Monthly
$139
/mo
Flexibility with month-to-month billing.
- Compounded low-dose testosterone
- Licensed clinician oversight
- Care-team messaging
- Free discreet shipping
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Testosterone Replacement Therapy For Women
We understand that hormonal health is essential to a woman’s overall well-being. While TRT is often associated with men, testosterone plays a critical role in women’s energy, libido, mood, cognitive function, and muscle strength. As levels naturally decline with age, particularly during perimenopause and menopause, many women experience symptoms that impact their quality of life.
Truvera’s Testosterone Replacement Therapy (TRT) for Women is a physician-guided program designed to safely restore optimal hormone levels, helping you feel energized, confident, and balanced again.
- US-licensed clinicians
- Lab-confirmed assessment required
- Licensed US pharmacies
- Free discreet shipping
Hormone Optimization · Women's Health
Reclaim the energy, drive, and clarity that low testosterone has been quietly taking from you.
Testosterone isn't just a men's hormone. It's essential for women's libido, stamina, mood, lean muscle, and cognitive sharpness. Clinician-supervised low-dose testosterone, compounded for women's physiology, prescribed online and shipped to your door.
- Women's testosterone peaks in the mid-20s and drops by roughly 50% by the time of natural menopause — a decline that often goes undiagnosed and untreated
- Restoring testosterone to physiologic levels in women can meaningfully improve libido, energy, lean muscle, mood stability, and cognitive clarity without masculinizing side effects at therapeutic doses
- Compounded low-dose formulations — topical creams or precise micro-dose injections — are calibrated to women's hormone ranges, not the much higher doses used in men's TRT
How it works
Your testosterone therapy journey in 4 steps
From intake and labs to medication delivered — in as little as 3 days after clinician approval.
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Complete your intake + lab order
A 10-minute medical intake covers your symptoms, health history, current medications, and hormone goals. We order your at-home baseline hormone panel at the same time — no clinic visit required.
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Clinician reviews your full hormone picture
A licensed US clinician reviews your intake alongside your lab results — testosterone, SHBG, estradiol, and more — to determine whether low-dose testosterone therapy is appropriate for you.
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Compounded testosterone ships free
If prescribed, your low-dose compounded testosterone (topical cream or micro-dose injection) is prepared at a licensed US pharmacy and shipped in discreet packaging, free of charge.
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Ongoing labs + dose titration
Follow-up hormone labs every three months keep your levels dialed in. Your clinician reviews results, monitors for any signs of excess androgen, and adjusts your dose as needed over time.
Pricing
Transparent testosterone program pricing.
One monthly price covers your clinician visits, compounded medication, baseline and follow-up labs, shipping, and care team access.
Most popular
Quarterly
$119
/mo
Save 14% vs monthly
Best balance of savings and commitment.
- Everything in Monthly
- Billed quarterly
- Priority clinician response
- Quarterly hormone lab review
Annual
$99
/mo
Save 29% vs monthly
Our best price for long-term hormone optimization.
- Everything in Quarterly
- Billed annually
- Dedicated care coordination
- Annual protocol review
Testosterone therapy for women is off-label but well-established in functional and integrative medicine. Prescriptions are issued only at the discretion of licensed clinicians and only when medically appropriate based on labs and clinical picture.
Eligibility
Is testosterone therapy right for you?
You may be a candidate if:
- You experience low libido or sexual dysfunction not explained by relationship factors, medications, or other identifiable causes
- You have persistent fatigue and low energy despite getting adequate sleep and ruling out thyroid or other common causes
- You notice lean muscle loss and increasing difficulty maintaining your body composition despite consistent effort
- You are a woman 30+ with lab-confirmed androgen insufficiency or a strong clinical symptom picture consistent with low testosterone
Not right for you if:
- You are pregnant, planning to conceive, or breastfeeding — testosterone therapy is contraindicated during pregnancy
- You have a history of hormone-sensitive cancer (breast, uterine) without written clearance from your oncologist
- You have untreated polycythemia or significantly elevated hematocrit without physician oversight
- You have PCOS with already-elevated androgens — testosterone supplementation requires endocrinologist review in this setting
What is TRT for women?
The science behind testosterone in women.
Testosterone is produced by both the ovaries and the adrenal glands throughout a woman's life, with levels peaking in the mid-20s and declining steadily from there. By the time of natural menopause, circulating testosterone is roughly 50% lower than peak — a drop that tracks closely with worsening libido, persistent fatigue, declining lean muscle mass, mood instability, and a subtle but real erosion of cognitive sharpness. Despite this, androgen insufficiency in women remains one of the most under-recognized and under-treated hormonal conditions in clinical medicine. Many women are told their labs are "normal" even when their free testosterone sits at the low end of reference ranges designed around population averages rather than individual optimal function.
