How to Naturally Increase Testosterone in Women: Science-Backed Strategies for Energy and Longevity

Although no testosterone serum concentration correlates with the presence or absence of HSDD or its severity,88 there is a loose correlation between testosterone concentration while undergoing treatment and its benefits for improving sexual dysfunction.47 Although the complexity of central and peripheral mechanisms of action of testosterone on sexual desire is not completely understood, research and clinical evidence support a positive effect of testosterone therapy on sexual desire when premenopausal physiologic levels are maintained.47 When testosterone supplementation exceeds the normal premenopausal range, which is the recommended optimal treatment threshold, sexual desire may actually decrease, suggesting a bimodal effect.91 It provided clinical guidance regarding the use of testosterone therapy in women, examining the effect on sexual function; well-being, mood, and cognition; musculoskeletal effects; cardiovascular and breast health; as well as androgenic side effects and adverse events. Because this male hormone is an instrumental component in sexual desire, declining libido is a common symptom of "low T." Men with this condition may be treated with testosterone therapy to improve their sex drive and relieve other symptoms. Transdermal testosterone therapy for surgically postmenopausal estrogenized women complaining of low sexual desire since that surgery is approved in some countries. Testosterone Support For Women + Collagen can support healthy weight management when you’re stressed while also reducing stress-induced food cravings. It can even improve normal vaginal dryness and supports female hormone balance. Testosterone support such as Ancient Nutrition’s Testosterone Support for Women + Collagen can help improve both energy levels and motivation, while also reducing overall fatigue. For example, testosterone may potentiate the synergistic effect of high-protein feeding and exercise on stimulating rates of muscle protein synthesis by improving the reutilization of amino acids (24). To our knowledge, the molecular effects of exogenous testosterone administration during exercise- and diet-induced energy deficits remain unexplored. Testosterone supplementation in humans increases the number of proliferating satellite cells and expression of myogenin, indicating testosterone promotes cell cycle entry and later stages of myogenesis (51). A persistent increase in muscle protein synthesis and decrease in muscle protein breakdown would lead to muscle mass accrual over time. This product has estrogen-like effects on the body. Some hormone medicines that aim to relieve GSM symptoms could help make sex more comfortable. Switching to a different type of antidepressant may lead to fewer sexual side effects. The review is done to see if any of the medicines tend to cause sexual side effects. Our top pick for the best one for muscle gain is Kaged Ferodrox due to its high-quality ingredients and simple ingredient panel. Men with even a slightly low test level will struggle to gain and maintain muscle.(5) One possible solution for this may be supplementing with a high-quality test booster. We liked that this supplement includes only a few ingredients to pinpoint testosterone production for enhanced training rather than a shotgun approach.
  • Having normal testosterone levels is essential for overall health.
  • In women, this helps boost egg production in the ovaries, assisting with regular ovulation while increasing the chance of getting pregnant.
  • If you are worried your T levels are dropping, visit your GP for a blood test.
  • Different types of phytoestrogens have unique health properties on top of their estrogen-boosting benefits.
  • A large epidemiological investigation found a poor correlation between any steroid hormone measured by immunoassay and low sexual desire or function.88 Although decreased levels of DHEA-S less than the tenth percentile had the best correlation with low sexual responsiveness in older women aged 45–75 years, most women with low DHEA-S did not have any sexual dysfunction.88 Thus, there is no absolute level of any androgen that signals HSDD.
  • For example, she points to a 2003 study she conducted, which involved just 31 women.
  • Interestingly, however, experimental results show the opposite, with testosterone demonstrating anti-proliferative effects while promoting apoptosis within breast tissue.
  • A systematic review did not find adverse effects of testosterone therapy on blood pressure, vascular reactivity, blood viscosity, insulin sensitivity, hemoglobin concentration, or coagulation factors in postmenopausal women (63).

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Oral testosterone therapy seems to negatively impact lipid profile, usually decreasing HDL and increasing LDL. Patients on estrogen therapy did not show mammographic density changes, and no breast cell proliferation was observed when testosterone was added (58). In the APHRODITE trial, women with endometrial bleeding who were exposed to the high study testosterone dose (300 µg/d) were found to have endometrial atrophy on endometrium biopsy (55). Quantitation of FT levels by dialysis is perhaps the most accurate test for measuring androgens in women, but also the most costly, and is not performed by most laboratories. Best Testosterone Booster for Energy - Prime Male™ Vitality Complex Limitations were the lack of fat-free mass and skeletal muscle hypertrophy measurements. Another strength was the intervention period lasting ten-weeks, rather than six to eight, commonly applied in similar studies (2, 29). A key strength of the present study was the multiple-group design which omits potential inference of the cross-transfer effect. Blood-flow restricted training induced greater noradrenaline elevation, but no differences were seen for GH and testosterone. However, in the current medical literature, the vast majority of research data on the use of anabolic steroids in women comes from athletes (69). In 2006, 34 international laboratories accredited by the International Anti-Doping Agency recorded 4,332 positive findings in tests, of which 45% were due to use of androgens (67). Therefore, since the early 1970s, the International Olympic Committee has banned the use of anabolic-androgenic steroids (AAS) by male and female athletes (68). Every medical treatment has its downsides, and knowing what to expect can help you make an informed decision. Testosterone therapy can help improve these issues, offering a range of benefits. However, it’s important to understand why someone might think about this kind of therapy in the first place. Today, a range of supplements—from natural testosterone precursors to herbal extracts that support hormone balance—are being marketed to women. This steady decline means that even a modest reduction can tip the balance of hormones and trigger symptoms. Taking a proactive approach to hormone health empowers women to feel their best, improve overall vitality, and support long-term well-being.
  • For women, testosterone is naturally produced in the adrenal glands and the ovaries and some peripheral tissues, and it has lots of important roles in our bodies, including maintenance of bone and muscle mass, cognition.
  • Women can thank this hormone for their libido, their gym performance, and their musculoskeletal health.
  • We’ll explore BHRT as a solution shortly, but first, let’s dive into the causes and effects of low testosterone in women.
