodiness, poor sleep, super low libido (she wasn't like that ever), tired all the time.

[@tdane5017]

150-250 is way too high for a woman. Not many women have natural levels like that at any point in their life.

[@jenniferv271]

Progesterone also stops t from aromatising into e2

[@kabsatdajaj]

Where can I find this litetature.?

[@RS-xl9tk]

Can u talk about how u figure out what’s a good level of testosterone for women and how to figure that out?

[@diannechristino]

So, what if your doc won't prescribe testosterone, where could I get it? It's nearly impossible to find an informed physician regarding this and I really cannot afford an out-of-pocket physician... :-(

[@seneca132]

Thank you for all this infor. Went to see a doctor and when I asked for testosterone her reply was " testosterone won't solve relationship issues" 😡🤯 and reminded me it's not FDA approved. She wouldn't even let me speak. It's my 2nd time seeing a doctor who completely dismisses my concerns and is even condescending. Awful experiencences. Awful.

[@frangonzalez4499]

I have been on HRT for a few years but have had to lower the testosterone level due to increased hair growth on my face, stomach and breasts. Then my libido, etc went down. I have tried other meds to enhance sexual function but they don't work as well as testosterone. I am in a quandary as to what else to do. Seems my doctor has run out of options. Can you suggest anything else to improve my libido?

[@lf7065]

Exercise!

[@Cateater123]

Testosterone and hair is not a male thing , it's for women as well . Dont let people fool you into thinking you less of a woman for having T . Males have more T because we have evolved that way due to the lifestyle

[@1245JL]

You could try PT-141. Its a peptide.

[@jamieross1613]

I would guess you're doing single dose of Test too far apart - and not small regular doses. A high single dose is the cause of aromatisation. Smaller doses replicating your normal physiological pulses reduces the aromatisation caused by a big dose, which will then be followed by a big drop until you dose again. Smaller dose taken more often over large dose far apart is the key to reducing side effects.

[@tdane5017]

@@Cateater123there are some socially acceptable norms. Most women do not like having hair all over their face and chest with a deep voice with height test levels. Just like men don’t like having breasts with low testosterone/high estrogen ratios.

[@msm1309]

🙏 Thank you !

[@heathermoultrup1168]

Why are CEs mandated if it takes a Dr 18y to adopt a new practice?

[@heathermoultrup1168]

What prevents the testosterone pellet from converting to estradiol once ingested?

[@Stefania-v8u]

I am confused.I thought estradiol is measured in pg/ml and testosterone in ng/ml

[@cherylfluege3345]

Such vital information for now and future generations of women

[@trochantermainsign8874]

Estradiol doesnt help the bone building cells. YOU NEED ENOUGH PROGESTERONE FOR YOUR BONE BUILDING CELLS. DO NOT IGNORE PROGESTERONE IF YOU WANT STRONG BONES

[@j.6887]

What is worse ? - having too much of Testosterone or too much of Estrogen? I suspect that I have hormonal imbalance and I am thinking of taking DIM but I am not sure if it would be a good idea. My goal in DIM supplementation is to prevent CIN3 from progressing into cancer. I am 39, I have Hypothyroidism and Hyperprolactinonemia. I recently have been diagnosed with severe dysplasia CIN3 and soon will have 2nd LLETZ. I have always suspected that I have hormonal imbalance, have measured my estrogen and progesterone levels many times and the results were inconsistent (sometimes there was too much of E, sometimes too much of P) but I consistently have high levels of Cortisol, Prolactin and Testosterone. Is DIM a good idea? I am afraid that since it inhibits aromatase I might end up having even more Testosterone :-(.

[@tammiestarks6464]

Please do not take Dim. It will completely tank your estrogen and then you will have more side effects. I am not a Dr, just a person on hormones for 7 years and have been reading about this for 7 years. Please do much more research on Dim.

[@soniaf7794]

I was told by a ginecologist that menopause women start getting facial hair because the level of estrogen declined, making testosterone ratio to increase. In other words, it makes testosterone more predominant in menopausal women. To me, it makes sense that high levels of testosterone are not good for us because we do not want male characteristics. (unless you like that kind of thing).

[@helenalovelock1030]

Testerone decreases too

[@soniaf7794]

@@helenalovelock1030 this is what I found in google: "What happens if testosterone is high in females? Some women with high testosterone levels develop frontal balding. Other possible effects include acne, an enlarged clitoris, increased muscle mass, and deepening of voice. High levels of testosterone can also lead to infertility and are commonly seen in polycystic ovarian syndrome (PCOS).May 4, 2022

[@Dzulcic]

Curious if there are increased efforts to re educate doctors on the benefits of hrt?

