by SXHH Marketing | Dec 20, 2021 | Wellness
Low B12 is a serious issue for your health and well-being. Therefore, it’s important to talk to a women’s health care professional if you think you have B12 deficiency. Fortunately, there are treatment options available to increase vitamin B12 in your body and reduce health risks associated with low B12. Let’s talk about B12 deficiency and available treatment solutions.
Why is B12 Therapy Important for Women’s Health Care?

Our women’s health care providers can treat low B12 to help your symptoms and energy levels.
Vitamin B12 is necessary for many functions in your body. B12 helps with red blood cell production, brain function, and nerve tissue health. It also helps your body absorb folic acid, which helps your body make healthy new cells and DNA. People over 14 years old should get at least 2.4 micrograms of vitamin B12 daily. Many people get this necessary amount of B12 from their diet. However, people with low B12 may require treatment with B12 therapy. This is essentially supplementing your natural B12 levels to ensure you have healthy amounts of this necessary vitamin. If you’re not getting enough B12 from your diet, visit our women’s health clinic to determine if you could benefit from B12 therapy.
Talk to Our Women’s Health Care Providers About B12 Deficiency
An estimated 1.5% to 15% of people in the United States have been diagnosed with B12 deficiency. The number of people who are B12 deficient may be much higher, as many people go undiagnosed. Anyone can suffer from vitamin B12 deficiency, but some people are more at risk. For instance, because B12 naturally exists in meat products, vegans and vegetarians may be at a higher risk for B12 deficiency. In addition, people with gastrointestinal issues, such as Crohn’s disease, gastritis, or celiac disease, may also have low B12 because the body may not be able to absorb it properly. Finally, your risk for B12 deficiency also goes up with age, so if you’re 60 years old or older, you may have a higher risk for low vitamin B12. The good news is that your women’s health care provider can help find treatment options if you have B12 deficiency.
B12 Deficiency Symptoms
There are many different symptoms of B12 deficiency. If you notice symptoms of low B12, it’s important to talk to a women’s health care provider to explore treatment options to help you feel better and reduce your health risks.
Some common symptoms of low B12 include:
- Depression
- Confusion
- Memory problems
- Fatigue
- Constipation
- Unexplained weight loss
- Loss of appetite
- Numbness or tingling in the hands and feet
- Difficulty maintaining your balance
- Anemia symptoms
- Fatigue
- Shortness of breath
- Irregular heart beat
- Pale or jaundiced skin
- Glossitis (inflamed tongue)
- Mouth ulcers
- Blurry vision
If you’re suffering from symptoms of low B12, our doctors may look for underlying conditions that may be causing your symptoms. In addition, we may test your B12 levels to determine if you have enough of the vitamin in your blood. If you do have low B12, we can explore treatment options personalized to you.
Long-Term Effects of B12 Deficiency
In addition to the many worrying and difficult symptoms you may experience, B12 deficiency can cause many serious health effects. We’ve mentioned that vitamin B12 plays many necessary roles in your body, which helps explain the many negative effects that B12 deficiency can have on your overall health. Low B12 can lead to anemia and even permanent neurological issues. Those with B12 deficiency also have an increased risk for psychosis, mania, and dementia, likely due to B12’s role in brain health. People with low B12 may also be more susceptible to the effects of infections.
Where Does Vitamin B12 Come From?
B12 is a vitamin most people get enough of from their diet. It is naturally available in meat, fish, and some dairy products. For example, some foods that are high in vitamin B12 include animal liver, clams, beef, and tuna. Also, many other foods are often fortified with B12, such as many cereals, plant milks, fruit juices, nutritional yeasts, margarines, and tofu. However, as we have mentioned, many people don’t get enough B12 from their diet, or their bodies don’t absorb B12 very well, leading to B12 deficiency. In these cases, our women’s health care providers may recommend B12 supplementation through B12 therapy.
