Hormone Therapy: Testosterone Or Estrogen?

Name: Hormone Therapy: Testosterone Or Estrogen?
Uploaded: 2024-08-02T12:00:14+00:00
Duration: 49 s
Channel: Dr. Charles Mok
Description: A short clinical discussion about choosing testosterone versus estrogen for menopausal hormone therapy. The speaker explains that testosterone is…

2 Aug 2024 · 1 min

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A short clinical discussion about choosing testosterone versus estrogen for menopausal hormone therapy. The speaker explains that testosterone is commonly used and can relieve vasomotor symptoms and reduce breast cancer risk; estrogen is particularly effective for bone density, skin and vaginal moisture, and when added to testosterone may provide additional cardiovascular and other protections.

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The question would be why would you pick testosterone over estrogen? I really wouldn't. I would say testosterone is what we use all the time and for significant percentage of women that we're treating within 10 years of menopause, we'll add in estrogen to give them the additional cardiovascular protection and potentially other protections as well. So estrogen clearly helps with bone density. Testosterone likely does as well. But estrogen is very strong for bone density. Estrogen probably works better on the skin. If you get test estrogen pellet, your skin will typically be a little bit better, brighter, more vaginal moisture, potentially with with estroge. But most of the vasomotor symptoms are relieved with testosterone alone. So testosterone can be used alone, particularly if your main focus is breast cancer reduction. But now we have studies showing that the breast cancer reduction is also seen when estrogen is added to testosterone. And again, it doesn't prevent you from getting breast cancer, just reduces the risks significantly.