It is true that some women do need to use testosterone supplementation for low levels of this hormone. I usually only see the need for testosterone treatment in those women who have a hormonal imbalance either from a disruption in the hypothalamic-pituitary axis or from chronic opioid use. The symptoms of low testorsterone are low libido, low energy, sweating and fatigue. But then again, I am not a menopause expert.

Menopause is entered naturally by the gradual decline of ovarian function or by surgical/chemical cessation of ovarian function. Without getting too heavy into the menstrual cycle, the ovary produces both estrogens and androgens (testosterone precursors). Thus, in order to replace hormones lost by the lack of ovaries, a doctor should address both the loss of estrogen and testosterone to be bio-identically correct.

Hormone replacement therapy is recommend to prevent osteoporosis within the first five years of menopause (natural or induced menopause). But, hormone replacement therapy this late into the menopause game is a bit controversial unless your friend was having intolerable menopausal symptoms.

Your friend should really be evaluated for fracture risk to determine what or if treatment for her bones is necessary. Your friend can also get a second opinion from a bone and mineral specialist who can evaluate the entire situation here.

Dr. Christina Lasich, MD