Do your muscles seem to be shrinking? Or has your libido crashed through the floor? The true underlying cause may be having low testosterone levels.
Despite its traditional image as a “male” hormone, women need testosterone too. It is an important sex hormone in ladies, and deficiency can creep up on you and cause issues if unaddressed in the long term.
If you’re wondering why you haven’t felt like yourself lately, read on to learn about how low testosterone in women affects health. Additionally, learn how to increase testosterone in females naturally through supplements like TestoPrime.
What Is the Normal Level of Testosterone in a Woman?
The normal reference range of testosterone in women aged 20-29 is 45.5-57.5 ng/dL. This usually drops to 27.6-39.8 ng/dL in women aged 30-39, as well as 27-38.6 ng/dL for women in their forties. Interestingly, blood testosterone levels are measured in concentrations 1,000 times greater than estrogen, represented in nanograms (ng/dL) instead of picograms (pg/dL) [1].
Remember: even if your results are within the normal range, you may still have low testosterone relative to your individual needs. Testing may also miss the amount of testosterone active in your tissues.
Common Symptoms of Low Testosterone in Women
The symptoms of low testosterone in women can start manifesting in numerous ways. However, the first thing you will probably notice is a decline in sexual function that cannot be explained by anything else. Even if your relationship and lifestyle may be wonderful, declining T-levels could still lead to trouble with physical arousal and orgasm.
Other symptoms of a lack of testosterone in ladies include depression, fatigue, cognitive problems, headaches, and osteoporosis. Low testosterone symptoms in women also include muscle and bone loss, as it supports protein production [2]. This is why you may still struggle at the gym or have osteoporosis despite an ideal diet and exercise routine.
Testosterone provides women with support for tissue maintenance. The bladder, urethra, pelvic floor, and lower reproductive tract are sensitive to testosterone deficiency, contributing to incontinence and sexual dysfunction [1].
All of these issues demonstrate a more recent consensus about the importance of testosterone in women. A 2018 International Consensus Group agreed that testosterone is the most important sex hormone for women regardless of age. This turns conventional wisdom on its head; hopefully, it may lead to better care for ladies experiencing hormone deficiencies [3].
Causes of Low Testosterone in Women
What causes low testosterone in women? The most common causes are menopause and the aging process in general. Around 25% of a woman’s testosterone is produced in their ovaries, while another 25% is made inside the adrenal glands. Half of it is made inside the body’s tissues from dehydroepiandrosterone (DHEA) [4].
As a result, premature ovarian insufficiency or failure can lead to low testosterone levels, as your ovaries are no longer able to produce hormones. Surgically removing your ovaries will cause the same result.
Another cause of low testosterone in women is contraceptive pills that contain ethinyl estradiol (EE). A study comparing EE to estradiol valerate (EV) found that EE reduced DHEA by 24%, while EV had no effect. DHEA is the precursor to testosterone, so EE might indirectly reduce your ability to produce this hormone [5].
Additionally, not doing strength training could reduce your testosterone production after menopause. Women over 60 performing a strength training program three times each week lost around half of their testosterone once they quit [6].
On the other hand, you may only have low free testosterone because of higher sex hormone-binding globulin (SHBG) levels. Hyperthyroidism, high estrogen, and extreme weight loss can all raise SHBG [1].
How Is Low Testosterone Diagnosed?
Low testosterone is diagnosed by a combination of telling symptoms and lab tests. Symptoms—such as poor sexual function and desire—are first considered. Furthermore, alternative potential causes often must be ruled out. These include stress, relationship problems, fatigue, urinary tract infections, and medications like antidepressants [4].
Researchers still debate the right blood test to diagnose low testosterone. Two-thirds of your testosterone is bound to sex hormone-binding globulin, while almost one-third hitches a ride on albumin. Only 1-2% is “free” testosterone.
Free testosterone is the most commonly used measurement, even though the testosterone attached to albumin is still bioavailable. What’s more, blood tests don’t measure the testosterone acting in your tissues instead of traveling through your bloodstream [4].
Low Testosterone Treatment in Females
Wondering how to treat low testosterone in females? Prescription testosterone therapy can be in the form of injections, pellets, creams, or pills. Some preparations include estrogen, while others center around DHEA. All of these products are still “off-label” for women, but you can still access them in some countries.
Testosterone Injections and Implantable Pellets
Testosterone injections and pellets are the longest-acting preparations. Injections typically last around a week [1]. Implantable pellets can be effective anywhere between three and six months. Both are great options if you do not want to think about taking medication regularly.
