What is testosterone and why might it help?
Testosterone is an androgen hormone that women naturally produce in small amounts. Levels fall with age and after menopause.
Evidence supports testosterone for post-menopausal women with persistent low sexual desire (hypoactive sexual desire disorder) when other causes have been addressed.
Who may benefit?
- Women who have ongoing low libido that is distressing to them.
- Women who have tried optimised oestrogen-based HRT first and still have symptoms.
What are the benefits?
- Improves sexual desire and satisfaction in many women.
- May improve energy and mood in some women, though evidence is strongest for sexual function.
How it is given
In the UK, testosterone is usually prescribed as a gel or cream used on the skin in very small doses. Products used generally in the NHS are licensed for men, so use in women is ‘off-label’ but supported by BMS guidance. There is a product specifically made for women called Androfeme 1%. This is available on a private prescription basis.
Monitoring and side effects
We use the lowest effective dose and review regularly. Blood tests before starting testosterone, at three months and then yearly thereafter are required. This is to ensure levels stay in the female range.
- Possible side effects include acne, increased body hair, scalp hair thinning, or voice deepening (rare).
- If side effects occur, they usually improve after lowering or stopping the dose.
If testosterone is a hormone that you have been considering and wish to discuss further, we have experienced menopause specialists who can work with you to develop an individualised menopause treatment plan.