How Women’s Health Care Providers Treat B12 Deficiency
There are many different options for vitamin B12 therapy. It’s important to note that B12 therapy is different from multivitamins with B12, as B12 therapy typically features higher levels of the vitamin to help increase levels to healthy ranges for people suffering from B12 deficiency. Three common options for B12 therapy are B12 pills, injections, and sublingual tablets. One type may be better for you than another, so it’s important to discuss your specific circumstances with one of our women’s health care professionals.
B12 Pills
One common option for B12 therapy is taking B12 pills. Once again, these are different from multivitamin supplements. These pills contain a man-made form of vitamin B12. Several studies have found that vitamin B12 pills can be as effective as B12 injections. However, it’s important to note that B12 pills aren’t the best option for everyone. For instance, if you have low B12 due to gastrointestinal conditions, your body may not be able to absorb enough of the vitamin from B12 pills for treatment. Therefore, in these cases, our women’s health care providers may recommend injections or sublingual tablets.
B12 Injections
If B12 pills don’t work for you, typically doctors recommend B12 shots. These are intramuscular injections that help send vitamin B12 to your bloodstream. B12 shots may work well if you have a deficiency linked to malabsorption for the vitamin. Also, many women’s health care providers recommend B12 injections when your levels are seriously low and need quick intervention. B12 shots may offer faster results than oral supplements. Also, injections can often offer higher doses of B12 compared to pills and sublingual options. Therefore, if you need significant doses of B12, our providers may recommend injections for B12 therapy.
Sublingual B12 Tablets
Some people also do well with sublingual B12 tablets to increase B12 levels. These are tablets that you place under the tongue and allow them to dissolve. This allows you to absorb the vitamin through the tissues in your mouth. Sublingual B12 therapies are also an effective way to supplement your B12 levels. This option may help improve absorption for people suffering from poor B12 absorption. However, keep in mind that many people need to take sublingual B12 tablets every day to supplement their normal B12 levels. Some people find it easier to remember their B12 injections compared to treatment with sublingual tablets. Therefore, talk to our women’s health care professionals about which type of B12 therapy may work best for you.
Visit Our Women’s Health Clinic for Vitamin Optimization
Our health care professionals at HerKare are here to help you feel your best. We offer vitamin optimization treatments to help you improve your health. We work with you to identify vitamin deficiencies and find customized treatment solutions for you. Our team can help you address your nutritional needs and also offer supplements when you need them for vitamin deficiencies. Make an appointment to address your health today.
by SXHH Marketing | Dec 3, 2021 | Hormone Replacement Therapy, Menopause, Wellness
We all know exercise is important for health. Yet, many people don’t get enough exercise on a regular basis for one reason or another. Several surveys and studies have also found that women are typically much less active after menopause than before menopause. Many scientists believe this may be due to hormone changes during menopause, particularly lower estrogen levels. Researchers are still studying the relationship between estrogen and activity levels. However, some studies suggest estrogen replacement therapy may help you feel more motivated and may even increase your capacity to work out.
Why Exercise is Important During and After Menopause

Many women exercise less after menopause, but can estrogen replacement therapy help with exercising?
Before we learn more about how estrogen affects exercise, let’s talk about why exercise is so important as we get older and approach menopause. There are many reasons to be physically active throughout your life, including weight management, increasing muscle tone, getting stronger, and improving your overall health. Regular exercise is even more important as you reach menopause to help counteract certain health risks that increase around this time.
As hormone levels begin to decline, bone density and lean muscle mass begin to decline as well, while body fat can increase. Around this time in a woman’s life, there’s also a higher risk for many chronic diseases as well as cardiovascular disease. Engaging in an active lifestyle can help reduce these risks for many people. Regular physical activity helps promote bone health and muscle mass and can also help with body fat management. Exercise in later life can help improve and preserve flexibility and mobility and can also improve heart health. Regular exercise has also been linked to fewer instances of chronic diseases common as we get older.
In addition to physical health, exercise can also be helpful for other areas of well-being, such as mental health. Being physically active can also boost energy and mood and can even help combat some of the symptoms of menopause, such as insomnia. Overall, exercise can be an important part of maintaining quality of life as we get older.
