A group of women smiling and laughing together outside. Learn about what high or low testosterone in women can mean.

What does it mean to have high or low testosterone as a woman?

April 14, 2025

 

When we think about testosterone, we often associate it with men's health. But did you know that this hormone plays an important role in women's health, too? Let's explore what testosterone is and how it affects women's bodies.

 

What is testosterone?

Testosterone is a hormone that's crucial for overall health. In men, it's responsible for developing male sex characteristics like facial hair and a deep voice. It also helps build muscle mass, maintain bone strength and regulate sex drive. While men produce much more testosterone than women, this hormone is still essential for women's health.

 

The role of testosterone in women

In women, testosterone is made in smaller amounts by the ovaries and adrenal glands. Although scientists are still learning about its exact role in women's bodies, we know that testosterone affects several aspects of health:

 

  • Bone strength
  • Sexual function and behavior
  • Sex drive (libido)
  • Development of sex organs

 

Testosterone also works together with other hormones like estrogen to keep the ovaries functioning properly. Having the right balance of these hormones is important for overall health.

 

What high or low testosterone levels mean for women

Testosterone levels in women can fluctuate for several different reasons. For example, testosterone levels may vary at different points of the menstrual cycle. Plus, as women age, especially when approaching menopause, testosterone levels naturally decrease. This usually starts happening in your 30s.

 

However, sometimes testosterone levels can be too high or too low, which may indicate other health issues.

 

Low testosterone in women

Low testosterone levels can be caused by:

 

  • Aging
  • Diseases affecting the adrenal glands
  • Removal of ovaries
  • The effects of chemotherapy and other treatments or causes on ovarian function

 

Signs of low testosterone in women may include:

 

  • Low sex drive
  • Lack of energy
  • Muscle weakness
  • Infertility
  • Irregular periods
  • Vaginal dryness
  • Thinning hair
  • Sleep problems
  • Dry skin
  • Depression or anxiety

 

High testosterone in women

High testosterone levels in women, also known as hyperandrogenism, can be associated with:

 

  • Irregular hair growth
  • Acne
  • Irregular periods
  • Infertility
  • Pituitary gland problems

 

Polycystic ovarian syndrome (PCOS) is also associated with high testosterone. PCOS affects the ovaries and can cause irregular periods and high testosterone levels. This may lead to symptoms like excess facial or body hair.

 

Assessing testosterone levels in women

If you're concerned about your testosterone levels, it's important to talk to your healthcare provider. They can help determine if a testosterone test is right for you. One option is the Labcorp OnDemand Total Testosterone Test for Women, which measures the amount of testosterone in your blood.

 

While this test can provide valuable information about your hormone levels, it does not diagnose specific conditions like PCOS or infertility. Knowing your testosterone level is just one piece of the puzzle. Working with your healthcare team is the best way to understand your overall health and address any concerns you may have about your reproductive health.