Pellet therapy is often preferred because it is convenient and gives you more stable levels compared to injections. A study involving both men and women found that over 90% of women wanted to continue using implantable pellets. Other research revealed that many women enjoyed a reduction in hot flashes and found relief from depression and low libido [3].
Prescription Testosterone Cream
Testosterone cream can bypass the initial liver metabolism. As a result, more of the active ingredient may reach your bloodstream compared to pills.
Creams and gels can be used on the skin (or locally for genitourinary symptoms). A trial testing the local use of 150 mcg and 300 mcg of testosterone over four weeks found that it greatly relieved these symptoms [2].
Additionally, a study on a patch that released 300 mcg of testosterone every day revealed that it helped women experience one more satisfying sexual episode (SSE) per month [4]. All of the women had their ovaries removed out of medical necessity, so previously, they experienced a sudden, severe drop in T-levels.
Many consider testosterone and estrogen creams or patches to be the safest form of hormone replacement therapy. They have no link to blood clots, changes in blood pressure, disrupted metabolism, or cardiovascular events such as heart attacks.
One small trial on the effect of testosterone cream even showed improved heart function in women with heart failure [2].
Prescription Testosterone in Combination With Estrogen
Combining testosterone with estrogen may benefit you more than either hormone alone. One trial suggested that women taking both estradiol and testosterone had a greater restoration of their libido and arousal, for example [1].
Furthermore, several studies have shown bigger increases in bone mineral density with testosterone and estrogen compared with estrogen alone [7]. A trial on pellet therapy found that combining testosterone and estrogen was more effective in boosting bone density than either hormone alone [8].
Oral testosterone may also increase cholesterol levels. Many doctors will recommend it unless they are aware of the benefits of patches or creams. Others recommend women only take testosterone after starting estrogen if the results are unsatisfactory [2].
Both testosterone and estrogen can increase muscle growth. While testosterone supports muscle protein production, estrogen protects muscle tissue. This is partly thanks to an increase in heat shock proteins, which minimize damage from strain, exercise, and heat. Even better, estrogen supports muscle force and regenerative satellite cells [9].
DHEA
As DHEA is the precursor to testosterone, supplementing with it may be an effective upstream way to address a deficiency.
One research showed a greater relative increase in testosterone among women taking DHEA than men. Here, female volunteers’ testosterone levels increased by an average of 30.98 ng/dL. Most volunteers had stronger responses with higher doses and shorter treatment durations, so you may need to cycle on and off DHEA [10].
However, DHEA can also become estrogen. This means it may not be the best way to boost testosterone unless you also want to increase estrogen levels. The research found that postmenopausal women and people over 60 saw a smaller increase in testosterone, so directly replacing it may be the ideal option [10].
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High Testosterone in Women
It’s possible to have too much of a good thing. Perhaps one of the most common signs of high testosterone in women is polycystic ovarian syndrome (PCOS). After all, between 5% and 15% of women have PCOS [11]. It is most likely caused by a combination of genetic predispositions and environmental factors—particularly insulin resistance and obesity.
Typical symptoms of PCOS include male-pattern hair loss and hirsutism, where dark, thick hair grows where it normally would in a man. In case your testosterone is too high as a woman, you should find out how to bring down your T-levels naturally.
Potential Benefits of Testosterone in Women
Find out what health and fitness advantages this male hormone can provide to ladies.
Increases Muscle Mass
Testosterone can improve your muscle mass, strength, and endurance. When young women were given testosterone cream or a placebo, the testosterone group gained around 700 grams of muscle over 10 weeks. In contrast, the placebo group only gained around 160 grams within the same period [12].
Boosts Strength and Endurance
What’s more, the testosterone group’s endurance—measured as time to exhaustion—increased by 21 seconds compared to six seconds for the placebo group. Their strength scores on the Wingate 30s test rose from 470 to 485, too.
Lowers Body Fat
In cases of low testosterone in women, weight gain as body fat is a common sign. This is probably because muscle loss lowers the amount of energy your body uses, so extra calories or energy are stored as fat. In this study, women taking testosterone experienced a drop in body fat from 26.5% to 25.5% [12].
Reduces Menopausal Symptoms
Along with low testosterone in women, menopause might also bring about other uncomfortable effects.
As for menopausal women, one trial found that testosterone alone reduced symptom scores from 21 to 6. Higher doses led to bigger improvements as well. Hot flashes, sweating, depression, insomnia, sexual problems, and muscle and joint pain were all relieved by testosterone therapy [13].
A large review of studies totaling 4,768 women showed improvements in the rate of “satisfying sexual episodes” and better sexual function. Women who had both natural and surgical menopause were included in this research.