  • “Two of the ingredients in this formula, the ashwagandha and the tongkat ali (Eurycoma longifolia) have the strongest clinical data supporting small to moderate increases in testosterone,” Pete said.
  • A double-blind randomized trial demonstrated that androgens (a group of hormones that includes testosterone) also affect muscle mass and strength (11).
  • If women’s sexual desire was under androgenic rather than estrogenic modulation, it would discriminate humans as unique amongst mammals (Wallen, 2013).
  • Reducing inflammation is important for maintaining overall health and preventing disease (16).
  • Menopause is a natural phase marked by reduced estrogen levels in a woman’s life.
  • A hormonal imbalance in your body can mean that testosterone levels in women become abnormally high.
Empowering your hormones naturally may be the key to feeling strong, vibrant, and connected to your body again. These supplements have shown benefits for women’s hormone health, energy, and libido in clinical research or clinical practice. For many, testosterone-supportive supplements offer a more natural, lower-risk alternative that gently supports hormone balance without synthetic hormones. Although commonly viewed as a "male hormone," testosterone is essential for women. For years, testosterone therapy has been seen as a male-only solution. When hormones are off kilter, you’re likely to feel less than optimal. Testosterone is the primary hormone responsible for libido in men, and likely helps maintain libido in women. In both men and women, testosterone helps protect the nervous system and helps ward off low mood and serious cognitive and memory issues.
  • Testosterone, a steroid hormone, is mainly produced in the testes for men and, to a lesser degree, in the ovaries and adrenal glands for women.
  • These results are contrary to in vitro studies implicating the mTOR pathway in testosterone-induced increases in myotube hypertrophy (3, 58), as well as literature reporting altered synthetic rates with testosterone administration and androgen withdrawal in humans and mice, respectively (24, 53, 58).
  • These levels are exceedingly more significant compared to testosterone production in females (about 15-fold greater).
  • Possible side effects include acne, hair growth on the face and body, male-pattern hair loss, and oily skin.
  • Since the WHI studies almost twenty years ago, much confusion has occurred regarding estrogen supplementation, and this has led to many negative and inaccurate perceptions around the use of testosterone in women.
  • Multiple mechanisms are likely to influence the decline in testosterone levels in aging men.22 Lower testosterone levels may result from reduced testicular responses to gonadotrophin stimuli with aging, coupled with incomplete hypothalamo–pituitary compensation for the fall in total and free testosterone levels.23,24 Whether the age-dependent decline in androgen levels leads to health problems in older men is being debated vigorously.21,25
  • Additional health concerns that can result from too much testosterone include acne, insulin resistance, obesity, diabetes, heart disease, high blood pressure and high cholesterol.
Therefore, considering the importance of menstrual and metabolic disorders in patients with PCOS, most studies have been conducted on the prevalence of syndrome and these disorders. The results showed that adjuvant phytoestrogen significantly improved the level of total cholesterol, LDL, and TG. In particular, the study conducted by Medina in 1989 indicated the ability of some flavonoids in connection with central benzodiazepine receptors. Despite animal studies suggested progestin impacts on alcohol consumption, more evidence from human and animal studies are needed to confirm this effect. However, these associations are unclear in adolescents, particularly in females, possibly due to dynamic changes in hormonal levels at this developmental stage. Most doctors will require a baseline blood test before starting testosterone in women. This is why there’s no simple answer to a ‘normal’ blood test result for testosterone in women. However, as with all hormone therapy, the benefits and risks are highly individual and should be discussed with your doctor. Whilst many women do start testosterone through our service, the final prescription decision will be with the prescribing clinician. Preclinical studies have suggested that NO is the main modulator of clitoral blood flow, acting as a vasodilator through its second messenger cGMP 45–47. For instance, during embryogenesis, androgens are fundamental for the development and morpho-functional regulation of genital organs 42, 43. It is also well known that clitoris is an androgens-responsive organ, throughout the entire life spectrum , both in its external and inner part, or clitourethrovaginal (CUV) complex . Weight loss, oral contraceptives pills, cyclic progestin, spironolactone, and finasteride are used to improve the symptoms by androgen rise. This increase was reported in the study conducted by Akbarzade et al. Increased level of lipids was reported among women with PCOS in the study of Wild et al. as well as Valkenburg et al. This study is a randomized clinical trial which was conducted on 80 women (40 patients in each group) of childbearing age with PCO. The study aimed to investigate the effect of chamomile on lipid and hormonal parameters in women of reproductive age with PCOS.

Testosterone side effects can be irreversible

This was found beneficial in treating the symptoms and causes of polycystic ovary syndrome.20 The International Journal of Basic & Clinical Pharmacology reported that studies into vitex agnus castus have shown that it can help reverse hormonal imbalances. A complication of high testosterone level is that it can affect your chances of becoming pregnant. Hormonal imbalances are a major factor causing premenstrual syndrome (PMS) in many women. This therapy appeared to be truly local as there was no increase in serum DHEA, estrogen or testosterone. In contrast to the situation in men, women with high endogenous testosterone are more likely to develop insulin resistance and cardiovascular risk Brand and van der Schouw, 2010; Wild, 2007, but how this relates to postmenopausal testosterone therapy is unknown. Confirming a meaningful therapeutic benefit in some women does not negate the concern that using current understanding of women sexual response Brotto, 2010; Graham, 2010; Wylie and Mimoun, 2009, both pre- and post-therapy the women's sexual responses were ‘within normal limits’. They can evaluate you and assess if testosterone levels may be responsible. A blood test is the only way to know if your testosterone levels are low. Healthcare providers measure testosterone levels with a blood test. But you can experience low testosterone levels at any time in your life. STAT’s coverage of health challenges facing men and boys is supported by Rise Together, a donor advised fund sponsored and administered by National Philanthropic Trust and established by Richard Reeves, founding president of the American Institute for Boys and Men; and by the Boston Foundation. “It’s interesting that the FDA elected to include a special section on supporting testosterone,” said Morgentaler. But leading testosterone experts said the evidence that diet alone can help men avoid low-T is scant. Shortly after, Adm. Brian Christine — a urologist and men’s health expert — was sworn in as assistant secretary for health, and WIRED reported that a National Men’s Initiative may be on the way. Annalisa (Nalis) Merelli is a contributing writer at STAT focused on boys’ and men’s health. Testosterone for women has a crucial role in regulating various physiological processes. This suggests that testosterone supplementation may help normalize brain activity in affected regions, potentially improving mental clarity and mood. Note that the numbers in parentheses (1, 2, etc.) are clickable links to medically peer-reviewed studies. Get the latest in health news delivered to your inbox! However, the optimal amount of testosterone is far from clear. Because prostate cancer is so common, doctors tend to be leery of prescribing testosterone to men who may be at higher than average risk of having undiagnosed prostate cancer. Doctors also watch out for high red blood cell counts, which could increase the risk of clotting.