The clinical case for low-dose testosterone in women is well-supported by evidence. The Endocrine Society and the International Society for the Study of Women's Sexual Health (ISSWSH) have both published guidelines affirming the role of testosterone therapy in women with hypoactive sexual desire disorder (HSDD) — the most extensively studied indication — as well as broader androgen insufficiency syndrome. Physiologic effects extend beyond libido: women receiving testosterone therapy at appropriate doses consistently report improvements in energy, mood, lean body composition, bone density, and cognitive function. The critical distinction is dose. Women require approximately 1/10th to 1/20th the testosterone dose used in men's TRT. Compounded topical creams and micro-dose injections allow for this level of precision in ways that off-the-shelf male-formulated products cannot.
Monitoring matters. At therapeutic doses, virilizing side effects — acne, unwanted body hair, clitoral enlargement, or voice changes — are uncommon but possible, particularly if doses are too high or if individual sensitivity is elevated. This is why TruVera requires baseline labs, including total and free testosterone, SHBG, estradiol, hematocrit, and a lipid panel, before any prescription is issued, and follow-up labs every three months thereafter. Dose titration is an ongoing clinical process, not a one-time decision. Testosterone therapy for women is off-label but has decades of use in functional, integrative, and sexual medicine, with a growing body of evidence supporting both its efficacy and its safety when properly supervised.
Patient experience
Women describe what changes.
"I hadn't felt interested in sex in almost two years and chalked it up to stress. Within six weeks on testosterone cream my libido came back — not just a little, but fully. I felt like myself again in a way I couldn't have predicted."
Verified patient
Libido restoration
"I was exhausted all the time despite sleeping eight hours. My thyroid checked out fine, my iron was fine. Three months into TRT my energy is noticeably different — I can get through my workday and still want to work out. The brain fog has lifted too."
Verified patient
Energy and cognitive function
"I'd been losing muscle for two years no matter how hard I trained. My clinician reviewed my full hormone panel and put me on low-dose testosterone alongside my estrogen. In four months I've regained definition I thought was just gone with age. The monitoring every three months gives me real peace of mind."
Verified patient
Body composition
FAQ
Testosterone therapy for women — your questions answered
Is testosterone really important for women?
Yes. Testosterone is a naturally occurring hormone in women, produced by the ovaries and adrenal glands throughout life. It plays essential roles in libido and sexual function, energy and stamina, lean muscle maintenance, bone density, mood regulation, and cognitive sharpness. Levels peak in the mid-20s and decline by roughly 50% by natural menopause. The Endocrine Society and ISSWSH (International Society for the Study of Women's Sexual Health) both recognize testosterone's role in women's health and support its use in appropriately selected patients.
What symptoms suggest low testosterone in women?
The most common symptoms include reduced or absent libido, persistent fatigue that sleep doesn't resolve, difficulty maintaining lean muscle despite regular exercise, mood instability or mild depression, and brain fog or reduced mental clarity. Less commonly: reduced bone density, decreased motivation, and diminished sense of well-being. These symptoms often overlap with low estrogen or thyroid dysfunction, which is why baseline labs — assessing the full hormonal picture — are a required part of the TruVera intake process.
How is testosterone therapy delivered for women?
The most common delivery method for women is a compounded topical cream, applied to thin-skinned areas such as the inner wrist, inner thigh, or labia majora once daily. Topical application allows for precise low-dose delivery calibrated to women's much lower physiologic needs. Some women use micro-dose subcutaneous injections, which can offer more consistent blood levels. Your clinician will recommend the formulation and route best suited to your symptoms, labs, and preferences.
How long does it take to see results?
Libido and mood are typically the earliest areas to respond, with many women noticing improvement within 3–6 weeks of starting therapy. Energy levels and cognitive function generally follow, with meaningful change observed at 6–10 weeks. Improvements in body composition — particularly lean muscle retention and reduced fat accumulation — typically take 2–3 months of consistent therapy and are best supported alongside resistance training. Individual timelines vary based on starting testosterone levels, dose, delivery method, and overall hormonal context.
What are the side effects and how is monitoring done?
At therapeutic doses appropriate for women, virilizing side effects are uncommon. Possible effects include mild acne, slight increase in body or facial hair, or clitoral sensitivity changes — most of which are dose-dependent and reversible with adjustment. Significant virilization (voice deepening, clitoromegaly) is associated with doses far above the physiologic range used for women. TruVera requires baseline labs before prescribing — including total and free testosterone, SHBG, estradiol, hematocrit, and a lipid panel — and follow-up labs every three months. Your clinician will review results and titrate your dose to keep levels within the optimal therapeutic window.
Can I pause or cancel my subscription?
Yes. You can pause or cancel at any time through your TruVera patient portal — no phone calls required and no cancellation fees. If you have questions about your current protocol or want to explore dose adjustments before canceling, your care team is always available to help.