Testosterone in Menopause: What Every Woman Needs to Know

Testosterone in Menopause: What Every Woman Needs to Know

When we think about menopause hormones, most conversations focus on oestrogen and progesterone. But there’s another hormone that deserves attention too: testosterone.

Many people associate testosterone exclusively with men, but women naturally produce testosterone throughout their lives. Although we have much lower levels than men, this hormone plays an important role in our physical, mental and sexual wellbeing.

Understanding how testosterone works can help you make informed decisions about your health during perimenopause and menopause.

Do Women Produce Testosterone?

Absolutely.

Women produce testosterone in both the ovaries and adrenal glands. While the amounts are much smaller than those produced by men, testosterone contributes to a wide range of functions within the body.

Healthy testosterone levels can help support:

• Sexual desire and libido

• Energy and motivation

• Muscle strength and maintenance

• Body composition

• Mood and confidence

• Cognitive function, memory and focus

Like all hormones, testosterone works alongside other hormones rather than in isolation.

What Happens During Perimenopause and Menopause?

Hormonal changes during perimenopause can feel like a rollercoaster. Oestrogen and progesterone fluctuate significantly, and testosterone levels may also decline over time.

For some women, lower testosterone levels may contribute to symptoms such as:

• Reduced libido

• Lower motivation or drive

• Persistent fatigue

• Difficulty maintaining muscle strength

• Brain fog or reduced concentration

However, it’s important not to assume testosterone is always the cause. These symptoms can also be influenced by poor sleep, chronic stress, nutritional deficiencies, reduced physical activity, mental wellbeing and the natural hormonal shifts that occur during midlife.

In many cases, it’s the combination of factors that matters most.

Can Women Have Testosterone Therapy?

Yes, in certain circumstances.

In the UK, testosterone may sometimes be prescribed as part of menopause care, particularly for women experiencing persistent low sexual desire (low libido) that has not improved with other appropriate treatments.

It is not routinely prescribed for every menopausal symptom and is usually given in very small doses under the supervision of a qualified healthcare professional.

Some women report improvements in libido and overall wellbeing, but treatment decisions should always be individualised and monitored carefully.

Supporting Hormone Health Naturally

While medical treatment may be appropriate for some women, lifestyle factors remain one of the most powerful ways to support health during perimenopause and menopause.

Prioritise Strength Training

Resistance exercise helps preserve muscle mass, maintain bone health, support metabolism and improve physical function as we age. Many women also find it boosts confidence and energy.

Focus on Protein and Balanced Nutrition

Eating adequate protein throughout the day supports muscle maintenance and recovery. Including healthy fats, fibre-rich foods and a variety of micronutrient-dense ingredients can also help support overall wellbeing.

Keeping blood sugar levels relatively stable through balanced meals may help support energy and reduce crashes.

Sleep and Stress Matter

Sleep disruption and chronic stress can have a profound impact on how we feel in midlife. Looking after your nervous system, allowing time for recovery and creating healthy daily habits can make a significant difference to energy, mood and resilience.

Remember the Bigger Picture

Hormones do not work independently. Nutrition, movement, stress, sleep, medical history and lifestyle all interact to influence how we feel.

Rather than searching for one single answer, it’s often more helpful to take a holistic approach.

The Bottom Line

Testosterone is an important hormone for women too.

Although it’s often overlooked, it contributes to libido, muscle health, motivation, mood and cognitive function. During perimenopause and menopause, changing testosterone levels may play a role in certain symptoms, but they are only one part of a much bigger picture.

If you’re struggling with symptoms that are affecting your quality of life, speak to a qualified healthcare professional with experience in menopause care. They can help assess your symptoms and discuss whether further investigation or treatment may be appropriate.

🎙️ Podcast Episode Coming Soon

Want to dive deeper into this topic?

My upcoming podcast episode, “Testosterone in Menopause: What Every Woman

Needs to Know,” explores the role of testosterone in female health, common misconceptions, symptoms to look out for, treatment considerations and practical ways to support your hormones during midlife.

Keep an eye out for the episode launch—you won’t want to miss it. 💚