Blood levels alone cannot confirm safe testosterone dosing. Asking about androgenic effects and allowing months for response are central to care.
|Articles|May 11, 2011
Sound Off: Are Treatments Commercially Motivated?
Author(s)Cyril van Gelderen, MD
I am so afraid that so much of what we use, both surgically and medically, is driven by the commercial motive.
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I am so afraid that so much of what we use, both surgically and medically, is driven by the commercial motive. A lot of material is applied long before there is any evidence of its efficacy, and it does not retreat when the evidence fails to confirm efficacy.
Think about prosthetic materials, CTG's and a host of other interventions.
Cyril van Gelderen, MD
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A global consensus defines what the evidence supports for testosterone in women. Benefits for strength, mood, and cognition lack randomized data.
A testosterone patch improved sexual desire in trials but never won US approval. Normal female physiology defines what replacement should target.
The WHI never studied testosterone, yet it chilled conversations about every hormone, with lasting consequences for women’s sexual health.
As estrogen came to define menopause care, testosterone faded from view, and the oral combination clinicians relied on was never FDA approved.
Androgen therapy for women predates the headlines by decades. Early research showed promise for desire, but long-term safety data never caught up.
Liudmila Zhaunova on a global Flo app study linking higher physical activity to lower perimenopause symptom burden.
The 16-item Perimenopause Symptom Scale showed strong reliability and validity among 1255 women aged 35 to 59 years in the United States.
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