The only other way to access a bit of T was to have it prescribed “off label” (meaning that because in the UK testosterone is not currently licensed for use by women, a doctor prescribes testosterone cream or gel that is licensed for men). This is how women have been accessing it on the NHS, where testosterone is only currently prescribed by a specialist doctor to treat low libido in perimenopause or menopause. It is not yet known if AndroFeme will be available on the NHS.
I should also say that I am not a medical doctor. I have zero medical qualifications and everything I am about to relay to you is based on my own subjective experience as a patient – and should be treated as such. Now I’ve got that out of the way, allow me to address the hormonal elephant in the room: yes, women and people assigned female at birth (AFAB) produce testosterone. It’s made in the ovaries and the adrenal glands at much lower levels than estrogen, but it is just as vital when it comes to hormone health, which impacts almost every part of the body.
At first, I was prescribed estrogen and progesterone and they helped a bit, but my mood was still on the floor and the migraines continued. I went back for a second time and a blood test revealed that my testosterone levels were low – very low – so I was prescribed Testogel, a 2.55 mg, daily sachet of gel that is licensed for men. Women need a fraction of that – and I was given strict instructions about only using a pea-sized amount each day. It’s inexact, but that’s all that can be done – because Testogel is made for men.
Not that I knew any of that when I went to that appointment. In fact, I’ll be honest, when the doctor started talking about taking testosterone, my first thought was that I would go bald and start shouting at women from a white transit van – but I was soon reassured that this was not the case (and if that ever happened, they would lower my dose).
square MENOPAUSE There's nothing sexy about perimenopause - so don't try to rebrand it
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The first thing that happened was that the headaches vanished. Within a week, they were gone. I went from throwing back enough painkillers to floor a rhinoceros, to taking none at all. I can’t even begin to describe the relief of not being in pain for days on end. Then, my mood lifted and my energy levels returned. I started running and going to the gym again. Far from feeling more aggressive, I felt calmer. I stopped shouting at complete strangers over mild inconveniences. Looking back, I hadn’t realised how lethargic and melancholic I had become until the factory settings were restored.
The only downside (if it can be called a downside) is that my libido has come roaring back, like a kraken from the depths. I had just got myself to a place where I was very happy not dating or allowing the male species into my life – and now I have a sex drive like the triffid in Little Shop of Horrors, screaming to be fed all night long.
If I was being very cynical, I might think it’s because having an amorous wife is more important to the patriarchy than one who is focused and confident (because it’s much more important to keep the mens happy than it is to have women thinking), but maybe that’s just the testosterone talking. My point is that testosterone treatment has taken away my constant migraines, brain fog, rage and anxiety. Surely, that is the reason to take it. My wanting to lick the entire New Zealand All Black squad up the legs is neither here nor there.
It is my hope that with the licensing of AndroFeme and the increasing awareness of hormonal health, we can start making testosterone more widely available for women who are struggling with perimenopause and menopause. As I said at the start, I am not a medical doctor – and anyone who wants to explore testosterone treatment needs to talk to a medical professional, but I wanted to write about my experience. Because for me, testosterone was the missing part of the puzzle.
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