Recently, my testosterone levels came back at a six (normal is between 10 and 70), and mine have been borderline low for years. When I asked my gynecologist, whom I trust, if I should go on testosterone replacement therapy (TRT), she explained TRT typically only offered if there are specific symptoms. Here are mine:

• Brain fog

• Low sex drive

• Trouble building muscle

• Thinning hair

• Dryness

After waiting 22 days for a response, I reached out to Weight Loss and Vitality in Washington, DC, where I’ve received great care over the years. They recommended testosterone therapy via a cream. The cream comes in a container that works like a deodorant applicator—you click it twice to get enough cream, then rub it in like lotion on the collarbone. I’ve been using it for three weeks now, though I haven’t noticed changes yet. I’ll do another blood test in six weeks to ensure my levels are in the right range and adjust the dosage if needed.

Most insurance companies don’t cover TRT for women, and mine doesn’t either. It costs me $108 every six weeks, or $972 a year.

My advice: Any woman over 40 should get a blood panel to establish a hormone baseline and have it checked annually.

I’ll update you in a few months on any changes and whether I think TRT is worth it.