  • In women, testosterone contributes to muscle strength and endurance, which are vital for overall physical health.
  • Women are, therefore, not spared from possible symptoms of low testosterone, which is why females can sometimes also be good candidates for supplemental testosterone therapy.
  • Testosterone pills may boost sexual desire for those with declining levels.
  • There’s no way to quickly raise your testosterone naturally, though there are ways to modify your lifestyle to support healthy testosterone levels over time.
  • A wide variety of symptoms
  • However, a lot of the evidence is preliminary, and many of the studies were performed on animals.
  • In a study published in the AIP Conference Proceedings, white rabbits with gonadal dysfunction given the peptide GHRP-6 had increased testosterone levels.
By making a few choices about what you eat, you can raise your testosterone levels naturally. One of the quickest and easiest ways anyone can take personal control over their hormone levels is to adopt healthy habits. If you feel you lack energy, have a low libido, or have issues with sexual function, then low testosterone could be an issue. Testosterone therapy can also improve sexual function in women with low levels or reduced libido. Clinical studies indicate that boosting testosterone levels can help manage HSDD in menopausal women, offering a potential therapeutic option for those affected. Although often referred to as a male hormone, testosterone is also essential for women’s health, especially during menopause. A study in rats showed an increase in both testosterone levels and antioxidant levels after just 30 days of ginger intake . A medically reviewed study from 2017 showed that serum testosterone levels in healthy young men were raised with fatty acid intake. There can be, though side effects are more common for women using male products, where it’s easy to accidentally overdose. Assuming women are using appropriate doses, if they feel better on testosterone, is there harm? In the UK, where Testogel is NHS funded but women must pay £100 for AndroFeme, research indicates for every woman on AndroFeme, there are about 20 male testosterone users. Buckley estimates there are about 1500 users in New Zealand, but he suspects the number of women on male testosterone medication will climb. A male testosterone gel, Testogel, intended for use in men and people in gender-affirming therapy, was approved by Medsafe here last April and is fully funded. Oral testosterone should be avoided because of a significant association with increased LDL-cholesterol and reduced HDL-cholesterol levels.11 Injectable formulations may lead to peaks in testosterone level, increasing the risk of supraphysiological dosing and adverse effects. There is a paucity of studies evaluating testosterone treatment of premenopausal women with HSDD. Transdermal testosterone therapy is the only approved pharmacotherapy for use in postmenopausal women with HSDD in Australia. In women, circulating testosterone is derived both from direct ovarian production and from peripheral production from adrenal and ovarian precursor hormones. When your body is under stress it triggers cortisol, which impacts others bodily functions, including the production of testosterone. Magnesium is thought to increase testosterone bioactivity because it reduces oxidative stress. It plays an important role in bone health, breast health, fertility, sex drive, menstrual health, and vaginal health. Check out eight testosterone boosting foods for women to build into your diet. It’s a key hormone for your reproductive and overall health. Waxenberg et al. (1959) had posited that the adrenals were the primary source of androgens in women, which would indicate that circulating testosterone levels (unlike estradiol levels) should not appreciably fluctuate across the menstrual cycle. Six of these seven women reported a decrease in sexual desire following subsequent adrenalectomy, while the seventh reported a complete lack of sexual desire both prior to and after adrenalectomy. The authors also reported that five of the seven women who had undergone oophorectomy prior to adrenalectomy reported a decrease in sexual desire following oophorectomy. I tested Maria’s testosterone, and sure enough, it was too low. It’s also important to understand potential side effects of any prescription medications you are taking. Be conscious of the products you choose, and avoid those that contain estrogen mimicking compounds, such as BPA and parabens. High-quality sleep is important for a lot of reasons, including cognitive functioning, physical functioning, cardiovascular health, and metabolism. All of these have been studied for their impact on low testosterone, primarily in animals or humans with infertility. For some women, these natural methods may not be effective enough. Though these types of treatments are not the right solution for every woman, they are certainly worth considering. For optimum benefits and to decrease the risk of injury, learn proper form and increase the weight you're lifting gradually. Your adrenal glands are part of your endocrine system, and are responsible for the production of testosterone. Although we only produce a fraction of the amount that men produce, this hormone plays a vital role in our bodily functions. The amino acid aspartic acid is known for its ability to increase testosterone production naturally. Ashwagandha is an adaptogenic herb that helps enhance the body’s ability to deal with stress and reduce cortisol levels. In 2011, the results of a study published in the journal Hormone and Metabolic Research found that vitamin D supplementation boosts testosterone naturally in overweight men by up to 30 percent. Alcohol consumption can reduce the production and release of hormones that are needed for reproductive functions and interfere with hormone production in the hypothalamus. Refined grains have a low nutritional value, and studies show that, like sugar, they can negatively impact blood sugar levels and lead to insulin resistance. In women, testosterone influences sexual desire, arousal and overall sexual satisfaction. As women age, particularly during and after menopause, natural testosterone levels decline, which can lead to symptoms like fatigue, reduced stamina and decreased motivation. “The most important point in this section is that obesity lowers T and losing weight in obese individuals increases T,” he said, cautioning however that significant weight loss — about 15% of body weight — is necessary to see meaningful improvements in testosterone levels. If you have done all of these things and your testosterone levels are still trending low or you are still experiencing symptoms, then would be the time to talk to your doctor to see if testosterone replacement therapy would be right for you. This may result in clinically low testosterone levels and some potential side effects such as fatigue, reduced muscle mass, and decreased libido. Sherwin and Gelfand (1987) investigated sexual desire and functioning in 44 surgically menopausal women, 33 of whom had already been using an estradiol-only therapy or a combined estradiol+testosterone therapy for at least two years, and 11 of whom had never used a hormone therapy. The results of Sherwin