Bioidentical testosterone cream: a rare cause of postmenopausal virilisation.

Authors: Ogilvie CM, Levenberg R, Milsom SR.

Publication Year: 2009

Citation: Aust N Z J Obstet Gynaecol 2009;49(1):116-7

Whether bioidentical or synthetic, hormones are powerful substances and must be dosed appropriately. This is a report of 2 cases of postmenopausal women using 0.1 mg/mL testosterone cream for low libido symptoms.  After coming to their doctors with symptoms of virilization, including acne, facial hair, and muscle growth, both women were found to have 20 times the normal level of free testosterone in their blood.  Regular testing is essential during any kind of hormone replacement to ensure that normal, physiological levels of a hormone are achieved.