Simon James A, Ohleth Kathleen
IntimMedicine Specialists, School of Medicine, George Washington University, Washington, District of Columbia.
Precise Publications, LLC, Far Hills, New Jersey.
Clin Obstet Gynecol. 2025 Mar 1;68(1):60-67. doi: 10.1097/GRF.0000000000000916. Epub 2024 Dec 18.
Testosterone levels vary throughout a woman's reproductive life, reaching their lowest level following menopause, and their nadir at about age 60, when they experience higher levels of sexual dysfunction. Testosterone improved the frequency of sexually satisfying events, desire, arousal, and orgasm in several randomized, controlled studies of surgically and naturally postmenopausal women. Available evidence from large cohort and registry studies does not show potentially concerning cardiovascular or breast safety signals with physiological levels of testosterone. Although no female testosterone products are currently approved in most of the world, one-tenth of the male dose can enhance female sexual function.
睾酮水平在女性的整个生殖生命周期中会有所变化,在绝经后达到最低水平,并在大约60岁时降至最低点,此时她们会经历更高水平的性功能障碍。在几项针对手术绝经和自然绝经后女性的随机对照研究中,睾酮改善了性满足事件的频率、性欲、性唤起和性高潮。来自大型队列研究和登记研究的现有证据并未显示生理水平的睾酮存在潜在令人担忧的心血管或乳腺安全信号。尽管目前世界上大多数地区尚未批准任何女性睾酮产品,但男性剂量的十分之一就能增强女性性功能。