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That said there is a position statement from the North American Menopause Society (NAMS) concluding that there is evidence that adding testosterone to estrogen therapy results in positive effects on sexual function, primarily in sexual desire and further states that testosterone therapy can be considered in postmenopausal women with reduced libido associated with personal distress and no other identifiable reason for the sexual complaint. However, a task force of the Endocrine Society recommended against the widespread use of testosterone is women because of the lack of clear indications as well as concerns over long term safety. So we can conclude that testosterone treatment is controversial.

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