Low Testosterone in Women Symptoms: 8 Important Signs

Low Testosterone in women symptoms can be subtle and sometimes confusing. If you’re a woman over 35 struggling with low energy, unexplained weight gain, brain fog, or a fading libido, you’re not alone—and you’re not just “getting older.” These could be symptoms of low testosterone, an often-overlooked hormone imbalance in women that can profoundly affect mood, metabolism, and overall quality of life.

While testosterone is most commonly linked with men, it’s an essential hormone for women too, just in smaller amounts. And when levels drop, the effects can be significant. Fortunately, there’s a safe, effective, and natural solution: bioidentical hormone replacement therapy (BHRT).

At Integrative Health and Rehabilitation, serving Denver, Arvada, and Wheat Ridge, CO, we help women reclaim their health and vitality through personalized BHRT plans, including in-house blood testing and Biote pellet therapy.

Understanding Testosterone in Women

Most people don’t realize that women produce testosterone in their ovaries and adrenal glands. Though produced in smaller quantities than in men, it plays a vital role in:

• Muscle tone and strength
• Metabolism and fat distribution
• Mood and mental clarity
• Sexual function and libido
• Bone density
• Energy and motivation

Testosterone levels in women typically peak in their 20s and then gradually decline, often accelerating during perimenopause and menopause. By the time a woman reaches her 40s or 50s, her levels may be significantly lower than in earlier years—sometimes contributing more to her symptoms than declining estrogen or progesterone.

Common Symptoms of Low Testosterone in Women

1. Chronic Fatigue

Feeling drained despite adequate sleep? Testosterone supports energy metabolism. When levels are low, the result can feel like walking through molasses every day.

2. Decreased Libido and Sexual Satisfaction

Low testosterone often leads to low sexual desire, reduced arousal, and difficulty achieving orgasm. Men don’t realize that it’s hormonal—not emotional or relational.

3. Unexplained Weight Gain (Especially Around the Midsection)

Testosterone helps regulate muscle mass and fat distribution. Without it, women often gain abdominal fat, even without dietary changes.

4. Mood Changes, Irritability, and Depression

Low T is often linked to low motivation, anxiety, and depressive symptoms, particularly in perimenopausal women.

5. Muscle Weakness or Loss

Muscle tone declines when testosterone is low, even with exercise. Many women notice weaker strength and slower recovery from physical activity.

6. Brain Fog and Memory Issues

Struggling to focus or remember things? Testosterone supports cognitive clarity and mental stamina.

7. Sleep Disturbances

Poor sleep quality and night waking are common in women with testosterone deficiency.

8. Reduced Bone Density

Testosterone helps preserve bone strength. Low levels can contribute to osteopenia or osteoporosis—especially after menopause.

How Do You Know If You Have Low Testosterone?

At our clinic in Denver, Colorado, we use in-house blood testing to measure your hormone levels. We look at total and free testosterone and how it interacts with other hormones like estrogen, progesterone, DHEA, cortisol, and thyroid hormones.

Hormone imbalances are common and can be complex. That’s why we offer a comprehensive hormone panel instead of guessing or treating symptoms in isolation.

What Causes Low Testosterone in Women?

While age is a significant factor, other causes include:

• Perimenopause and menopause
• Chronic stress (which taxes adrenal function)
• Birth control pill use
• Hysterectomy or oophorectomy
• Thyroid dysfunction
• Nutrient deficiencies
• Autoimmune disorders
• Chemotherapy or radiation

Why Bioidentical Hormone Therapy Is the Best Option

Bioidentical hormones are chemically identical to the hormones your body naturally produces. Unlike synthetic hormones, bioidentical testosterone is customized to your unique physiology, reducing side effects and supporting optimal balance.

