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Understanding Low Testosterone in Women – All You Need to Know

  • Writer: AMALSHA S
    AMALSHA S
  • Sep 26
  • 4 min read

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Did you know that women produce up to one-quarter of the testosterone men do—and it plays a quiet but vital role in mood, bone strength, and libido? Too little of it can throw all sorts of things off. In this article, we’ll explain what is testosterone in females (and why people often brush it off), then dig into low testosterone symptoms in detail, what might cause them, how doctors test for it, and what treatments or lifestyle shifts can help. By the end, you’ll be better equipped to spot trouble and talk to your doctor without confusion.

Understanding Testosterone in Women

Most people assume testosterone is a “man thing”. The truth? Testosterone is as real in women as in males. The female reproductive system (ovaries and adrenal glands) makes testosterone in smaller amounts. These hormones in women are quite a multitasker. Formation in the correct amount will add to bone strength, protect muscle mass/ strength, spark sexual desire, and even support mood and clear thinking.

Typical levels for adult women are roughly 15–70 ng/dL. That range isn’t fixed as it changes with age, the menstrual cycle, and after menopause. Production begins to fall steadily from your early 30s, and by the time many women reach mid-life, their level may be half of what it was at 20.

When this drop becomes too steep, you feel it. Libido can tank, energy goes flat, and bones may start losing density faster. Some women also notice slower muscle recovery and a creeping sense of brain fog. Doctors often miss it because these changes overlap with thyroid issues, stress, or simple ageing.

Knowing what testosterone is in females and recognising when it’s slipping matters. It doesn't mean you are chasing “male” traits, but you are keeping your body strong, mind clear, and long-term health protected.

Symptoms of low testosterone in women


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There are several physical symptoms of low testosterone levels in women that you can detect. For instance:

  • Women start feeling unusually tired.

  • Building or keeping muscle mass is difficult, and recovery after exercise is reportedly slower.

  • Bone strength and density drop over time, increasing the risk of osteopenia.

  •  Easy and quick weight gain around the abdomen and lower back.

  • Emotional and psychological changes like feeling flat, a drop in motivation, and irritability are common. Some women may also experience mild depression, focusing issues, or memory lapses.

  • Some females show sexual and reproductive signs. There could be reduced libido, fewer sexual thoughts, and vaginal dryness.

  • Irregular periods or menstrual irregularities (heavy bleeding or low bleeding).

The symptoms of low testosterone in women often replicate thyroid imbalance. Or, they are also confused with chronic stress and early menopause. Due to this overlap, only a reliable diagnosis can help with measuring testosterone levels directly.

What are the Causes & Risk Factors leading to Low Testosterone in women

Unfortunately, many women don't realise they have testosterone and that it plays a big role. Often confused with male hormones, testosterone is present in females, but the level drops naturally as you age. Once you hit your 30s, the production falls 1% every year. In fact, menopause accelerates the drop, making fatigue, mood changes and low libido more noticeable.

  • Conditions like ovarian insufficiency or adrenal disorders can also result in lower testosterone. Similarly, the pituitary gland is another key player. If it isn't sending the right signals, your hormone production will suffer.

  • Likewise, some medicines and medical treatments also impact testosterone levels. For instance, chemotherapy, hormonal therapy, or steroids for a long time can lead to a difference.

  • Lifestyle is another influential factor, with obesity, diabetes, chronic stress, and an extremely low-calorie diet playing a role.

  • Some women also deal with genetic or rare conditions that affect hormone production in general.

Diagnosis & Tests for Low Testosterone in Women

It takes a combination of clinical assessment and blood tests to diagnose low testosterone in women.

  • Medical history & symptom review: The gynaecologists will ask necessary details about low libido, fatigue, muscle loss, bone health, and mood changes.

  • Blood tests: Health history is further followed by blood tests. You may undergo total testosterone, free testosterone, and SHBG (sex hormone-binding globulin). All of them help to find out how many hormones are actually active in the body.

Tip: Since testosterone levels fluctuate throughout the day and across the menstrual cycle, knowing the right time for tests is the key. Morning tests and knowing your cycle phases help with result accuracy.

  • Doctors often check conditions like thyroid levels, menopause, chronic stress and depression as low testosterone symptoms may overlap with these.

Note: Limitations & controversies - Understanding what testosterone is in females and the levels is very important. Why? Because for women, there's no universally agreed “normal” range, and every lab standard can differ.

Low Testosterone in Women: Treatments & Management Options

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There are numerous ways to deal with low testosterone levels in women. Here are a few specifics to discuss:

  • Hormone Therapy / Testosterone Replacement: Doctors prescribe hormone therapy for low testosterone in women. It often includes topical gels, creams, patches, or injections to normalise the range and improve energy and libido (sexual desire and satisfaction).

  • Adjunct Lifestyle Measures: Exercising to support muscle mass and bone density, and diet to support hormone production, are equally important. Plus, doctors suggest medication, light yoga, and mindfulness to handle chronic stress (which otherwise raises cortisol and suppresses testosterone).

  • Non-Hormonal & Symptom-Based Approaches: Therapy or counselling is also helpful to deal with anxiety, depression, and fatigue associated with low hormones. Some doctors suggest Calcium, vitamin D, and targeted exercise to prevent bone and muscle loss.

  • Avoiding Contributing Factors: Along with trying all the measures, avoiding high-stress routines and over-exercising is equally important.

  • Monitoring & Follow-Up: Getting your symptoms and blood levels regularly tracked is the key.

Conclusion

Overall, low testosterone in women can show up in many ways. But it's important not to guess or self-treat. Instead, if you suspect your levels are low, the best course of action is to consult a healthcare professional for proper testing and personalized advice.


Reach out to a trusted healthcare professional or contact Bliss Fertility for expert guidance. Call Now



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