Testosterone for Women UK: Menopause, Cost & Where to Get It (2026)

Can women get testosterone on HRT? Yes. Testosterone is increasingly prescribed as part of HRT for menopause, particularly for low libido, fatigue, and brain fog. However, there is no testosterone product licensed for women in the UK — it is prescribed "off-label" by menopause specialists.

Why do women need testosterone?

Women produce testosterone naturally, and levels decline during menopause. Low testosterone can cause:

• Low libido — the most common reason testosterone is prescribed
• Fatigue and low energy — even when oestrogen and progesterone are optimised
• Brain fog — difficulty concentrating and poor memory
• Low mood — particularly low motivation
• Reduced muscle mass and bone density

Which testosterone products are used?

| Product | Type | Typical cost/month | How it's used | |---------|------|-------------------|---------------| | Androfeme 1% | Cream | £40–£70 | Pea-sized amount applied daily | | Testogel 1% | Gel (sachets) | £30–£50 | 1/10th of one sachet daily |

Androfeme is the most commonly prescribed. It is licensed for women in Australia but used off-label in the UK. It comes from a specialist pharmacy and is not available from standard UK pharmacies.

Testogel is licensed for men. Women use approximately 1/10th of a sachet (about 0.5ml), which means one box lasts much longer. This is also off-label use.

Can I get testosterone on the NHS?

It depends on your area and GP. Some NHS menopause specialists prescribe testosterone, but many GPs are unfamiliar with it or unwilling to prescribe off-label. If your NHS GP will not prescribe testosterone:

• Ask for a referral to an NHS menopause specialist
• Consider a private menopause consultation — most BMS-accredited specialists prescribe testosterone
• Your private prescriber can write to your GP requesting shared care (where the GP continues the prescription)

Testosterone cost privately

| Component | Cost | |-----------|------| | Initial consultation (includes testosterone discussion) | £49–£395 | | Blood test (testosterone levels) | £50–£100 | | Androfeme 1% cream (1 tube, ~2 months) | £80–£140 | | Testogel (1 box, ~10 months for women) | £30–£50 | | Follow-up blood test (3 months) | £50–£100 |

Annual cost for testosterone alone is approximately £500–£850, including blood tests for monitoring.

Monitoring

Your prescriber should check your testosterone levels:

• Before starting: Baseline blood test
• 3 months after starting: Check levels are in the female reference range
• Annually thereafter: Routine monitoring

Testosterone levels should stay within the female physiological range. Side effects from excess testosterone (acne, facial hair growth, deepening voice) are rare when properly dosed and monitored.

Which clinics prescribe testosterone?

Most BMS-accredited menopause specialists prescribe testosterone. National and regional options include:

• Online/nationwide: My Menopause Centre, Newson Health, Stella, Menopause Care
• London: The Marion Gluck Clinic, The Harper Clinic, Omniya Clinic
• Regional: Manchester Menopause Hive, Vitalis Health (Belfast), The Edinburgh Practice

Compare HRT prices

Related guides

• How Much Does Private HRT Cost? — first-year cost breakdown
• Types of HRT Available in the UK — patches, gels, tablets, and sprays explained
• Testosterone for Women — why it is prescribed, cost, and where to get it