Benefits of BHRT with Testosterone for Women:

• Increased energy and drive
• More stable moods
• Restored libido
• Improved lean muscle tone
• Reduced belly fat
• Better sleep
• Mental clarity
• Healthier bones and joints

At Integrative Health and Rehabilitation, we partner with Biote to provide natural bioidentical hormone pellet therapy, a highly effective and low-maintenance delivery system for highly effective hormone treatment.

What Is Pellet Therapy and Why Use it to Treat Low Testosterone in Women Symptoms?

Biote testosterone pellets are inserted just under the skin (usually in the hip or upper buttock) and release hormones gradually over 3–5 months. Unlike creams or pills, pellets offer:

• Consistent hormone levels
• No daily hassle
• No risk of transference to others
• Minimal side effects

It’s one of the most predictable and effective methods for hormone replacement—especially when treating testosterone deficiency in women.

What to Expect From Treatment

Step 1: Initial Consultation

We’ll discuss your symptoms and medical history, and if you are a candidate, we’ll proceed with testing.

Step 2: Comprehensive Bloodwork

Our blood panel evaluates testosterone, estrogen, progesterone, thyroid function, cortisol, and more.

Step 3: Personalized BHRT Plan

If low testosterone levels are found, we’ll create a customized plan using bioidentical hormones, diet recommendations, and lifestyle tips.

Step 4: Pellet Insertion & Follow-Up

After insertion (a quick, in-office procedure), you’ll start to feel the effects within 7 to 10 days. We’ll monitor your progress and adjust treatment if needed.

Low Testosterone in Women Symptoms: Is BHRT Safe?

Bioidentical hormone therapy has been shown in numerous studies to be both effective and safe when monitored by qualified practitioners. It’s important to test, not guess, and to use FDA-approved compounding pharmacies and evidence-based protocols, as we do at our office.

When Should You Seek Help for Low Testosterone in Women Symptoms?

Don’t wait until your symptoms become overwhelming. If you’re over 35 and experiencing two or more of the symptoms listed above, schedule a free consultation. The sooner you address hormone imbalance, the faster your body and brain can begin to heal.

Low Testosterone in Women Symptoms : Local Support You Can Trust

At Integrative Health and Rehabilitation in Denver, Arvada, and Wheat Ridge, CO, we combine in-depth hormone evaluation, expert medical care, and ongoing support to help women just like you feel vibrant, clear-headed, and confident again.

We’re not a one-size-fits-all clinic—we take your goals seriously and treat the root causes, not just the symptoms.

Special Offer: Get Started Today

• Free Consultation
• Discounted Blood Testing
• $50 Off Your First Pellet Treatment (if eligible for BHRT)

Call (303) 424-7171 or visit our scheduling page to book your appointment and treat low testosterone in women symptoms .

You Deserve to Feel Like Yourself Again

Low testosterone in women symptoms aren’t rare—it’s just rarely discussed. If you’ve been dismissed, told it’s “just stress,” or feel like something’s off but can’t pinpoint it, it’s time to get answers.

The first step is to take is to complete a free hormone imbalance quiz to find out if you are a candidate for this extremely safe and effective treatment. Please read some of our 5-star reviews and see what patients say. We are conveniently located for patients in Arvada,  Denver, and Wheat Ridge, Colorado, and have been providing excellent care for our Colorado patients for over 25 years.

Learn more about the conditions we treat on our Health Articles page! Lastly, we look forward to assisting you on your improved well-being and wellness journey.

Sources (Chicago Style):

1. Davis, Susan R.“ et al. “Role of Androgens “n Women.“ Journal of Clinical Endocrinology & Metabolism, vol. 96, no. 6, 2011, pp. 1469–1477.
2. Traish, Abdul “aged M. “Testosterone and Weight Loss: The “Evidence.“ Current Opinion in Endocrinology, Diabetes and Obesity, vol. 21, no. 5, 2014, pp. 313–322.
3. Glaser, Rebecca, and Constantine Dimitakakis. “Testosterone Therapy in Women: Myths and Misconceptions.“ Maturitas, vol. 74, no. 3, 2013, pp. 230–234.