Who it may help
EVERYONE. Testosterone in women improves sexual desire, energy, mood, and overall vitality, at a supervised, physiologic dose. Patients come to Dr. Broderick with:
- Low or absent sex drive
- Low energy and stamina
- Loss of muscle tone
- Low mood or motivation
- Poor sleep
- Symptoms that began around menopause
As with men, these symptoms have many causes — thyroid, iron, sleep, depression, and medications among them. An internist's evaluation comes before a hormone prescription.
What treatment looks like
- Baseline first. Your history is taken, you are examined, and your medications and an estrogen baseline are reviewed and documented before anything is prescribed. Lab draws are done at the office or in your home.
- Pellets or injection. Your dose is determined at your visit, and hair creams to prevent or mitigate male-type hair loss are prescribed from the start.
- Diet and exercise discussed. Every plan includes a realistic conversation about eating, strength training, and sleep, because hormones work better when the basics are in place.
- Follow-up every two to three months at first. Each visit includes history, exam, blood tests, and medication renewal — hormone levels, blood counts, thyroid, and vitamins are watched — and the dose is adjusted, paused, or stopped based on what you report and what the labs show. Later visits are less extensive.
Possible side effects
The most common are acne and hirsutism (unwanted hair growth). No cardiac consequences have been established at female doses, but testosterone may increase cholesterol, so lipids are checked. Because hormone therapy can speed hair thinning, a prescription hair-growth cream is offered from the start.
Any masculine change — a deeper voice, for example — means the dose is lowered or stopped.
Testosterone must not be used in pregnancy. If you intend to conceive a child, or could become pregnant, tell Dr. Broderick before starting.
Estrogen and progesterone
If menopause symptoms — hot flashes, night sweats, broken sleep, vaginal dryness — are part of the picture, estrogen may be appropriate alongside or instead of testosterone. If you still have your uterus, progesterone is added to protect the uterine lining.
- Screened before prescribing: menopause status and last menses, possible pregnancy, breast cancer, embolism or blood clots, stroke, unexplained vaginal bleeding, and liver disease.
Estrogen and progesterone have their own benefits and risks, which depend on your age, how long since menopause, and your history. They are discussed with you individually before any prescription is written.
Before your first visit
Text 239-248-2242 with your name, date of birth, and “appointment request,” or walk in Wednesdays between 3 and 4 PM. Bring your medications in their bottles and any medical records, including recent hormone levels, mammogram results, or gynecology notes if you have them. The office can mail intake forms ahead of time if you prefer. Full visit details