Low testosterone in women can occur for a variety of reasons. While testosterone is typically thought of as a male hormone, it plays important role in women too. Such as supporting libido, mood, bone density, muscle strength, and overall energy levels.
Common Causes of Low Testosterone in Women:
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Aging and Menopause. Testosterone levels naturally decline with age. Women over 40, especially postmenopausal women, often experience a drop in testosterone due to reduced ovarian and adrenal hormone production.
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Oophorectomy (Surgical Removal of Ovaries). The ovaries produce a significant amount of testosterone. Removing them leads to a sudden drop in levels.
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Adrenal Insufficiency. The adrenal glands can produce testosterone. If they’re not functioning properly (as in Addison’s disease), hormone levels can fall.
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Use of Oral Contraceptives or Hormonal Therapy. Birth control pills and certain hormone replacement therapies can suppress natural testosterone production.
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Pituitary or Hypothalamic Disorders. These glands regulate hormone production. Tumours, injury, or dysfunction can impair the hormonal signals needed to produce testosterone.
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Chronic Illness or Stress. Conditions like chronic fatigue syndrome, autoimmune disease, and high stress can negatively affect hormone levels, including testosterone.
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Medications such as corticosteroids, opioids, and some antidepressants can interfere with hormone production.
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Lifestyle Factors such as poor diet, excessive alcohol use, lack of exercise, and inadequate sleep may contribute to hormonal imbalances.
If a woman has low testosterone levels, it can affect her energy, mood, libido, muscle strength, and overall well-being—especially during perimenopause or menopause, when hormone levels naturally fluctuate. Here’s a breakdown of what to do, combining medical and holistic options:
Step 1: Confirm the Diagnosis
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Talk to our menopause specialist
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Get tested: Blood tests (usually in the morning) can measure free and total testosterone levels, as well as other hormones like oestrogen, DHEA, and thyroid hormones.
Medical Treatment Options
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Testosterone Therapy (off-label use in women): Gels, creams, or patches (sometimes compounded). This can help with low libido, fatigue, and muscle loss.
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Address Related Issues: HRT (Hormone Replacement Therapy) for oestrogen and progesterone can also indirectly help testosterone balance. Treat underlying conditions (e.g., adrenal fatigue, thyroid issues)
Holistic and Lifestyle Support
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Strength training: Boosts natural testosterone and improves energy
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Adequate sleep: Poor sleep reduces hormone production
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Healthy fats: Avocados, nuts, olive oil support hormone synthesis
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Supplements (talk to a doctor first): Zinc, vitamin D, magnesium, DHEA (precursor to testosterone).
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Once we have created your unique hormone treatment plan, your hormones will be delivered straight to your door, with a follow-up blood test 6 – 8 weeks later and a monthly follow up consultation – so we can make sure that your results are optimised.
It’s so easy to get started book a consultation with one of our specialist menopause consultants. Your hormone blood test – will be taken at a convenient time for you they will then be analysed and any hormone and vitamin deficiencies. Our doctors will then devise a tailored perimenopause treatment plan
“Siobhan and team helped me when i felt at a total loss with my menopause symptoms i would highly recommend them."
Alexa Young, Lon
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Nicole Yang, Lon
"Started monopause at 35 was given HRT and told to get on with it. After seeing Siobhan we found out i was lacking testosterone & required cream.I now have my sex drive back and am able to go to the gym"
Morgan James, Lon
They got me back to feeling normal again after months of feeling like i ws having an outerbody experience. Sweats, anger, weight gain depression. They managed to sort me out. I feel like a new woman.
Suzanne Levis, Lon