et al. (1985) and Davis et al. (2008) agree with the much earlier work of Salmon and Geist (1942), and demonstrate that supraphysiological levels of testosterone are capable of increasing sexual desire in postmenopausal women in the absence of a concurrent estrogen therapy. The authors found that self-reported levels of sexual desire did not differ between the testosterone-only and estrogen+testosterone treatment groups, and that both treatments increased sexual desire more than did the estrogen-only treatment and placebo. Thus, the estrogen therapy administered by Myers et al. (1990) would not have been expected to increase women’s sexual desire, given the very low levels of estradiol it produced. Levels of these hormones peak in a woman’s 20s but drop significantly during perimenopause and postmenopause. Testosterone belongs to a group of steroid hormones called androgens. Patients should be monitored for their clinical response to treatment and assessed for signs of androgen excess, with a serum total testosterone level every 6 months to screen for overuse. An international task force of experts from leading medical societies, brought together by the International Menopause Society, has recently produced a Global Position Statement to provide clear guidance regarding the prescribing and measurement of testosterone for female testosterone therapy, as well as advice on testosterone prescribing practices that have the potential to be ineffectual or cause harm. As most testosterone is protein bound to sex hormone-binding globulin (SHBG), there is only a small circulating free fraction, which is difficult to measure reliably. During ongoing testosterone therapy, signs of clinical androgen excess and laboratory testosterone levels should be assessed every 6 months to monitor potential side effects. In women who are receiving a trial of testosterone therapy, testosterone levels should be measured at baseline and 3-6 weeks after starting treatment, especially to avoid supraphysiologic concentrations, since response to therapy does not correlate with testosterone levels (B) (3,34,37). According to the authors, short-term transdermal testosterone was efficient in improving sexual function in naturally and surgically menopausal women affected by HSDD, both on or off estrogen-progestin hormone therapy (38). To summarize current evidence regarding testosterone treatment for women with low sexual desire. » Read more about the science behind testosterone biomarkers That’s right, the big “T” is linked to the big “O” for women as well as men. It is produced mostly in the testes of men and the ovaries of women, although small amounts are produced in the adrenal glands as well. In general, a normal total testosterone level is 300 ng/dL or higher. Some symptoms are general, such as fatigue, poor concentration, and mood changes. Aging is the most common cause, but other genetic and acquired conditions can also lead to drops in testosterone. The association of plasma DHEA and DHEA sulfate with breast cancer risk in predominantly premenopausal women. Estrogenic and antiestrogenic activities of flavonoid phytochemicals through estrogen receptor binding-dependent and -independent mechanisms. DHEA supplementation positively affects spontaneous pregnancies in women with diminished ovarian function. Cocoa and chocolate in human health and disease. If you think you might benefit from this treatment, speak with your doctor. Look Out Hot Flashes! There’s a New Nonhormonal Hot Flash Treatment Available. Androgen levels begin to decline with age in a woman, from the mid-30s onward, with no perceptible increase in the speed of decline at menopause. Androgens in women act not only as the precursor of estrogens but also affect most organ systems of the female body, including the cardiovascular, muscular, and skeletal systems. And like I said, it always amazes me how hormones work in the body in just so many different ways. I hope that, again, we will have more data on how we should use that lab value to help guide us for therapy for things like mood and cognition and bone and muscle health in the future. We offer that type of multidisciplinary approach here at the Cleveland Clinic, and that's also very beneficial for addressing some of the other interpersonal or environmental factors that may influence libido and sexual health. Low estrogen levels are linked to bone loss and conditions like osteoporosis. When estrogen drops during perimenopause and menopause, your bones pay the price. Flaxseeds offer lignans, naturally occurring phytoestrogens that may assist in hormone regulation. At Nava Health, we want to unlock a healthier you and help you feel your personal 100%. They are derived from plant sources and are chemically identical to those produced by your body. These can include cancer treatment, adrenal and thyroid disorders, insulin resistance, fibromyalgia, osteoporosis, and more. Here are a few things that can cause low t in women. If you’re feeling tired, moody, or noticing a lower sex drive, a hormonal imbalance could be the cause. A survey taken among women showing signs of hyperandrogenism found that many reported feelings of frustration, depression, excess anxiety, and aggression. Along with unwanted hair on your breasts, face, and upper lip, you might have other symptoms like an irregular menstrual cycle, enlarged clitoris, or larger shoulder muscles.17 In fact, in some women, acne may be the only symptom of high testosterone.14 Many women with excess testosterone frequently suffer from frequent outbreaks of acne and facial pimples.
  • Total testosterone levels according to the mean frequency of sexual events in sexually active women treated for FSD.
  • Testosterone seems to exert a positive effect on sexual desire in women with sexual dysfunction, despite a small magnitude of effect, a lack of long-term safety data, and insufficient evidence to make a broad recommendation for testosterone therapy.
  • In addition, voluntary contractions of these muscle groups enable control of the urethral sphincter and the urethral canal 18.
  • That's not the case with Transparent Labs Vitality, as its testosterone-boosting formula provides several active ingredients to help promote healthy T levels in men.
  • Second, peptides can boost growth hormone levels in the pituitary gland, increasing LH and FSH levels and thereby leads to a boost in testosterone.
  • Androgens and female sexuality.
  • Harvey concluded that the midcycle increase in autosexual but not heterosexual behavior reflected a midcycle increase in women’s sexual desire combined with a concerted effort to avoid pregnancy.
Total testosterone levels should be assessed 3–6 weeks after initiating therapy to enable titration and ensure the patient is not applying an excessive dose. Despite data supporting the efficacy of transdermal testosterone for the treatment of HSDD without evidence of serious adverse effects, testosterone formulations that deliver a therapeutic dose appropriate for women have generally not been approved by national drug regulatory authorities. Women should not receive testosterone therapy if they have signs of clinical androgen excess (i.e., acne, hirsutism, androgenic alopecia) or are using an antiandrogenic medication (e.g., finasteride, dutasteride).

