Men’s health
Women’s health
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Bioidentical Testosterone
Therapy for Women

Restore energy, confidence, and libido with clinically guided testosterone therapy designed specifically for women.
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Three forms of testosterone medication: an injectable vial, a topical cream, and oral capsules.

Restore strength, clarity, and drive

Boost energy, motivation, and mental clarity
Maintain muscle, metabolic function, and healthy skin, hair, and nails
Supports libido, arousal, and sexual responsiveness
Improve mood and emotional balance
Boost energy, motivation, and mental clarity
Supports libido, arousal, and sexual responsiveness
Maintain muscle, metabolic function, and healthy skin, hair, and nails
Maintain muscle, metabolic function, and healthy skin, hair, and nails

What is bioidentical testosterone therapy?

Many women are surprised to learn that testosterone plays an important role in female health. It supports energy, mood, strength, mental clarity, and sexual desire throughout adulthood.

Levels naturally decline with age, stress, and hormonal changes, and standard lab ranges do not always reflect how a woman actually feels.

Bioidentical testosterone therapy restores what your body once produced using a hormone identical to your own, prescribed in low physiologic doses and guided by a licensed provider based on your symptoms, labs, and follow-ups.
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A person has a telehealth video call on their smartphone with a female doctor in blue scrubs.
A person has a telehealth video call on their smartphone with a female doctor in blue scrubs.
Three testosterone products floating: oral capsules, an injectable vial, and a topical cream dispenser.

Bioidentical testosterone therapy - treatment options

Testosterone cream (transdermal testosterone)
Applied daily to the skin for consistent absorption and optimal testosterone levels. Often selected for ease of use and precise dose control. Prescribed in low, physiologic doses tailored to women and adjusted based on symptoms and lab results.

Low-dose testosterone injections (subcutaneous)
Delivered in very small, frequent microdoses with a micro-fine needle just under the skin. Designed to maintain stable testosterone levels and avoid the hormonal peaks and troughs associated with higher or less frequent dosing.

Oral testosterone capsules (custom compounded)
Taken daily in a low dose capsule form when clinically appropriate. May be recommended based on individual response, tolerance, and treatment goals. Dosing is carefully personalized to support symptom improvement while maintaining safe hormone levels.

Benefits of testosterone therapy for women

Restore energy and vitality

Supports healthy energy levels, motivation, and overall vitality in women with low testosterone.

Sharpen focus and improve mood

Supports cognitive performance, mental clarity, and emotional stability.

Support metabolic and cardiovascular health

Helps maintain healthy glucose regulation and body fat distribution.

Build lean muscle and strength

Supports lean muscle development, physical strength, and healthy aging.

Protects bone density

Supports bone mineral density and skeletal strength in women with low testosterone.

Enhances sexual health and function

Supports libido, arousal, and sexual responsiveness in women.

How it works

Our in-house team specializes in hormone optimization and takes the time to understand your symptoms, goals, and history. Doctor-led hormone therapy is the key to real symptom relief, healthy aging, and results that last.
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Start with your story.
Share your symptoms and health history through our online assessment.

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Happy provider speaking to patient over video chat
Meet your hormone expert.
Connect online with a licensed provider to discuss your symptoms and goals. If prescribed, treatment can start right away.
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Fem Excel At-Home Hormone Test Kit
Get deeper insights.
After your consult, we’ll send you a simple at-home hormone test kit to measure key biomarkers and fine-tune your care.
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Fem Excel Estradiol Medications
Personalized, ongoing support.

Once your lab results are in, your provider will review your progress and adjust your treatment as needed. We check in every 60 days, and you’ll receive comprehensive blood tests every six months to keep your care truly personalized.


Thousands of women are already experiencing the benefits.
Start your free assessment today.
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85%
report improvement within 2 months*
96%
report improvement within 6 months*
100,000+ patients treated*
Among America’s fastest-growing companies. Voted Top Hormone Provider of 2024 and Hormone Provider of the Year 2025.
*Data taken from 32,795 members responding to symptoms reviews with their Excel Medical providers
Dr. Lorna, a woman with long blonde hair, posing in a white lab coat with her arms crossed.
“Many women come to us feeling flat, exhausted, and disconnected from themselves. They’re doing all the right things, yet still don’t feel like them anymore. All too often, no one has ever talked to them about testosterone.

I’ve seen testosterone change women’s lives. Energy comes back. Motivation returns. Libido wakes up. They start engaging with life again.”

Lorna A. Brudie, DO, FACOG, FACOOG
Medical Director
“Many women come to us feeling flat, exhausted, and disconnected from themselves. They’re doing all the right things, yet still don’t feel like them anymore. All too often, no one has ever talked to them about testosterone.

