Why Only 10-15% of Women Actually Need Testosterone | Dr. Fuhrman
Joel FuhrmanPublished on November 1, 2026
Summary authored by editor@wellifi.com
TLDR Summary
Testosterone therapy is frequently over-prescribed, with many patients unaware of their actual need. A careful evaluation of conditions like Hypoactive Sexual Desire Disorder (HSDD) is essential, and treatments should be monitored closely to ensure safety and efficacy.
Key Points
- Testosterone therapy is often over-prescribed, with many patients seeking it without a clear need.
- HSDD (Hypoactive Sexual Desire Disorder) is a significant factor for considering testosterone therapy.
- DHEA and estriol creams can help address low libido and related issues like vaginal dryness.
- Careful monitoring and individualized dosing are crucial for safe testosterone therapy.
Understanding Testosterone Therapy: Key Insights from Functional Medicine
Testosterone therapy has become a common prescription among many functional medicine practitioners, but is it necessary for everyone? In this article, we delve into the nuances of testosterone therapy, particularly focusing on its relevance for those with Hypoactive Sexual Desire Disorder (HSDD).
The Prevalence of Testosterone Prescription
Many patients seeking help from functional medicine doctors often arrive with a testosterone prescription already in hand. Surprisingly, studies suggest that less than 10-15% of people genuinely require testosterone therapy. However, the reality is that 50-80% of patients we see have already started testosterone therapy, often without fully understanding the reasons behind it.
Identifying the Need for Testosterone
Patients frequently come to us after experiencing fatigue or low energy, leading them to seek testosterone treatment. However, many overlook other crucial factors, such as diet and exercise, which can naturally boost testosterone levels. Our approach focuses on understanding the underlying reasons for a patient's low testosterone levels, particularly in cases of HSDD.
What is Hypoactive Sexual Desire Disorder (HSDD)?
Hypoactive Sexual Desire Disorder (HSDD) is characterized by a notably low libido that affects a person's quality of life and relationships. Individuals may not feel distressed about their low libido, but for some, it leads to significant interpersonal challenges. Common issues associated with low libido include vaginal dryness, which can make sexual activity painful, further diminishing desire.
Addressing Low Libido with DHEA and Testosterone
To address low libido, we often recommend using DHEA (Dehydroepiandrosterone) and estriol creams. These treatments can help alleviate symptoms of HSDD and vaginal dryness. Importantly, a small amount of testosterone is often included in these treatments, administered through a compounded cream tailored to the patient's needs.
Safety and Monitoring of Testosterone Therapy
When prescribing testosterone therapy, it is crucial to start with the lowest effective dose and to monitor patients closely. We conduct blood tests every 6 to 8 weeks to ensure that testosterone levels remain within safe ranges. These tests help us check both free and total testosterone levels, as well as lipid profiles and liver function.
The Risks of Testosterone Therapy
While testosterone therapy can be beneficial, it also carries potential risks. Patients may experience hair loss, changes in voice, increased risk of clotting, and elevated cholesterol levels. Hence, careful monitoring and individualized dosing are essential to minimize adverse effects while effectively addressing HSDD.
Conclusion
Testosterone therapy is not a one-size-fits-all solution. It is vital to assess each patient's unique situation and determine whether they genuinely need therapy. By focusing on proper dosage and continuous monitoring, we can help improve sexual desire and overall quality of life for individuals suffering from HSDD.
