Evidence check: Body-Balance Check | Testosteron-Test in the context of Wechseljahre

The evidence for testosterone testing in menopause (Wechseljahre) is weak to moderate. Testosterone is produced in small amounts in women and declines with age, but no standardized reference range exists for menopause. Most 'Body-Balance' or hormone panels are marketed directly to consumers without clinical validation. Studies show that testosterone deficiency in women is not clearly defined, and symptoms like fatigue or low libido are multifactorial. A standalone testosterone test rarely provides actionable results. Additionally, many wellness labs upsell unnecessary tests (see 'Wellness Lab Upselling' module). Without a medical indication (e.g., suspected hypogonadism or after oophorectomy), the test is not recommended. Evidence is based on clinical practice and observational studies, not RCTs. Caveat: Results may cause anxiety or lead to unnecessary supplementation. A comprehensive hormone assessment including estradiol, progesterone, and TSH is more useful. Conclusion: Testosterone testing in menopause is often marketing, not medicine.