Maintain a healthy weight and lose weight if needed

Life Extension does not provide medical advice, diagnosis, or treatment. Discover nutrients you need for optimal health Rebecca excels at debunking nutrition myths while helping clients build healthy relationships with food and their bodies to achieve optimal health.
What are Normal Levels of Testosterone in Women?
Synthetic hormones are more likely to be animal-based and different in molecular structure from women’s endogenous hormones. The U.S. FDA has approved some forms of manufactured bioidentical hormones, including bioidentical estrogens and progesterone. Bioidentical hormones are man-made hormones derived from plants, often soy and yams, that are chemically identical to those the human body produces. Dr. Davis and her consensus panel agreed that HSDD is a clinical diagnosis and that, therefore, serum testosterone levels should not be used to make a diagnosis . As women age, testosterone levels naturally decrease, leading to several physical changes. When a woman’s testosterone levels are low, it can affect her health in many ways. Symptoms like low energy, decreased libido, and muscle weakness can indicate low testosterone levels. Women might consider testosterone therapy for various reasons, especially as they experience changes related to aging or menopause. There are several symptoms that might suggest a woman has low testosterone levels. And your levels may be low immediately after childbirth and during breastfeeding. You may also experience low estrogen if you have been given certain drugs. A variety of hormonal changes occur with PCOS, including low estrogen. This also happens if you have your ovaries removed or damaged before age 40, resulting in early menopause. Perimenopause and menopause. Testosterone, meanwhile, has long been viewed as something that belongs to men, gyms, and the occasional bodybuilding subreddit. You also won't have to worry about experiencing side effects that usually come with other T boosters because it's guaranteed safe. With lower energy levels, it could also become a vicious cycle toward obesity. However, its role in women's psychological well-being became evident . I had personally experienced low energy and fatigue due to a testosterone imbalance, but this was new to me. You are encouraged to discuss any questions that you may have about your health with a healthcare provider. The most effective strategies require consistency with hormone-supporting foods, appropriate supplements under medical supervision, and adopting lifestyle habits that promote hormonal balance. Before taking Vitamin E supplements, please discuss options with your healthcare provider to evaluate whether it fits your health needs. Vitamin E may be another ally in the fight against menopausal symptoms. Boron can influence steroid hormone production and help prevent calcium loss.
The Best Diets for Women Over 40 for Hormone Balance
No serious adverse events including newly diagnosed breast cancer, episodes of abnormal uterine bleeding and clitoromegaly were reported in the study. We detected a significantly higher serum TT level when compared to baseline, paralleled with an increase (although not statistically significant) in clitoral area. Systemic treatment with T also showed an improvement in the FSFI pain score, which was statistically significant in the T group, while only approaching statistical significance in the T + E group. Both groups treated with T also showed an increase in the FSFI satisfaction score, even though without reaching statistically significance. In fact, in an experimental model of ovariectomized rats, treatment with DHT, a non aromatizable AR super-agonist, was able to induce appetitive and receptive behaviors .

Are there normal values and treatment targets?

A previous small study had shown minimal or no benefit from transdermal testosterone in estrogen-deficient women with a past history of cancer Barton et al. 2007. Of 814 estrogen-deplete women randomized to 150 μg, 300 μg of transdermal testosterone or placebo, only 464 completed treatment with similarly high discontinuation rates in all three arms. Studies using the more sensitive ‘gold standard’ assays, that is, those employing mass spectrometry, were expected to show a correlation between women's sexual function and serum testosterone so measured. One of the major organs that testosterone has a beneficial effect on is the central nervous system. There was, however, a 7-year retrospective study in which 1,200,000 subcutaneous implant procedures were performed in 400,000 patients. The subcutaneous administration of testosterone has been used worldwide for decades. This process boosts testosterone levels in women who need it. The typical starting dose for testosterone therapy in women is low compared to that used in men, ensuring it aligns with their physiological needs. Many studies have demonstrated that chronic stress leads to lower free testosterone and lower serum testosterone levels . If you’re ready to take control of your hormonal health, don’t sit on the fence—reach out to a healthcare pro and explore if testosterone cream could be your ally in this journey. These include hormonal therapies such as estrogen or progesterone treatments and sometimes DHEA supplements. Aside from creams, there are other ways to address low testosterone in women. The decline of testosterone production is just one of several issues people face as they age, and that includes both men AND women. Most importantly, you must talk to your healthcare practitioner about what to do and how to navigate the entire testosterone-boosting process. Without using anabolic steroids, the best way to get all of the benefits of hormonal balance is to help your body make more natural testosterone.
How Doctors Reduce Anxiety by Improving Pre-Treatment Communication
Medications and SupplementsSome medications can increase women’s testosterone levels, such as certain antiepileptic drugs.(31) The same may be true for certain supplements. Statins, opioids, certain chemotherapy drugs, and combination birth control pills containing both estrogen and progesterone are among the medications that can lower testosterone levels as a side effect.(17)(18)(19)(20) In contrast, a normal range for women is between 15 and 70 ng/dL.(7)(8) However, testosterone blood tests can produce varied results from one day to the next and are not required for the treatment of menopause symptoms. Unfortunately, women and their healthcare providers don’t always recognize that fatigue, aching bones, muscle weakness, weight gain, and brain fog may be caused by low levels of testosterone.(4)(5) This article will explain in detail how testosterone impacts female health and how women can naturally boost testosterone levels. Two people on our test team mentioned that they needed to take the full dose to get some effects which would take four capsules. The added vitamin D3 could also be helpful for bone development, with women having a much higher risk of suffering from brittle bones as they age . Some of our female clients who had measured a low testosterone level found that this one seemed to work well to improve their mood as well. That could make a good option for women that might struggle with that yo-yo effect on the scales. As women age, they experience a natural decline in hormones, including testosterone. One of the most common causes of high testosterone levels in women is a condition called polycystic ovary syndrome or PCOS. Women with low levels of testosterone may experience a decreased libido, decreased sexual pleasure, and difficulty achieving orgasm. This steroid hormone also plays a role in regulating energy levels, muscle mass, and sex drive. In both sexes, testosterone plays a key role in sexual health and development. Low levels of testosterone can lead to depression, irritability, and fatigue. Low levels of testosterone can lead to erectile dysfunction and reduced libido. It’s important to note that while testosterone can have positive effects on athletic performance and weight loss, the relationship is not one-size-fits-all. Onions, with compounds like allicin and quercetin, show potential in regulating estrogen metabolism and reducing inflammation, supporting a healthier hormonal profile. Ginger, known for its anti-inflammatory properties, may stimulate luteinizing hormone release, indirectly impacting testosterone production. It has been known for over 70 years that it is anti-proliferative in the breast and inhibits the stimulatory actions of estrogens. The evidence to the contrary shows that testosterone may be protective against breast cancer. In the United States, 240,000 women develop breast cancer annually, and 40,000 will die from the disease . It is a well-known fact, however, that unopposed estrogen, regardless of how it is administered, can promote endometrial hyperplasia and/or adenocarcinoma .
