The Clinical Management of Testosterone Replacement Therapy in Postmenopausal Women with Hypoactive Sexual Desire Disorder: A Review

    Maria Uloko, Farah Rahman, Leah Ibrahim Puri, Rachel Rubin
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    TLDR Testosterone Replacement Therapy can improve sexual health in postmenopausal women with low sexual desire, but more research is needed on its long-term effects.
    The review discusses the role of Testosterone Replacement Therapy (TRT) in treating Hypoactive Sexual Desire Disorder (HSDD) in postmenopausal women. It concludes that TRT is effective in improving sexual health and function in these women, but further research is needed to understand its long-term effects. The Global Consensus Position Statement endorsed the use of TRT in postmenopausal women with HSDD in 2019. However, its use is considered off-label as it's not approved by the FDA for this purpose. Transdermal formulations of testosterone are preferred due to their ease of administration and ability to titrate to physiological levels. Side effects include acne, hirsutism, and androgenic alopecia. If there's no improvement after 6 months, the treatment should be discontinued. The review also highlights the need for further research on the effectiveness of TRT in premenopausal women with HSDD.
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