Testosterone Therapy For Women
Testosterone is often thought of as a male hormone, but women also produce testosterone and it plays an important role in sexual desire, arousal and overall wellbeing. During midlife, some women notice changes in libido, energy or sexual responsiveness. For carefully selected women, testosterone therapy may be considered as part of menopause care, particularly when low libido is persistent and other contributing factors have been explored.
What Does Testosterone Do in Women?
Women naturally produce testosterone in the ovaries and adrenal glands. Although levels are much lower than in men, testosterone still has important functions.
Testosterone may influence:
Sexual desire
Arousal and sexual response
Energy and motivation
Mood and wellbeing
Muscle and bone health
Not every woman with low libido needs testosterone therapy, and symptoms can have multiple contributing factors.
Low Libido During Perimenopause and Menopause
Changes in libido are common during perimenopause and menopause. For some women, sexual desire decreases gradually. For others, libido changes more noticeably.
Low libido can be influenced by several factors, including:
Hormonal changes
Vaginal dryness or discomfort
Sleep disruption
Fatigue
Anxiety or mood changes
Relationship factors
Stress and life responsibilities
Medication side effects
Medical conditions
Because libido is complex, assessment usually involves looking at the whole picture rather than focusing on one hormone alone.
When Might Testosterone Therapy Be Considered?
Testosterone therapy may be considered for some postmenopausal women experiencing persistent low sexual desire that is causing personal distress, particularly when other contributing factors have been assessed.
Before considering testosterone, it is important to explore factors such as:
Vaginal dryness or pain with sex
Relationship and emotional wellbeing
Sleep quality
Mood and anxiety symptoms
Other medications
General health and medical history
Use of menopausal hormone therapy, if relevant
A consultation can help determine whether testosterone therapy may be appropriate or whether other approaches should be considered first.
Is Testosterone Therapy Suitable for Everyone?
No. Testosterone therapy is not suitable for everyone.
Suitability depends on individual symptoms, medical history, medication use and risk factors. It should be prescribed and monitored by a clinician experienced in menopause care.
Testosterone therapy should not be used without appropriate assessment and follow-up.
How Is Testosterone Monitored?
If testosterone therapy is considered appropriate, monitoring is important.
This may include:
Reviewing symptoms and response to treatment
Checking for possible side effects
Monitoring testosterone levels when appropriate
Ensuring levels remain within the female physiological range
Reviewing whether treatment remains beneficial
Possible side effects can include acne, increased facial hair or scalp hair changes. These are usually dose-related but should be monitored.
Treatment Is Individual
Testosterone therapy is only one possible option for low libido and sexual wellbeing. Some women may benefit more from treating vaginal dryness, improving sleep, addressing mood symptoms or exploring relationship and lifestyle factors.
At My Menopause, we take an individualised approach and discuss the possible benefits, limitations and risks of treatment options so women can make informed decisions.
Testosterone Therapy Consultations in Jamberoo
My Menopause is based in Jamberoo, NSW and supports women across Kiama, Shellharbour, the Illawarra and South Coast regions.
If you are experiencing persistent low libido or changes in sexual wellbeing during perimenopause or menopause, a consultation can help explore possible contributing factors and management options.
Related Menopause Resources
Disclaimer:This information is intended for general educational purposes only and should not be considered medical advice. Testosterone therapy is not suitable for everyone and requires individual medical assessment. If you are experiencing symptoms or have concerns about your health, you should seek advice from a qualified healthcare professional.