Low Testosterone Symptoms in Women: What You Need to Know

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Testosterone is thought of as a male sex hormone, but women also have it in a lesser quantity comparatively. Like any other hormone, testosterone is also involved in numerous body functions, and its deficiency can negatively influence the health of both men and women in various ways.

When a woman’s body does not produce sufficient testosterone, she experiences a range of mental and physical symptoms that can impact her overall quality of life. Knowing these symptoms is crucial for seeking the right treatment and support.

This article describes all the possible low testosterone symptoms a woman can experience. It also explains what a woman with these symptoms should do to improve her health and feel better again.

But before we learn about these signs, first let’s see what low testosterone is and what normal testosterone levels look like in women.

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What are normal testosterone levels in a woman?

Normal testosterone levels in women are typically measured in nanograms per deciliter (ng/dL). They can vary depending on the laboratory and specific methodologies used for testing.

However, a commonly referenced range for adult women is between 15 to 70 ng/dL. It is important to note that these levels can fluctuate based on various factors, including age, health status, and time of day the test is taken​.

Low testosterone in women: Signs & symptoms

Women can exhibit a variety of low testosterone signs, including:

Low sexual desire

Testosterone is directly linked to sexual desire in both men and women. In women, low levels of testosterone can lead to a reduced interest in sexual activity and in some cases, hypoactive sexual desire disorder.

They might find that they have less interest in initiating sexual activity or may not respond to sexual cues as they once did. It can impact their personal relationships and overall quality of life.

Fatigue

Fatigue associated with low T is not just the regular tiredness that comes from a busy day or poor sleep. It is the persistent sense of exhaustion that does not improve with rest.

This kind of fatigue can hinder daily activities, as testosterone plays a key role in overall energy levels and stamina. Women with low testosterone might find themselves feeling unexplainably tired all the time, regardless of their sleep quality or lifestyle choices.

Mood changes

Hormonal imbalances can significantly affect mental health. They can lead to mood swings, irritability, and even depression.

Testosterone influences many aspects of the brain’s functioning, including mood regulation. Women experiencing low T may find themselves feeling unusually down without a clear reason.

Weight gain

For women, low T can make it challenging to maintain a healthy weight. Testosterone helps regulate fat distribution and muscle strength, and low levels can lead to increased body fat, particularly in the abdominal area.

This weight gain is often resistant to standard weight loss methods like diet and exercise, making it particularly frustrating for those affected. Additionally, the increase in fat mass can further decrease testosterone levels, creating a vicious cycle.

Muscle weakness

Testosterone levels affect both muscle mass and strength. Low levels can lead to muscle weakness. This makes it harder to engage in physical activity or carry out tasks that require strength.

This symptom is not just about physical appearance; it also affects functional abilities and overall physical health.

Bone density decrease

Testosterone is essential for maintaining bone density. Low testosterone levels can lead to a decrease in bone density, increasing the risk of osteoporosis and fractures.

This is especially concerning for women, who are already at a higher risk for osteoporosis compared to men. The loss of bone density can be gradual and silent, only becoming apparent after a bone is broken.

Sleep disturbances

Testosterone influences sleep patterns, and low levels can cause sleep disturbances, including trouble falling asleep or staying asleep.

These disruptions can lead to poor sleep quality, contributing to daytime fatigue and affecting overall health. Sleep is crucial for many aspects of well-being, including mental health, and disturbances can aggravate other symptoms of low testosterone.

Reduced cognitive function

Testosterone impacts cognitive functions, including memory, concentration, and decision-making. Low levels can lead to difficulties in these areas, affecting performance at work, in studies, or in daily tasks.

Cognitive symptoms can be particularly challenging to deal with, as they affect many aspects of life. They may not be immediately linked to low testosterone by those experiencing them.

Decreased fertility

Testosterone is essential for the normal functioning of the female reproductive system, including ovulation.

Low levels can affect fertility by disrupting the menstrual cycle or affecting the ovaries’ ability to produce eggs. This can make it more difficult for women trying to conceive, highlighting the importance of hormonal balance for fertility.

