Despite clear international guidance supporting its use for low libido in menopausal women, testosterone remains difficult to access, widely debated and too often surrounded by fear.

In this episode, Dr Louise Newson speaks with US menopause specialist and nurse practitioner Dr Vanessa Weiland about why that is, why it’s wrong and what the evidence really says. They explore its wider effects on brain function, mood, sleep and inflammation, alongside common but unfounded concerns about side effects, safety and blood testing.

Together, they reflect on the gap between evidence, real-world practice and outdated fears, and why listening to women’s experiences is central to moving menopause care forward.