Despite knowing that exercise is helpful for many areas of health, many women have a difficult time exercising on a regular basis, particularly after menopause. There may be many reasons for this, but some researchers believe hormonal imbalances may be a factor. Many studies are researching hormones, exercise, and whether estrogen replacement therapy after menopause can help improve activity levels for some women.
Estrogen Replacement Therapy Improves Menopause Symptoms that Make it Hard to Work Out
Menopause can cause many symptoms that can make everyday life difficult or even downright impossible. Hot flashes, insomnia, fatigue, and depression are all common symptoms of menopause that affect your quality of life. These also frequently make it difficult to exercise, which may explain why many women are more sedentary after menopause. It’s easy to understand why you might have a hard time going to the gym when you’re experiencing such troublesome symptoms. Working up a sweat can be anxiety-inducing if you’re already suffering from frequent and severe hot flashes. Insomnia and fatigue can leave you feeling worn out, making a workout sound plain exhausting. Menopause depression can zap your motivation for getting your heart pumping with a quick exercise routine. This is one theory behind why lower activity levels tend to coincide with declining estrogen levels during menopause.
The good news is hormone replacement therapy relieves many women’s menopause symptoms. Hormone therapy helps replace some of the hormones lost during menopause, which may improve your symptoms. As menopause symptoms improve, many people find it easier to take part in regular exercise for your health and well-being. This may be one explanation behind why menopausal women who use estrogen replacement therapy tend to be more active than those who don’t according to research.
Hormone Replacement Therapy with Estrogen May Act on the Brain to Increase Exercise Motivation
However, there are other theories behind how hormones affect exercise after menopause. Some believe estrogen may have a more direct effect on exercise. A new study suggests estrogen may act on the brain to improve motivation for exercise. The study looked at estrogen levels and physical activity levels in female mice to determine if hormones play a role in exercise.
The urge to exercise begins in the brain. You feel motivated to exercise, so you act on that motivation. There are also many estrogen receptors in the brain, which may affect your impulse to work out. The study looked at how estrogen affected brain processes through a specific gene. Melanocortin-4 receptor gene (Mc4r), is a gene that plays an important role in energy regulation, food intake, body weight, and the motivation for physical activity. Estrogen binds to the Mc4r receptor and can help activate it. With higher estrogen levels, Mc4r caused increased protein production for the mice in the study. Those mice with higher estrogen levels tended to be more physically active than the mice with lower estrogen.
Researchers are still studying the effects of estrogen on the brain. However, the scientists in the study believe this may offer some evidence that estrogen is important for exercise motivation. The researchers noted that while the study involved mice, humans have similar anatomies, physiologies, and genetics. Therefore, they believe estrogen in humans may have similar effects on exercise and physical activities. They noted that their research may suggest that estrogen replacement therapy may help improve motivation levels for exercise for menopausal women.
Estrogen Replacement Therapy Can Increase Exercise Capacity
Menopause can also affect how difficult exercise is, which may explain why many women are less active after menopause. Research shows that menopause may reduce exercise tolerance and oxygen consumption during exercise. This can make it feel harder to exercise, often leading to feeling more breathless, feeling muscle weakness, and other symptoms of low exercise tolerance, which can be discouraging and lead many women to exercise less than before menopause.
One study looked at exercise capacity for women before and after menopause. The researchers looked at many different factors to determine exercise capacity, which is the maximum amount of activity you can keep up. Some of the factors included the dilation of blood vessels, maximum workload, and peak oxygen consumption. Some of the group received estrogen replacement therapy for three months. The study found that estrogen significantly increased exercise capacity based on the factors they measured. The HRT group even achieved similar results to the pre-menopausal women in the study after just three months of hormone therapy. Therefore, this is just one other way estrogen may help with exercise after menopause.
