Dr. Friedman shares what type of testosterone can be replaced in women.
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And then in terms of the replacement of testosterone, there is no current good FDA proof of testosterone for women. But one product available is called Estratest and it’s again has Premarin on at which I don’t like and it has oral testosterone. I don’t think it would get approved by the FDA now if it just came on the market. But it came also before. There was always concern about cancer. The oral testosterones have been link to—with liver cancer so I don’t think it would get approved. And I don’t want my patients to take something that might give them liver cancer. The other choices are some investigations in Toronto and I have a product that I’m doing a study in—but which are problems that gave me an investigation on cream, it seems to work pretty well. And that can be used to raise your testosterone level. There’s also a compound in pharmacy that make up testosterone creams for women. Many of these are pretty good but then again, these are not FDA regulated so maybe there is a little scrutiny on them. But in general they worked very well and I think one of the key things for doctor is to find a compound in pharmacy you trust and you’ve used it a lot in patients and you know but the levels don’t go too high or too low in this preparation. So, I’ve a compound in pharmacy I used for this testosterone and works quite well and it’s a cream. You can also use—try to use male products but they’re designed really for men to give them much higher levels of testosterone. There is really not a proof if you use them or not. The final choice for women is to give her DHEA. DHEA is available over the counter. It’s widely used supplement and it gets converted to a testosterone so you can get some DHEA that measure the testosterone levels and will have some beneficial effects.