Gynecologist Reveals Why the Testosterone Gel “Divide by 10” Rule Fails

Did you finally start testosterone, feel really great, no side effects and then your doctor cut your dose because your labs looked “too high”? Or are you squeezing a tiny men’s gel packet every night, trying to guess what one tenth actually looks like.

We cover:

• What happened when 175 women used the same low dose of testosterone gel

• Why the “divide by 10” rule is almost impossible to follow

• Cream, gel, injections, pellets, and patches: which ones give steadier levels and which ones Dr. Susan avoids

• When to test after applying your testosterone, and the best spots to put it 

• Which side effects are just a nuisance, which ones are permanent, and why doing nothing isn’t the “safe” choice

Dr. Susan Hardwick-Smith is a board-certified gynecologist and Certified Menopause Practitioner through The Menopause Society, focused on hormone optimization, sexual wellness, and longevity. After 20 years as a traditional OB/GYN, she founded Complete Midlife Wellness Center in Houston, a practice dedicated to women in perimenopause, menopause, and beyond. She collaborates with Dr. Mohit Khera’s team at Baylor College of Medicine on research into testosterone dosing and delivery for women. She is the best-selling author of Sexually Woke, hosts the podcast and YouTube show Empowering Midlife Wellness, and is a multiple-time Texas Super Doctor award recipient, Ironman triathlete, and mother of three.

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