As testosterone is present in women’s brains at levels several times higher than estrogen, it is critical for brain health. Multiple studies reveal that it can help improve both your verbal and spatial abilities, for example. Moreover, its antioxidant and cell-protective effects may aid in maintaining your brain’s overall structure and function [7].
Another study involving postmenopausal women showed that testosterone and progesterone increased muscle protein production. Both hormones increased protein synthesis by around 50% [14].
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Potential Side Effects of Testosterone Supplementation
Women taking testosterone might experience some side effects if the dose is too high. In case you experience any adverse effects, it’s vital to contact your doctor as soon as possible. What are the risks of hormone therapy for low testosterone? Hormone therapy is mostly safe at moderate doses.
A trial testing a 10 mg testosterone cream—which gave women an average blood level of 4.3 nmol/L—found that 58% of women had more acne. On the other hand, only 25% of women in the placebo group experienced this. Four women in the testosterone group also had prolonged monthly cycles. Although increased facial and body hair is a known side effect of testosterone therapy in higher doses, this trial showed no difference between the treatment and placebo group [11].
When Should I See a Doctor for Low Testosterone?
Testosterone therapy is only legally available by prescription in the United Kingdom and the United States. However, you may be able to get a prescription through an online telehealth service. Only consult a telehealth solution if you are healthy and do not have any chronic underlying condition that might make using testosterone unsafe.
Best Testosterone Supplements for Women
Do you wish to learn alternative methods of how to increase testosterone in females? Perhaps you don’t want to do testosterone therapy, are worried about insurance denials, or your issues are mild. Thankfully, there are several supplements for low testosterone in females. Keep in mind that you must combine them with regular strength training and a balanced diet with adequate protein intake.
1. TestoPrime – Best Testosterone Supplement for Women Overall
TestoPrime contains 12 natural and herbal ingredients, which may boost testosterone in both men and women.
Ingredients
Panax ginseng is one ingredient that may be effective in women. A trial testing it in women of two age groups showed that those between 20 and 32 saw their T-levels rise from 76.3 to 98.4 pg/mL. The women aged between 38 and 50 had a smaller increase, from 61.2 to 68.1 pg/mL [15].
Another key ingredient in TestoPrime is zinc. When postmenopausal women were given high doses of zinc, their testosterone levels doubled from 25.76 to 50.19 ng/mL, leading to improved sexual function, including desire and satisfaction [16].
Other TestoPrime ingredients include:
- D-aspartic acid
- Ashwagandha
- Green tea extract
- Fenugreek
- Vitamins B5 and B6
Cost
One bottle of TestoPrime costs $64.99. You can save money with the three-month package for $129.99 or, better yet, the five-month deal for $194.99. Just in case it doesn’t work for you, there’s a no-hassle lifetime guarantee, too.
Dosage
To effectively include TestoPrime in your daily wellness routine, take four capsules before breakfast.
User Reviews
Many customers give TestoPrime a thumbs up in their reviews. For example, a Redditor shared in r/weightlossdiets that this testosterone booster provided more energy, improved workouts, and helped with focus [17].
Another Reddit user on r/Supplements said that TestoPrime works great, even though it’s not the only supplement he uses [18].
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2. D-Bal MAX – Top Collagen Protector
D-Bal MAX is another testosterone booster with several ingredients that may support connective tissue health, including your bones.
Ingredients
The formula includes vitamin C, an essential nutrient for collagen production. Both lab and clinical research on vitamin C show improved healing in ligaments, tendons, and bones. This may help address degeneration and poor healing in these tissues after menopause [19]. Lysine, another ingredient, is a part of collagen fibers [20].
Another ingredient in D-Bal MAX is the amino acid arginine. Arginine may increase growth hormone, which boosts muscle growth through raising IGF-1. As this is similar to one of testosterone and estrogen’s effects, you may find that it complements the hormones in enhancing physical performance [21].
Other ingredients of D-Bal MAX include:
- Zinc
- Copper
- Magnesium
- Vitamin B6 and folate (B9)
- Ashwagandha
- Caffeine
Cost
Just one bottle of D-Bal MAX costs $69.99. You can save more with the three-month package for $139.99 or the five-month deal for $209.99. If it doesn’t suit you and you want to return it, D-Bal MAX has a 60-day risk-free guarantee.
Dosage
Take four capsules of D-Bal MAX around 30 to 45 minutes before your workout.
User Reviews
Many D-Bal MAX users have good things to say about this testosterone booster. In r/canreview, for instance, a Reddit reviewer liked how it promotes muscle growth, enhances energy, and levels up overall performance [22].
However, one user wondered how safe the supplement was but still expressed interest in D-Bal MAX by asking fellow Redditors for feedback on r/nutrition [23].
