Testosterone for Menopause
Tackle low libido and lack of energy in menopause with testosterone prescriptions from our Menopause Specialists.
Taking Testosterone for Menopause
Testosterone can be helpful if you have ongoing, distressing low sexual desire that persists after your HRT has been optimised and other possible causes (such as relationship factors, low mood, or certain medication side effects) have been addressed.
It is not prescribed solely because blood levels are low, as low levels are a normal part of menopause and don’t always cause problems. Treatment is carefully dosed to keep you safely within the normal female range, as a gel or cream.
Oestrogen through the skin as patch or gel is usually preferred for women also taking testosterone, as oestrogen tablets can affect the way testosterone is metabolised and reduce its effectiveness.
Taking Testosterone with HRT
If clinically appropriate, testosterone can be prescribed alongside HRT. This is usually considered only once you are well established on HRT and still have distressing low libido. Treatment is reviewed after 3–6 months, then annually. Side effects, such as mild acne or increased hair growth, are very uncommon and usually reversible when doses remain within safe limits. You do not need to accept a loss of sexual desire as an inevitable part of menopause.
Testosterone for Menopause FAQs
What are the benefits of testosterone in menopause?
For some women, especially after menopause, testosterone levels drop and symptoms can appear that aren’t fully improved by HRT alone. In these cases, testosterone may help with:
- Improving sexual desire and pleasure
- Boosting energy and reducing fatigue
- Supporting mood and mental clarity
- Helping maintain muscle strength and bone health
Your specialist will only suggest testosterone if it’s likely to benefit you and if other options haven’t been enough.
What are the symptoms of low testosterone in women?
Symptoms can vary, but may include:
- Lower interest in sex
Feeling unusually tired - Low mood or irritability
- Less muscle tone or strength
- Difficulty focusing or “brain fog”
Because these symptoms can overlap with other causes, it’s important to be assessed by a specialist before starting treatment.
Can I take testosterone and HRT at the same time?
If clinically appropriate, testosterone can be prescribed alongside HRT. This is usually considered only once you are well established on HRT and still have distressing low libido. Treatment is reviewed after 3–6 months, then annually.
What are the side effects for testosterone for women?
Most women tolerate testosterone well when it’s given in the right dose. Possible rare side effects include:
- Mild acne or oily skin
- Unwanted hair growth (usually fine and slow)
- Voice changes (rare, especially with correct dosing)
- Mood changes
Regular follow-up is key to keeping your treatment safe and effective.
Can I take testosterone and HRT at the same time?
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Patient Information Leaflets About Testosterone
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