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Do Women Need Testosterone for Optimal Health?

WOMEN'S HEALTH & WELLNESS

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Elite Health HRT

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When it comes to hormones, it’s a common misconception that women only need estrogen and men only need testosterone. In reality, testosterone plays a variety of key roles in women’s physical and mental health. 

As a matter of fact, women actually produce more testosterone than they do estrogen. 

Throughout this article, we’ll cover the impacts testosterone makes, explore common symptoms and causes of imbalance, and offer a few suggestions in case you’re experiencing signs of hormone imbalance. 

 

Contents

Do Women Really Produce More Testosterone Than Estrogen?

You might’ve been surprised to learn that women actually produce more testosterone than they do estrogen. This can sound counterintuitive given the hormone’s association with male characteristics, but the ovaries do indeed produce more testosterone than estrogen.

It’s easy to overlook this in lab analysis since estrogen is measured ‘picograms per deciliter’ (pg/mL) while testosterone is measured in ‘nanograms per deciliter’ (ng/dL). To illustrate this, consider a women in her 20s. The clinical range for normal testosterone levels would be 15-70 ng/dL. Even when estrogen peaks during an ovulation cycle, it’d likely be in the 130-370 pg/mL range. 

If you measure estrogen in the same unit as testosterone, it’d be 0.13-0.37 ng/dL. This highlights how potent estrogen can be – even in small amounts. 

Enough math for now. Let’s review the roles testosterone plays in women’s health.

 

Understanding Testosterone's Role in Women's Health

In women, testosterone receptors can be found in cells throughout the body. This includes muscle, bone, skin, and especially the brain. When the ovaries produce testosterone, it then flows through the bloodstream and binds to these cell receptors to exert its effects. 

If you’re new to terminology about the endocrine system, you might find it helpful to read “What is the Endocrine System (And Why Care)?” 

Maintaining Lean Muscle and Bone Density

Cells in both muscles and bones are equipped with receptors specifically for testosterone, known as androgen receptors. When testosterone binds to an androgen receptors in muscle cells, it then stimulates the growth of muscle fibers and promotes protein synthesis. This is important for maintaining lean muscle and repairing the muscles after a workout or injury. 

Similarly, testosterone plays a vital role in bone repair – especially after resistance training. In the same way that weight training causes small tears in muscle tissue, it also creates tiny microscopic fissures in the bones. 

During post-workout recovery, the body releases on cells called osteoplasts to repair the ‘microcracks’ in the bones. These cells lay down new minerals to remodel and strengthen the bone. Testosterone is responsible for enhancing the activity of these osteoblasts – making the hormone essential for maintaining bone density 

Regulating Metabolism and Weight

Testosterone influences the metabolism in a number of ways. First, it helps to maintain muscle mass. The more lean muscle your body has, the higher your resting metabolic rate (RMR) will be. 

While testosterone helps reduce the accumulation of fat, it also affects where fat is stored. The hormone reduces the buildup of visceral fat, which refers to fat stored around internal organs (which is also associated with a variety of health risks). 

Testosterone also impacts insulin sensitivity, which refers to your body’s ability to use glucose for energy. Individuals who are more insulin sensitive also minimize the conversion of unused glucose into fat storage. When the cells are insulin resistant – individuals will are more likely to accumulate extra fat and will be prone to Type 2 diabetes

Stabilizing Mood & Cognitive Function

Androgen receptors are found throughout various regions of the brain. One notable example is the hippocampus, which is responsible for memory and learning. Testosterone helps support the formation of new neural pathways – which then supports the ability to process, store, and recall information. 

Testosterone also plays a role in regulating well-known neurotransmitters like dopamine and serotonin. These are both vital for maintaining focus, managing stress, and regulating mood. 

Influencing Libido & Reproductive Health

Testosterone influences another region of the brain known as the hypothalamus, which is important for the psychological factors in maintaining sexual desire (ie libido). 

It also affects the physiological aspects of sexual arousal. Without ample testosterone levels, women often report vaginal dryness and pain during sex. 

Testosterone’s influence even extends to fertility. It supports ovarian function and plays a role in the maturation of follicles and the release of eggs – which is crucial for maintaining a healthy menstrual cycle. 

Recognizing Symptoms of Testosterone Imbalance in Women

Now that we’ve reviewed a few of testosterone’s roles in women’s health, it’s easier to see why low testosterone can be detrimental. We examine the various symptoms in further depth in the article, “Women’s Wellness Alert: 10 Tell-Tale Signs of Hormone Imbalance.”

For women navigating perimenopause or menopause, here’s a quick look at the most common signs of low testosterone:

  • Brain Fog: Often characterized by difficulty concentrating or memory lapses
  • Unexpected Weight Gain: Increased body fat, particularly around the abdomen
  • Muscle Loss & Fatigue: Difficulty building or maintaining lean muscle, accompanied by a lack of energy 
  • Difficulty Managing Stress: Challenges with anxiety, depression, or mood swings
  • Loss of Bone Density: Women with low testosterone are more prone to osteoporosis
  • Low Libido: Minimal sex drive and arousal

Potential Causes of Testosterone Imbalance

Several factors can contribute to testosterone imbalance in women. To a large degree, it’s ‘natural’ for women navigating perimenopause or menopause to present symptoms of low testosterone since the ovaries produce lower levels. Just 

There’s also quite a few unnatural causes of low testosterone, which are discussed in articles like, “Endocrine Disrupting Chemicals: 5 Things You Need to Know” along with “Did ‘The Pill’ Cause a Hormone Imbalance Crisis in the US?.

Lifestyle factors also play a huge part in overall hormone balance. Chronic stress, poor eating habits, irregular sleep, and a sedentary lifestyle can easily derail your body’s ability to regulate hormone levels. 

Clinical Treatments & Lifestyle Interventions for Low Testosterone in Women

At Elite Health HRT, it’s no secret that we’re advocates of hormone replacement therapy as a treatment for hormone imbalance. If you’re experiencing any symptoms, we encourage you to seek medical advice and welcome you to book a free consult at our clinic.

Still, we view HRT as a single part of a more comprehensive approach to treating symptoms and achieving overall wellness. Here’s a few other recommendations for managing symptoms:

  • Nutritious Diet: Prioritize healthy protein along with organic whole fruits and vegetables. Also avoid ultra-processed foods containing seed oils, added sugars, and refined grains. 
  • Regular Exercise: Balance cardio with weight-bearing exercises and stretching. The combination of healthy cardiovascular function, muscle, bone density and mobility is essential for longevity. 
  • Healthy Sleep: While it’s easier said than done when life gets busy, it’s important to aim for at least 7-9 hours of sleep per night and maintain a consistent sleep pattern. 

We understand that these recommendations might seem quite obvious, and it can sometimes feel like following them is an uphill battle. If you’re feeling overwhelmed by symptoms, it’s worth getting your hormone levels tested. 

Taking the Next Step

At Elite Health HRT, we make it easy for women to understand their hormone levels by offering a comprehensive lab panel for a flat $125. During your first visit to our clinic, you can discuss symptoms with our nurse practitioner – and we’ll also draw blood samples for lab analysis. 

After lab results come in, our nurse practitioner will review your levels and share recommendations for potential treatment plans in your follow-up consult.  

You can click the link below to book your first appointment. Also feel free to reach out to our staff if you have any questions beforehand!

In-person consult with our lead nurse practitioner (15 mins)

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