Hormone Imbalance Treatment and Menopause Care at HerKare
Our team at HerKare is committed to providing quality healthcare for women at all stages of life. We help with everything from hormone imbalance treatment to well woman care for patients of all ages. We believe in empowering women to take an active role in their health. Our clinic is owned and managed by women for women. We understand the need for convenient care from healthcare professionals that listen to you and take time to understand. Let us help you feel like yourself and feel good again. Book an appointment at one of our clinic locations to get started with the HerKare process.
by SXHH Marketing | Nov 29, 2021 | Aesthetics
When you’re looking for innovative aesthetic treatments for deep wrinkles around your nose and mouth, Sculptra® dermal fillers may be a great option for you. Deep facial lines and wrinkles make many people feel self-conscious. Treatments to help reduce the appearance of these wrinkles can help you feel more confident. Sculptra injections are a simple, convenient option for natural-looking results for wrinkles on your face.
What Are Sculptra Aesthetic Treatments?

Sculptra fillers are aesthetic treatments to help reduce deep wrinkles on your face by boosting collagen production.
Sculptra is one of the aesthetic injectables we offer at our clinics. These dermal fillers are injected into the skin to help reverse the signs of aging, such as deep wrinkles, folds, and creases. Sculptra fillers contain poly L lactic acid (PLLA), which helps stimulate collagen production in your dermis. Collagen is the protein that makes up the structure of your skin. As we age, collagen production slows down, which can lead to your face looking hollow, sunken, or deeply creased. Sculptra aesthetic injections are typically used to treat deep lines around the nose and mouth, such as smile lines and chin wrinkles.
Sculptra is an innovative option for aesthetic treatments. Other fillers, like Juvéderm® and Restylane®, use hyaluronic acid gel, which sits under the skin to fill in problem areas. These fillers are great for smaller, finer lines and wrinkles, they typically aren’t recommended for deep wrinkles. Hyaluronic acid fillers also typically last for 6 to 18 months. Sculptra, on the other hand, gets deep into the dermis to help increase your natural collagen production. This can help with deeper wrinkles and adding volume to hollow or empty areas. Results can last for up to two years before needing retreatment, often just one injection per year afterwards. Because Sculptra injections target collagen production, they help target the cause of wrinkles, rather than simply masking the effects.
How Do Sculptra Dermal Fillers Work?
If you’re interested in Sculptra injections, the first step is making an appointment with our team to discuss your options and get a consultation. This appointment is where we talk about your desired results and expectations, the particulars of the treatment based on your situation, and discuss the potential risks and side effects. If you’re a good candidate for Sculptra dermal fillers, then our aesthetic professionals perform the treatment in our office. This involves injecting the Sculptra poly L lactic acid gel into areas of your face to stimulate collagen production for a more youthful appearance.
After Sculptra aesthetic treatments, you can typically go back to your normal activities immediately after. You might experience mild symptoms or side effects such as swelling, tenderness, redness, or bruising. These typically get better within a few days. To help with any swelling or tenderness, you can use cold compresses on your face for a few minutes at a time. In most cases you can also use makeup to cover any light bruising you experience.
An important part of recovery is to massage the treated area. This helps distribute the Sculptra gel. While it’s important to talk about your specific instructions with our provider, typically this involves massaging the area for about five minutes at a time, five times a day, for five days after treatment.
You might notice results immediately after treatment, but it can take several weeks to a couple of months to see full results. In addition, you may need multiple treatments. Many women receive three treatments over the course of three or four months for optimal results.
Advantages of Sculptra Aesthetic Treatments
Sculptra dermal fillers offer many benefits for people looking to improve the look of wrinkles and achieve a more youthful appearance on the face. Our aesthetic professionals can discuss these treatments based on your unique circumstances and expectations, but here are a few reasons why so many people are choosing Sculptra injections for facial rejuvenation.
