Testosterone for Women UK: Menopause, Cost & Where to Get It (2026)
Testosterone for women during menopause — why it's prescribed, which products are used, how much it costs privately, and which UK clinics prescribe it.
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- Reporting period
- 2026-04-29
- Last updated
- 2026-04-29
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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
The British Menopause Society (BMS) supports testosterone prescribing for women with low sexual desire that does not improve with optimised oestrogen HRT. It is recommended in their 2024 guidelines.
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 consultation prices from 60+ verified UK menopause specialists.
Compare HRT providers pricesCompare HRT prices
Compare oestrogen, progesterone, and testosterone prescription prices.
Compare HRT prescriptions pricesRelated 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
Frequently asked questions
Can women get testosterone as part of HRT in the UK?
Yes — testosterone is increasingly prescribed as part of HRT for menopause, particularly for low libido, fatigue, and brain fog. However, no testosterone product is licensed for women in the UK, so it is prescribed off-label by menopause specialists. The British Menopause Society (BMS) supports testosterone prescribing for women with low sexual desire that doesn't improve with optimised oestrogen HRT.
Which testosterone products are prescribed for women in the UK?
The two main options are Androfeme 1% cream (£40–£70/month, applied as a pea-sized amount daily — licensed for women in Australia, off-label here) and Testogel 1% gel sachets (£30–£50/month, using about 1/10th of a sachet daily — licensed for men, used off-label). Androfeme is the most commonly prescribed and is sourced from a specialist pharmacy.
Can I get testosterone on the NHS for menopause?
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 GP won't prescribe, ask for a referral to an NHS menopause specialist, or see a private menopause specialist who can request shared care with your GP.
How much does private testosterone cost for women?
Annual cost is approximately £500–£850 including monitoring blood tests. Components: initial consultation £49–£395, baseline testosterone blood test £50–£100, Androfeme cream £80–£140 per tube (~2 months), or Testogel £30–£50 per box (~10 months for women), plus a 3-month follow-up blood test £50–£100.
How is testosterone monitored when prescribed for women?
Your prescriber should take a baseline blood test before starting, recheck levels 3 months after starting (to ensure you're in the female reference range), and monitor annually thereafter. 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.
Why do women's testosterone levels drop?
Women produce testosterone naturally, and levels decline during menopause. Low testosterone can cause low libido (the most common reason it's prescribed), fatigue and low energy even when oestrogen and progesterone are optimised, brain fog and poor memory, low mood and motivation, and reduced muscle mass and bone density.
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