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The above symptoms are normal for perimenopause days. It's naturally normal.
You do not need testosterone gel at all.
The lack of sexual desire generally goes down, but it shouldn't be treated with harmonal supplements or gels.
It needs to be treated in a holistic approach to restore your harmonal imbalance and increase libido.
It can be well treated with counseling sessions and homeopathic medicine effectively and without any side effects.
You need an expert sexologist who is a good homeopathic physician.
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I have been working as an expert Sexologist and homeopathic physician for the last 17 years of experience. You can contact me through an online appointment for further assistance.
Answer by Dr. Jitesh Bhatt MD (for 48 yrs female – perimenopause, low energy + low libido)
Yes — testosterone can help in some women, but only in a specific situation:
✅ Best evidence is for:
Low libido / low sexual desire (HSDD) in peri-menopause or menopause.
❌ Not recommended mainly for:
General tiredness / low energy
Weight gain
Mood swings
“Anti-ageing” purpose
⭐ Before starting testosterone, check these common causes first
Many women at 48 have low libido due to:
Poor sleep
Stress / anxiety
Relationship fatigue
Vaginal dryness / painful sex (very common in peri-menopause)
Low Vitamin D / B12Thyroid imbalance
Iron deficiency (Ferritin)
Depression or antidepressants
So ideally do basic tests first.
✅ If testosterone is needed — what form is safest?
✔️ Low-dose transdermal testosterone (gel/cream) is preferred.
⚠️ Avoid injections in women (high side effects).
✅ Dose (important)
Women need very tiny doses.
Most guidelines use:
👉 0.5 mg to 1 mg testosterone per day (maximum ~2 mg/day in selected cases)
This is roughly 1/10th of male dose.
About brands
In India, most available testosterone gels are male-strength (like 1% gel).
So women usually require micro-dosing, which must be calculated carefully.
📌 That’s why I do NOT advise selecting brand/dose without doctor supervision, because overdose can cause permanent side effects.
⚠️ Side effects if dose is high
Acne / oily skin
Facial hair
Hair fall (male pattern)
Voice deepening (can become permanent)
Increased aggression/irritability
Clitoral enlargement (rare but serious)
Cholesterol changes
Monitoring (must)
If started, follow-up is needed:
Baseline testosterone level (optional but useful)
Lipid profile
Liver function
Review after 6–8 weeks
Stop if no benefit by 3–6 months
My clinical suggestion
✔️ If libido is the main issue → testosterone can be tried only after ruling out thyroid, Vit D/B12, iron, stress, and vaginal dryness.
✔️ If energy is the main issue → focus more on:
Thyroid, Vit D, B12, Ferritin
Sleep quality
Perimenopausal hormone balance (often estrogen/progesterone plays a bigger role)
Disclaimer
This is general medical guidance. Testosterone in women should be used only under a doctor’s supervision because the dose is extremely small and overdose can cause long-term side effects.
Hello ma'am
There are phases of sexual health through out the life
Where sometimes one gets such feeling
These feelings can be improvised with the help of counselling and medicines if required for improving sexual health
Next Steps
kindly contact me on. seven nine seven. four six zero eight one nine nine or. kindly consult. online for further. management and treatment
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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