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3. Testo-Maxa – Best for High Estrogen Levels
Testo-Max contains a variety of ingredients aimed at boosting testosterone in men, but women can also benefit from them.
Ingredients
Testo-Max contains 50 mg of vitamin D3 per daily dose. A study testing its effects on hormones and fertility found that every 1 ng/mL of vitamin D3 was linked to a 1.241 ng/dL increase in testosterone. Vitamin D seemed to help increase the ovaries’ production of testosterone or the conversion of DHEA to testosterone [24].
Another Testo-Max ingredient is nettle leaf extract. Lab studies have found that it contains natural aromatase inhibitors, which prevent testosterone from being converted to estrogen. This may be useful if you choose to take DHEA and struggle with both symptoms of high estrogen and low testosterone levels [25].
Its ingredients include:
- Zinc
- Magnesium
- D-aspartic acid
- Korean ginseng
- Fenugreek
Cost
Testo-Max costs $64.99 for one month or $129.98 for a three-pack, which is three for the price of two. The 60-day guarantee backs up your purchase. Like other CrazyBulk products, Testo-Max has free worldwide shipping, free workout programs, and a loyalty program that gives you access to exclusive offers.
Dosage
To use Testo-Max, take four capsules around 20 minutes before breakfast. The dose remains the same on active gym days and off days. It’s advisable to cycle this supplement, with two months on and around ten days off.
User Reviews
Testo-Max has more than its fair share of great feedback on the web. To illustrate, a Reddit user described it on /r/reviewser as a worthy contender for those hoping to optimize testosterone levels and improve their overall health [26].
While another Reddit user hasn’t tried CrazyBulk supplements like Testo-Max yet, he showed curiosity about the supplement by inquiring about it on r/Fitness [27].
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FAQs About Low Testosterone in Women
Here are some common questions you may have about low testosterone levels in some women and its effects.
How Can a Woman Raise Her Testosterone Levels?
Hormone replacement therapy, supplements (such as those including zinc or vitamin D3), and strength training can all raise your testosterone levels to various degrees.
Can Low-Dose Testosterone Help Treat Menopause Symptoms?
Research shows that low-dose testosterone can help relieve certain menopause symptoms [13]. The most commonly used type is very low doses of cream, which gets around liver metabolism.
How Do You Fix Low Testosterone in Women?
Doctors usually “fix” the issue of low testosterone in women by prescribing the hormone as a cream, pellet, or oral preparation. Some women take DHEA, the precursor hormone to estrogen and testosterone. As for how to increase testosterone in females naturally, taking supplements with zinc, vitamin D, or panax ginseng may help.
How Does Testosterone Affect a Woman’s Body?
Testosterone helps boost muscle protein synthesis in women (as well as men) by setting off chain reactions in target cells. It may also improve sexual function and desire.
Can Low Dose Testosterone Help Treat Low Libido in Females?
Yes! One of the most common uses for testosterone therapy in women is low libido. Nevertheless, doctors will typically want to first rule out other causes, such as stress.
What Happens When a Female Takes Testosterone?
Testosterone can dramatically increase your ability to build muscle, strength, and endurance, even at doses far too low to affect your body hair or voice.
What Lowers Testosterone in Females?
Different factors—such as menopause, nutrient deficiencies, lack of exercise, and some types of hormonal contraceptives—can reduce testosterone levels in women.
What Happens if Testosterone Is Low in Females?
Common side effects of low testosterone in women include muscle loss, poor connective tissue health, and cognitive dysfunction with low testosterone. Low libido and sexual dysfunction are two of the most well-known symptoms.
Can Testosterone Help Women Lose Weight?
By increasing muscle mass and strength, testosterone can help you lose body fat [12]. However, excessive levels may affect sugar metabolism and contribute to weight gain.
Is Testosterone a Steroid or Not?
You’re probably wondering, “Is testosterone a steroid?” Testosterone is a hormone that your body naturally produces. While it’s not technically a steroid, some anabolic steroids do contain a synthetic form of testosterone. For those who wish to avoid the risk of steroids, supplements that help raise your T-levels naturally are a viable alternative.
Final Thoughts on Low Testosterone in Women
Having low T-levels is a very common yet overlooked health problem in women. Issues ranging from a low libido to muscle loss and cognitive dysfunction are often waived off as “part of normal aging.” Still, they are at least partly treatable by restoring testosterone to balanced levels.
Commercially available testosterone preparations for women include pellets, oral tablets, creams, and injections. You can also try out natural supplements that aim to boost your own testosterone production.
