Testosterone: Confidence, Libido, and the Death of People-Pleasing

Is testosterone really making women “ragey”… or is it just giving us fewer f*$ks to give? Or is it all down to age and experience?In Episode 4 of On the ’Mones, pharmacist Kate Thomas dives into one of the most misunderstood hormones in women’s health: testosterone. Along the way, she unpacks a petty (and infuriating) pharmacy encounter that sparks a much bigger conversation about boundaries, ageing, assertiveness, and how much bad behaviour women in healthcare are expected to tolerate.This episode covers:What testosterone actually does in women (hint: it’s not a “male hormone”)Why women naturally produce testosterone - and what happens as levels decline in perimenopause and menopauseThe evidence-based role of testosterone in HRTHypoactive Sexual Desire Disorder (HSDD): what it is, how common it is, and why it’s so under-treatedWhy HSDD is a clinical diagnosis, not a blood test resultHow testosterone therapy compares to how easily erectile dysfunction is treated in menSafety, side effects, and monitoring of transdermal testosterone (including AndroFeme)Why testosterone doesn’t cause “rage” - but can reduce people-pleasing and tolerance for bullshitThe difference between assertiveness and aggression in midlife womenWoo of the Week: Kate takes aim at “natural testosterone boosters,” DHEA supplements, and adrenal support blends, breaking down why these products are often less safe, less predictable, and less evidence-based than properly prescribed testosterone therapy.You’ll also hear:Why supplements that “boost testosterone naturally” are basically hormone rouletteThe difference between oral DHEA, vaginal DHEA, and prescription testosteroneWhy control and precision, not “natural”, are what actually make treatments saferIf you’re navigating perimenopause, menopause, libido changes, or feeling like you tolerate far less nonsense than you used to, this episode will give you language, clarity, and evidence to back yourself.Key takeaway: Testosterone isn’t a personality transplant. It’s not a cure-all. And it doesn’t fix context.But for the right woman, with the right diagnosis, at the right dose, it deserves a seat at the grown-up medical table. Whether you are in perimenopause, approaching menopause, or simply trying to understand your hormones, I've got you. 🎧 Listen now to Episode 4 of On the ’Mones - where hormones, healthcare, and real life collide.Read more about topics in this episode: www.medicationclarity.com.au