Can Testosteron help with Wechseljahre?

Testosterone is sometimes used off-label for menopausal symptoms, especially low libido, fatigue, or bone density loss. Evidence is moderate: randomized trials suggest benefits for sexual function and mood, but long-term safety (cardiovascular risk, hormone-sensitive cancers) remains unclear. Estrogen therapy (with or without progestogen) remains first-line. Testosterone is not approved for women in many countries, including Germany. Any use requires medical supervision and regular monitoring. A thorough risk-benefit discussion with a gynecologist or endocrinologist is essential.