Natural, Gradual Results from Sculptra Aesthetic Treatments
Sculptra aesthetic treatments are a minimally-invasive way to get natural-looking results for deep wrinkles. Because poly L lactic acid stimulates your body’s collagen production, these injectables offer gradual and natural results. Collagen takes around four to eight weeks to produce after Sculptra treatments, so your skin can improve over time. Therefore, these are a good solution if you want a more youthful look without having people ask you whether you’ve had work done.
Long-Lasting Results for Facial Rejuvenation
Another great benefit of this innovative aesthetic treatment is that it offers long-lasting results. While everyone is different, results can last up to two years without more injections. This is longer than many other types of dermal fillers. In addition, some people may need only one treatment a year afterwards to help maintain their Sculptra results.
Aesthetic Treatments for Deep Wrinkles and Folds
Sculptra dermal fillers are also one of the few minimally-invasive options to help with deep lines and wrinkles. Other fillers or even neurotoxins like Botox are typically recommended for fine lines and wrinkles. Therefore, if you have severe wrinkles around your mouth and nose, Sculptra may offer better results than many other aesthetic treatments. Our team can help you determine which treatments are right for you based on your health and desired results.
Practically No Downtime with Sculptra
Also, Sculptra aesthetic injectables don’t require downtime for most people. In fact, many people leave our office and go right back to their normal activities. Unlike cosmetic surgery, there’s generally no need to take off weeks of work for recovery or avoid certain activities. Aside from massaging the treated area throughout the day, recovery is pretty simple for most people.
Disadvantages of Sculptra Aesthetic Injectables
Of course, Sculptra injections aren’t right for everyone, and there are some disadvantages. It’s important to understand these disadvantages, too, so you can make the right choice for you. Our providers can help you weigh the risks and benefits during your consultation, but here are a couple of disadvantages that may lead you to explore different options.
You Need Patience
We mentioned that the results from Sculptra are typically gradual, which for some people is a great benefit, but for others it’s a drawback. For these aesthetic treatments, you need patience to see results, as they can take one to three months to see and you may need multiple treatments. Other treatments, like hyaluronic acid fillers, are often instant, which can make waiting for Sculptra results difficult for some people. If you are looking for fast results, other treatments may be better for you.
You Can’t Use Sculptra on the Lips or Eyes
If you have crows feet or wrinkles close to your lips, then you may be better off looking at other options. Sculptra isn’t recommended for use around the eyes or on the lips. Sculptra is approved for treating wrinkles in specific areas of the face, like smile lines and chin wrinkles. Therefore, if you’re looking for wrinkle treatments near the eyes and lips, consider other options.
Medical-Grade Aesthetic Treatments at HerKare
Our team at HerKare is here to help you feel your best, which we know often means looking your best, too. We offer non-invasive and minimally-invasive aesthetic treatments to help enhance your appearance. Our clinic offers individualized solutions based on your unique circumstances and lifestyle. Make an appointment today to talk to our providers about aesthetic treatment options.
by SXHH Marketing | Nov 19, 2021 | Menopause
Any type of vaginal bleeding after menopause is a sign to visit our gynecologist. Vaginal bleeding is not normal after you have reached menopause, which is 12 months without a period. If you’re experiencing postmenopausal bleeding, this is typically a symptom of an underlying health conditions, some of which can be serious or life-threatening. Let’s talk about what to do if you noticed postmenopausal bleeding, what to expect at our clinic, and some common causes of vaginal bleeding after menopause.
Vaginal Bleeding After Menopause? Visit our Gynecologist

Vaginal bleeding after menopause isn’t normal. Your gynecologist can help address your symptoms.
Any time you experience vaginal bleeding after menopause, it’s important to discuss your symptoms with a women’s health care professional. While there is no reason to panic, you should take abnormal vaginal bleeding seriously, whether you’re experiencing light spotting or heavy flow.
An estimated 4% to 11% of women experience postmenopausal bleeding for one reason or another. Many women mistakenly believe that a little bleeding after menopause is no cause for concern and put off getting healthcare. However, we advise scheduling a gynecological services appointment as soon as possible to talk about your symptoms. While it may be something benign, postmenopausal bleeding can also be a sign of serious conditions like endometrial cancer. It’s better to be safe than sorry, so talk to one of our providers about abnormal bleeding.
