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Low Testosterone in Women: Symptoms You Should Never Ignore

Truth, Myths, and Why You Need It

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Story at a Glance:

  • Testosterone isn't just a male hormone; it's essential for women's cognitive health, mood, and longevity.

  • Declining testosterone in women correlates strongly with cognitive impairment and increased Alzheimer's risk.

  • Simple lifestyle strategies like sunlight exposure and strength training naturally boost women's testosterone levels and support overall brain health.


Neuro Athletes,

We need to talk about something important—something that's wildly misunderstood, especially when it comes to women’s health. It’s time to discuss testosterone. Yes, women have testosterone, and no—it won't turn you into the Incredible Hulk.

In fact, testosterone is one of the most critical hormones affecting your energy, cognition, mood, and longevity. Today, let’s clear up common myths and unpack the facts you need to know about testosterone.


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What Exactly Is Testosterone?

Testosterone is a hormone belonging to a class called androgens, naturally produced in both men and women. In women, it's synthesized mainly by:

  • Ovaries

  • Adrenal glands (small glands above your kidneys)

  • To a lesser extent, by peripheral tissues converting other androgens into testosterone.

While men typically produce higher amounts, women require balanced testosterone levels for optimal health too.

Testosterone Myths in Women (And the Real Truth):

Let's confront a few widely-believed myths:

  • Myth #1: "Testosterone is a male hormone."

    • Truth: Women also produce testosterone naturally, albeit at lower levels, and it’s essential for their physical and mental health.

  • Myth #2: "Taking testosterone will make women overly muscular or masculine."

    • Truth: Properly monitored testosterone therapy doesn't cause masculinization. Significant muscle gain and masculine traits generally occur only with extremely high, uncontrolled dosages.

  • Myth #2: "Testosterone therapy causes aggressive behavior in women."

    • Truth: Properly administered testosterone therapy, when supervised by professionals, shows no scientific evidence of increased aggression in women.

  • Myth #3: "Testosterone replacement will inevitably deepen a woman's voice or cause unwanted hair growth."

    • Truth: At medically recommended levels, testosterone replacement does not masculinize or alter voice or cause excess hair growth. These side effects only occur at excessively high doses, far above therapeutic levels.


The Lifecycle of Testosterone in Women

Testosterone production in women changes significantly over a lifespan. Levels peak during your early 20s and begin a slow decline around age 30. By the time you reach menopause, testosterone levels can be significantly lower. This decline often coincides with common symptoms like fatigue, reduced muscle mass, cognitive fog, reduced libido, mood swings, and increased risk of osteoporosis and cognitive decline.

Why Testosterone Matters for Your Health:

Cognitive Health:
Testosterone supports brain function by promoting neurotransmitter health, aiding memory, improving concentration, and bolstering overall cognitive clarity. Several peer-reviewed studies, including those published in Frontiers in Neuroendocrinology, link low testosterone in women to increased risks of cognitive decline, including Alzheimer's disease.

Study Highlight: A systematic review in the Journal of Clinical Endocrinology & Metabolism found clear benefits in memory, attention, and overall cognitive performance in women who maintained healthy testosterone levels.

Mood, Energy, and Vitality:

Low testosterone in women has consistently been linked to:

  • Decreased energy and chronic fatigue

  • Increased anxiety and depression symptoms

  • Lowered motivation and general well-being

Boosting your testosterone (naturally or through supervised therapy) can profoundly enhance energy levels, mood stability, and emotional resilience.

Physical Health & Longevity Benefits:

Testosterone directly influences:

  • Bone Health: Essential for maintaining bone mineral density and reducing osteoporosis risk.

  • Muscle Strength and Metabolism: Supports muscle maintenance, functional strength, and optimal metabolism as you age.

  • Cardiovascular Health: Balanced testosterone has cardioprotective effects, improving lipid profiles and metabolic markers.

How to Optimize Testosterone Naturally:

Before you even consider therapy, here's what you can do immediately:

  • Prioritize Strength Training: Incorporating resistance training 2–3 days per week has been shown to naturally increase and sustain testosterone levels.

  • Prioritize Quality Sleep: Sleep directly impacts hormone regulation—aim for 7-9 hours of high-quality sleep nightly.

  • Balanced Nutrition: Ensure your diet provides adequate healthy fats, protein, and micronutrients like zinc, magnesium, and vitamin D, critical for hormone synthesis.

Should You Consider Testosterone Therapy?

Considering hormone therapy is highly individual. Symptoms of low testosterone include persistent fatigue, decreased strength, cognitive fog, lowered libido, mood disturbances, or difficulty maintaining muscle mass. If you're experiencing these, the first step is testing your hormone levels with a healthcare provider who specializes in women’s hormonal health. With professional guidance, testosterone replacement therapy can be safe, effective, and transformative.


For a deeper dive into the science, myths, and practical guidance around testosterone and women's health, don’t miss my latest episode featuring renowned urologist, Dr. Rena Malik. It's packed with powerful insights and actionable tips to elevate your health and performance.

LISTEN NOW

Dr. Malik’s extensive knowledge shines a critical spotlight on a hormone often misunderstood or overlooked. Together, we reveal why testosterone matters, debunk popular misconceptions, and share practical insights to help you harness its powerful benefits safely.

We dive into:

  • Why testosterone isn’t just for muscle and libido (though it's a big win for both!)

  • How it supports brain health, sharpening cognition, memory, and mental clarity.

  • The real link between testosterone and mood regulation—low levels may increase risks of anxiety and depression.

  • Boosting your energy and fighting off fatigue through healthy hormone balance.

  • Testosterone’s essential role in maintaining bone density, muscle strength, and metabolism as women age.

  • Debunking widespread myths, such as fears of excessive muscle gain or masculinization. Spoiler alert: it's safe and beneficial when appropriately prescribed.

Click-worthy timestamps:

  • 02:45 – Debunking the most persistent myths about testosterone therapy for women.

  • 11:10 – Testosterone's surprising benefits for cognitive function and emotional health.

  • 21:30 – Practical steps to safely optimizing your hormone levels, and what to ask your doctor.

Stay healthy,

Louisa