Have any questions? 888.828.4300info@tctmed.com

Have any questions?

The Failure of Testosterone Cream for Women (and Why You Should Be Taking Testosterone Injections Instead)

testosterone cream for women (jar of cream)

Testosterone cream for women is generally ineffective.

It may be a bold statement, but I believe it to be true.

Many testosterone therapy providers recommend testosterone cream for women without thinking twice—they give women the exact same testosterone cream that was specifically formulated for men and tell them to use it on their own bodies.

To be clear, the FDA has not approved testosterone cream for women — standard “name brand” testosterone topicals are manufactured for men only.

That’s not to say testosterone replacement therapy isn’t effective for women—it very much is—this simply means that many drugs manufactured to treat low testosterone are only manufactured at levels that would work on a man.

Given that women have 1/10th the testosterone in their body that men do, you can see why I almost always choose an alternative method.

That alternative method is an injection.

Testosterone Injections Are Generally Superior to Testosterone Cream for Women

Although testosterone cream can sometimes be a solution to low testosterone in women, I recommend testosterone injections for women in the vast majority of cases.

The reason is simple: I can choose an exact dose with an injection. With testosterone cream, I am limited to the level of testosterone the cream was manufactured with.

However, that isn’t the only reason I rarely recommend testosterone cream for women.

Testosterone cream has another major downfall—many people simply don’t absorb the medication. While these studies were only done in men, it’s quite possible women’s skin will react similarly.

Another reason I might not recommend testosterone cream for women patients is the creams are quite expensive—and, because the FDA hasn’t approved testosterone cream for women, insurance usually doesn’t cover the cost.

The final drawback is that the cream can be easily transferred to someone who doesn’t need it. This is especially dangerous for children, who can undergo sexual development before they are ready when exposed to testosterone cream.

Watch our full video on how all these methods work here:

The Most Effective Testosterone Replacement Options On The Market

While topicals do work in some instances, I consider each individual patient carefully before recommending them. I have found that testosterone cream may work well for women who are unable to come into the clinic regularly and live alone. There are other cases where cream may be indicated.

And not all hormone creams are bad—estrogen and progesterone creams are very effective at treating a variety of symptoms in women.

Topicals Often Work Well For Estrogen And Progesterone

While testosterone cream for women simply isn’t at a point where it can work well, estrogen and progesterone cream are. I will often recommend both of these creams for women who have low levels of these two hormones.

Topical preparations of both progesterone and estrogen have long been used to treat the symptoms of menopause, so much so that they have become a standard treatment.

However, every person is different—I need to evaluate you as thoroughly as possible before recommending any form of treatment.

When you come into the clinic, I test all your hormone levels, including testosterone. If I find that you have low testosterone, I may only recommend testosterone injections. However, if I find that two or more of your hormones are at abnormal levels, combined with certain symptoms, I may recommend a combination of therapies.

Mainly, I worry not about your hormone levels but about your symptoms. I measure the effectiveness of your dose based on how it addresses your symptoms, using your levels to decide where to begin and how far to go.

It all depends on your individual case.

To learn more about how hormone replacement therapy for women works, click here.

Or, fill out the form below to sign up for a free consultation—I’d love to talk to you about your unique situation in person.

I can’t wait to meet you!

—Augie Galindo, PA-C



(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. Lloyd Friedman on 11/17/2015 at 8:23 pm

    There are other reasons for woman not to use “T” cream. Walgreen’s compounded the strength to be 200 mg/ml instead of 20. My wife went nuts until we found the problem. Transferred the prescription to a local independent pharmacy who eventually got it right. For a while anyway. All of a sudden my wife’s libido went through the roof again. She stopped and 1 week later her “T” was 467. We brought the cream syringes back. The pharmacy sent out 2 samples from 2 separate batches we had. They came back with the proper strength. I think the pharmacy did not send out what we brought back. I will find an analytical lab that will test the cream. Know any? Of course there were permanent body changes.

    • Augie Galindo on 11/17/2015 at 8:29 pm


      That is terrible! I am so sorry that your wife had to go through that. I have some resources that will have access to some analytical labs. Email me at a.galindo(at)tctmed.com. (*No @ sign, to throw off the spam bots)

      Best regards,

      Augie Galindo, PA-C

Leave a Comment