Direct Answer
Women produce testosterone in the ovaries and adrenal glands, and it plays a critical role in energy, libido, muscle mass, bone density, mood, and cognitive function. Low testosterone in women — common during perimenopause, menopause, and after oophorectomy — causes fatigue, low libido, difficulty building or maintaining muscle, brain fog, and mood changes. A blood test measuring total and free testosterone can confirm low levels.
Why Do Women Need Testosterone?
Testosterone is often thought of as a male hormone, but women produce it too — in smaller amounts. It supports libido and sexual function, muscle mass and strength, bone density, energy and motivation, mood stability, and cognitive function. Testosterone levels in women peak in the mid-20s and decline gradually with age, with a more significant drop during perimenopause and menopause.
Symptoms of Low Testosterone in Women
The most common symptoms of low testosterone in women are reduced libido, persistent fatigue that doesn't improve with rest, difficulty building or maintaining muscle mass, increased body fat (particularly abdominal), brain fog and difficulty concentrating, low mood or depression, and reduced motivation. These symptoms overlap significantly with low estrogen and thyroid dysfunction — which is why a comprehensive panel is essential for accurate diagnosis.
How Is Low Testosterone Diagnosed in Women?
A blood test measuring total testosterone and free testosterone (the biologically active fraction) is the primary diagnostic tool. DHEA-S (a precursor to testosterone) and SHBG (sex hormone-binding globulin, which affects how much testosterone is available to tissues) are also measured. Symptoms and labs are interpreted together — some women have low-normal testosterone levels but significant symptoms, which still warrants a clinical discussion about treatment.
Treatment Options for Low Testosterone in Women
Testosterone replacement in women is typically delivered via low-dose topical cream, gel, or injection — or as part of a pellet protocol. Doses are much lower than those used in men. FDA-approved testosterone formulations for women are limited, so most providers use compounded preparations. Treatment is individualized based on labs, symptoms, and health history. Follow-up labs at 6–8 weeks assess response and guide dose adjustments.
Frequently Asked Questions
Is testosterone therapy safe for women?
Low-dose testosterone therapy for women has a well-established safety profile when appropriately prescribed and monitored. The main risks at supraphysiologic doses — acne, hair changes, voice changes — are avoided with proper dosing. Regular lab monitoring ensures levels stay in the therapeutic range.
Will testosterone therapy increase my libido?
Testosterone is the primary driver of libido in women, and low-dose testosterone replacement is one of the most evidence-supported treatments for hypoactive sexual desire disorder (HSDD) in women. Many women report significant improvement in libido within 4–8 weeks of starting therapy.
Can I get testosterone therapy in Orlando without a referral?
Yes. Rejuvenate & Wellness Center in Hunter's Creek, Orlando offers testosterone therapy for women as part of a comprehensive hormone health program. No referral required. Call (321) 294-3586 to schedule.
Does testosterone cause weight gain in women?
Testosterone supports muscle mass and metabolic rate. Women on testosterone therapy often see improvements in body composition — more muscle, less fat — rather than weight gain. Some women experience temporary fluid retention in the first few weeks.
Related Questions
Get Your Testosterone Levels Checked in Orlando
Marc Pierre-Louis, FNP-BC specializes in women's hormonal health including testosterone therapy. Same-week appointments in Hunter's Creek, Orlando.
14050 Town Loop Blvd, Suite 202 · Orlando, FL 32837 · (321) 294-3586