Low Testosterone in Women
Low Testosterone in Women

Low testosterone in women and those who were assigned female at birth (AFAB) can cause mood swings, decreased libido, and weakness in the muscles, among other symptoms. Although testosterone is typically linked to men, it is also very important for women’s health and well-being. 

Managing the effects of low testosterone on one’s physical and mental well-being requires an understanding of the condition’s causes, signs, and available treatments. An overview of low testosterone in women, including its diagnosis, causes, and treatment options, is given in this article.

What is low testosterone in women?

One androgen hormone that is essential to the body is testosterone. Although the highest levels are produced by men and those who are designated male at birth (AMAB), women and persons who are AFAB also need testosterone, albeit in smaller amounts. Naturally, testosterone levels start to drop as people get older. 

On the other hand, low testosterone can strike at any age. To find the levels of testosterone, a blood test is required. The adrenal glands, ovaries, and other tissues all create testosterone. Testosterone imbalances can affect other sex hormones as well as general health.

Many treatments for low testosterone lack regulation and comprehensive research, and the consequences of testosterone on women and AFAB individuals are not entirely recognized. Treatment decisions ought to be made after consulting a healthcare professional.

How does testosterone impact a woman’s body?

Testosterone significantly affects:

Sexual Desire: It fuels libido and arousal, which in turn affects one’s general sexual health. 

Bone and Muscle Health: It lowers the risk of osteoporosis and muscle atrophy by preserving bone density and muscular strength. 

Mood and Energy Levels: It influences mood and cognitive processes by promoting emotional stability and vigour. 

Menstrual Cycle and Fertility: It contributes to the maintenance of reproductive health by controlling the menstrual cycle.

Symptoms of Low Testosterone in Women

A blood test is necessary to diagnose low testosterone, yet some symptoms can indicate a lack of it: 

  • Diminished Sex Drive: A discernible decline in arousal and sexual desire.
  • Chronic Fatigue: Extended periods of exhaustion and low vitality.
  • Decreased Muscle Strength: A reduction in both general physical strength and muscle tone. 
  • Fertility Problems: Infertility or trouble becoming pregnant.  
  • Menstrual irregularities: erratic or unpredictable cycles of menstruation.
  • Vaginal dryness: Less lubrication causes discomfort during sexual activity. 
  • Emotional instability, including mood swings, anxiety, and depression. 
  • Hair Thinning: Profound hair loss or thinning. 
  • Changes in Skin: Brittle, dry skin.  
  • Sleep Issues: Having trouble getting to sleep or remaining asleep.

Causes of Low Testosterone in Women

One major contributing factor causing Low Testosterone in Women is ageing, as menopause sharply lowers testosterone levels. Given that the ovaries are a primary source of testosterone, surgical ovarian excision (oophorectomy) also results in decreased production. Additional reasons consist of: 

Genetic Disorders: Ovarian development is impacted by diseases such as Turner syndrome. 

Pituitary Tumors: Pituitary gland growths that interfere with hormone homeostasis. 

Cancer Treatments: Radiation and chemotherapy affect the production of hormones. 

Glandular Insufficiency: Testosterone levels are impacted by ovarian or adrenal insufficiency. 

Nutritional Deficiencies: The production of hormones is decreased by malnutrition, which includes disorders like anorexia. 

Hormonal Imbalances: Stress-induced amenorrhea or elevated prolactin levels (hyperprolactinemia) impact testosterone.

Early Menopause: Menopause that begins too soon, before the age of forty. 

Medication: Opioids, corticosteroids, antiandrogens, oral estrogen treatment, and hormonal contraceptives can all reduce testosterone.

Diagnosis and Tests

A comprehensive physical examination, discussion of symptoms, and hormone-level blood testing are all part of the diagnosis process. Because the symptoms of Low Testosterone in Women might coincide with those of other illnesses, including depression, thyroid issues, and anaemia, diagnosing it can be difficult. 

Normal testosterone levels are age-dependent and do not have a single norm. Levels begin to drop in the 30s and decrease with age. Healthcare professionals assess testosterone levels within age-specific ranges.

Management and Treatment

Due to a dearth of FDA-approved medications and a paucity of data, treating low testosterone in women and AFAB persons is contentious. Medical professionals may employ testosterone therapies intended for males, which necessitate cautious dosage modifications for female patients.

Treatment options include:

Intramuscular: injected straight into the muscle. 

Pellets: Subcutaneous implants that release testosterone gradually. 

Topical Applications: Skin-applied gels, creams, and patches. 

Oral Medication: Administered as pills or capsules. 

Another option to treat Low Testosterone in Women is to take DHEA supplements, which are not governed by the FDA but are a precursor to testosterone. Before beginning any therapy, it is imperative to discuss potential risks and benefits with a healthcare provider.

Risks of Hormone Therapy

It is important to closely monitor any possible negative effects of testosterone therapy: 

Skin Conditions: Male pattern baldness and acne. 

Hair Growth: Unwanted areas experiencing excessive hair growth. 

Changes in Voice: A deeper tone. 

Changes in the genitalia: larger clitoris.

Women need testosterone because it affects their energy levels, sexual health, and general well-being. Seek medical attention at Risaa IVF if you exhibit low testosterone symptoms. There are therapy choices, but they come with hazards and are not FDA-approved. To make an informed choice, go over all of your alternatives with your healthcare professional at Risaa IVF.

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