Higher free T in serum in some women
There was also a trend toward higher free testosterone in serum with women who experienced urinary leakage more than once per month or more than once per week.
This supports the hypothesis that testosterone may play an important role in supporting the health of muscles in the pelvic floor as well as those that maintain urethral support, Dr. Chancellor said, noting that androgen receptors are found throughout the pelvic floor and lower urinary tract. When muscles in these areas are healthy, they help prevent involuntary leakage of urine.
“Testosterone is a very controversial topic, not just in men, but also in women,” Dr. Chancellor said. He cautioned that more research is needed, as one of the limitations of the study is that urologists were not involved.
“It was much harder than I thought” to look at the impact of one hormone level on female incontinence, he said.