08/04/2026
'Dear human: testosterone doesn’t know your gender.'
Globally, major medical societies already agree that testosterone has an evidence‑based role for postmenopausal women with hypoactive s*xual desire disorder (HSDD). The data are from randomized controlled trials, with clear dosing and safety guidance, not from fringe clinics or biohacking blogs. Yet in most countries, women can’t access a licensed, female‑dose product. They’re pushed toward male formulations, compounded creams, or nothing at all.
Now look at men. Low testosterone is treated as a serious medical issue: it’s linked with higher mortality, worse cardiometabolic health, and profound quality‑of‑life impacts. Men get clear guidelines, properly funded research, and multiple reimbursed treatment options. We call that 'evidence‑based medicine'.
In Australia, the contrast is stark. A TGA‑approved 1% testosterone cream for women with HSDD has just been denied PBS listing, despite international consensus support and decades of development. At the same time, multiple testosterone products for men remain subsidised. When the same molecule is funded for one s*x and blocked for the other, that’s not science.
This isn’t a 'women vs men' story. It’s a human physiology story. Men and women use the same hormonal toolkit: estrogens, progesterone, and androgens including testosterone for brain, bone, metabolic, s*xual and emotional health. What differs is dose and pattern, not whether the hormone matters.
So the real question is this:
If low testosterone matters enough in men to justify diagnostics, long‑term safety studies and fully subsidised treatments, on what ethical or scientific basis do we deny the same seriousness and the same access to women?
Maybe it’s time we stopped calling them 's*x hormones' and started calling them what they are: human hormones.
What would need to change for research, for policy, for clinical practice if our systems were forced to live up to that simple biological truth?
Keen to hear your thoughts or experiences in comments as this conversation is long overdue 👇
Did you know?? Women have a 50% decline in T in their late 20's early 30's 😱