Clear guidance. Specialist prescribing.

Testosterone is often overlooked in women’s health.

Yet alongside oestrogen and progesterone, it plays a meaningful role in energy, cognition, sexual wellbeing and muscle strength.

Levels gradually decline from the mid-30s and may fall further during perimenopause and after menopause. And for some women, this decline contributes to persistent symptoms that do not fully improve with oestrogen-based HRT alone.

At LIVVE, testosterone therapy is approached with care and precision; from consultation, blood testing and ongoing monitoring - all under one roof - you can trust your hormone health isn’t left to chance.

Start Consultation for Hormone Health

Need-to-know

Testosterone Therapy.

Contrary to popular opinion, testosterone is not merely a ‘male hormone’. While women do produce it in much smaller amounts from the ovaries and adrenal glands, it's a vital hormone that plays a role in:

Sexual desire and arousal
Motivation and drive
Confidence
Mental clarity
Energy
Muscle maintenance

It may take a while to realise your levels are low as, unlike oestrogen, testosterone doesn’t suddenly collapse at menopause. It declines more gradually over time, but its effects can become more noticeable once oestrogen levels change.

For some women, the low sexual desire that comes with depleted testosterone can be the most upsetting and hard to talk about symptom of perimenopause and menopause. It can destroy self-esteem and negatively impact relationships; ‘un-seen’ effects that are not given the attention or care they deserve.

At LIVVE, we dig deeper and analyse symptoms beyond a ‘checklist’.
At LIVVE, testosterone is not just a ‘top-up’ hormone. It’s part of the whole picture.

Testosterone may be discussed if you are:

Postmenopausal or in later perimenopause
Already optimised on oestrogen therapy
Experiencing ongoing low sexual desire that causes personal distress
Reporting reduced motivation, energy or cognitive sharpness not explained by other factors

The strongest evidence for testosterone therapy in women relates to Hypoactive Sexual Desire Disorder (persistent low sexual desire) in postmenopausal women. This is supported by NICE and the British Menopause Society.

Some women also report improvements in energy or concentration but these effects are more variable, and testosterone is not currently licensed in the UK for mood, fatigue or cognition.

At LIVVE, we look at the full hormonal breakdown, including inadequate oestrogen replacement, thyroid dysfunction, elevated prolactin and medication side effects.
We also assess personal distress, relationship factors, pattern and persistence, and use blood tests as supporting data.

Look at the whole person
Optimise first-line therapy
Exclude other causes
Confirm persistent, distressing symptoms
Use blood data to guide safe dosing

Testosterone therapy is not appropriate for everyone. But where it is suitable, it should feel measured, informed and safe.

Testosterone prescribing without monitoring is unsafe; symptoms alone are not a reliable dosing guide. It is also the one hormone therapy where blood testing is an essential requirement.
Therefore, in order to receive testosterone therapy, you require a consultation with one of our Registered British Menopause Society Specialist pharmacists and a blood test to establish your baseline.
Baseline testing usually includes:
Total testosterone
Sex Hormone Binding Globulin
Calculated Free Androgen Index
Follow-up testing at three and six months, and then annually, confirm that levels remain within the female reference range. Results are reviewed by our clinical team before any prescription is issued or adjusted.

At LIVVE, our preferred brand to prescribe is Androfeme, a transdermal cream that has been specially formulated and scientifically proven to be safe and effective for women.

It’s licensed in Australia for female use and imported into the UK for private use under special regulatory approval. However, we also prescribe Testogel and Tostran - it comes down to patient preference.

Applied once a day, at the same time each day for consistency to clean, dry, flat areas of skin (usually the inner forearms or upper thighs), the skin absorbs the testosterone, which then travels into your bloodstream and throughout your body.

We charge £110 for Androfeme.

Yes. Testosterone would only be prescribed by one of our Specialist Menopause Pharmacists after an initial consultation.

If you are suitable for testosterone, we will also need a blood test result. At LIVVE, our blood testing services start at £90. Or, if you have blood test results within the last few months, email hello@livve.uk and we can also prescribe from these.

You will also require repeat blood tests at three and six months and then yearly intervals.

Perimenopause and menopause can affect transgender men and non-binary individuals who retain ovaries. Even when on masculinising testosterone therapy, some may experience:

Hot flushes
Night sweats
Vaginal dryness
Sleep disruption
Mood changes

This may occur due to fluctuating ovarian function, surgical history, age-related hormonal transition, or gaps in therapy.

Management requires nuance. It may involve:

Reviewing current testosterone dose and levels
Assessing oestradiol levels
Considering local vaginal oestrogen where appropriate
Addressing bone and cardiovascular health

At LIVVE, consultations are confidential and structured around your lived experience.

There is currently no testosterone product licensed specifically for women in the UK. This does not mean it’s illegal or experimental.

It means that clinicians prescribe regulated testosterone products outside their original marketing authorisation, using lower female-appropriate doses, based on established clinical guidance and published evidence.

This is known as off-label prescribing and is common in many areas of medicine.

In line with NICE and British Menopause Society guidance, testosterone may be considered for women experiencing ongoing low sexual desire after adequate oestrogen replacement.

Careful assessment and monitoring are essential to ensure levels remain within the normal female range and treatment stays safe and appropriate.

Testosterone for women is prescribed at much lower doses than those used in men. The goal is to restore levels to the female physiological range. More is not better and excess dosing increases side effect risk without improving outcomes.

Therefore, treatment typically involves:

Baseline blood testing
Careful dose calculation
Repeat blood tests at three and six months
Ongoing annual review

Possible side effects may include acne, increased facial hair or voice change. These risks are minimised through conservative dosing and the regular monitoring outlined above.

Reviews

Trusted by Patients Across the UK.

My Livve appointment was such a refreshing experience.

I finally had someone who genuinely listened and understood my needs, including my neurodivergence. I felt heard, supported, and never rushed.

I was able to ask lots of questions, and the visual demonstration of the spray and how to use it was extremely helpful.

It made the whole process feel clear and manageable.

Review from Jo P.

Melissa really listened to my symptoms, and took time to understand.

She gave me bespoke advice and prescribed HRT that just 3 weeks in has made a massive difference to my quality of life.

Review from Kellie.

I was so happy with my consult, Melissa really listened and was so respectful of all my concerns.

I felt that we worked together and that she’s always there should I need her.

I wish every health appointment was like this!
It eased a lot of my worry and anxiety.

I highly recommend Melissa for your menopause treatment.

Review from April Tui B.

The pharmacist was friendly and understanding, and didn't fob me off or patronise me.

It was such a relief to be prescribed something that has actually helped me and — dare I say it — changed my life for the better.

Thank you!

Review from Maya D.

Melissa is extremely helpful, never rushes through the appointment. She is very attentive and explains everything as it needs to be.

I highly recommend to anybody who feels like there is a different person trapped in their body after 40!

It has been only a month, but I feel I have returned from a long distant journey to my own body.

Thank you Melissa! Forever grateful.

Review from Aneta G.

Your next step.

If you are navigating perimenopause, menopause, or complex hormonal symptoms and feel something has been missed, a LIVVE consultation can bring clarity.

If you are a trans man experiencing menopausal symptoms and want clinically grounded, respectful care, support is available.

Start with understanding. Adjust with expertise.

Start Consultation for Hormone Health