If you want to use natural supplements instead of testosterone replacement therapy, there are several quality options we found. Our favorite pick overall, TestoPrime, contains 12 ingredients that may support your testosterone production and reduce its conversion to estrogen.
At the end of the day, it’s up to you to decide which testosterone supplement is right for you based on your needs.
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References
- Uloko, Maria et al. “The clinical management of testosterone replacement therapy in postmenopausal women with hypoactive sexual desire disorder: a review.” International journal of impotence research vol. 34,7 (2022): 635-641. doi:10.1038/s41443-022-00613-0
- Laing, Abbie J et al. “Individual Benefits and Risks of Intravaginal Estrogen and Systemic Testosterone in the Management of Women in the Menopause, With a Discussion of Any Associated Risks for Cancer Development.” Cancer journal (Sudbury, Mass.) vol. 28,3 (2022): 196-203. doi:10.1097/PPO.0000000000000598
- Donovitz, Gary S. “Low complication rates of testosterone and estradiol implants for androgen and estrogen replacement therapy in over 1 million procedures.” Therapeutic advances in endocrinology and metabolism vol. 12 20420188211015238. 27 May. 2021, doi:10.1177/20420188211015238
- Kathryn Korkidakis, Ann, and Robert L Reid. “Testosterone in Women: Measurement and Therapeutic Use.” Journal of obstetrics and gynaecology Canada : JOGC = Journal d’obstetrique et gynecologie du Canada : JOGC vol. 39,3 (2017): 124-130. doi:10.1016/j.jogc.2017.01.006
- Kangasniemi, Marika H et al. “Effects of estradiol- and ethinylestradiol-based contraceptives on adrenal steroids: A randomized trial.” Contraception vol. 116 (2022): 59-65. doi:10.1016/j.contraception.2022.08.009
- Nascimento, Matheus Amarante Do et al. “Effect of resistance training with different frequencies and subsequent detraining on muscle mass and appendicular lean soft tissue, IGF-1, and testosterone in older women.” European journal of sport science vol. 19,2 (2019): 199-207. doi:10.1080/17461391.2018.1496145
- Davis, Susan R, and Sarah Wahlin-Jacobsen. “Testosterone in women–the clinical significance.” The Lancet. Diabetes & endocrinology vol. 3,12 (2015): 980-92. doi:10.1016/S2213-8587(15)00284-3
- Frazzetta, Gayle. “Effect of Testosterone Pellet Therapy on Bone Mineral Density in Postmenopausal Women.” Journal of Clinical Densitometry vol 26,3 (2023): 101392. doi:10.1016/j.jocd.2023.101392
- Tiidus, Peter M. “Benefits of estrogen replacement for skeletal muscle mass and function in post-menopausal females: evidence from human and animal studies.” The Eurasian journal of medicine vol. 43,2 (2011): 109-14. doi:10.5152/eajm.2011.24
- Li, Yuanyuan et al. “A dose-response and meta-analysis of dehydroepiandrosterone (DHEA) supplementation on testosterone levels: perinatal prediction of randomized clinical trials.” Experimental gerontology vol. 141 (2020): 111110. doi:10.1016/j.exger.2020.111110
- Rasquin, Lorena, and Jane V Mayrin. “Polycystic Ovarian Disease.” Nih.gov, StatPearls Publishing, 2022, www.ncbi.nlm.nih.gov/books/NBK459251/.
- Hirschberg, Angelica Lindén et al. “Effects of moderately increased testosterone concentration on physical performance in young women: a double blind, randomised, placebo controlled study.” British journal of sports medicine vol. 54,10 (2020): 599-604. doi:10.1136/bjsports-2018-100525
- Glaser, Rebecca et al. “Beneficial effects of testosterone therapy in women measured by the validated Menopause Rating Scale (MRS).” Maturitas vol. 68,4 (2011): 355-61. doi:10.1016/j.maturitas.2010.12.001
- Smith, Gordon I et al. “Testosterone and progesterone, but not estradiol, stimulate muscle protein synthesis in postmenopausal women.” The Journal of clinical endocrinology and metabolism vol. 99,1 (2014): 256-65. doi:10.1210/jc.2013-2835
- Al-Dujaili, Emad A S et al. “Effects of Ginseng Ingestion on Salivary Testosterone and DHEA Levels in Healthy Females: An Exploratory Study.” Nutrients vol. 12,6 1582. 28 May. 2020, doi:10.3390/nu12061582
- Mazaheri Nia, Leila et al. “Effect of Zinc on Testosterone Levels and Sexual Function of Postmenopausal Women: A Randomized Controlled Trial.” Journal of sex & marital therapy vol. 47,8 (2021): 804-813. doi:10.1080/0092623X.2021.1957732
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