From Publishers Weekly
Testosterone, the hormone responsible for libidinal energy, is produced by women mainly in the ovaries. When the ovaries shut down at menopause, the amount of testosterone they produce is reduced by half, resulting, for many women, in diminished sexual desire, thinning pubic hair, flatness of mood, dry skin and decreased mental sharpness, among other effects. In this sure-to-be-controversial book, Rako, a psychiatrist, suggests that gradually developing testosterone deficiency is a treatable condition that ignorance, fear, ideological resistance and sexual politics have prevented the medical community, as well as the general population, from dealing with. Acknowledging the need for controlled clinical studies on supplemental testosterone, as there are for hormonal supplements of estrogen and progesterone, Rako advocates the prudent use of supplemental testosterone for women who need it and offers a thorough discussion of the uses, benefits and risks of testosterone therapy.
Copyright 1996 Reed Business Information, Inc.
From Booklist
"Conditions of testosterone deficiency do exist, need attention, and can be treated," Rako maintains as she draws on her practical experience as a psychiatrist as well as her thorough knowledge of relevant medical literature to discuss the usefulness of small doses of testosterone in helping women through menopause and stimulating positive sexual and psychological feelings. Women produce some testosterone just as men produce some estrogen. Yet many physicians, especially male gynecologists and endocrinologists, believe that giving testosterone to women is unnatural and potentially dangerous. Rako points out, however, that women do not display a simple dose-response curve for such treatment. This means that physicians not only have to overcome feelings of unnaturalness if they wish to aid some of their female patients but also must take the time and effort to match dosage to each individual's need.
William Beatty
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