Women And Testosterone

Stephen D. Harrison
March 18, 2026
We are accustomed to thinking about testosterone as primarily, a male hormone. While scientist have long recognized the presence of testosterone in women, it has not received as much attention in some circles as might be beneficial. Gary DONOVITZ has made the case that testosterone matters more than estrogen in a book is entitled, Testosterone Matters… and More
The first point he makes is that testosterone helps the majority of symptoms in menopause. This includes well-being and energy as well as many other functions that trouble women during that time. This includes hot flashes, heart issues sleep issues, mood issues, bladder problems. Furthermore, testosterone helps memory issues as well as sexual performance and vaginal dryness which are often part of this picture.
We must keep in mind that heart disease is the number one killer among women. This will not be the time to go into the different clinical presentations that women may experience differently from men, but to emphasize that they both share the same number one disease killer aspect. This process begins around the menopause time. A big contribution is the depletion of testosterone that contributes to this. This correlates with increased heart disease and heart attacks.
The next issue is that of Alzheimer’s and memory disease. Testosterone has a positive role in retaining memory and preventing the manifestation of Alzheimer’s. We must keep in mind that the original presentation of the first Alzheimer’s patient by Dr. Alzheimer was a female in her 40s. Personality changes may accompany this as well. The performance of daily mental tasks often becomes more difficult. All of this is accelerated by diminishing testosterone and reversed by its replacement.
Osteoporosis is the thinning of the bones that is accelerated at the menopause timeframe. Like the above conditions, it is also accelerated by the loss of testosterone. Closely related is muscle mass loss, and joint pain. This is another issue, accelerated by diminishing testosterone and greatly helped by its replacement. Furthermore, the opioid pain medicines commonly used for many people with advanced pain also contribute to diminished testosterone. Fibromyalgia and osteoarthritis are also helped by testosterone.
While there is some strong evidence that hormone measures related to estrogen and problems such as breast cancer and heart disease were overhyped in a now questionable report regarding hormones around the year 2000, we would like to point out the protective aspect of testosterone. There’s good evidence that testosterone helps to guard against breast cancer. Since this is one of the several myths of testosterone, we will present other ones.
Number one is that testosterone is merely a male hormone. Number two is that testosterone only rule in women is for the sex drive. Myth number three is that testosterone Will masculinize women. Myth number four is that testosterone can lead to voice changes and hair loss. Myth number five is that testosterone damages the heart and liver. Myth number six is that testosterone replacement causes aggression. Myth number seven is that the safety of testosterone has not been established.
to be sure, there are some forms of hormone replacement, including testosterone that are much safer than the traditional pharmaceutical medical routes. This includes the recommended micronized pellets which are implanted in the skin to have an effect for 3 to 4 months before repeating the process. Along with the balance of the sex hormones, it is important to get the right type of thyroid replacement. Once again, the medical profession will promote their synthetic derivative over the natural form that most complementary doctors employ. Make sure that you speak for your choices when you are negotiating for your health.
Stephen D. Harrison, M.D.
Dr. Harrison is an experienced physician with decades of practice in family medicine and medical leadership. He shares insights on preventative health, nutrition, and evolving medical research.