I’ve seen testosterone change women’s lives. Energy comes back. Motivation returns. Libido wakes up. They start engaging with life again.”
Lorna A. Brudie, DO, FACOG, FACOOG

Medical Director

What our patients say

When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.
When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.

Very knowledgeable & professional

“Very knowledgeable & professional. Details about the whole process and the medications that I may be taking. I was very happy to have a caring one on one with the NP. It is the help I was waiting for in the convenience of my own quiet setting.”

Araka

Possibly the best healthcare experience I’ve ever had

“I walked away from this appointment actually feeling satisfied with the results I received. For once I left an appointment with all my questions answered instead of having more questions than answers. The provider was very thorough, informative, and helpful. This was one of the better healthcare appointments I have ever had. Thank you Ms. Tara for the wonderful experience.”

Alicia

Caring and thorough

“I really liked ease and convenience having a virtual appointment. Kel made me feel comfortable immediately and explained everything thoroughly. She is a good listener and has an empathetic spirit about her. I feel encouraged that together we will resolve any challenges I am having.”

Renée

I had been struggling since I hit menopause…

“I had been struggling since I hit menopause a year ago. My doctors couldn’t help. It was terrible, I was struggling with no hope for any help. Then I tried Fem Excel. They HAVE CHANGED MY LIFE! I have energy, I sleep well I feel so good, it’s unbelievable and the doctors were so efficient and I just felt understood. I am so glad I got a hold of this company. Thank you so much!”

Lisa

Real Reviews, Actor Portrayal shown

Related symptoms

Persistent fatigue

If you feel constantly drained, even after rest, low thyroid, testosterone, or progesterone could be the cause. We treat all three to help restore lasting energy.

Memory issues or brain fog

Trouble with focus, recall, or mental clarity becomes more common after menopause. Our protocol supports cognition by balancing estrogen, testosterone, and thyroid function.

Low libido or early vaginal dryness

A drop in desire or comfort with intimacy can happen earlier than most women expect. We help restore balance with the right combination of hormones, including testosterone when appropriate.

Hair thinning

Shedding or thinning around the part or temples may be an early sign of thyroid dysfunction or testosterone imbalance. We address both to support healthy hair growth.

Bone loss or muscle weakness

Low estrogen and testosterone can lead to declining strength and increasing fracture risk. We help protect your bones and muscles through hormone optimization.

Weight gain

Hormonal shifts during perimenopause and menopause often lead to stubborn weight gain, especially around the belly. We address the root cause using thyroid support and full-spectrum hormone therapy.

If you feel constantly drained, even after rest, low thyroid, testosterone, or progesterone could be the cause. We treat all three to help restore lasting energy.

Trouble with focus, recall, or mental clarity becomes more common after menopause. Our protocol supports cognition by balancing estrogen, testosterone, and thyroid function.

A drop in desire or comfort with intimacy can happen earlier than most women expect. We help restore balance with the right combination of hormones, including testosterone when appropriate.

Shedding or thinning around the part or temples may be an early sign of thyroid dysfunction or testosterone imbalance. We address both to support healthy hair growth.
Low estrogen and testosterone can lead to declining strength and increasing fracture risk. We help protect your bones and muscles through hormone optimization.
Hormonal shifts during perimenopause and menopause often lead to stubborn weight gain, especially around the belly. We address the root cause using thyroid support and full-spectrum hormone therapy.
All symptoms

Medically Reviewed

This page was medically reviewed by Peter Fotinos, MD, Chief Medical Officer, and Lorna A. Brudie, DO, FACOG, FACS, Medical Director, Excel Medical. Dr Fotinos and Dr Brudie have nearly 50 years of combined clinical experience in hormone optimization and preventive medicine.
Last reviewed: October 2025
Teal seal: Medically Reviewed by Excel Medical Clinical Team on 22/01/2026.

The Excel Advantage™ membership

$99/month

Get dedicated physician support, regular monitoring, and personalized adjustments so your hormone therapy evolves with you.

  • Access to all treatments
  • Begin care within days
In-house specialists
Trained directly in the Excel Advantage™ protocol.
Integrated treatment
Hormones, metabolic support, and advanced therapies.
Symptom-driven care
Treatment guided by symptoms, not lab numbers alone.
Member access & pricing
Access to advanced treatments with preferred pricing.
Precision monitoring
Regular labs with personalized treatment adjustments.
60-day follow-ups
Provider reviews to refine and optimize treatment.
No commitment required • Cancel anytime • Medications not included

