My brother has been compounding my hormones since 2000. I just saw a doctor who ordered blood tests to check my hormone levels, primarily because my hair won't stop falling out. The doctor's office faxed the results to my brother and she had prescribed testosterone cream on the labia. I didn't like that answer and now the doctor is in Australia until mid January. The way my brother explained it is that the testosterone will increase the libido, it will build up muscle tissue and do several other positive things. It is not dangerous to apply to the labia. I am going to call the office and ask that another physician explain the results to me. Compounding HRT is the way to go. The pharmacist can closely duplicate the hormones naturally produced in your body when menopause causes them to produce less.
During your visit, you will answer a questionnaire and have blood work done. An appointment will be scheduled in two weeks to review the laboratory results and go over a plan. When the pellets are inserted, you will have a small bandage that can be removed in a couple of days. Pellets are generally placed in the buttocks but can go anywhere. Symptom improvement generally takes 2-3 weeks. Additional lab monitoring is fairly infrequent. As noted, the absolute level of testosterone is not an accurate predictor of deficiency or excess, it is more symptom-based.