Testosterone treatment

Yes, when prescribed and monitored by a healthcare professional, and used appropriately, testosterone cream is considered safe for women (with minimal side effects).

Some women may notice mild hair growth, but this is usually only if the cream is applied to the same spot every day. Rotating application sites can help prevent this.

Weight gain is not a common side effect, when used appropriately.

Many women notice changes within a few weeks, but it may take up to 12 weeks to feel the full effects.

Yes, you need to be on HRT before you can start testosterone. It’s usually considered when oestrogen therapy alone hasn’t helped with low libido. Your clinician will help talk you through what’s right for you.

Yes, baseline and follow-up blood tests (measuring total testosterone and sex hormone binding globulin) are recommended for monitoring to ensure safety.

(please note; if you purchase a blood test through us, this is is non refundable after purchase)

We don’t offer prescription-only plans because hormone treatments like testosterone need to be prescribed alongside ongoing clinical review. Even when things are going well, a clinician needs to review how you’re feeling and check your monitoring blood tests before continuing treatment. This is a required part of safe prescribing, and helps ensure your dose stays right over time. Your plan includes the necessary blood tests and clinical reviews, meaning everything needed to continue your prescription is built into the plan.

Testosterone prescribing isn’t based on blood levels alone. Symptoms matter, and some people can benefit from testosterone treatment even if their level falls within the reference range. In women, testosterone levels are often low to normal, and blood tests don’t always reflect how much testosterone is available to your tissues.

This means symptoms such as low libido, fatigue, reduced motivation or brain fog can occur despite a “normal” blood result. For this reason, testosterone may still be prescribed when symptoms are consistent and other causes have been considered.

Treatment is always started and continued under clinical guidance. Blood tests are used alongside symptom review to make sure your testosterone stays within a safe range and doesn’t become too high. This is an essential part of safe prescribing and helps your clinician adjust your dose if needed.

Lifestyle changes can help support healthy testosterone levels in women, for example:

• Managing stress — through mindfulness or rest
• Eating well — with enough protein, healthy fats, vitamin D and B vitamins
• Exercising regularly — especially strength training

These steps won’t replace medical treatment if levels are significantly low, but they can support your hormones and overall wellbeing (whether you're on testosterone therapy or not).

Testosterone may be prescribed when standard HRT has not been effective in improving symptoms. It is usually given in addition to oestrogen-based HRT, and may help with symptoms such as low energy, low mood and reduced libido.
In exceptional circumstances, a menopause specialist may consider prescribing testosterone on its own (without oestrogen-based HRT). This would only be done following a specialist assessment, and in consultation with one of our menopause clinicians to ensure it is appropriate and safe.