References

  1. Davis SR, Baber R, Panay N, et al. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab. 2019;104(10):4660–4666. doi:10.1210/jc.2019-01603 https://doi.org/10.1210/jc.2019-01603
  2. Parish SJ, Simon JA, Davis SR, et al. ISSWSH Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women. J Sex Med. 2021;18(5):849–867. doi:10.1016/j.jsxm.2021.02.667 https://academic.oup.com/jsm/article/18/5/849/6956087
  3. Simon JA, Braunstein G, Nachtigall L, et al. Testosterone Patch Increases Sexual Activity and Desire in Surgically Menopausal Women With Hypoactive Sexual Desire Disorder (INTIMATE SM1). J Clin Endocrinol Metab. 2005;90(9):5226–5233. doi:10.1210/jc.2004-1747 https://doi.org/10.1210/jc.2004-1747
  4. Shifren JL, Davis SR, Moreau M, et al. Testosterone Patch for the Treatment of Hypoactive Sexual Desire Disorder in Naturally Menopausal Women (INTIMATE NM1). Menopause. 2006;13(5):770–779. DOI: 10.1097/01.gme.0000243567.32828.99
  5. Braunstein GD, Sundwall DA, Katz M, et al. Safety and Efficacy of a Testosterone Patch for the Treatment of Hypoactive Sexual Desire Disorder in Surgically Menopausal Women. Arch Intern Med. 2005;165(14):1582–1589. doi:10.1001/archinte.165.14.1582 https://doi.org/10.1001/archinte.165.14.1582
  6. Davis SR, Moreau M, Kroll R, et al. Testosterone for Low Libido in Postmenopausal Women Not Receiving Estrogen Therapy. N Engl J Med. 2008;359(19):2005–2017. doi:10.1056/NEJMoa0707302 https://doi.org/10.1056/NEJMoa0707302
  7. Elraiyah T, Sonbol MB, Wang Z, et al. The Benefits and Harms of Systemic Testosterone Therapy in Postmenopausal Women With Normal Adrenal Function: A Systematic Review and Meta-analysis. J Clin Endocrinol Metab. 2014;99(10):3543–3550. doi:10.1210/jc.2014-2262 https://doi.org/10.1210/jc.2014-2262
  8. Jayasena CN, Al-Sidawi G, Joels L, et al. A Systematic Review of Randomized Controlled Trials Investigating Testosterone Therapy in Women. Clin Endocrinol (Oxf). 2019;90(5):563–570. doi:10.1111/cen.13906 https://doi.org/10.1111/cen.13906
  9. Stuenkel CA, Davis SR, Gompel A, et al. Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2015;100(11):3975–4011. doi:10.1210/jc.2015-2236 https://doi.org/10.1210/jc.2015-2236
  10. Achilli C, Pundir J, Ramanathan P, Sabatini L, Hamoda H, Panay N. Efficacy and Safety of Transdermal Testosterone in Postmenopausal Women With Hypoactive Sexual Desire Disorder: A Systematic Review and Meta-analysis. Fertil Steril. 2017;107(2):475–482.e15. doi:10.1016/j.fertnstert.2016.11.012 doi: 10.1016/j.fertnstert.2016.10.028

Frequently asked questions

More FAQ
Testosterone levels vary by age, life stage, and individual biology. Laboratory reference ranges for total testosterone in women are often cited around 15–70 ng/dL, but Fem Excel does not treat lab numbers in isolation. Your provider evaluates symptoms alongside lab results to determine what level best supports how you feel and function, not just what falls within a reference range.
Yes. When prescribed and monitored by qualified clinicians, testosterone therapy for women is considered safe and effective. Fem Excel uses bioidentical formulations, low physiologic dosing, and ongoing lab review to ensure treatment remains appropriate over time.
Many women notice improvements in energy, focus, and libido within 4 to 6 weeks. Response varies based on baseline hormone levels, dosing, and whether testosterone is used alongside estrogen or progesterone. Benefits develop gradually as hormone levels stabilize and treatment is adjusted to your individual response.
It can. Testosterone works alongside estrogen and progesterone to support energy, sexual health, and mood during perimenopause and menopause when clinically appropriate. Testosterone is not a substitute for estrogen, but part of a comprehensive hormone plan.
When properly dosed and monitored, side effects are uncommon. Fem Excel prescribes low, physiologic doses and monitors labs and symptoms closely to minimise risks such as acne or hair changes. Any dose adjustments are made promptly based on how your body responds.
Yes. Every treatment plan begins with a comprehensive assessment and medical review to ensure testosterone therapy is safe, personalised, and appropriate for your needs.
Testosterone therapy is commonly prescribed off label for women based on clinical evidence and international consensus guidelines. Off-label prescribing is a standard and accepted medical practice when supported by research and clinician judgement. At Fem Excel, testosterone therapy is prescribed only when clinically appropriate and monitored closely by licensed providers.
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