  • Bone density might increase as well, which is important for reducing the risk of osteoporosis.
  • Polycystic ovary syndrome (PCOS) is a problem with hormones that happens during the reproductive years.
  • Twenty-six healthy individuals (thirteen females), aged 18 to 45 years, free of musculoskeletal pain or injuries, and any chronic disease, were recruited in Umeå, Sweden, via posters and social media.
  • Women receiving the middle dose experienced 0.8 more sexual satisfying events in the previous month than women receiving placebo.
  • Lifestyle modifications, such as regular exercise and a balanced diet, can also help support healthy testosterone levels in women.
Hormone levels can vary depending on the day and the person — what’s normal for you may not be the same as your friend, coworker or sister. For people assigned female at birth, a decrease in estrogen can have a significant impact on how they feel. Our comments section is a place where readers can engage in healthy, productive, lively, and respectful discussions. Avoid seed oils and trans fat (which is unnatural and the body can’t eliminate).” “A diet high in processed foods, refined carbohydrates and added sugars can also contribute to low testosterone production. For some, managing these effects may require treatment such as hormone replacement therapy. Most women grow up hearing about estrogen and progesterone like they’re the only two hormones steering the ship. A woman can increase her testosterone levels either by including natural testosterone boosters or supplements to her diet. At the same time, you will enjoy better sexual function since it increases E2 levels significantly, even when you’re exposed to chronic stress and fatigue . Herbal and hormone-regulating supplements can assist in ultimately bringing about hormonal balance. Although HRT is generally effective with quick results, it can have dire side effects. They can include herbal and hormone-regulating supplements. Chronic stress is a major contributor to hormonal imbalances, as elevated cortisol levels directly interfere with testosterone production. Allowing sufficient rest, incorporating active recovery days, and prioritizing quality sleep are essential for maintaining a healthy hormone balance. Incorporating these exercises at least two to three times a week can have profound benefits on hormone health. This is further supported in observational studies in hyperandrogenic women with polycystic ovary syndrome, who demonstrate both stronger muscle tone and stronger voluntary muscle contraction of the pelvic floor muscles compared to healthy controls 45. Values are expressed as β parameter estimates and 95% confidence intervals (CI) of muscle area change per 100 ng/dl increase in total testosterone and per 10 pg/ml increase in free testosterone levels. Crude association of muscle measurements with on-treatment testosterone levels was explored using linear regression models. Opinion about postmenopausal estrogen therapy changed abruptly in 2002 with the Women's Health Initiative study and changed again far less dramatically in more recent years with widespread realization that women beginning estrogen therapy close to menopause showed benefit rather than harm. We do have evidence of modest increase in numbers of sexually rewarding events in women who without any treatment are able to have 2–3 such events per month. We do not have studies of testosterone supplementation in women with definite sexual disorders, where criteria for diagnosis of disorder are more robust. Although we are now able to quantify intracrine testosterone, we cannot measure testosterone production and activity within the central nervous system, which maybe more relevant to sexual desire. Now, what are the risks or potential side effects of low testosterone treatment for women, and how can they be managed? So basically, it sounds like what you have to do is, if you find that maybe a woman's testosterone levels are low, you're taking a treatment method that's been OK’d for use with men, and trying to make it work for a woman? So if you're doing these tests and you find that a woman's testosterone levels are low, what kind of treatments are out there to give them a boost? For the indication that we're testing, it's usually just one test to make sure that somebody's level isn't above 70 before we're offering that patient testosterone therapy. So we typically are only checking testosterone levels if we're having a conversation with a patient about low libido, and we want to make sure that her levels aren't outside the physiologic range before we offer her that therapy, specifically. There is also no good evidence that testosterone treatment will convert subclinical prostate cancer to clinically detectable prostate cancer,45 although some case reports reported this correlation.274,275 In a retrospective analysis of hypogonadal men who underwent prostate biopsy prior to testosterone replacement therapy, no increase in the risk of prostate cancer in men was revealed compared to those without prostatic intraepithelial neoplasia at baseline.276 At the same time, many studies271–273 have failed to show significant exacerbation of voiding symptoms attributable to benign prostatic hyperplasia during testosterone supplementation, and complications such as urinary retention have not occurred at higher rates than in controls receiving placebo nor has there been any difference in the urine flow rates, postvoiding residual urine volumes, and prostate voiding symptoms with patients receiving treatment in these studies. Endogenous androgens are known to stimulate erythropoiesis; increase reticulocyte count, blood hemoglobin levels and bone marrow erythropoietic activity in mammals, whereas castration has opposite effects. No consistent relationship between the levels of free or total testosterone and coronary atherosclerosis in men undergoing coronary angiography has been observed.151,254 Testosterone-replacement therapy does not increase the incidence of cardiovascular disease or events such as myocardial infarction, stroke, or angina.88 A meta-analysis255 in 2007 concluded that the current available evidence shows no association between testosterone replacement therapy and cardiac events. These investigators assessed sexual desire in 53 healthy, premenopausal women both before and after bilateral oophorectomy for benign health conditions, and found that both sexual desire and frequency of sexual fantasies significantly decreased following oophorectomy. These studies demonstrated that women’s sexual desire consistently exhibited a well defined midcycle peak, irrespective of the measure used to estimate ovulation. As laboratory techniques advanced, researchers investigating women’s sexual desire across the menstrual cycle employed increasingly accurate hormone sampling methods to pinpoint the occurrence of ovulation (Dennerstein et al., 1994; Van Goozen et al., 1997; Wilcox et al., 2004). However, there are various other supplements and lifestyle changes women can make to raise their testosterone levels in a safer, more gradual way. However, testosterone levels differ significantly, with