From the Guidelines
For a female with low testosterone, an endocrinologist or gynecologist specializing in endocrinology/gynecology is the most appropriate specialist to consult. These physicians have specific training in hormone disorders and can properly diagnose and treat testosterone deficiency in women, as recommended for patients with persistently abnormal hormone levels or hypogonadism 1. The evaluation typically begins with blood tests to measure hormone levels, including total and free testosterone, DHEA-S, and other related hormones.
- Key aspects of the evaluation include: + Assessing symptoms such as decreased libido, fatigue, reduced muscle mass, or mood changes + Measuring hormone levels to confirm testosterone deficiency + Considering referral to reproductive endocrinology for infertility evaluation if applicable
- Treatment options may include testosterone replacement therapy, although it's crucial to approach this with caution due to the off-label nature of testosterone use in women in many countries.
- Regular monitoring every 3-6 months is necessary to check hormone levels and assess for potential side effects such as acne, hair growth, or voice changes, emphasizing the importance of specialized care for managing low testosterone in females, as suggested by guidelines for the assessment and management of female reproductive complications 1.
From the Research
Specialist for Female with Low Testosterone
To address low testosterone in females, the following specialists can be considered:
- Endocrinologist: A doctor who specializes in the diagnosis and treatment of hormone-related disorders, including testosterone deficiency 2.
- Gynecologist: A doctor who specializes in women's health and can diagnose and treat conditions related to low testosterone in females 2.
- Reproductive endocrinologist: A doctor who specializes in the diagnosis and treatment of hormone-related disorders related to reproduction and fertility 2.
Diagnosis and Treatment
The diagnosis of low testosterone in females typically involves a physical exam, medical history, and blood tests to measure testosterone levels 2. Treatment options may include:
- Testosterone replacement therapy (TRT): A treatment that involves replacing testosterone to alleviate symptoms of low testosterone 3, 4.
- Hormone replacement therapy (HRT): A treatment that involves replacing hormones, including testosterone, to alleviate symptoms of menopause or low testosterone 2.
Important Considerations
When considering treatment for low testosterone, it's essential to:
- Consult with a qualified healthcare professional to determine the best course of treatment 2, 3, 4.
- Discuss the potential benefits and risks of treatment, including the impact on sexual function, cardiometabolic variables, and musculoskeletal health 3.
- Monitor treatment regularly to minimize risks and adjust treatment as needed 4, 5.