Evidence-Based Benefits
- Adrenal insufficiency — 50mg daily improved well-being, mood, and fatigue in women with adrenal insufficiency (Arlt et al., 1999, NEJM)
- Vaginal atrophy — intravaginal DHEA (prasterone 6.5mg) is FDA-approved for postmenopausal dyspareunia (Labrie et al., 2016)
- Bone density — 50mg daily improved hip BMD in older women over 12 months (Jankowski et al., 2006)
- Mood support — some RCTs show improvements in depressive symptoms, particularly in midlife and older adults
- Immune function — moderate evidence for enhanced immune response in elderly populations