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question from a user

A lot of providers are recommending hormonal BCP as the entry HRT for perimenopausal women. At the same time many of them are also low T and benefitting from supplemental T. The catch is they say synthetic estrogen and progesterone can suppress Testosterone supplementation. This is where I am. I feel worlds better after 6 months of supplemental testosterone but my labs don’t look that much different bc I am on BC pills to supplement. Can it be helpful even if the numbers aren’t improving?

AlphaMD's Answer

Yes, numbers matter much less than how you feel.

It is true that exogenous estrogen and progesterone can decrease some of the effectiveness of exogenous testosterone. Many women often feel that they actually only need to supplement with testosterone for the reasons listed in the previous response above (regarding the high aromatization rate of testosterone to estrogen in women).

We are glad you are feeling better with the addition of the testosterone. Again, how you feel matters more than anything.

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