[@idragonfly]

Sure wish there was a testosterone patch available for women. I'm not too keen on the pellet route - due in part to - not only the cost, but also for the fact that once placed, you can't just go in and remove it .. should you experience an adverse reaction to it. Other than that, I'm very interested on this topic .. hope to see more. :)

[@drsusan]

If you think about it, you cannot have an adverse reaction to something that you've had in your body all of your life, but the only problem you would have is if you got too much ...so very critical to find a provider who knows how to dose correctly and then you will be just fine!

[@randomroses1494]

There is a Testosterone patch currently being trialed in the UK which is due to become available “soon”. Also, there is a gel (called Androfem)which is prescribed. You do need to get tested when using it as individuals react differently and having the right levels is essential.

[@idragonfly]

@@randomroses1494 Good to hear. Will keep an eye open for said Testosterone patch .. that is .. if it makes it to the USA without being squashed by the FDA. :/ As for the AndroFem cream, I've got that on my list of things to follow up on with my doc, should my labs prove a need for a bit more T. and the patch is not available for a while. Once again, thanks for the heads-up. Aloha

[@randomroses1494]

@@idragonfly There’s a very interesting and revealing interview on KZbin about HRT between Davina McCall and Dr Louise Newson, who is a big campaigner for HRT in the U.K. and also runs a series of clinics. Apparently, there was a Testosterone patch in the past, but the company that made it went bust and the U.K. regulators removed their approval for it for some weird reason. One other thing, I have discovered recently that chemists in this country are now selling Testosterone gel for women without the requirement for a prescription! They also sell testosterone home testing kits. The times they are a changing ! (hopefully for the better). kzbin.info/www/bejne/hYatYnikntBmr80 Enjoy!

[@ymuc129]

@@randomroses1494 is the Androfem prescribed in the states?

[@debbietalbert959]

Incredibly informative! Thank you so much! My testosterone level was 17. I feel absolutely horrible. All the symptoms of low testosterone. My thyroid level is a little low although I’m on T3 I feel better when it’s getting close to the top of the range. So between the two I have no quality of life. Just got my blood tested and seeing my primary next week about my thyroid. The last time I mentioned we should put me back on some testosterone he said he didn’t think it was important and just take more DHEA lol With no sex drive I imagine he would be on testosterone. My gynecologist started me on a very low dose cream I really don’t have money for pellets and I don’t think she does them. My primary has been dosing my sex hormones also. I’m starting to explore other alternatives and especially now, as I can see, he lacks a lot of skill and what he’s doing . Basically keeping me far from optimal . It helps so much having that knowledge that you are imparting to me. It helps me understand why although I’m paying for hormones I still don’t feel well. Just shared this video and one other with my best friend today. Thank you for helping us all!

[@trochantermainsign8874]

Just some food for thought. You may have extremely high SHBG sex hormone binding globulin. This can be measured by blood work. High SHBG can bind so much of your T of 17 that your free T is almost nonmeasurable. It is primarily free T which the body uses effectively. You may be a woman who might need a total T of 100 which would be a level even hormobe doctors would be afraid to give. Also...if you are low in progesterone and vitamine D3 and zinc and boron; that could also make testosterone not work well.

[@cilitagaspar2132]

Which one is the one we should test , free T or just T, ? I would love to know

[@jessicaganzermiller5091]

I’m 38 and just had hormone testing done. My testosterone level is 4… unfortunately the only thing that was offered was a prescription to increase libido.. ok that’s great to help with sex but what about everything this is effecting outside of sex 😢

[@wildflower7321]

What did they give you?

[@tabithacaudle4075]

I was on testosterone for 11 years, then we moved to a different province for work- I can't get it anymore & like really sucks for me.😢 I'm foggy, no drive, no sex, blah about life & kinda of depressed, balding & I don't have to shave anymore but the dr thinks that's aging 😤😡

[@Russellviews]

Buy it black market

[@mistyrose7511]

What about enlarged clitoris when on testosterone? I just started taking it and I'm really nervous about that. I don't want it to get big.

[@vanezataylor3939]

This is great info, however, how does it work if i don’t have ovaries or no longer produces estrogen?

[@Teresa-pg7wb]

Test for the win!!

[@drsusan]

🎉🎉

[@paulohlsson27]

Hi Teresa, how's your day going with you?

[@jillmoore3073]

I have mgd and found out that low androgen levels can cause this. I'm on bioidentical hrt and it's been a game changer for me it does have testosterone in it but I'm wondering if I need a bit more for low libido and for my dry eye mgd? How much is recommended?

[@polinaleyfer7915]

My estrogen level is low. My doctor told me to take a break from taking birth control to see if my estrogen level woul go up. I asked to go on small dose of steroids but my doctor told me it causes heart attacks in women and I would grow hair on my face.

[@crystalsanchezTV]

A nanogram (ng) is 1,000 times bigger than a picogram (pg). Please fact check!

[@JulytheGarno]

Hello dr from canada thank you for alllll the information may i ask what is pallet ? i take estrogen topic and progesterone has pils but i ear you say often pallet is it a different way to absorb the hormones thank you ?