womens’ typically being much lower. Testosterone is one of three primary sex hormones found in both men and women. Instead of testosterone replacement therapy, your doctor may recommend treatment to address symptoms such as low libido, vaginal dryness, anxiety, depression, or sleep issues. Unfortunately, many women are unaware of the critical role testosterone plays in their health and well-being. At The Female Health Clinic, testing for testosterone levels in our female patients typically involves a blood test, which is used to measure the amount of testosterone present in the bloodstream. Any cumulative effect of these declines may lead to noticeable physical and emotional changes, including reduced sexual drive, muscle mass, bone density, and mental clarity. Based on these findings, trunk muscles could serve as a potential therapeutic target for intervention with testosterone in frail older women with physical dysfunction who are at subsequent risk for falls. For example, some types of breast cancer treatment involve blocking estrogen production. When you have an eating disorder such as anorexia or bulimia, your body may lose the nutrients it needs to maintain sufficient estrogen. There are many reasons why your estrogen levels might fall. “Calcium provides the building blocks for bone tissue, while vitamin D ensures your body can actually absorb and utilize that calcium effectively,” explains Eapen, MD. Studies suggest that calcium supplements may reduce the rate of bone loss in menopausal women. Additionally, they supply essential omega-3s and fiber content that can be particularly beneficial for women navigating menopausal changes. In one 3-month study, participants eating plant-based, low-fat meals plus a half-cup serving of cooked soybeans each day reported 84% fewer moderate to severe hot flashes. Keep in mind, however, that phytoestrogens are significantly weaker than natural estrogen. Your doctor may also want to run a hormone panel to see what’s most advantageous for your body. If you’d like to boost your testosterone while also gaining muscle, check our list for formulations that may match up with your fitness goals. “Two of the ingredients in this formula, the ashwagandha and the tongkat ali (Eurycoma longifolia) have the strongest clinical data supporting small to moderate increases in testosterone,” Pete said. In my telehealth functional medicine approach, that’s exactly what we do. A whole-body approach is important to making this happen. HRT can also lead to an increased risk of blood clots, breast cancer, stroke, and heart attacks, so it’s never recommended for long-term use.
Heart health
They say you should always talk to your doctor before starting any new treatment like this. In complex cases or when specialized hormone management is needed, an endocrinologist may be consulted to provide expert advice. Testosterone creams can help with certain medical conditions in women. Others said it helped with their low sex drive, making them feel like themselves again.
  • In a sample of college students, higher blood testosterone level was correlated with higher alcohol use in both male and female subjects, with a stronger effect in males (La Grange et al. 1995).
  • Our results indicate that sex and age have independent and interrelated effects on GH secretion.
  • Several supplements may also help increase testosterone levels naturally.
  • For those exploring testosterone supplementation, always consider safety first—regular testing, professional guidance, and an integrative approach are key.
  • While testosterone is most often prescribed postmenopause, Lansen said it may be considered for women in late perimenopause on a case-by-case basis after evaluation and lab review.
  • Lean body mass was calculated as total body mass minus fat mass and bone mineral content.
  • Remember that when it comes to hormones, we want to be like Goldilocks and have levels that are just right for us.
Unlike most testosterone supplements, which target men, this formula is focused around powerful ingredients to support women's hormonal balance. Testosterone support can boost a woman’s libido, including those dealing with low levels of testosterone. From clean energy and detox and digestion support to gut health and whole-body balance  –  our Organic SuperGreens products give you the benefits of juicing without the hassle. By dispelling myths and understanding HRT’s benefits, women can make informed decisions, ensuring a healthier, more balanced transition through these life stages. Despite its benefits, hormone replacement therapy is often viewed with skepticism due to myths about its safety. Just as estrogen and progesterone are essential to women’s health, so is testosterone. Surgical removal of the ovaries induces immediate menopause, resulting in a 50% drop in androgen levels for postmenopausal women who undergo an oophorectomy.(16) MenopauseDuring the menopause transition, levels of estrogen, progesterone, and testosterone decline. In their 40s, women’s testosterone levels are already significantly lower than in their 20s.(9) The existing guidelines state that in the absence of clear improvement and if adverse events are observed at 6 months, the use of testosterone should be ceased (D) (3,37,41). DHEA serves as an intermediate steroid within the testosterone and estradiol biosynthetic pathways. At that stage, the peripheral conversion of A4 and DHEA into testosterone becomes more important (23-25). Aging promotes a progressive reduction in testosterone production by the ovaries and adrenal glands (Table 1). During the late reproductive years, the increment of anovulatory cycles leads to a failure of this mid-cycle rise, despite preservation of baseline physiological ovarian testosterone secretion at other phases of the cycle (3). It’s important to note that many studies into phytoestrogens involve rats or mice. Studies suggest that eating foods containing phytoestrogens can improve symptoms caused by low estrogen. They may recommend hormone replacement therapy (HRT). The most common reason for low estrogen is perimenopause, the transition to menopause. Testosterone Boosters and Supplements At the consensus meeting, the panelists presented summaries of the current literature; discussion of testosterone measurement, formulations, and indications for treatment; and developed consensus for this clinical guideline. The panel, consisting of 16 researchers and clinicians, who were the ISSWSH members and nonmembers, convened to review and discuss clinical management strategies for the use of testosterone using a modified Delphi method.15 In preparation, the panelists conducted an evidence-based literature review that included original research, meta-analyses, reviews, and clinical practice and consensus guidelines regarding testosterone in women. Therefore, due to the lack of government-approved testosterone products for women, clinicians generally have resorted to using products off-label that are approved for men and compounded formulations without a clear standard of clinical care. Government-approved testosterone products for HSDD in women are not currently available in the