Safety
Testosterone products approved for men carry a boxed warning about secondary exposure: children who touched the skin where it was applied have shown virilization. Testosterone can harm a developing baby and must not be used in pregnancy. Too high a dose can cause acne, unwanted hair growth, a deeper voice and other signs of androgen excess; the consensus statement advises against pellets, injections or any product that gives levels above the female range, and against compounded testosterone.
Talk to a licensed clinician about your health history and every medication you take before you start.
Legal status
Prescription only; FDA-approved for other uses. Testosterone is a Schedule III controlled substance, and its use in women is off-label. Prescribing it by telemedicine without an in-person exam relies on a temporary DEA and HHS rule that runs through Dec 31, 2026 and needs a live video visit with the prescriber. Compounded testosterone creams are not FDA-approved.
What testosterone for women is
No testosterone product is FDA-approved for women. Products approved for men are used off-label at a fraction of the male dose, or a pharmacy compounds a cream that is not FDA-approved.
Dosing
Usually once a day for creams and gels. No FDA-labeled dose for women. A 2019 global consensus statement advises keeping levels in the premenopausal female range: measure total testosterone before starting, again 3 to 6 weeks in, then every 6 months. Your clinician sets the dose for you.
How well it works
The 2019 Global Consensus Position Statement, endorsed by The Endocrine Society and The North American Menopause Society among others, found the only evidence-based use is for postmenopausal women diagnosed with hypoactive sexual desire disorder (HSDD). It found insufficient data for any other symptom or for disease prevention and advises stopping if there is no benefit by 6 months. Individual results vary.
Testosterone for women cost
None of the online providers we compare publishes a price for testosterone. Henry Meds adds testosterone for $100 on top of its $149 monthly HRT price, if prescribed. For a full breakdown, read How much does HRT cost without insurance?. For the steps, read How to get HRT online.