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Medical News & Perspectives
January 22, 2020

Which Postmenopausal Women Should Use Testosterone for Low Sexual Desire?

JAMA. 2020;323(6):493-495. doi:10.1001/jama.2019.22070

Sarah uses kitchen measuring spoons to dispense just the right dose—between a pinch and a smidge—of testosterone gel formulated for men to treat her low sexual desire. “This is an absurd way for women to get testosterone therapy,” acknowledged 58-year-old Sarah’s physician, Sharon Parish, MD, a professor of clinical medicine at Weill Cornell Medical College in New York City. But with no female-tailored testosterone product on the market, it’s a necessary workaround.

Parish and an international group of researchers recently published a position statement on female testosterone therapy. In line with these first global recommendations, Parish advises some of her postmenopausal patients with low libido like Sarah to use one-tenth of a male dose to approximate their premenopausal testosterone levels.