Testosterone As An Aid To Libido

Dr N,

I read with interest your comments on the importance of testosterone in HRT therapy if one is experiencing low libido. I am 54 yrs old and had a complete hysterectomy at 48 due to a very large fibroid attached to my uterus. I started estrogen treatment right away and have felt fine physically but have experienced a big loss of desire and pleasure in the libido department. My ob-gyn suggested Estratest, a combo of testosterone & estrogen but I did not find any significant improvement. You suggested a different delivery system for the testosterone. Could that make a difference in the effect for me? I currently am on .625 Premarin daily…I previously enjoyed a healthy sexual relationship with my husband so this is a real bummer for both of us…..Please advise…Thank you.



Although Estratest is effective for some women who have a decreased libido following a hysterectomy I don’t prescribe it. There are more effective and safer options. The most effective would be hormone pellet implants of estradiol and testosterone. Other alternatives  would be injections of depo testosterone every 2 to 4 weeks depending on the dose used. Another option would be a compounded estradiol/testosterone gel. Ultimately, when all else fails, subcutaneous hormone pellet implants rarely fail to restore libido and sexual response.

Dr N

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Dr. N’s website provides Information on Bio-Identical and Natural Hormone Therapy, Hormone Pellet Implants, Compounded Hormone Gels, Patches and Creams. Dr. N has specialized in the care of menopausal women and hormone deficient men for over 30 years. His office is located in Southeastern Michigan. Call us for an office or virtual visit call (248) 644-7200