Hormones are often considered when something feels different in the body, whether it is persistent tiredness, a change in sexual desire, or feeling less energetic than usual. But testosterone is not only a “male hormone”. It is produced in women as well, and it plays a role in sexual health, muscle strength, bone health and overall well-being.
Testosterone levels naturally change with age and life stage. So, a blood test showing a lower level does not automatically mean something is wrong. When considering low testosterone in women, doctors look at symptoms, age, menstrual or menopausal status, medical history and other possible causes before deciding whether further evaluation is needed.
Testosterone is produced by the ovaries and adrenal glands in women. The body also converts some testosterone into oestrogen, so these hormones are connected rather than working independently.
In women, testosterone contributes to:
● Sexual desire and sexual function
● Muscle strength and physical function
● Bone health
● Energy and general well-being
● Certain aspects of mood and cognitive function
The amount produced is much lower than in men, and levels naturally change throughout a woman's life.
There is no single testosterone level that defines a problem for every woman. Testosterone levels vary with age, menstrual status, ovarian function, medications and the laboratory method used for testing.
This is why low testosterone in women should not be diagnosed from a blood report alone. A doctor will consider whether symptoms are present and whether another health condition, medication or hormonal change could explain them.
The signs and symptoms of low testosterone can vary and overlap with many other diseases and medical conditions. The most common symptoms can include the following:
● Decreased libido
● Constant tiredness/fatigue
● Mood changes
● Concentration issues
● Weak muscles
● Change in body mass composition
● Vaginal dryness or problems during sexual intercourse
The above symptoms need to be evaluated along with other factors to rule out other conditions.
The signs of low testosterone in women are important to discuss with a doctor when they persist or begin affecting everyday life or sexual well-being. For example, a lasting reduction in sexual desire, unexplained fatigue or changes in strength may deserve evaluation. However, these symptoms can also occur with anaemia, thyroid disorders, sleep problems, stress, depression, menopause, medication use and several other conditions.
The goal is not to assume that testosterone is the cause, but to find out what is actually affecting your health.
Some are part of normal hormonal ageing, while others may require medical attention.
A doctor may investigate the underlying cause rather than treating the testosterone result alone.
Diagnosis starts with a detailed discussion about symptoms, menstrual or menopausal status, medical history, medications and overall health. A physical examination may be performed when appropriate.
Blood testing can measure testosterone, but results need careful interpretation because female testosterone levels are relatively low and laboratory methods vary. A low result alone does not establish a diagnosis.
Depending on the symptoms, your doctor may also check for conditions such as thyroid problems, anaemia or other hormonal issues.
Treatment depends on the cause and the symptoms rather than simply trying to increase the testosterone number.
Management may include:
● Treating an underlying medical condition
● Reviewing medicines that may be contributing to symptoms
● Addressing sleep, nutrition, physical activity and overall health
● Treating menopause-related or vaginal symptoms when appropriate
● Providing specific treatment for persistent sexual health concerns
Testosterone therapy is not a routine solution for fatigue, low mood, cognitive concerns or general well-being. It is mainly for selected postmenopausal women with hypoactive sexual desire disorder, under medical supervision.
Self-prescribed testosterone supplements, pellets or compounded hormone products should be avoided without specialist guidance.
Not every cause can be prevented. Natural ageing, menopause and some changes in ovarian function are part of life and cannot always be avoided. Nevertheless, staying at a healthy weight, following a balanced diet, doing exercises, ensuring you have enough sleep, and managing any pre-existing conditions can help with hormone balance. Special attention must be paid to your health when you have had ovarian surgeries or therapies that affect hormone production.
Consider speaking to a gynaecologist or other appropriate healthcare professional if you have:
● Persistent low sexual desire
● Unexplained or ongoing fatigue
● Significant mood or concentration changes
● Vaginal or other sexual health changes
● Symptoms interfering with daily activities
● New symptoms after surgery, medication changes or treatment affecting ovarian function
You do not need to wait until symptoms become severe. A proper evaluation can help identify whether hormones are involved or whether something else needs attention.
At Cloudnine, gynaecologists can work with endocrinologists, nutritionists and other specialists when required to understand symptoms in the context of a woman's age, reproductive stage, medical history and long-term health.
The focus is on identifying the underlying concern, explaining the available options clearly and creating care that fits the individual woman. Cloudnine's women's healthcare also includes support for menopause, hormonal concerns and sexual health across different stages of life.
Low testosterone is only one possible explanation for symptoms such as low libido, fatigue or changes in physical strength. Because these concerns can have several causes, testing and treatment should always be guided by a healthcare professional. With the right evaluation, the underlying cause can be identified and addressed rather than relying on hormone supplements without knowing whether they are needed.
Include adequate protein from eggs, fish, chicken, pulses, beans and dairy; healthy fats from nuts, seeds, avocado and olive oil and foods rich in zinc, magnesium and vitamin D, such as pumpkin seeds, legumes, leafy greens, eggs and fatty fish.
Pomegranate juice is considered one of the better drinks to support healthy testosterone levels. Moderate amounts of unsweetened green tea or ginger tea may also be beneficial as part of a balanced diet. Choose natural, unsweetened options to avoid added sugars that may negatively affect metabolic and hormonal health.
Ageing, menopause, reduced ovarian function, ovary removal, certain medications, medical conditions and disorders affecting the pituitary or adrenal glands can contribute to lower testosterone levels.
Regular exercise can support overall health and muscle strength, but it should not be considered a treatment for diagnosed low testosterone. Strength training and regular physical activity are important as part of a healthy lifestyle.
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