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Numerous articles in the lay press, as well as in the scientific literature, have extolled the virtues of androgen therapy and its ability to increase libido in women. The Endocrine Society has now weighed in with an evidence-based practice guideline urging restraint in the use of androgens in women.
Key recommendations include:
A diagnosis of androgen deficiency should not be made in any women at this time, because there is neither a well-defined clinical syndrome nor normative data on testosterone or free testosterone levels across the lifespan of women.
Although evidence exists that short-term administration of testosterone increases libido in selected women, particularly those having undergone bilateral oophorectomy, the generalized use of…