Dr. Lauren Streicher

We do.

When we prescribe estrogen, we don't because we generally don't need to.

There are exceptions.

But in general, we're not getting levels.

Testosterone, you need to start with a baseline level because if your level's already high, I can tell you taking testosterone is not going to help.

And in fact, you are more likely to get side effects.

And then because they're compounded, that means that the levels of testosterone that you're getting may not be consistent.

So it is always a good idea, at least in the beginning, until you're on a steady, stable dose, to watch those levels to make sure that you're getting the right amount.

And also, I just have to throw out there, for people that rely on their voice professionally, we're talking actors, voiceover artists, singers.

You need to know that if you take testosterone, even in the normal physiologic low doses, that for some people, and we can't predict who that's going to be, there will be a change in your voice.

It is not reversible.

Yeah.

It's not reversible.

And already, and that's a whole other topic, is the impact of menopause on the voice because you have estrogen receptors, of course, in your voice box, which is why opera singers very often will use estrogen and why there is a change as women go through menopause.

All right.

Orgasm gap.

This is...

The realization that men are far more likely to have orgasms than women because, of course, they know how.

They're able to have orgasms.

And we see this orgasm gap starting very, very young, 20s, 30s, 40s.