Will this make me bulky or grow facial hair?

Not at correctly-dosed female-physiologic levels. The whole point of follow-up labs is to keep your testosterone in the normal female range — virilizing effects happen when doses exceed that range. Stop the dose, reverse the effect (in most cases).

Why do I have to pick it up at a pharmacy?

Testosterone is a Schedule III controlled substance under federal DEA rules — mail-order shipping is prohibited. During intake you'll pick a Texas pharmacy (CVS, Walgreens, H-E-B, or your independent) and we'll send the prescription electronically for ID-verified pickup.

Can I do this instead of estrogen?

Usually no. For most women with low desire, estrogen status should be optimized first. Adding testosterone makes the biggest difference for HSDD specifically — not for hot flashes, sleep, or mood. Your clinician will sequence treatment based on your symptoms.

Home Women's HealthLow-Dose Testosterone for Women

Women's Health

Low-Dose Testosterone for Women

For HSDD (hypoactive sexual desire) — the evidence-based use of T in women.

Low-dose transdermal or injectable testosterone for postmenopausal women with hypoactive sexual desire disorder (HSDD) — the only indication with high-quality evidence. Prescribed off-label at female-physiologic doses, with required baseline and follow-up labs. Testosterone is a Schedule III controlled substance, so your prescription is sent to the local Texas pharmacy of your choosing for pickup (we don't ship it).

Starting at

$109/mo

Start my assessment

Controlled substance — local pharmacy pickup

Low-Dose Testosterone for Women is a DEA Schedule III medication. Federal law doesn't allow it to be shipped by mail. We'll send your prescription electronically to the local pharmacy of your choosing for ID-verified pickup.

US clinicians

Pharmacy pickup

Care included

Best for

Postmenopausal women with HSDD (low desire causing distress) after other causes are ruled out
Patients who've optimized estrogen/progesterone and still have low desire
Women willing to do baseline and follow-up labs

Not for

Premenopausal women trying to conceive
Pregnancy or breastfeeding
Active hormone-sensitive cancer (breast, endometrial)
Severe liver disease or untreated androgen-excess conditions (PCOS with high androgens)

How it works

What it is — and what it isn't.

Women produce testosterone in the ovaries and adrenal glands, and levels decline through midlife. The Global Consensus Position Statement (2019) supports low-dose testosterone for postmenopausal HSDD. We dose to restore premenopausal female physiologic levels — roughly one-tenth of a typical male TRT dose — and monitor with labs to keep total testosterone in the female reference range and prevent androgenic side effects.

Typical protocol

How a course usually unfolds.

Your clinician personalizes the actual schedule based on your goals, history, and response.

1
Week 0
Baseline labs (total/free testosterone, SHBG, estradiol, CBC, lipid panel) + telehealth intake.
2
Week 1–8
Start low-dose transdermal testosterone (typical: ~5 mg/day cream) or low-dose injectable.
3
Week 8–12
Recheck labs to confirm levels stay in female physiologic range. Adjust dose.
4
Ongoing
Labs every 6 months. Stop if no meaningful benefit by 6 months.

What's included

One flat price. Everything you need.

We bundle the whole experience — clinician care, medication, shipping, and adjustments.

Provider visit & ongoing messaging
Prescription sent to your Texas pharmacy of choice for pickup (controlled substance — cannot be shipped)
Dose adjustments based on labs and response
Cancel or pause anytime
Baseline + follow-up lab orders (lab fees billed separately)

Safety & side effects

What to know — straight, not scary.

Common

Mild acne or oily skin
Increased facial or body hair at higher doses
Application-site irritation

Less common / serious

Voice deepening or clitoral enlargement (rare at correctly-dosed female-physiologic levels — reversible if caught early)
Adverse lipid changes (more likely with oral, not used here)
Worsening of hormone-sensitive conditions

Always message your clinician about side effects — most can be managed with dose adjustment, timing, or hydration support.

FAQs

Questions worth asking.

No FDA-approved female testosterone product exists in the US — it's prescribed off-label per the Global Consensus Position Statement on Testosterone Therapy for Women. We use male-labeled products at one-tenth the dose, dispensed through compounding or split-dosing.

See if Low-Dose Testosterone for Women is right for you.

Three-minute assessment. Free clinician review. No insurance needed.