United States or approved by any national regulatory authority except in Australia. May benefit women in menopause As more women seek treatment for low testosterone, scientists and doctors are working hard to improve how this therapy is delivered and monitored. Talking to your doctor about testosterone therapy is an important step toward improving your health and well-being. By clearly explaining your symptoms, your doctor can better understand your needs and help determine if testosterone therapy is appropriate for you. On the contrary, ample evidence supports the association of a high testosterone level with increased alcohol intake in adult men (La Grange et al. 1995; Stalenheim et al. 1998; Falhammar et al. 2014). One study reported increased alcohol intake in adulthood after neonatal progestin administration (Llido et al. 2016). However, there were reports cited earlier in this review (Harvey & Beckman 1985; Muti et al. 1998) that indicate the tendency of adult women to consume more alcohol during the luteal phase, which is characterized by a significant increase of progesterone level compared with other phases of the menstrual cycle. Moreover, findings indicate that the effects of estrogen on ethanol consumption in female rodents may depend on the dose of estradiol, as well as the presence or absence of gonads (Forger & Morin 1982; Sandberg & Stewart 1982; Hilakivi‐Clarke 1996; Almeida et al. 1998; Ford et al. 2002a; Ford, Eldridge, & Samson 2004; Sherrill et al. 2011; Torres et al. 2014). In addition, an observational study reported increased alcohol consumption during menstruation in female social drinkers but not in those using oral contraceptives (Sutker et al. 1983). Learn who's most at risk, how long the condition may last, and the possible side effects of hormone therapy. Further studies must be carried out to inform the clinical use of this powerful sex hormone and elucidate its role in preventing aging-related disease safely and effectively. This points to the need for more studies before this therapy can be adopted in women with vulvovaginal atrophy. Testosterone has been shown to be effective with or without estrogen to treat this, in post-menopausal women, on the basis of short-term studies. Research shows garlic can influence estrogen levels in the body, perhaps helping reduce age-related bone loss. Soy contains high levels of isoflavones, phytoestrogens that may mimic estrogen’s effects and reduce the risk of both breast and prostate cancer. Studies show that phytoestrogens can help relieve some of menopause’s physical symptoms, like the frequency of hot flashes and vaginal dryness. The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. Note that the numbers in parentheses (1, 2, etc.) are clickable links to these studies. With strict editorial sourcing guidelines, we only link to academic research institutions, reputable media sites and, when research is available, medically peer-reviewed studies. Much to the surprise of an enthusiastic media, who were already heralding Intrinsa as the “female Viagra”, the FDA advisory panel rejected Intrinsa – citing concerns about unanticipated adverse side-effects with long-term use (Spark, 2005; Tsao, 2004). In Western nations, intercourse frequency has been shown to vary consistently with external factors such as the days of the week, and to increase around celebrations/holidays (Palmer et al., 1982; Roney & Simmons, 2013; Wilcox et al, 2004). Furthermore, unlike the consistent amount of testosterone secreted by the adrenals, the amount of testosterone secreted by the ovaries fluctuated across the menstrual cycle, such that the ovaries actually released twice as much testosterone as did the adrenals at ovulation. Later that same year, and within one week of each other, two different research teams lead by Adolf Butenandt and Leopold Ruzicka developed and published a method for the laboratory preparation of synthetic testosterone – an accomplishment for which both Butenandt and Ruzicka were offered the 1939 Nobel Prize for chemistry. If you're already taking menopause hormone therapy, check in with your healthcare professional regularly to reassess your need for treatment. To find out if menopause hormone therapy is a good option for you, talk to your healthcare professional about your symptoms and health risks. Menopause hormone therapy replaces the estrogen your body no longer makes after menopause. For the first time, the guidelines, specifically an appendix on their “scientific foundations,” include diet advice tailored to men concerned about maintaining healthy levels of testosterone. Late last year, the Food and Drug Administration convened an expert panel to discuss easing access to testosterone replacement therapy, including the prospect of removing the hormone from the list of scheduled, or restricted, substances and taking the black box warning off testosterone products. Ritual's Essential for Women Multivitamin includes a formulation of the most important nutrients for supporting women's health and energy levels, which include vitamin D, vitamin E, folate, iron, B12, magnesium, boron, and vitamin K. If you experience any of these symptoms, you should make an appointment with your healthcare practitioner to get your levels checked. Initially you may experience one of the several tell-tale symptoms of low testosterone which include fatigue, unregulated sleep patterns, low sex drive, depressed mood, and erectile dysfunction, among others. U.S. overdose deaths fell through most of 2025, federal data reveal The pituitary gland then relays signals to the testes to produce testosterone. Signals sent from the brain to the pituitary gland at the base of the brain control the production of testosterone in men. They travel from one organ or another place in the body, usually through the bloodstream, and affect many different bodily processes. There's more to testosterone than guys behaving badly. For example, did you know that testosterone is a key player in prostate cancer? There remains a need for a consensus clinical practice guideline that provides a comprehensive management strategy for the use of systemic testosterone in women with HSDD. However, their use should always be guided by healthcare professionals who can assess individual needs and recommend appropriate treatments. Testosterone boosters for women can be a valuable tool for addressing specific health concerns related to hormonal imbalances. Understanding testosterone’s diverse roles in women’s physiology underscores its significance beyond its traditional association with masculinity. Testosterone is involved in regulating hair growth patterns and skin health in women. Research suggests that zinc plays an important role in modulating serum testosterone levels in normal men. Zinc is an important nutrient for hormonal health, and it plays an important role in hormone production by increasing testosterone naturally. The consumption of complex carbohydrates is important for optimizing testosterone levels and maintaining energy. Because a higher body fat percentage may cause decreased testosterone production, it’s important to maintain a healthy weight.