title: Effectiveness of a low dose testosterone undecanoate to improve sexual function in postmenopausal women.
abstract: BACKGROUND
  Adding testosterone to hormonal therapy could improve sexual function and general well-being among women during climacteric. We evaluated the effectiveness of testosterone undecanoate on sexual function in postmenopausal women utilizing the standardized questionnaire FSFI score.
  
  
  METHODS
  Postmenopausal women with sexual complaints and Female Sexual Function Index (FSFI) ≤ 26.5 were enrolled in to this randomized, double-blinded, placebo-controlled trial. Participants were randomly assigned to 8-week treatment with either oral testosterone undecanoate 40 mg or placebo twice weekly with daily oral estrogen. The FSFI scores before and after treatment were compared to assess any improvement of sexual function.
  
  
  RESULTS
  Seventy women were recruited of which each group had 35 participants. The baseline characteristics and baseline FSFI scores were comparable between both groups. After 8 weeks of treatment, the FSFI scores significantly improved in both groups when compared to the baseline but the FSFI scores from the testosterone group were significantly higher than in the placebo group post-treatment (28.6 ± 3.6, 25.3 ± 6.7, respectively, p = 0.04). There was no difference in adverse effect between the two groups
  
  
  CONCLUSIONS
  The twice weekly addition of testosterone undecanoate to daily oral estrogen was associated with a significant improvement in sexual function among postmenopausal women than the use of the estrogen alone.
  
  
  BACKGROUND
  ClinicalTrials.gov Identifier NCT01724658 (February 17, 2012).
authors.affiliation: Menopause Research Unit, Reproductive Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Bangkok, 10330, Thailand. tungmunsakulchai@yahoo.com.
authors.forename: Reuthairat
authors.initials: R
authors.lastname: Tungmunsakulchai
authors.affiliation: Menopause Research Unit, Reproductive Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Bangkok, 10330, Thailand. sukanya.c@chula.ac.th.
authors.forename: Sukanya
authors.initials: S
authors.lastname: Chaikittisilpa
authors.affiliation: Endocrinology and Metabolism Unit, Department of Internal Medicine, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Bangkok, 10330, Thailand. snabboon@yahoo.com.
authors.forename: Thiti
authors.initials: T
authors.lastname: Snabboon
authors.affiliation: Menopause Research Unit, Reproductive Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Bangkok, 10330, Thailand. krasean@hotmail.com.
authors.forename: Krasean
authors.initials: K
authors.lastname: Panyakhamlerd
authors.affiliation: Menopause Research Unit, Reproductive Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Bangkok, 10330, Thailand. dr.unnop@yahoo.com.
authors.forename: Unnop
authors.initials: U
authors.lastname: Jaisamrarn
authors.affiliation: Menopause Research Unit, Reproductive Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Bangkok, 10330, Thailand. nimit2009t@gmail.com.
authors.forename: Nimit
authors.initials: N
authors.lastname: Taechakraichana
mesh_terms: D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007989:Libido / Q000502:physiology*; D008875:Middle Aged; D017698:Postmenopause / Q000502:physiology*; D012725:Sexual Behavior / Q000187:drug effects*; D012735:Sexual Dysfunction, Physiological / Q000188:drug therapy*; D013739:Testosterone / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use
chemical_list: D013739:Testosterone; C010792:testosterone undecanoate