January 10, 2017 I haven’t written much lately about testosterone pellets, but I was recently reminded by a FEMALE patient and friend of mine how powerful these little bad boys are. She absolutely loves her pellets and so do a lot of my other patients, and for good reason. Testosterone pellets have many potential benefits for both men and women. It makes sense that they would help men, but most people don’t realize that women need testosterone, too. A woman’s normal total testosterone blood level is about 1/20 the level of an average male. But even at that low level, good things happen. For example, testosterone maintains libido and healthy sexual response including raising the intensity of orgasms. But it also helps maintain energy, drive, good mood, strong bones, mental clarity, and healthy skin. The prevalence of sexual dysfunction among all women is estimated to be between 25% and 63%, and the prevalence in postmenopausal women is even higher, with rates between 68% and 86%. And testosterone depletion plays a major role in that. Testosterone levels in women decline steadily after your 20’s. A woman’s average level in her 40’s is about half of what it is in her early 20’s. Half of it comes from her ovaries and half is from conversion of hormone precursors done elsewhere in the body. But that changes in menopause so that most comes from peripheral conversion of precursors like DHEA. Also, as a woman ages, she produces more SHBG, which is a protein in the blood that ties up testosterone making it unusable. And the third thing that causes this hormone to decline with aging is the gradual steady decline in the blood of precursor hormones like DHEA. So as a woman ages, she has three strikes against her in her efforts to maintain robust levels of testosterone. Someone once said that your hormones don’t go down because you’re aging, but you age because your hormones go down. Actually, I think both are true. It’s like a vicious cycle. So if you or your doctor measures your testosterone level, and it’s low, what can you do? You have 3 options, but really only 2: Testosterone pellet implants – These are the size of a cooked long grain of rice. One or two are painlessly inserted under the skin of the lateral buttocks every 3-6 months. They slowly release hormone, and even can release more hormone when it’s needed like when working out. They leave no residual. Scars are minimal and hidden beneath the location of a bikini. You can stay on pellets for many years without a problem. But I usually have women stop them when they turn 90. Testosterone gel or cream – Compounding pharmacies are all over these days, and that is who makes it for you according to my exact specifications. You just smear it on every day after you shower or before bed. There are testosterone pills, but I do not recommend using them. I am amazed and delighted at how much patients love their testosterone therapy, and actually often drive long distances to get their pellets! Maybe you know someone who could benefit, too.