Can Testosterone Therapy Help with Menopause?
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Menopause, a natural phase in a woman’s life, signifies the conclusion of her reproductive years. Typically occurring between the ages of 45 and 55, menopause brings about hormonal changes that can result in various physical and emotional symptoms. While oestrogen and progesterone are the primary hormones associated with menopause, testosterone also plays a significant role in women’s health. Recently, there has been increasing interest in the potential benefits of testosterone therapy for managing menopausal symptoms. This article delves into the relationship between testosterone and menopause, highlighting the potential benefits and important considerations.

Understanding Testosterone

Testosterone is often considered a male hormone. But it is also present in women, albeit in smaller amounts. It plays a vital role in women’s overall health, including sexual function, mood regulation, bone density maintenance and muscle strength. Testosterone levels in women gradually decline with age, and the hormonal changes during menopause can further contribute to lowered testosterone levels.

Role of Testosterone in Menopause

As women progress through menopause, ovarian function declines, reducing oestrogen and progesterone levels. Although testosterone levels also decrease, the decline is not as pronounced. Studies indicate that this reduction in testosterone levels during menopause may contribute to specific symptoms, including decreased sexual desire (libido), diminished energy levels, mood changes and decreased muscle mass. Understanding the role of testosterone in these symptoms can help explore the potential benefits of testosterone supplementation in managing menopausal health. Learn about perimenopausal symptoms and how to improve overall well-being from our Menopause Care page.

Potential Benefits of Testosterone Supplementation

  • Improved Sexual Function: Testosterone therapy may help alleviate symptoms of sexual dysfunction, including decreased libido, arousal difficulties and vaginal dryness. Studies have shown that testosterone supplementation can enhance sexual desire and satisfaction in postmenopausal women.
  • Increased Energy Levels: Some women experience fatigue and reduced vitality during menopause. Testosterone replacement therapy may help improve energy levels and combat feelings of fatigue and lethargy.
  • Mood Regulation: Testosterone plays a role in mood regulation, and low testosterone levels during menopause can contribute to mood swings, irritability, and a decreased sense of well-being. Testosterone supplementation may help stabilize mood and improve overall emotional well-being.
  • Preservation of Bone Health: Testosterone contributes to maintaining bone density, and low testosterone levels during menopause can increase the risk of osteoporosis. Testosterone therapy may help reduce the loss of bone mineral density and preserve bone health in postmenopausal women.

Considerations and Potential Risks

While testosterone therapy shows promise in managing menopausal symptoms, it is essential to consider certain factors before initiating treatment:

  1. Individual Assessment: Testosterone therapy needs indivisualisation, considering the woman’s health, medical history and current hormone levels. Consulting with a healthcare professional specialising in menopause management is crucial to determine the appropriateness of testosterone supplementation.
  2. Side Effects: Testosterone therapy may have side effects, including acne, increased facial or body hair growth, and voice changes. Monitoring hormone levels and adjusting the dosage can help minimize these risks.
  3. Long-Term Safety: The long-term effects of testosterone therapy in women are studied. It is essential to regularly monitor hormone levels, liver function, and cardiovascular health while undergoing testosterone supplementation.
  4. Other Treatment Options: Testosterone therapy is not the only option for managing menopausal symptoms. Lifestyle modifications, such as regular exercise, a balanced diet, stress management, and non-hormonal therapies, should be considered as part of a comprehensive approach to menopause management.


While testosterone therapy holds promise in managing menopausal symptoms, it is crucial to approach it with attention. Individual assessment, careful monitoring and consultation with a healthcare professional specializing in menopause management are necessary to determine the suitability of testosterone supplementation. It is rudimentary to weigh the potential benefits against the possible risks and consider alternative treatment options. With personalized care and informed decision-making, women can navigate the menopausal transition with improved quality of life and overall well-being.

Mahantesh Karoshi
Mahantesh Karoshi

I'm a Consultant Obstetrician & Gynaecologist and Women's Health Expert. I believe in educating my patients to contribute to achieving the best possible clinical and holistic outcomes. By taking this approach, I enable and empower my patients whilst addressing their issues and concerns. I run a private practice with an extremely high standard of professionalism. My patients are directly involved in their care and management in all stages. My approach to my patient's problems is built on dedication and passion, drawing on analytical thinking and my on-time honored reading, teaching medical professionals nationally and internationally.