Testosterone Replacement for Women
Personalised, evidence-based advice on testosterone therapy from Dr Rebecca Jacques, GP and British Menopause Society (BMS) Registered Menopause Specialist
For some women, menopause symptoms continue despite being well established on hormone replacement therapy (HRT). One of the most common concerns is a persistent loss of sexual desire (low libido), which can have a significant impact on confidence, relationships and quality of life.
Testosterone may be an appropriate treatment option for some women, but it isn’t suitable for everyone and should only be considered after a careful assessment.
At Time to Pause, I offer dedicated testosterone consultations to help you understand whether testosterone therapy may be appropriate for you. Together we’ll review your symptoms, discuss the potential benefits and risks, and decide whether this treatment is the right option for your individual circumstances.
Consultations are available in person at Stockton House, Southam, Warwickshire, or online throughout the UK.
Is Testosterone Replacement for Women right for me?
This appointment is suitable for women who:
- Are already established on hormone replacement therapy (HRT)
- Continue to experience a distressingly low libido despite optimised HRT
- Would like to learn more about testosterone therapy
- Are considering testosterone treatment for the first time
- Require a review of their current testosterone treatment
Testosterone may also be appropriate for some women who have experienced:
- Early menopause
- Premature Ovarian Insufficiency (POI)
- Surgical menopause
This appointment is not generally suitable for women who have not yet started HRT or who require a comprehensive menopause assessment. In these situations, I would usually recommend booking a Menopause Consultation first.
What happens during the Testosterone Replacement for Women appointment?
Before your consultation, you’ll be asked to complete a detailed health questionnaire so I can understand your medical history, current treatment and symptoms.
During your appointment we’ll discuss:
• Your current menopause symptoms
• Your libido and sexual wellbeing
• Your current HRT regimen
• Any previous treatments you’ve tried
• Your medical history
• Whether testosterone therapy is likely to benefit you
• The potential benefits and limitations of treatment
• Possible side effects
• Blood tests and monitoring requirements
• How testosterone is prescribed and monitored
If testosterone is appropriate, we’ll agree a personalised treatment plan and explain how your progress will be monitored over time.
My aim is that you leave your appointment with a clear understanding of your options and enough information to make an informed decision.
Testosterone Replacement for Women Fees
Initial Consultation
In Person
(up to 30 minutes)
£155
Online
£145
- A detailed assessment of your symptoms
- Review of your current HRT
- Discussion of whether testosterone therapy is appropriate
- A personalised treatment plan
- A clinic letter summarising your consultation
- A copy of your letter sent to your GP (with your consent)
- One follow-up email for any additional questions within eight weeks of your appointment
Follow-up Consultation
In Person
£95
Online
£85
- Review of your progress
- Assessment of benefits and any side effects
- Review of blood test results where appropriate
- Adjustments to your treatment if needed
- A further clinic letter summarising your consultation
- A copy of your clinic letter sent to your GP (with your consent)
What’s included?
Every consultation includes:
✔ A personalised assessment
✔ Evidence-based advice tailored to your individual circumstances
✔ Shared decision-making
✔ A personalised treatment plan
✔ A comprehensive clinic letter
✔ Communication with your GP (with your permission)
✔ Ongoing support throughout your treatment
Frequently asked questions
What is testosterone used for in women?
Testosterone is sometimes prescribed for menopausal women who continue to experience a distressingly low sexual desire (low libido) despite optimised HRT.
Do I need to be taking HRT first?
Usually, yes. Current guidance recommends that oestrogen deficiency should be addressed before considering testosterone therapy.
Will I need blood tests?
Yes. Blood tests are usually recommended before starting treatment and during follow-up to ensure testosterone levels remain within the female physiological range and to monitor your response to treatment.
Are there side effects?
Most women tolerate testosterone well when prescribed appropriately. Possible side effects can include acne, increased hair growth and oily skin. These are usually mild and uncommon when testosterone levels remain within the normal female range.
How long does it take to work?
Some women notice an improvement within a few weeks, but it often takes around 3 to 6 months to experience the full benefit.
Can testosterone improve energy or brain fog?
Although some women report improvements in energy, mood or concentration, the strongest evidence for testosterone therapy is in treating distressing low sexual desire (Hypoactive Sexual Desire Disorder - HSDD). It should not be prescribed solely for fatigue, mood or cognitive symptoms.