What role does Testosteron Test play in Wechseljahre?

The role of testosterone testing in menopause is limited. During perimenopause and postmenopause, both estrogen and testosterone decline, but classic symptoms (hot flashes, sleep disturbances, mood swings) are primarily driven by estrogen loss. Testosterone testing is not a standard part of menopause diagnosis. It may be considered when specific symptoms like low libido, fatigue, or muscle weakness suggest possible testosterone deficiency. Evidence for testosterone therapy in menopausal women is mixed: some studies show benefits for sexual desire and well-being, while others highlight risks such as acne, hair loss, and potential long-term cardiovascular effects. Importantly, testosterone levels in women vary with cycle phase and time of day, and there are no well-established reference ranges. A single test rarely provides clear guidance. Any decision to measure testosterone should be combined with clinical assessment and medical supervision. Direct-to-consumer testosterone tests are often misleading because they lack context. Evidence grade: mixed (clinical practice, limited RCTs).