FDA Removes Black Box Warning on Estrogen — Why Women Still Need Testosterone: NDA Medical Spa

A Transformative Win for Women’s Health

The FDA’s removal of the Black Box warning on estrogen therapy marks a major turning point in women’s health.

Modern evidence has consistently demonstrated that estrogen therapy, when used appropriately, reduces all-cause mortality, improves cardiovascular outcomes, supports metabolic and brain health, and significantly enhances quality of life.

What the Science Shows About Estrogen

• Reduced all-cause mortality (Manson et al., JAMA 2017)

• Reduced cardiovascular risk when initiated early (Hodis et al., NEJM 2016 – ELITE Trial)

• Improved cognitive, metabolic, and bone health (Brinton et al., Nat Rev Endocrinol 2022)

This correction by the FDA finally aligns policy with modern research—but estrogen is only half the story.

Why Testosterone Still Matters for Women

Women naturally have three to four times more testosterone than estrogen throughout their lifespan.

Despite this, testosterone therapy remains unrecognized by the FDA, even though the scientific literature strongly supports its benefits when dosed physiologically for women.

Benefits of Testosterone Supported by Research

• Sexual desire & function (Islam et al., JAMA Intern Med 2019)

• Improved muscle tone and bone density (Kenny et al., Menopause 2010)

• Mood, cognition & motivation support

• Enhanced metabolic & mitochondrial efficiency (Hudson et al., JCEM 2022)

These impacts are essential for full restoration of well‑being during peri‑ and post‑menopause.

Why Estrogen Alone Is Not Enough

Many women continue to experience fatigue, weight gain, cognitive fog, reduced libido, slow recovery, and emotional instability even after receiving estrogen.

These symptoms frequently reflect androgen deficiency—meaning estrogen alone leaves women only partially treated.

The NDA Medical Spa Precision Approach

At NDA Medical Spa, we deliver full-spectrum hormone optimization through:

• Estrogen

• Testosterone

• Progesterone

• DHEA

• Thyroid balance

• Insulin & metabolic markers

• Cortisol & stress hormones

• Mitochondrial analysis

• DNA variants affecting hormone metabolism

This approach allows us to treat root causes, not symptoms.

Results Women Experience

• Restored libido & sexual wellness

• Stronger metabolism & easier weight control

• Better cognition, mood & motivation

• Improved muscle tone & energy

• Clearer skin, healthier hair & enhanced vitality

• Better longevity and wellness markers

The Future of Women’s Hormone Health

The FDA’s decision is a major advancement, but true women’s health requires recognizing testosterone as essential—not optional.

NDA Medical Spa is committed to leading this next chapter with precision, personalization, and proven science.

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NDA Medical Spa – Moorestown, NJ