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Testosterone therapy in women: Myths and misconceptions

Study Abstract

Although testosterone therapy is being increasingly prescribed for men, there remain many questions and concerns about testosterone (T) and in particular, T therapy in women. A literature search was performed to elucidate the origin of, and scientific basis behind many of the concerns and assumptions about T and T therapy in women.


This paper refutes 10 common myths and misconceptions, and provides evidence to support what

is physiologically plausible and scientifically evident: T is the most abundant biologically active female hormone, T is essential for physical and mental health in women, T is not masculinizing, T does not cause hoarseness, T increases scalp hair growth, T is cardiac protective, parenteral T does not adversely affect the liver or increase clotting factors, T is mood stabilizing and does not increase aggression, T is breast protective, and the safety of T therapy in women is under research and being established.


Abandoning myths, misconceptions and unfounded concerns about T and T therapy in women will

enable physicians to provide evidenced based recommendations and appropriate therapy.


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