A systematic review of randomised placebo-controlled trials found testosterone therapy improves sexual function in postmenopausal women, with some studies also reporting higher bone mineral density and lower HDL cholesterol; long-term safety remains unclear.
What it shows: The sexual function benefit rests on several trials where women were assigned at random to testosterone or placebo, so it deserves real weight, but this sweep of the studies is clear that long-term safety has not been established. The drop in protective HDL cholesterol seen in some studies is the other reason for caution.Systematic review · Clin Endocrinol (Oxf)