Testosterone Therapy for Women in Perimenopause and Menopause

While estrogen and progesterone often take centre stage in menopause discussions, testosterone also plays an important role in women’s health, especially during the transition through perimenopause and post menopause.

Low testosterone can contribute to reduced libido, brain fog, fatigue, and loss of strength. For some women, testosterone therapy offers a targeted solution, particularly when loss of sexual desire affects quality of life.

TGA Approval: A Global First for Testosterone Therapy for Women

Australia is currently the only country where a testosterone product is approved for women. The Therapeutic Goods Administration (TGA) has approved a testosterone cream for the treatment of hypoactive sexual desire disorder (HSDD) in postmenopausal women. This represents a significant step forward in recognising and addressing women’s sexual health with evidence-based options.

Although TGA-approved, this product is not yet subsidised under the PBS, which means patients currently pay the full cost. Advocacy efforts are ongoing, and it is hoped that affordable access will improve in future.

Other Potential Benefits of Testosterone Therapy for Women

While testosterone therapy is only officially approved for HSDD, women often report additional improvements in:

• Energy and stamina

• Mental clarity and focus

• Mood and motivation

• Muscle tone and bone strength

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It’s important to note that these additional benefits are not officially listed indications, and further research is ongoing. Any decision to commence testosterone therapy should involve a personalised medical assessment.

How to Apply Testosterone Cream

• Apply prescribed dose once daily to clean, dry skin.

• Recommended sites include the inner thigh, hip, or front of the shin, using the opposite calf to rub it in.

• The shin-to-calf method avoids using your hands, so there’s no need to wash your hands afterward.

  
  

Aftercare advice:

• Allow the cream to dry before dressing.

• Avoid swimming, showering, or bathing for at least 1–2 hours after application.

• Once dry, transfer risk is very low, but it’s best to avoid direct skin contact over the area for the first few hours.

Why Monitoring Matters

Testosterone is a powerful hormone, and careful monitoring is essential to ensure safe and effective treatment. At Aesthetic Astute, we follow a structured approach that includes:

• Baseline and follow-up blood tests

• Dose adjustments based on symptom response and levels

• Monitoring for side effects (e.g. acne, hair growth, mood changes)

• Reassessing whether treatment is still appropriate over time

  
  

Monitoring typically occurs at baseline, 6 weeks after initiation, and then every 6–12 months thereafter.

Is Testosterone Therapy Right for You?

If you’re in perimenopause or postmenopause and noticing changes in libido, energy, or mental clarity, testosterone may be part of a broader solution. Dr. Danielle takes a holistic, personalised approach to hormone health and longevity.

To explore your options, book a consultation with Dr Danielle. We’ll take the time to understand your symptoms, assess your hormonal profile, and help you decide what’s right for you.

Visit aestheticastute.com.au to learn more or to book your appointment online.