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Climacteric Volume 22, 2019 - Issue 5
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CONSENSUS

Global Consensus Position Statement on the Use of Testosterone Therapy for Women

Susan R. DavisAuthor institutional affiliations: Women’s Health Research Program, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; ;Author society affiliations:The International Menopause Society, London, UK; Correspondence[email protected]
View further author information
, MBBS, PhD,
Rodney BaberUniversity of Sydney, Sydney, Australia; ;Author society affiliations:The International Menopause Society, London, UK; ;Royal Australian and New Zealand College of Obstetricians and Gynaecologists; View further author information
, B.Pharm, MBBS, FRANZCOG,
Nicholas PanayQueen Charlotte’s & Chelsea and Westminster Hospitals and Imperial College, London, UK; ;Author society affiliations:The International Menopause Society, London, UK; View further author information
, BSc, FRCOG, MFSRH,
Johannes BitzerUniversity Hospital Basel, Switzerland; ;The International Society for Sexual Medicine; View further author information
, MD,
Sonia Cerdas PerezEndocrinology Department, Hospital Cima and University of Costa Rica, San José, Costa Rica; ;The Federacion Latinoamericana de Sociedades de Climaterio y Menopausia; View further author information
, MD,
Rakibul M. IslamAuthor institutional affiliations: Women’s Health Research Program, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; ;Author society affiliations:The International Menopause Society, London, UK; View further author information
, MPH, PhD,
Andrew M. KaunitzDepartment of Obstetrics and Gynecology, University of Florida College of Medicine, Jacksonville, USA; ;The American College of Obstetricians and Gynecologists, USA; View further author information
, MD,
Sheryl A. KingsbergBehavioral Medicine, University Hospitals Cleveland Medical Center and Case Western Reserve University School of Medicine, Cleveland, OH, USA; ;The North American Menopause Society, Cleveland, OH, USA; View further author information
, PhD,
Irene LambrinoudakiMedical School, National and Kapodistrian University of Athens, Greece; ;The European Menopause and Andropause Society; View further author information
, MD, PhD,
James LiuDepartment of Obstetrics and Gynecology, University Hospitals Cleveland and Case Western Reserve University School of Medicine, Cleveland, USA; ;The American College of Obstetricians and Gynecologists, USA; View further author information
, MD,
Sharon J. ParishWeill Cornell Medical College, New York, USA; ;The International Society for the Study of Women’s Sexual Health, USA; View further author information
, MD,
JoAnn PinkertonDepartment of Obstetrics and Gynecology, the University of Virginia Health System, Charlottesville, VA, USA; ;The North American Menopause Society, Cleveland, OH, USA; View further author information
, MD,
Janice RymerKing’s College London, and Guy’s and St. Thomas’ Foundation Hospital Trust, London, UK; ;The Royal College of Obstetricians and Gynaecologists, London, UK; View further author information
, MBBS,
James A. SimonGeorge Washington University, Washington, DC, and IntimMedicine Specialists, Washington, DC, USA; ;The International Society for the Study of Women’s Sexual Health, USA; View further author information
, MD,
Linda VignozziDepartment of Biomedical, Experimental and Clinical Sciences “Mario Serio”, University of Florence, and Careggi Hospital, Florence, Italy; ;The International Society for Sexual Medicine; View further author information
, MD &
Margaret E. WiermanDepartment of Medicine, Integrative Physiology and Obstetrics and Gynecology, University of Colorado, Anschutz Medical Campus, Colorado, USA ;The Endocrine Society, Bethesda, MD, USAView further author information
, MD show all
Pages 429-434 | Published online: 02 Sep 2019

Key references

  • Islam RM, Bell RJ, Green S, Page M, Davis SR. Efficacy and safety of testosterone therapy for women: a systematic review and meta-analysis of randomized controlled trails. Lancet Diabetes Endocrinol 2019 July 25. Epub ahead of print
  • Shekelle PG, Woolf SH, Eccles M, Grimshaw J. Developing clinical guidelines. West J Med 1999;170:348–51
  • Davison SL, Bell R, Donath S, Montalto JG, Davis SR. Androgen levels in adult females: changes with age, menopause, and oophorectomy. J Clin Endocrinol Metab 2005;90:3847–53
  • Haring R, Hannemann A, John U, et al. Age-specific reference ranges for serum testosterone and androstenedione concentrations in women measured by liquid chromatography-tandem mass spectrometry. J Clin Endocrinol Metab 2012;97:408–15
  • Cappola AR, Ratcliffe SJ, Bhasin S, et al. Determinants of serum total and free testosterone levels in women over the age of 65 years. J Clin Endocrinol Metab 2007;92:509–16
  • Wang C, Catlin DH, Demers LM, Starcevic B, Swerdloff RS. Measurement of total serum testosterone in adult men: comparison of current laboratory methods versus liquid chromatography-tandem mass spectrometry. J Clin Endocrinol Metab 2004;89:534
  • Groenestege WM, Bui HN, ten Kate J, et al. Accuracy of first and second generation testosterone assays and improvement through sample extraction. Clin Chem 2012;58:1154–6
  • Rosner W, Vesper H. Toward excellence in testosterone testing: a consensus statement. J Clin Endocrinol Metab 2010;95:4542–8
  • Goldman AL, Bhasin S, Wu FCW, Krishna M, Matsumoto AM, Jasuja R. A reappraisal of testosterone's binding in circulation: physiological and clinical implications. Endocr Rev 2017;38:302–24
  • Clayton AH, Goldstein I, Kim NN, et al. The International Society for the Study of Women's Sexual Health Process of Care for Management of Hypoactive Sexual Desire Disorder in Women. Mayo Clin Proc 2018;93:467–87
  • Simon JA, Davis SR, Althof SE, et al. Sexual well-being after menopause: an International Menopause Society White Paper. Climacteric 2018;21:415–27
  • Parish SJ, Meston CM, Althof SE, et al. Toward a more evidence-based nosology and nomenclature for female sexual dysfunctions-Part III. J Sex Med 2019;16:452–62
  • Parish SJ, Goldstein AT, Goldstein SW, et al. Toward a more evidence-based nosology and nomenclature for female sexual dysfunctions-Part II. J Sex Med 2016;13:1888–906
  • Sexual dysfunctions, in 17 Conditions related to sexual health. ICD-11 for Mortality and Morbidity Statistics: World Health Organisation; 2019
  • Davis SR, Davison SL, Donath S, Bell RJ. Circulating androgen levels and self-reported sexual function in women. JAMA 2005;294:91–6
  • Achilli C, Pundir J, Ramanathan P, Sabatini L, Hamoda H, Panay N. Efficacy and safety of transdermal testosterone in postmenopausal women with hypoactive sexual desire disorder: a systematic review and meta-analysis. Fertil Steril 2017;107:475–82 e15
  • Kingsberg SA, Althof S, Simon JA, et al. Female Sexual Dysfunction-Medical and Psychological Treatments, Committee 14. J Sex Med 2017;14:1463–91
  • Elraiyah T, Sonbol MB, Wang Z, et al. Clinical review: The benefits and harms of systemic dehydroepiandrosterone (DHEA) in postmenopausal women with normal adrenal function: a systematic review and meta-analysis. J Clin Endocrinol Metab 2014;99:3536–42

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