Is Testosteron useful for Wechseljahre?

Testosterone is sometimes used off-label for menopausal symptoms, especially low libido. Evidence is limited: some studies show modest improvement in sexual desire, but effects on hot flashes or mood are not well established. Risks include acne, hair loss, voice changes, and potential cardiovascular concerns. Standard hormone therapy (estrogen/progestin) remains first-line. Testosterone should only be considered after medical evaluation and with monitoring. Evidence grade: human-moderate (clinical studies exist but lack long-term safety data).