Sep 19 2026 | By: Colbert Institute of Anti Aging
They might be. Chronic fatigue, mood changes, low libido, and unexplained weight gain in women are frequently connected to low testosterone, a hormone routinely overlooked because it is stereotyped as male.
At Colbert Institute of Anti-Aging in Southlake, Texas and Lake Mary, Florida, testosterone is part of the hormone picture for women, not just men.
Testosterone is produced in the ovaries and adrenal glands and contributes to energy, muscle mass, mood, and libido.
When levels decline, the effects reach into nearly every part of an ordinary day, which is part of why the cause is so hard to pin down without testing.
Signs of low testosterone in women tend to look like general exhaustion or ordinary stress:
Because each of these overlaps with several other conditions, low testosterone is often the last thing anyone checks.
Testosterone is not part of most routine women's health panels. Unless a patient specifically asks or a provider thinks to look, low levels can go unexamined for years.
That is a testing gap rather than a diagnostic mystery. The information is available if someone orders it.
Assessment involves blood testing alongside a careful review of your symptoms, because numbers on their own do not tell the whole story.
If testing confirms low levels, hormone replacement therapy may be discussed as an option. Whether it is appropriate depends on your results, your history, and your goals, and it is not right for everyone.
Dosing for women is meaningfully different from dosing for men, and it requires ongoing monitoring rather than a single prescription.
Follow up testing is part of the process, not an optional extra. Treatment gets adjusted based on how you actually respond over time.
Low libido has more than one possible cause, and hormones are only one of them.
For some patients that leads to a discussion about female arousal concerns specifically, evaluated on their own terms rather than assumed to be a hormone issue by default.
Dr. Don Colbert is board certified in family practice and in anti-aging medicine through the American Academy of Anti-Aging Medicine, with more than thirty five years in practice and a long focus on hormone balancing.
Testosterone does not act alone. Estrogen, progesterone, thyroid hormone, and cortisol all interact with it, and a single value read in isolation can be misleading.
That is why evaluation here looks at the wider hormone picture rather than testing one thing and treating it in a vacuum.
Patients who respond well typically describe steadier energy and a return of motivation before they notice changes in body composition.
Timelines vary widely, and some patients find that testosterone was not the main driver after all. That is a useful finding too, because it redirects attention somewhere more productive.
When appropriately dosed and monitored by a qualified provider, it can be an option for women with confirmed low levels. Ongoing monitoring is an essential part of treatment, and your provider should discuss the specific risks and benefits for your situation before you start.
Persistent fatigue, reduced libido, unexplained muscle loss, and mood changes without another clear explanation are all reasonable reasons to raise it. You are allowed to ask for the test even if it has not been offered.
Levels can begin declining gradually in a woman's twenties and thirties, with a more noticeable drop often occurring around perimenopause and menopause. The timeline varies considerably between individuals.
If the explanation you have been given does not match how you feel, a fuller hormone panel is a reasonable next step. Patients come to our Southlake office from Fort Worth, Texas and across the Dallas Fort Worth area, and to our Lake Mary office from throughout Central Florida.
Schedule a consultation with Colbert Institute of Anti-Aging and find out what your levels actually are.