Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/12/2025

Injectable Testosterone Dosing for Postmenopausal Women with HSDD

Alternative Treatment Options

  • The American College of Obstetricians and Gynecologists recommends considering FDA-approved alternatives, such as flibanserin or bremelanotide, for postmenopausal women with HSDD 1, 2
  • The North American Menopause Society suggests that intravaginal DHEA (prasterone) may improve sexual function in women with concurrent dyspareunia, as supported by the Journal of the National Comprehensive Cancer Network 3
  • The National Comprehensive Cancer Network recommends vaginal testosterone cream as a potential safer alternative to systemic administration for some patients, particularly cancer survivors 3

REFERENCES

1

Bremelanotide for Hypoactive Sexual Desire Disorder [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

2

Treatment Options for Women with Low Libido and Difficulty Achieving Orgasm [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

3

survivorship, version 2.2017, nccn clinical practice guidelines in oncology. [LINK]

Journal of the National Comprehensive Cancer Network : JNCCN, 2017