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T-Levels in Women: Do women have testosterone?

Testosterone is often thought of as a male hormone; however, it is in fact present in both men and women. In women, testosterone plays a vital role in many bodily functions, including mood, energy, bone strength and sexual health. This article explains how much testosterone women naturally produce, where it is made, what happens when levels are too low or too high and how to maintain healthy testosterone balance through testing, treatment and lifestyle adjustments.

In One Sentence:

Although testosterone is produced in smaller amounts than in men, women do have it, and it is essential for maintaining physical health, mood, sexual function and energy balance.

Key Takeaways

Here are the five biggest takeaways from this article about T-levels in women:

Women naturally produce testosterone in the ovaries, adrenal glands and peripheral tissues.
Healthy testosterone levels in women are usually below 2.7 nmol/L.
Low testosterone can cause fatigue, low libido and mood changes, while high levels can lead to acne, irregular periods and excess hair growth.
A simple blood test can confirm whether your testosterone levels are within a healthy range.
Treatment depends on the cause but may include hormone replacement therapy, medication, or lifestyle changes.

What is the average testosterone level in women?

The average testosterone level in adult women is typically below 2.7 nmol/L [1]. This range may vary slightly depending on age, menstrual cycle phase and whether a woman is pregnant or menopausal. Paediatric and postmenopausal ranges differ and are assessed separately. Maintaining testosterone within the healthy range supports energy levels, mood and general wellbeing.

What are the symptoms of low testosterone in women?

Low testosterone levels can lead to a variety of symptoms that affect both physical and emotional health. Many women with reduced testosterone may experience:

Tiredness
Low libido
Reduced motivation
Mood changes

Some women might also notice weaker muscles, weight gain, or difficulty concentrating.

These symptoms are often subtle and may develop gradually, making them easy to overlook or mistake for other conditions such as depression or menopause-related changes. Low testosterone can occur naturally as a result of ageing, menopause, or certain medical conditions. It can also develop due to long-term illness, stress, or the use of certain medications.

What are the symptoms of high testosterone in women?

High testosterone in women can also cause significant health effects. Symptoms often include:

Oily skin
Acne
Excess facial or body hair (known as hirsutism)
Hair thinning on the scalp

Some women may also experience irregular or absent periods, deepening of the voice, or changes in body shape.

Polycystic ovary syndrome (PCOS) is one of the most common causes of elevated testosterone in women. In PCOS, hormonal imbalances affect the ovaries, sometimes leading to fertility issues, irregular cycles and metabolic changes such as insulin resistance.

How can I check if my testosterone level is healthy?

If you are concerned about your testosterone levels, a blood test is the most accurate way to check. Your GP can arrange a test to measure both total and free testosterone levels. Alternatively, an at-home finger-prick blood test can also provide reliable results.

It is best to test in the morning when testosterone levels are naturally higher. Your doctor may also suggest repeating the test to confirm any unusual results. Discussing symptoms with a healthcare professional is essential before considering any treatment.

Where is testosterone produced in females?

In women, testosterone is mainly produced by the ovaries and the adrenal glands [2]. These organs release small but steady amounts of testosterone into the bloodstream. Skin, fat, and muscles also help by converting other hormones, like androstenedione, into testosterone [3].

What is the function of testosterone in women?

Maintains a healthy libido

Testosterone helps regulate sexual arousal, desire and orgasms by influencing dopamine levels in the brain [4]. Low testosterone can cause a reduced interest in sex or difficulty achieving satisfaction.

Maintains optimal musculoskeletal health

Testosterone supports muscle strength, bone density and general physical performance [5]. Adequate levels are significant for preventing osteoporosis and muscle loss, especially after menopause.

Regulates mood and energy levels

Testosterone contributes to mood and motivation by influencing neurotransmitters such as serotonin and dopamine [6]. Women with balanced hormone levels often report improved energy, reduced fatigue and greater mental focus.

Maintains optimal cognitive function

Healthy testosterone levels can support cognitive performance, including memory, attention span and decision-making [6]. Research shows that low levels may be linked to “brain fog” or poor concentration during menopause.

How to treat abnormal testosterone levels in females?

Treating low testosterone

If low testosterone levels are confirmed by a test, treatment will depend on the cause. Women approaching menopause may first be offered hormone replacement therapy (HRT), which can help restore hormonal balance. If symptoms persist after a trial of HRT, testosterone therapy may be considered under specialist supervision.

Topical gels containing low doses of testosterone are the most common form of treatment, with popular options including Testogel sachets and Testogel pumps.

Lifestyle factors such as regular exercise, a balanced diet and adequate sleep can also support healthy hormone production.

Treating high testosterone

High testosterone levels can be managed using medication to regulate hormone production, particularly in cases such as PCOS. Combined oral contraceptives are often prescribed to help reduce testosterone levels and improve symptoms such as acne or excess hair.

Maintaining a healthy weight, following a balanced diet and exercising regularly can also help regulate hormones naturally. In some cases, medication can be used to block the effects of testosterone or treat underlying metabolic issues.

Can you treat abnormal T-levels naturally?

Lifestyle choices can play a key role in maintaining hormonal balance, as outlined below:

A nutrient-rich diet that includes healthy fats, proteins and whole grains can help support hormone production.
Regular exercise, particularly strength training, can also boost natural testosterone levels.
Managing stress is also important, as high cortisol levels (the stress hormone) can disrupt hormonal balance.
Reducing refined sugars and maintaining a healthy weight can help regulate insulin levels, which are closely linked to testosterone production.

Final Thoughts

Although testosterone is commonly associated with men, it is an equally vital hormone for women’s health. It influences mood, energy, sex drive and physical wellbeing. Understanding what is normal and recognising symptoms of imbalance can help women take control of their health. Maintaining balanced testosterone levels through testing, medical treatment, and lifestyle adjustments supports long-term wellness and quality of life.