Testosterone Therapy for Women

Jenna Hilton
November 17, 2022

Testosterone is a steroid hormone usually associated with men, but it is also produced in the ovaries and plays a vital role in women’s health. As we age, the production of sex hormones declines and may cause uncomfortable symptoms in both men and women.

The standard hormone replacement therapy for women is estrogen or estrogen and progesterone, but the medical community is starting to recognize the need to treat testosterone deficiency in women. Though female testosterone therapy hasn’t been FDA-approved, doctors prescribe it as an off-label treatment for women in menopause to improve their quality of life.

This article explains how women in mid-life can benefit from testosterone and what to expect from the treatment.

Testosterone therapy for women

Why Is Testosterone Therapy Prescribed to Women?

Currently, the only research-based indication for testosterone therapy for women is low sex drive with associated distress in postmenopausal women. There is not enough data to support testosterone therapy for other conditions. However, patient experience shows the treatment sometimes helps with other symptoms such as mood swings, hot flashes, and cognitive function.

Note: Learn more about the symptoms and causes of low sex drive in women.

Testosterone Dosage for Women

Since testosterone therapy is currently not approved for women, there are no standard female doses. Healthcare providers use FDA-approved testosterone products for men but in lower doses – often one-tenth of the standard male dosing.

The key to effective therapy is to customize the dose for each patient depending on their age, weight, symptoms, and physiological testosterone levels. Evidence shows that physiological doses of testosterone (i.e., approximate doses of the patient’s natural testosterone concentrations before menopause) have a moderate effect in the target group.

Once the provider calculates the adequate dosing for their patient, they start with a lower dose than the one suggested for their weight. This helps to minimize potential side effects if the patient is sensitive to the hormone.

Benefits of Testosterone Therapy for Women

Testosterone therapy for women is indicated for low sex drive in postmenopausal women, including younger women in surgically induced menopause. However, patient experience suggests physiological testosterone doses provide a range of benefits, including:

  • Enhanced libido
  • More energy
  • Improved sleep
  • Improved mood
  • Alleviated hot flashes and sweating
  • Lower cholesterol
  • Improved heart health
  • Muscle and bone mass conservation
  • Osteoporosis prevention

Note: Our article on testosterone therapy benefits provides detailed information about the treatment’s positive effects.

How Long Does It Take for Testosterone Therapy for Women to Work?

Medical providers warn their patients that the therapy requires time and patience. With adequate dosing, symptoms should improve within three months, and it can take eight weeks before seeing any benefit. Doctors periodically alter dosages based on the patient’s symptoms and blood results.

Testosterone Therapy for Women’s Side Effects

Testosterone therapy side effects are rare if the hormone is used in natural physiological female dosages. If the patient receives higher than optimal dosing, the chances of side effects increase. More common symptoms include:

  • Acne
  • Hair growth
  • Hair loss
  • Breast swelling
  • Allergic reactions

Rare, more severe side effects are linked to high testosterone doses and include:

  • Voice getting deeper
  • Development of an Adam’s apple
  • Increased weight
  • Blurred vision
  • Blood clots
  • Stroke
  • Heart attack
  • Hypertension
  • Confusion
  • Fluid retention

Most side effects wear off, except a deeper voice and an Adam’s apple, which are not reversible.

Note: Read our article and find out how to stop hormonal hair loss.

Testosterone Therapy for Women Cost

At Vibrant Vitality Clinic, testosterone replacement therapy for women costs $249. It includes an initial consultation, hormone testing, adequate testosterone preparation based on the patient’s symptoms and weight, and follow-up lab tests every eight weeks.

Lab tests are not included in the price. They are submitted to the patient’s insurance provider.

Note: Visit our pricing page, and find out the cost of other therapies at Vibrant Vitality Clinic as well.


Testosterone deficiency may cause uncomfortable symptoms. Until recently, medical providers prescribed testosterone therapy only for men, but women can also benefit from the treatment. Clinical research and patient experience show physiological testosterone doses help increase sex drive in postmenopausal women and alleviate other symptoms associated with low libido.

It is essential to find a provider who can determine the appropriate dose for each patient and closely monitor their response throughout the treatment to ensure effective results.

Jenna Hilton
Jenna Hilton has been a practicing PA since 2009, specializing in Family, Internal Medicine and Medical Aesthetics. She attended Arizona State University where she received her Bachelor's Degree and graduated magna cum laude. She received her Master of Science degree in Physician Assistant Studies from A.T. Still University.

Jenna has been injecting neurotoxin and dermal filler since 2013. She received certification as a Master Injector in 2017 through Empire Medical in Los Angeles, California. She is currently working on a Fellowship Program in Anti-Aging and Regenerative Medicine through the American Academy of Anti-Aging Medicine. Her special interests include use of PLLA, Ablative/Non ablative skin resurfacing, PDO threads, hormone therapy and nutritional therapies to improve cellular regeneration and medically supervised weight loss.

Jenna Hilton believes in a multi-factorial approach, considering internal factors that accelerate aging and disease development. She always enjoys teaching. She co-founded Vibrant EDU courses at Vibrant Skin Bar and regularly performs one-on-one training with fellow injectors. She teaches Aesthetic and Advanced Injectable Courses at National Laser Institute. She has been named Preceptor of the Year and is an Adjunct Faculty Member at Midwestern University. She was born in Iowa, and lives with her husband and three children in Phoenix, AZ.

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