Levitas Hormones for Life
Testosterone isn’t just a “male hormone” — it plays a major role in women’s health too. Here’s everything you need to know about testosterone during menopause, how it affects you, and whether replacement therapy might help.
What happens to testosterone during menopause?
Testosterone levels naturally decline with age, especially during perimenopause and menopause. This drop can lead to symptoms like low libido, brain fog, fatigue, and reduced mental clarity.
Is testosterone important for women?
Absolutely. While women have lower levels than men, testosterone is actually the most abundant active hormone in women. It’s produced by your ovaries, adrenal glands, and brain — and it affects many parts of your body.
What does testosterone do?
Testosterone:
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Supports libido and sexual pleasure
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Improves mood and mental clarity
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Boosts dopamine and regulates serotonin, helping to reduce anxiety and depression
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Aids muscle mass, bone strength, cardiovascular health, and sleep quality
What are the symptoms of low testosterone?
You might notice:
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Low sex drive or less enjoyment during sex
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Brain fog or memory issues
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Mood changes: irritability, anxiety, depression
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Fatigue and lack of motivation
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Hot flashes, joint pain, or urinary symptoms
Some women may be diagnosed with Hypoactive Sexual Desire Disorder (HSDD) if low libido significantly affects their quality of life for over six months.
Do I need testosterone replacement?
Not always. But if you’re struggling with low libido and HRT hasn’t helped, testosterone could be worth exploring.
According to NICE guidelines (2024), testosterone may be considered for women with persistent low sex drive after trying HRT. Many experts also believe it has wider benefits for mood, brain function, and energy.
Is it common to be prescribed testosterone?
Yes — and it’s becoming more common. NHS data shows a tenfold increase in women over 50 being prescribed testosterone since 2015. Many GPs and menopause specialists are recognising its broader benefits.
How is testosterone taken?
Testosterone is typically prescribed as a cream or gel you apply to your skin (usually thighs or buttocks). It absorbs into the bloodstream and is:
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Monitored with blood tests after a few months
Products include:
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AndroFeme®1 (made for women)
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Testogel, Testim, Tostran (made for men but used in small doses for women)
Some clinics offer implants — small pellets inserted under the skin that last about 6 months.
How quickly does testosterone work?
It may take a few months to notice full effects. Regular use and monitoring help optimise the dose and results.
What are the benefits of testosterone replacement?
Women report:
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Increased libido and sexual satisfaction
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Better mood, focus and memory
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Improved muscle tone and sleep
One clinic study found that mood and anxiety symptoms improved even more than sexual desire!
Are there risks or side effects?
Side effects are rare if testosterone is used correctly. Occasionally, women may notice:
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Mild hair growth at the application site (can be avoided with proper use)
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Skin irritation (especially if allergic to almond oil in AndroFeme®1)
At the low doses prescribed to women, testosterone does NOT typically cause facial hair, deep voice, or acne.
How is testosterone monitored?
After starting treatment:
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A blood test (usually after 3 months) checks your testosterone levels
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Ongoing annual monitoring ensures safety and adjusts your dose if needed
Doctors may measure both total testosterone and free androgen index (FAI) to get a clear picture.
Final Thoughts
Testosterone isn’t just about sex drive — it’s essential for brain health, mood, energy, and overall wellbeing. If you’re in perimenopause or menopause and still experiencing symptoms despite HRT, talk to your doctor about whether testosterone could be a helpful addition.
Note: Always seek personalised advice from a qualified healthcare provider before starting any hormone therapy.
