Whilst oestrogen and progesterone receive most of the attention during discussions about menopause and HRT, testosterone also plays an important role in women’s health. Women naturally produce testosterone throughout their lives, and levels gradually decline with age, particularly during and after the menopausal transition.
For some women, low testosterone levels may contribute to symptoms such as:
It is important to recognise that these symptoms can have many potential causes and are not always related to testosterone deficiency. Stress, poor sleep, relationship factors, anxiety, depression, thyroid dysfunction, nutritional deficiencies and other hormonal changes can all contribute to similar symptoms.
Current evidence supports the use of testosterone therapy primarily for women experiencing low sexual desire (Hypoactive Sexual Desire Disorder) after other potential causes have been considered. However, many women report wider improvements in wellbeing, confidence, energy and motivation when treatment is carefully prescribed and monitored.

At The Wright Practice, we take a cautious and evidence-based approach to female testosterone therapy. Assessment includes a detailed discussion of symptoms, current HRT use, medical history and treatment goals. Testosterone is generally considered only after oestrogen levels have been adequately optimised, as many symptoms attributed to low testosterone may improve with appropriate oestrogen replacement alone.
Treatment typically involves very low-dose testosterone preparations specifically adjusted for female use. Regular monitoring is important to ensure levels remain within the physiological female range and to minimise the risk of side effects.
Potential side effects may include:
When prescribed appropriately and monitored carefully, testosterone therapy is generally well tolerated and can be a valuable option for selected women whose symptoms persist despite optimised HRT and lifestyle measures.
Our goal is to ensure that treatment decisions are guided by symptoms, evidence and individual circumstances, rather than hormone levels alone.




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101 Harley Street, London, W1G 6AH
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