What Will the Gynecologist Do for Postmenopausal Bleeding?
It’s understandable that you might be concerned about visiting our gynecologist to talk about postmenopausal bleeding. We realize that knowing what to expect during your appointment can help you feel more prepared and may help you feel better before and during your appointment. If you’re experiencing vaginal bleeding after menopause, our treatment providers may recommend a few things to help with diagnosis. In addition to talking about your symptoms, medical history, and relevant family history, the gynecologist may recommend different exams and procedures to help find the root cause.
Our Gynecologist will Likely Perform a Pelvic Exam
If you’re experiencing abnormal vaginal bleeding, our gynecologist will typically perform a pelvic exam. Pelvic exams can help our providers assess the health of your reproductive organs, like the vagina, uterus, cervix, and ovaries. During the exam, our provider may also screen for cervical cancer with a Pap test if you have abnormal vaginal bleeding.
Our Gynecologist May Recommend an Ultrasound
In some cases, our gynecologist may recommend a pelvic ultrasound to get a closer look at your pelvic and to help determine the source of your postmenopausal bleeding. This ultrasound may be abdominal or it may be transvaginal. Transvaginal ultrasounds use a thin imaging “wand” placed inside the vagina to get more detailed pictures of your pelvic organs.
Our Gynecologist May Recommend Diagnostic Surgery
While less common, sometimes our doctors may recommend a diagnostic surgery called a hysteroscopy. This procedure allows the doctor to look inside your uterus with a small camera to look for potential causes of postmenopausal bleeding. During the procedure, the doctor may also take a tissue sample to send to the lab for testing to help diagnose the source of your abnormal vaginal bleeding.
Talk to Our Gynecologist about Possible Causes of Postmenopausal Bleeding
There may be many causes of your postmenopausal bleeding. Some of these causes are more serious than others. Visiting our women’s health clinic can help identify underlying causes of your postmenopausal vaginal bleeding and help determine a course of treatment to help relieve your symptoms.
Uterine or Cervical Polyps
Polyps are small, noncancerous growths. If you’re suffering from vaginal bleeding after menopause, polyps in the uterus or cervix may be to blame. Polyps can easily become irritated and bleed, which can lead to spotting or even heavy vaginal bleeding. Uterine and cervical polyps are pretty common and are unlikely to become malignant, but when they cause symptoms like vaginal bleeding, generally gynecologists recommend removing them with a surgical procedure.
Vaginal Atrophy
Low estrogen levels during menopause can cause vaginal atrophy, which is where the skin becomes thin and dry. Vaginal atrophy can make the vagina more delicate and more prone to tears which can lead to vaginal bleeding. For instance, if you experience vaginal bleeding after sex, it may be due to friction. If this is the cause of your postmenopausal bleeding, our treatment providers may recommend vaginal moisturizers, vaginal estrogen, or lubricants to help.
Thickening Uterine Lining
In some cases, you may experience endometrial thickening after menopause that causes vaginal bleeding. This is called endometrial hyperplasia and while it is not cancer, it can increase your risk for endometrial or uterine cancer. Depending on your risk factors, our gynecologist may recommend taking progesterone to thin out your uterine lining. For women with higher risks for cancer, you may consider a hysterectomy as treatment.
Some Medications
Certain medications can also cause vaginal bleeding as a side effect. For instance, some women experience postmenopausal bleeding when taking blood thinners. Postmenopausal women taking hormone replacement therapy can experience vaginal bleeding as a side effect for the first six months of treatment. If you’re experiencing bleeding after menopause due to medications, we may explore changing your medications or recommend closely monitoring your symptoms to see if they change or get worse to determine if you may benefit from changing medications.
Infections
While rarer, endometrial infections can cause inflammation and vaginal bleeding after menopause. Doctors will generally prescribe antibiotics to help treat bacterial uterine infections. After treatment, your symptoms such as abnormal vaginal bleeding or discharge should improve.
