Prior to starting testosterone replacement, low levels should be confirmed with a blood test. Blood levels will then need to be monitored at 3-6 months and then yearly after this. This is to ensure that testosterone levels stay within the normal female physiological range and reduces the risk of side effects.
Currently, there is no testosterone product available on the NHS licensed for female use. However, male-licensed products, such as Tostran and Testogel, can be used off licence in accordance with British Menopause Society guidelines. Alternatively, we can prescribe Androfeme testosterone privately. This is a body identical female testosterone cream which we import under a special licence from Australia.
Most testosterone products come as a cream or gel that is rubbed into the skin daily (transdermal preparations). They are very well tolerated and thought to be low risk. If used at the recommended doses, and with appropriate blood monitoring, side effects are minimal. Higher doses can sometimes lead to unwanted effects such as local hair growth at the application site, mild acne, and hair loss. These effects can be avoided/minimised with appropriate monitoring.
In exceptional circumstances, some women may be given testosterone via an implant, but these are not readily available across the UK (whether on the NHS or privately). Implants are usually reserved for younger women in surgical menopause who have not achieved any benefit from transdermal preparations.
If you are interested in trying testosterone replacement, please book a consultation with one of our Menopause Care specialists.
