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Let’s All Talk Menopause is here to share informative, positive and practical support you can trust. We bring together leading experts and clinicians to guide anyone going through the menopause.

Our series of evening online talks covers the topics that matter most — from diet and nutrition, sex, sleep, ovarian cancer, endometriosis and hysterectomies to hot flushes and night sweats, brain fog and memory issues, skin and hair health, gum disease, headaches, migraines and vaginal symptoms.

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# Understanding Testosterone's Role in Women's Health and Menopause

We had the pleasure of hosting Dr. Sam Brown, a seasoned NHS doctor with over two decades of experience and a special focus on women's health and menopause care.

### The Misunderstood Hormone: Testosterone

Testosterone is not just a male hormone; it plays a significant role in women's bodies throughout their lives. The ovaries and adrenal glands produce it and is present in amounts three times that of oestrogen. Its decline starts around the ages of 30-45 and continues thereafter, with a sharp drop in cases of surgical menopause.

### Symptoms of Low Testosterone

Women may experience symptoms such as low libido, fatigue, loss of joy, decreased muscle strength, sleep disturbances, and brain fog, which can sometimes be difficult to distinguish from low oestrogen levels. While the medical community has evidence supporting testosterone's use for low libido, anecdotal reports suggest it may also improve energy, mood, and cognitive function. However, more research is needed in this area.

### Prescribing Testosterone

Testosterone can be prescribed by GPs, usually alongside hormone replacement therapy (HRT). It's not typically given by itself, as it works better in conjunction with HRT. Before prescribing, doctors often conduct blood tests to ensure adequate oestrogen levels and that testosterone isn't already high, which could lead to side effects.

### Treatment Options

All current treatment options for testosterone in women are unlicensed in the UK, meaning they haven't been specifically approved for this use. However, this is common practice for many medications and is not indicative of safety concerns. Options include imported treatments and those designed for men, adjusted for female use.

### Side Effects and Long-Term Use

The most common side effects include acne and hair growth around the application site. More serious but rare side effects could involve voice changes and facial hair growth if levels become too high. There's no definitive answer on how long women can safely use testosterone, as long-term studies are lacking. However, many women report significant quality-of-life improvements while on testosterone.

### Annual Reviews and Monitoring

It's crucial to have annual reviews with a healthcare professional to assess the benefits and risks of continued testosterone use. Blood tests are recommended to monitor levels and ensure they remain within the female range.

### Conclusion

Testosterone therapy can be a game-changer for some women experiencing menopause, particularly those with low libido and energy. It's essential to approach this treatment informed and in consultation with a healthcare provider who can guide you through the process and monitor your health.

Remember, if you're considering testosterone therapy or have any concerns about menopause symptoms, consult with your GP or a menopause specialist like Dr. Sam Brown. Your health journey is unique, and it's important to find the right balance and treatment that works for you.