Sexually Transmitted Infections
Another rare cause of postmenopausal bleeding are sexually transmitted infections. Infections like chlamydia or gonorrhea can cause inflammation that may lead to abnormal vaginal bleeding. In these cases, treating the STI generally stops the postmenopausal bleeding.
Endometrial Cancer
While it’s rare, postmenopausal bleeding can be a sign of endometrial cancer. Endometrial cancer is a type of cancer that begins in the lining of the uterus. About 10% of women who experience postmenopausal bleeding have endometrial cancer. However, an estimated 90% of women with endometrial cancer experience postmenopausal vaginal bleeding. Therefore, while endometrial cancer isn’t a common cause of postmenopausal bleeding, it can be an early warning sign of endometrial cancer. When caught early, the five-year survival rate is approximately 95%. In later stages, the survival rate is much lower. Because of the seriousness of endometrial cancer, most doctors recommend visiting a gynecologist to talk about postmenopausal bleeding and any other symptoms you’re experiencing.
Gynecological and Women’s Health Care from HerKare
Our health professionals at HerKare are here to empower you to take control of your health. We provide total women’s health care for every stage of life. Whether you need preventative care or are experiencing concerning symptoms, we offer quality care in our warm, welcoming clinics. As a clinic owned and operated by women for women, we are here to provide health care that suits your lifestyle. Make an appointment at one of our clinics today.
by SXHH Marketing | Nov 5, 2021 | Hormone Replacement Therapy, Menopause
Many women notice that their sex drive starts to decline over time, particularly after menopause. In some cases, this may be due to lower testosterone levels. Testosterone is an important hormone in your body that plays a key role in libido. Some studies suggest that testosterone replacement therapy may help women improve low sex drive due to testosterone deficiency.

Testosterone replacement therapy may help increase your sex drive if you’re suffering from testosterone deficiency.
As we age, sex hormones like estrogen, progesterone, and testosterone start to decline. Testosterone is mostly made in your ovaries, though your adrenal glands, fat cells, and skin cells may also produce some testosterone. While women produce a lot less testosterone compared to men (about 1/10 to 1/20 the amount), low testosterone levels for women can still impact your health and your sex life.
Testosterone in Women
While we commonly think of testosterone as a male hormone, women also need testosterone for many reasons. Testosterone is necessary for producing red blood cells, maintaining bone density, and also plays an important role in sex drive. When it comes to libido, the hormone testosterone can act on our brains to increase sexual thoughts and desires. It can also increase blood flow to the genitals to enhance sensitivity in the vagina and clitoris. This may also affect libido as well as sexual satisfaction.
However, testosterone levels begin to decline as we age, particularly as we reach the perimenopause state in the late 30s and 40s. During this time, the ovaries start to slow down hormone production for testosterone, estrogen, and progesterone. This can cause hormone levels to fluctuate and gradually decline leading up to menopause. With lower testosterone levels in your body, you might experience symptoms like low libido. Researchers have found a connection between low testosterone in women and lower sex drive. Studies have even found that women with low testosterone may have less sex on average than those with normal testosterone levels. Because of this connection, many women’s hormone care programs include testosterone to help improve sex drive and overall quality of life.
How Does Testosterone Replacement Therapy Affect Sex Drive?
Low libido due to testosterone deficiency can be distressing for many women. Some people experience stress and even relationship problems because of libido changes. Therefore, decreased sex drive can affect your quality of life in many ways. Many people mistakenly believe that low sex drive is a normal part of aging, but this isn’t necessarily true. Low sex drive can be caused by treatable conditions, like hormone changes during menopause. For instance, testosterone replacement therapy may help improve your symptoms.