Menstrual irregularities

Low T can lead to irregular menstrual cycles or amenorrhea, the absence of menstruation. This is because testosterone, along with other hormones, plays a role in regulating the menstrual cycle. Irregularities can be a sign of underlying hormonal imbalances and can affect a woman’s fertility.

What causes low testosterone in women?

There are multiple causes of low T in women. Some of these are:

Age: Postmenopausal women are most at risk of low T. After menopause, there is a natural decline in testosterone levels, including testosterone. This decline can lead to symptoms of low testosterone.

Ovarian disorders: Conditions affecting the ovaries, such as polycystic ovary syndrome (PCOS) or premature ovarian insufficiency (POI), can disrupt hormone production, including testosterone.

Hypopituitarism: This condition involves reduced hormone secretion by the pituitary gland. It can affect the production of various hormones, including testosterone.

Adrenal disorders: Conditions affecting the adrenal glands, such as Addison’s disease or adrenal insufficiency, can disrupt testosterone production.

Hormonal birth control: Some forms of hormonal birth control, such as certain oral contraceptives or intrauterine devices (IUDs), can suppress testosterone production.

Medications: Certain medications, such as corticosteroids, opioids, or some antidepressants, can interfere with hormone production.

Stress: Chronic stress can disrupt hormone balance in the body, including testosterone levels. High levels of cortisol, the stress hormone, can suppress testosterone production.

How is low testosterone diagnosed in women?

Diagnosing low testosterone levels in women involves a comprehensive approach that usually includes looking at medical history, conducting a physical examination, and performing blood serum tests.

Here is how low T diagnosis is done in women:

Medical history

Obtaining a thorough medical history is the first step in diagnosing low testosterone in women. During this process, your healthcare provider will ask about:

Symptoms: The patient’s reported symptoms, such as reduced libido, fatigue, mood changes, or menstrual irregularities, provide valuable information about potential hormonal imbalances.

Medical conditions: Any existing medical conditions, such as ovarian disorders, adrenal disorders, or chronic illnesses, may be relevant as they can contribute to hormonal imbalances.

Medications: A review of the patient’s current medications, including hormonal birth control or other medications that may affect their hormone balance, can help identify potential cause of low T.

Reproductive history: Information about the patient’s menstrual cycle regularity, pregnancies, and reproductive health history can provide insights into hormonal function.

Lifestyle factors: Factors such as stress levels, exercise habits, and nutrition cause hormonal imbalance and may be discussed during the medical history assessment.

Physical examination

A physical examination is performed to assess signs and symptoms that may be associated with low T. This may include:

Body composition: Evaluation of body weight, distribution of body fat, and muscle mass can provide clues about hormonal imbalances.

Skin and hair: Examination of the skin for dryness, thinning, or other changes, as well as assessment of hair quality and distribution, may indicate hormonal imbalances.

Tests

Laboratory tests are done to confirm the diagnosis of low testosterone levels in women. These tests may include:

Blood test: The most common way to diagnose low testosterone levels is through a blood test. Blood tests to measure hormone levels, including testosterone, estrogen, follicle-stimulating hormone (FSH), and luteinizing hormone (LH), can help identify hormonal imbalances.

Thyroid function tests: Thyroid function tests may be conducted to assess thyroid levels. Thyroid disorders can contribute to hormonal imbalances and mimic symptoms of low testosterone.

Bone density testing: Bone density testing (DEXA scan) may be performed to assess bone health and detect any signs of osteoporosis, which can be associated with low testosterone levels.

Other tests: Additional tests may be ordered based on the patient’s specific symptoms and medical history to rule out other potential causes of hormonal imbalances.

Take our quick Hormone Quiz now to learn what your symptoms say about your health! You can also order hormone tests via our website. Check our test packages to see which one suits your needs the best.

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What is the low T treatment for women?

The treatment for low T in women aims to alleviate symptoms and improve overall well-being. The approach to treatment may vary depending on the underlying cause of low testosterone.

