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Do Women Need Testosterone?


Do women need testosterone?

The short answer is yes.

Just like men, women have testosterone in their bodies at all ages (and not just during childhood or puberty).

However, the amount is much smaller, about ten times smaller.

That small amount of testosterone is still significant. If this lower level falls outside the norm, you can start to experience some debilitating side effects.

Do Women Need Testosterone? Here’s What Happens When Your Testosterone Gets Low

Many women aren’t even aware when their testosterone is abnormally low (to be fair, few men are aware either).

And when your testosterone levels drop, it’s logical to blame other hormones, like estrogen or progesterone.

And why wouldn’t you? The symptoms of low estrogen and low progesterone can look quite similar to low testosterone. Usually, it’s not just one hormone that’s unbalanced, but several.

Testosterone replacement therapy (TRT) isn’t always stand-alone—you need to have all your hormone levels checked to ensure your body is getting the hormones it needs.

So, do women need testosterone? The answer is, absolutely.

If you’re not sure how to tell if you have low testosterone, here’s a list of symptoms:

  • Fatigue and exhaustion
  • Weight gain
  • Difficulty losing weight
  • Lack of interest in sex
  • Mood swings
  • Depression
  • Anxiety
  • Difficulty concentrating
  • Hair loss

Unfortunately, because these symptoms can be caused by so many different illnesses, or even drops in other hormones, the only way to know for sure is to get your hormone levels tested.

Why Do Women Need Testosterone Replacement Therapy?

There are many reasons why you might need testosterone replacement therapy. Usually, a few symptoms become so problematic that testosterone replacement therapy is necessary to correct them.

One of the biggest reasons women are prescribed testosterone replacement therapy is to boost sex drive. Many women experience a drop in sex drive as a result of menopause or ovarian issues.

Sometimes drugs like birth control can also cause testosterone levels to fluctuate, and even pituitary gland failures can cause your testosterone to drop.

Another big reason a woman might need testosterone is extreme fatigue (or a lack of energy). We often see women who begin testosterone replacement therapy find the energy they once had in their younger years.

So, why do women need testosterone replacement therapy? To answer simply, women need testosterone replacement therapy for the same reason men do—a hormone critical to your body’s normal function is absent.

How Does Testosterone Replacement Therapy Work for Women?

The actual methods we use are exactly the same for women as for men—we simply use lower doses.

We’ve found that testosterone pellets, gels, creams, and other topicals have far too many issues to make them worthwhile.

Instead, we almost exclusively recommend testosterone injections.

Injections are more effective than both topicals and pellets, and they lack many of the issues that topicals and pellets have.

Pellets, for example, often cause levels to go far too high or too low. Topicals, when they even work, can be transferred to family members who don’t need extra testosterone and cause them harm.

Injections, on the other hand, only affect you, they’re very effective, and they allow us to keep your testosterone within a well-defined range.

If you were to start testosterone replacement therapy today, we would start with a series of blood tests and consultations to determine your symptoms and if you’re a candidate for TRT.

If testosterone replacement therapy turned out to be right for you, we would start you on weekly injections. Testosterone needs to be injected weekly because it degrades in about seven days and needs to be replaced.

We would also take blood samples on a regular basis to see how you’re progressing—it can sometimes take a few injections before an optimal level is reached.

Unfortunately, there is not a long-term testosterone solution beyond weekly injections (at least, not one that’s safe and effective). Injections don’t have to be a burden, however—regular appointments can be quick, and we have 3 locations with flexible hours.

We can find a schedule that works for you.

Do Women Need Testosterone? Absolutely. To Find Out If YOU Need TRT, Start With A Blood Test

To figure out if you have low testosterone, we start with a simple blood test.

Click here to learn more about our $25 low T test and how you can get a free consultation.

Or, if you want to learn more about testosterone replacement therapy for women, click here.



(Augie) Juan Augustine Galindo Jr. MPAS, PA-C

(Augie) Juan Augustine Galindo Jr. MPAS, PA-C started his career in healthcare as a fireman/paramedic in West Texas where he served on the Midland Fire Department from 1998-2004.   He became interested in testosterone treatment after seeing how hormone replacement doctors helped those suffering from low testosterone.   After graduating from the Texas Tech Health Sciences Center Physician Assistant Program, he moved to DFW where he currently lives with his wife and three children.


  1. John M. Clark on 02/17/2016 at 10:02 am

    I am a moderator on a support group for people with Hyperaldosteronism (Conn’s Syndrome). One of two drugs used to treat this condition is Spironolactone. A side effect of this drug that is not necessary for treatment is reduction of androgen. I know some of the adverse effects in men, I ended up with micropenis and ED but I am trying to understand the adverse effects on women. I found your web site this morning with valuable information and wondered if you could add any more insight. The only other medication available to treat this condition is Eplerenone (Inspra) but it is used as a secondary medication primarily due to cost. It is my understanding that Eplerenone was developed specifically to reduce the impact on androgen.

    I advocate the best way to fix the problem is to not cause it in the first place BUT since we have government involvement we need to determine how to deal with it! Is there anyway to know how much androgen reduction is acceptable or will any reduction affect a normal woman adversely? Are there any tests that should be run?

    Thank You in advance for any help you can provide me…John.

    • Augie Galindo on 02/17/2016 at 11:41 pm


      Unfortunately, I don’t know of a way to quantify this androgenic reduction. Primarily because the chief mechanism of action has to do with the blockade of DHT receptors and not an overall reduction in production of androgens. Although, there are some changes which exert an effect on hepatic metabolism of testosterone, and this can more directly reduce the amount of circulating androgens. For that individual issue, following a patient’s total and free testosterone levels from baseline to treatment could lend insight into the severity of suppression seen.

      These changes in women can cause; decreased libido, fatigue, menstrual irregularities, irritability, loss of muscle mass, difficulty losing weight, sexual dysfunction, and other symptoms.

      Best regards,
      Augie Galindo, MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

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