Researchers are still studying the effects of testosterone replacement therapy for women. However, several studies have examined the link between testosterone and sex drive in women with interesting results. Studies have found that testosterone replacement therapy can increase several factors of sex drive and sexual satisfaction for postmenopausal women with low testosterone. Research suggests that testosterone can increase sexual desire, arousal, orgasmic response, pleasure, and even self-image based on interview responses. After beginning testosterone, many study participants also feel less distressed about their sexual function. Therefore, the evidence suggests testosterone therapy may help women who experience severely low sex drive after menopause.
The North American Menopause Society (NAMS) recognizes that testosterone replacement therapy for women may help some women improve sexual function. While testosterone for women is an off-label use, doctors may prescribe it to help with sex drive and sexual function. If you begin using testosterone therapy, NAMS recommends using the lowest dose for the shortest amount of time to help with symptoms. They also recommend discussing the risks and benefits thoroughly with a medical provider. After discussing the particulars, you and our doctors may determine to use testosterone therapy for better sex drive during and after menopause.
How Does Testosterone Replacement Therapy for Low Libido in Women Work?
If you’re experiencing low sex drive, there may be many different factors at play. Sexual desire, arousal, and satisfaction are all very complex. Therefore, pinpointing the cause of low sex drive can be difficult. There may even be several different causes of your low libido. It’s also necessary to note that libido can change for many reasons and a lower sex drive occasionally isn’t necessarily abnormal. For instance, if you have a lower libido during a stressful project at work, but your symptoms improve after you complete the project, then you may have nothing to worry about. However, if you have persistent low libido that worries you or interferes with your quality of life, you should talk to one of our providers about your symptoms.
If you’re suffering from low libido, one of the first steps most doctors recommend is ruling out other causes. For instance, some other reasons you might experience low sex drive that aren’t related to testosterone include:
- Low estrogen
- Low progesterone
- Depression
- Anxiety
- Fatigue
- Vaginal dryness
- Painful sex
- Relationship problems
- Some medications
- Other health problems like diabetes or hypothyroid
It’s important to identify underlying causes of low libido symptoms to find treatment solutions personalized to you. Some other treatments for severely low sex drive might include lifestyle changes, treating other health conditions, mental health treatments, or even couple’s counseling for relationship problems. For libido changes and other symptoms after menopause, our doctors may recommend beginning estrogen replacement therapy. If other treatments don’t work, or if no other explanation is found for your low sex drive, then it may be due to low testosterone levels. In these cases, you may benefit from testosterone replacement therapy.
Beginning Testosterone Replacement Therapy for Low Sex Drive
While considering potential causes of low sex drive, our providers may recommend performing a blood test to determine how much testosterone is in your blood. Normal testosterone levels for women are between 15 and 75 nanograms per deciliter (ng/dl). If you have low testosterone levels in your blood and you’re experiencing low sex drive that interferes with your life or causes you distress, our providers may recommend beginning testosterone replacement therapy.
The goal of testosterone replacement therapy is to bring testosterone levels to normal ranges. Because hormones like estrogen and testosterone hold each other in balance, it’s common to pair testosterone with estrogen replacement therapy as well to help prevent testosterone dominance. Therefore, in most cases your treatment program will include both estrogen and testosterone bioidentical hormones.
While taking testosterone treatments for sex drive, our team monitors your health to help optimize your treatment. We may track your symptoms, take blood draws to evaluate your testosterone levels, and assess other health markers like blood pressure and cholesterol levels. Our team also monitors you for common side effects of testosterone replacement therapy, such as increased facial and body hair, increased LDL cholesterol, or mild acne. Our goal is to help you feel your best and find treatment solutions that work for you and your lifestyle.
Quality Women’s Hormone Care at HerKare
Our team at HerKare offers quality health care for every stage of your life. After menopause, we understand that many of the symptoms can interfere with daily life. We offer personalized hormone care to help alleviate your symptoms so you can feel your best. Our clinics are owned and managed by women for women, and we believe in empowering you to address your health. We listen to you and work with you to get to the bottom of your symptoms. If you’re suffering from low sex drive or other menopause symptoms, help is available at our clinics. Make an appointment today to start the path toward feeling better.