Here are some common treatment options:

Hormone replacement therapy (HRT)

Testosterone replacement therapy (TRT) may be prescribed to women with significantly low testosterone levels, especially those experiencing bothersome symptoms such as lowered libido, fatigue, or mood changes.

Testosterone can be administered through various methods, including patches, gels, creams, injections, or pellets implanted under the skin.

The dosage and method of administration will be tailored to the patient’s needs. Regular monitoring of testosterone levels is essential to ensure safety and effectiveness.

Managing underlying conditions

If low testosterone is due to underlying medical conditions such as polycystic ovary syndrome (PCOS), adrenal disorders, or pituitary dysfunction, treating the underlying condition may help restore hormonal balance.

This may involve medications to regulate your levels or manage symptoms associated with the condition.

Lifestyle modifications

Lifestyle factors such as stress management, regular exercise, and a balanced diet can play a role in optimizing hormone levels.

Engaging in regular physical activity, maintaining a healthy weight, and reducing stress levels may help improve overall hormonal balance.

Nutritional supplements

Some nutritional supplements may support hormone production and overall well-being. Supplements containing vitamins and minerals such as zinc, vitamin D, and magnesium may be recommended, as these nutrients are involved in hormone synthesis and metabolism.

How to talk to your doctor about low testosterone symptoms

Being open and honest with your doctor is key to receiving the right care. Here is how you can prepare for and navigate this conversation:

1. Document your symptoms: Before your appointment, keep a detailed record of your symptoms. Include how they are affecting your daily life and any patterns you have noticed.
2. Be ready to discuss your medical history: Be prepared to share your complete medical history, including any other health conditions, medications, or supplements you are currently taking.
3. Ask specific questions: Have a list of questions ready. For instance, ask about the types of diagnostic tests available and the potential treatment options if low testosterone is confirmed.
4. Express your concerns: If you are worried about specific symptoms or how low T might be affecting your life, do not hesitate to share these concerns with your doctor. It can help them understand the full scope of your situation.
5. Discuss treatment goals: Talk about what you hope to achieve through treatment. Whether it is improving your energy levels, mood, libido, or overall quality of life, knowing your goals can guide the treatment plan.
6. Be open to follow-ups: Diagnosing and treating low testosterone may require multiple visits, tests, and adjustments to your treatment plan. Hence, stay open to following your doctor’s recommendations and attending all follow-up appointments.

I am a woman with low testosterone levels: What should I do?

If you are a woman experiencing symptoms of low testosterone, it is important to take proactive steps to improve your overall well-being. Here is what you can do:

1. Consult with a healthcare provider
2. Undergo evaluation
3. Educate yourself
4. Discuss treatment options
5. Follow treatment recommendations
6. Address lifestyle factors
7. Seek emotional support
8. Connect with support groups

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Takeaway

Low testosterone levels in women can manifest through a variety of signs and symptoms. Some of these are reduced libido, fatigue, mood changes, weight gain, muscle weakness, and menstrual irregularities. These symptoms can significantly impact a woman’s physical health, sexual health, and overall well-being.

Diagnosing low T involves a comprehensive approach, including a medical history review, physical examination, and specific tests to assess hormone levels. Treatment options may include Testosterone treatment, managing underlying conditions, lifestyle modifications, and nutritional supplements. By having an appropriate treatment, women with low testosterone levels can address their symptoms, improve their quality of life, and achieve better hormonal balance.

If you’re looking to get started with testosterone replacement therapy or just want to know more about testosterone therapy, get in contact with us today.

References/Bibliography/Scientific studies/Further reading 

Davis, S.R. and Wahlin-Jacobsen, S., 2015. Testosterone in women—the clinical significance. The lancet Diabetes & endocrinology, 3(12), pp.980-992.

Demers, L.M., 2010. Androgen deficiency in women; role of accurate testosterone measurements. Maturitas, 67(1), pp.39-45.

McBride, J.A., Carson, C.C. and Coward, R.M., 2015. Diagnosis and management of testosterone deficiency. Asian journal of andrology, 17(2), pp.177-186.

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