T. Essential for women to have healthier bones, energy, helps sleep and improves mood.

I was a participant in a 2025 study of testosterone on bone health in menopausal women in Monash University, Melbourne. The results will be available in a few months

I’m only 2.5 min into chat but after 8 years of sarcopenia and HSSD I started on 0.1 ml of androdeme in Australia and in 3 weeks I had my first gain in the gym rather than being stable or regressing for nearly a decade. I’m now up to 0.7 ml after a year and it’s unquestionable it would be helping my bones when I’m able to do so much more. I did a. Dexa and BMD 2 months ago and I had bones of a 30 year old at 49.

At 61, lower lumbar density increased by 13.92% over 2 years on HRT (testosterone, estradiol, progesterone) pellets. Hip density has stabilized.

T gave me my inner cougar back.

Btitish menopause specialist Dr Louise Newson is the experts' expert and she supports testosterone too after and with on-going blood tests 👍.
Dr Doug, you are brilliant too!!! ❤ Thank you for your work from Germany 🙏💕♀️

You are in excellent company with Dr Vonda Wright, Dr Kelly Cameron, Dr Rachel Rubin, Dr Marie Claire Haver.

Love the deep dive, so helpful! Thanks a bunch.👍

I added bio-identical HRT a little over a year ago,  estrogen, testosterone pellets and oral micronized progesterone.I also have added certain exercises, supplements and changes to my diet. 2 yrs ago all of the tested areas on my dexa , spine, forearm, neck and hip were firmly in the osteopenia range. 2 months ago I had my most recent dexa scan, my spine is the only thing still reading in the osteopenia range, forearm , hip and neck are now “ normal “ I started the HRT hoping it would improve my bones and am very happy with where I’ve gotten to and hopefully next scan will show my spine will also be in the “ normal” range. I believe it’s a combination of all the things I’ve been doing but that said since starting HRT I feel more alive than I have in years

The PRIMARY hormone in women is testosterone! Women naturally make and use much more T than they do of estrogen. However, they don't see a fast drop in T during menopause while E goes down fast. Unless they have their ovaries removed, then they can hit the floor. I dealt with that, but I was able to find a good online clinic that is providing me full and optimal hormone replacement of all 3 hormones. I do have to test levels, however they also let me choose amounts. And that has been challenging as I'm clearly not typical and I've had to micro-adjust my levels for the past 6 months to feel my best. I have to add that 300mcg is miniscule, not nearly the level to bring a woman's level up to what it naturally was, so I can imagine it didn't fare well against placebo. Seems more like it was designed to fail.

Both testosterone and progesterone (the real thing, not progestins) stimulate the osteoblasts.  Dr. John Lee wrote extensively about progesterone in the 1990s, but since his death, his work seems to have been forgotten.  It also has tons of other benefits for postmenopausal women, at least when administered transdermally.  So I don't understand the emphasis on estrogen and testosterone, as though they are the only hormones in town.

I’m 74 exercised my whole life , I love my bio identical testosterone pump cream❤ I have no osteoporosis!

T is the primary hormone that the other hormones are made from... the body can figure it out if given the basic components.

Thank you. You always help wrap up a broad topic and provide specific insight to help our decision making 🏆

I know of a study done on senior men, to investigate the impacts of both estrogen and testosterone on bone markers.  They managed to maintain the group at estradiol levels of about 35 pg/ml (same as 3.5 ng/dl), and testosterone at 400-450 ng/dl, for the duration of the study.  The result was that the estrogen still had about twice as much effect on bone markers, as the testosterone had, in spite of being present in blood at concentrations about 1/100 as much.  
Considering that, the contribution to bone building of testosterone at typical female levels (under 70 ng/dl) would be very small.  But because T action is anabolic for bone and estrogen primarily reduces bone resorption, the contribution of T could still be significant.  
My personal experience:  
Between the ages of 65 and 69, I lost about 5% of my lumbar spine BMD, and about 12% of my total hip BMD.  A few weeks after my 69th birthday, I suffered a hip fracture from a low-speed bicycle crash.  At that time, I had not been taking any hormones at all for about 25 years.  Following my recovery and rebuilding muscular strength, I finally got it through my thick skull that neglecting hormones was a bad idea.  I started strength training, and under the guidance of an endocrinologist, began taking low-dose testosterone.  One year ago, I added estrogen to my HRT regimen.  My T level has been mostly around 80-120 ng/dl (that's higher than target, but it's extremely difficult to control T levels!) and estradiol around 70 pg/ml.  After 12 months of that complete regimen, my lumbar spine BMD improved 11% and total hip BMD went up almost 15%.  Now at age 71, I am above the baseline values I had at age 65 (note all measurements were taken at the same clinic, on the very same DEXA scanner).  
Of course, I have no way of knowing which components of my program made the greatest contributions, but I strongly suspect it was mostly down to the estrogen.

I wish I didn’t have to avoid hormone replacement after my breast cancer.

You can buy testosterone gel in spain at the pharmacy, come over and stock up!

This is excellent, Caution needed .. testing Testosterone in Women is imperative..
Some women with Hashimotis. PCOS need to be tested First.

Thank you so much for discussing these studies with us. I value your judgement and your care for women`s health. Thank you for talking about your personal experience with testosterone. I will show this to my husband.

Excellent info. Thank you