Conflict of Interests - none
The NLH Q&A Service recently (2007) answered a question related to perimenopausal women. They reported a lack of evidence for testosterone patches. PRODIGY has a guideline on the menopause that reports: "Loss of libido can be improved by testosterone supplementation, particularly after surgical menopause. Specialist advice should be sought as a wide range of doses, with potentially serious adverse effects, are quoted in the literature. The partial androgenic effects of tibolone may be useful for some women." Sources http://www.clinicalanswers.nhs.uk/index.cfm?question=5023 http://www.prodigy.nhs.uk/menopause/view_whole_guidance