Can Low Testosterone Make It Harder for Women to Lose Weight?

Reviewed by Dr. Kenton Bruice, MD

Reading time: three minutes.

If you think testosterone is just for men, think again.

This essential hormone plays an important role in women’s health, influencing metabolism, muscle mass, fat distribution, and even sex drive. While often overlooked, testosterone can be a game-changer for women struggling with weight gain and hormonal imbalances.

But does testosterone help women lose weight? Let’s dive into the science behind testosterone and weight loss in women and explore whether testosterone replacement therapy could be the missing piece in your weight management journey.

Key Takeaway

Testosterone isn’t just for men—it plays a key role in women’s metabolism, muscle tone, and energy levels. If you’re struggling with weight gain and fatigue, balancing your testosterone levels could be the missing piece to feeling your best.

Understanding Testosterone in Women

Testosterone in females is produced primarily in the ovaries and adrenal glands.

It affects energy levels, muscle tone, body composition, and fat distribution. However, testosterone levels naturally decline with age, especially in peri and postmenopausal women, leading to symptoms such as muscle weakness, weight gain, and lack of energy.

DHEA: An Alternative for Women

Unlike testosterone, which is not commonly prescribed to women, DHEA can be prescribed as a bioidentical hormone to support hormonal balance. 

Naturally produced by the adrenal glands, DHEA serves as a precursor to both testosterone and estrogen, allowing the body to convert it as needed. When prescribed as part of hormone therapy, bioidentical DHEA can help optimize hormone levels, improve energy, support muscle strength, and aid in metabolic function. 

While lower doses are available over the counter, medically supervised supplementation ensures proper dosing and effectiveness. Because individual responses vary, consulting a healthcare provider is essential to determine the appropriate approach for each person’s needs.

For more information on bioidentical hormones, read Frequently Asked Questions About Bioidentical Hormones.

The Relationship Between Testosterone and Weight Loss in Women

Testosterone influences fat distribution and promotes lean muscle mass, which helps boost metabolic rate.

Increased muscle mass leads to higher calorie expenditure, making it easier to maintain a healthy weight. Low levels of testosterone can contribute to:

  • Loss of muscle mass: Reduced testosterone levels decrease muscle growth, slowing down metabolism.
  • Increased fat storage: Fat accumulation, particularly in the abdomen, is linked to testosterone deficiency.
  • Insulin resistance: Testosterone helps regulate blood sugar levels and improves insulin sensitivity, which can help prevent weight gain.

To learn more about testosterone in men and how it influences weight loss, read: The Link Between Weight Loss and Testosterone Levels

Testosterone Deficiency and Weight Gain

Women with low testosterone levels may experience:

  • Unexplained weight gain despite maintaining a healthy diet and exercise routine.
  • Fatigue and reduced physical activity, making weight loss more difficult.
  • Hormonal imbalances, including changes in estrogen levels and sex hormone-binding globulin (SHBG) levels.
  • Higher risk of metabolic syndrome, a condition linked to cardiovascular diseases, diabetes, and obesity.

Can Testosterone Therapy Support Weight Loss?

For women struggling with hormonal imbalances and weight gain, testosterone therapy may help restore normal testosterone levels and improve body composition.

Benefits include:

  • Increased lean muscle mass: Helps maintain muscle tone and improve muscle strength.
  • Enhanced fat burning: Supports regional body fat distribution, leading to sustained weight loss.
  • Boosted energy levels: Reduces fatigue and lack of energy, promoting physical activity.
  • Improved metabolic rate: Helps regulate hormone levels and maintain a healthy weight.

Common Misconceptions About Testosterone in Women

Myth: Testosterone Therapy Causes Excessive Muscle Growth

Fact: Testosterone treatments in women are carefully monitored to maintain normal levels. Unlike men, women do not experience extreme muscle growth from testosterone therapy. Instead, it helps prevent loss of muscle mass and promotes healthy body composition.

Myth: Testosterone Increases the Risk of Breast Cancer

Fact: Studies show that balanced testosterone levels in females do not increase the risk of breast cancer when administered under medical supervision. In some cases, hormone therapy for women can improve quality of life and sexual satisfaction.

Myth: Only Men Need Testosterone

Fact: Testosterone plays a big role in women by supporting bone density, heart health, energy levels, and fat metabolism. Women with adrenal insufficiency or polycystic ovary syndrome (PCOS) may particularly benefit from testosterone regulation.

Is Testosterone Therapy Right for You?

If you experience weight gain, lack of energy, or loss of muscle tone, a simple blood test can assess your free testosterone and DHEA  levels.

Women with low levels may benefit from hormone replacement therapy as part of a comprehensive plan that includes:

  • A healthy diet rich in protein, fiber, and essential nutrients.
  • Regular physical activity to maintain lean body mass.
  • Monitoring hormone levels to ensure balance and effectiveness.

Partner with Dr. Bruice for Personalized Hormone Therapy

If you are struggling with weight loss, hormonal imbalances, or symptoms of low testosterone, Dr. Kenton Bruice provides expert guidance and tailored hormone replacement therapy solutions.

To book an appointment with Dr. Bruice at the St. Louis Hormone Institute of Missouri, call (314) 222-7567 or visit us at 9909 Clayton Rd, Suite 225, St. Louis, MO.

Other locations: 📍Denver Hormone Institute of Colorado
55 Madison Street, Suite 575 Denver, CO

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