When people think of testosterone, they often associate it with men. But here’s the truth: testosterone plays a vital role in women’s health too, especially during and after menopause. As estrogen and progesterone decline, so does testosterone—and this drop can significantly affect your energy, libido, mood, and muscle tone.

At Sheen Vein & Cosmetics in St. Louis, we frequently work with menopausal women who feel like they’ve “lost themselves.” They’re tired, foggy, gaining weight, and experiencing low drive—all while being told “everything looks normal” on their labs. In many of these cases, low dose testosterone therapy can be a safe, effective, and life-changing option.

What Happens to Testosterone During Menopause?

Testosterone is produced in a woman’s ovaries and adrenal glands. Levels naturally begin to decline in the 30s and 40s but drop more sharply during menopause. While estrogen tends to get the most attention during this time, testosterone deficiency is often the missing piece behind persistent symptoms.

Common signs of low testosterone in menopausal women include:

• Fatigue despite good sleep
• Low libido or sexual dissatisfaction
• Difficulty building or maintaining muscle
• Weight gain (especially around the abdomen)
• Mood changes, including irritability or lack of motivation
• Brain fog or poor focus

Sound familiar? You’re not alone—and you’re not imagining it.

Related: How to Lose Weight Without Medications

Benefits of Low Dose Testosterone for Women in Menopause

Low dose testosterone therapy is not about “masculinizing” women. It’s about restoring balance—supporting the hormones that help you feel like yourself again.

Here’s what we often see in our St. Louis patients:

1. Improved Energy and Vitality

Fatigue is one of the most common complaints in menopause. Testosterone helps support mitochondrial function—the energy factories of your cells—so you can feel more alive, not just “getting by.”

2. Enhanced Libido and Sexual Health

Many women report improved sex drive, arousal, and satisfaction with testosterone therapy—especially when paired with other hormone balancing strategies like DHEA or vaginal estrogen if needed.

3. Increased Muscle Mass and Bone Strength

Testosterone plays a key role in muscle protein synthesis. Maintaining lean body mass helps protect your bones, improves metabolism, and prevents the frailty often associated with aging.

4. Better Mood and Cognitive Function

Some studies show that testosterone may support serotonin and dopamine activity in the brain—helping improve mood, motivation, and clarity. Our patients often report feeling “sharper” and “more like themselves” after starting therapy.

Explore more: Menopause and Hormonal Balance

Is It Safe?

When prescribed and monitored by a trained functional medicine clinician, low dose testosterone therapy is considered safe for many women. At our clinic, we use bioidentical testosterone and monitor levels closely with both bloodwork and symptom tracking.

We avoid the “one-size-fits-all” pellet approach and instead offer custom compounded creams or gels, which allow for finer dose adjustments. We also support the body with nutrition, detox pathways, and hormone clearance support to minimize any side effects.

Potential risks (though rare at appropriate doses) include:

• Acne or oily skin
• Mild hair growth in unwanted areas
• Voice changes (uncommon at low doses)

We always educate patients on the risks and benefits and ensure you're an appropriate candidate through thorough lab testing and clinical history.

Functional Medicine + Hormone Therapy = Lasting Results

What sets us apart at Sheen Vein & Cosmetics is our whole-body approach. Hormones don’t work in isolation—they’re deeply connected to your gut, liver, thyroid, adrenals, and even your mindset.

In addition to low dose testosterone, we often incorporate:

• Nutritional support for hormone production and detox
• Strength training to build lean mass and enhance testosterone sensitivity
• PEMF or red light therapy for energy, recovery, and mood
• Adaptogens and mitochondrial support to enhance overall vitality

Learn more: Benefits of Red Light and PEMF Therapy

Is Low Dose Testosterone Right for You?

If you’re a woman in your 40s, 50s, or beyond struggling with energy, drive, or focus, it’s worth checking your testosterone levels. Even if you've been told your “labs are normal,” there may be more to uncover.

📞 Call 314-842-1441 to schedule your hormone consultation
💻 Visit www.sheenveinandcosmetics.com to explore our functional medicine services

You don’t have to feel like a shadow of yourself during menopause. With the right support—including low dose testosterone—you can feel strong, clear, and vibrant again.

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