Heather Hirsch MD MS MSCP

The Testosterone Data I Could Not Fit Into One Free Article

A deeper scientific analysis of what our survey revealed about levels, satisfaction, dosing, and the clinical gaps women are still navigating

Heather Hirsch MD MS MSCP's avatar
Heather Hirsch MD MS MSCP
Jun 02, 2026
∙ Paid

A deeper scientific analysis of what our survey revealed about levels, satisfaction, dosing, and the clinical gaps women are still navigating

In the free article I published, I focused on one central idea: many women may be told testosterone “doesn’t work” before they have ever reached a level that could reasonably be expected to help.

But the deeper I sit with this dataset, the more I realize that the story is bigger than undertreatment alone.

This is not simply a story about low testosterone. It is a story about a hormone therapy being used in real-world clinical practice without enough standardization, without enough patient access to laboratory data, without a female-specific FDA-approved product in the United States, and without enough clarity around what “response” actually means.

As a clinician, I find the data clinically useful. As a researcher, I find it hypothesis-generating. And as someone who listens to women every single day, I find it validating.

Because women are not just asking, “Can I take testosterone?”

They are asking a much more sophisticated question.

They are asking, “How do I know if this treatment is actually being optimized for me?”

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