American actress Kate Winslet, 48, recently revealed that testosterone replacement therapy helped her “feel sexy again.” Speaking on the podcast “How to Fail with Elizabeth – Part 1,” Winslet said that many women experience a loss of libido due to a variety of health issues, including thyroid problems and low testosterone levels.
“Most people don’t realise that women produce testosterone and when that level drops significantly, it affects mood as well as reducing egg production. Replacing it is an option and can make a big difference. “I’ve experienced it myself,” she explained.
This has sparked debate about the use of hormones in women’s sexual health. Although testosterone is often associated with men, it also plays a key role in female physiology, especially for women experiencing menopause-related symptoms such as decreased libido. However, experts warn that testosterone replacement therapy (TRT) is not suitable for everyone.
To understand this better, the OnlyMyHealth team spoke to Dr Pooja C Thukral, Consultant Obstetrics and Gynaecology, Cloudnine Group of Hospitals, Faridabad.
Dr Thukral highlighted the complexities surrounding hormone therapy for women in India, saying, “In India, not as many women undergo hormone replacement therapy (HRT) as their Western counterparts due to the irrational fear of getting cancer. At this point in time, using testosterone as HRT seems unrealistic.” She added that Winslet’s decision could signal change, but still urged caution, saying TRT should only be undertaken under a doctor’s supervision after assessing each individual’s needs.
Understanding Testosterone in Women’s Health
Research shows that testosterone, often referred to as the “male hormone,” is produced in small amounts in women primarily by the ovaries and adrenal glands. It plays an important role in maintaining libido, bone density, muscle mass, and mood. Testosterone levels in women peak in their 20s and decline with age, which can lead to symptoms such as decreased libido, fatigue, and mood swings, especially during and after menopause.
TRT involves replacing your body’s natural testosterone levels via gel, patch, or injections. The goal is to restore hormone balance, thereby improving sexual function, energy levels, and mood. However, it’s important to approach this treatment with caution, considering both its potential benefits and risks.
Read more: Testosterone replacement therapy: Experts list benefits, risks, and what older men need to know
Why doctors around the world don’t recommend it
While Kate Winslet’s choice to undergo TRT has brought attention to the treatment, medical experts stress that it’s not generally recommended for women. “Testosterone replacement therapy is not a ‘one size fits all’ solution,” Dr. Thukral points out. “It should be considered carefully, especially for women.”
A major concern is that there is limited research on the long-term effects of testosterone therapy in women. Most studies have focused on men, and although some studies have shown that testosterone may improve sexual function in women, especially those with hypoactive sexual desire disorder (HSDD), there is not yet enough data to support widespread use.
Additionally, Dr. Thukral notes that the use of testosterone in women is currently considered “off-label,” meaning it has not been formally approved for this purpose by any regulatory agency, such as the FDA. Lack of regulatory approval means that its benefits and risks have not been fully evaluated in large-scale clinical trials. Therefore, women considering TRT should consult with their healthcare provider to evaluate the potential risks and benefits based on their specific situation.
Potential risks and side effects
While testosterone therapy can be beneficial for some, it can also come with risks and side effects. “Women need to have their testosterone levels monitored throughout treatment to keep them within the normal range and avoid androgenic side effects,” says Dr. Thukral.
Plus, “because women have lower-than-normal testosterone levels, even small increases can cause side effects like acne, hair loss, deepening of the voice, increased body hair and mood changes,” says Dr. Thukral. There are also concerns about the effect of long-term testosterone use on cardiovascular health and breast cancer risk, but more research is needed before any firm conclusions can be drawn.”
Read more: 4 Ways to Overcome Low Libido, AKA Low Sex Drive
Alternatives to Testosterone Therapy
For women experiencing decreased libido and other menopausal symptoms, testosterone therapy isn’t the only option. “Lifestyle changes such as improved diet, exercise, sleep, and stress management often have a big impact on sexual health,” advises Dr. Thukral. “Regular physical activity increases blood flow, boosts energy levels, and improves mood, all of which contribute to a healthier sex drive.”
“Psychotherapy, such as counselling or sex therapy, may also be effective in addressing the emotional and relationship factors that are contributing to low libido,” she added. For many women, libido is closely tied to emotional health and relationship dynamics, and addressing these factors may be just as effective as hormone therapy.
in conclusion
As Kate Winslet’s decision to undergo TRT continues to make headlines, it’s important to remember that hormone therapy is a complex and personal decision. “Women should seek guidance from their healthcare provider to make informed choices about their sexual health,” advises Dr Thukral.
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