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"While estrogen, when used alone, is often enough to maintain normal female well-being, including sexual desire and activity," writes Crenshaw, "testosterone often needs to be added to ensure robust, dependable sexual desire and response." Besides boosting sex drive, the hormone can help relieve hot flashes and other conditions related to menopause, and is thus an option for women who cannot tolerate high levels of estrogen. Because testosterone’s effects in women have not been widely researched, Shanahan said she only prescribes it to patients who have tried estrogen-based HRT without success (and in a few cases, to premenopausal women who were found to have "extremely low" levels of testosterone).
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