✨ Perimenopause Power Moves: Transform your Hormones and Health! ✨
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Perimenopause and Testosterone: What Every Woman Over 40 Needs to Know for Energy, Mood, and Libido

"As women, we often do not think about testosterone or consider that it is necessary and just as important as estrogen for health and vitality.." - Dr. Mary Claire Haver, The Pause Blog

Perimenopause is more than just night sweats and mood swings—it’s a hormonal rollercoaster that can leave you exhausted, unmotivated, and questioning your body in ways you never expected. One key hormone that often gets overlooked? Testosterone. Yes, women need it too—for energy, metabolism, mood stability, muscle strength, bone health, and (yep) libido. But as testosterone levels drop during perimenopause, you might find yourself struggling with fatigue, brain fog, and a missing sex drive.

I get it—I've been there. My low testosterone levels left me feeling drained, disconnected, and just off. That’s when I discovered bioidentical testosterone therapy, and wow—game-changer. But let’s get real: hormone therapy isn’t a magic fix, and it comes with its ups and downs. So, let’s break it all down.

Testosterone and Perimenopause: Why Women Need It

Testosterone plays a vital role in:

✔ Energy & Motivation – Supports mental clarity and reduces sluggishness

✔ Muscle & Bone Strength – Helps maintain lean muscle and prevents bone loss

✔ Mood Stability – Balances emotions and reduces anxiety

✔ Libido & Sexual Health – Boosts desire, arousal, and overall sexual wellness

But as we approach midlife and perimenopause, testosterone levels naturally decline—often leading to:

❌ Chronic Fatigue and lack of motivation

❌ Muscle Weakness and joint pain

❌ Low Libido and sexual dysfunction

❌ Brain Fog and difficulty concentrating

A study published in The Journal of Clinical Endocrinology & Metabolism confirms that low testosterone contributes to these symptoms, yet most women are never told about this key piece of the hormone puzzle.

I wasn’t either. Until I hit a wall.

My Journey with Testosterone Therapy Using Biote Pellets

Two and a half years ago, I had my hormones tested. The results? My testosterone was practically nonexistent. No wonder I felt so exhausted, moody, and unmotivated.

That’s when I started Biote testosterone pellets—a form of bioidentical hormone replacement therapy (BHRT) that delivers a steady release of testosterone over several months.

What Are Biote Pellets?

✔ Tiny, bioidentical hormone pellets implanted under the skin

✔ Slow and steady release for 3–6 months (mine lasted about 4 months)

✔ No daily maintenance like pills or creams

And the results? Life-changing. Within weeks, I felt stronger, sharper, and more energized. My mood lifted, my workouts improved, and surprise! my libido made a comeback.

But then, the unexpected happened…

The Side Effect I Didn’t See Coming: Hair Loss

I knew testosterone therapy came with potential side effects—acne, oily skin, maybe a little extra body hair—but I wasn’t prepared for hair thinning at my temples.

I panicked. I loved how I felt with higher testosterone, but was I willing to risk losing my hair?

The downside of Biote pellets? Once they’re in, they’re in. There’s no adjusting the dose or stopping midway. So, I had to wait it out.

To counteract the testosterone-induced hair loss, my doctor prescribed Finasteride, a medication that blocks DHT (the hormone linked to androgenic hair loss). Fingers crossed it helps.

But I also wanted more control over my hormone therapy…

Switching to Testosterone Cream: A More Flexible Approach

I decided to transition from testosterone pellets to a compounded testosterone cream. Here’s why:

✔ Daily application (I rub it into my thighs and groin)

✔ Lower, controlled dosing—easier to adjust if side effects appear

✔ More flexibility—can stop or modify treatment if needed

It’s not as low-maintenance as pellets, but I feel more in control of my hormone levels. If you’re considering testosterone therapy, think about what works best for your lifestyle and tolerance for side effects.

What I’ve Learned About Testosterone Therapy for Perimenopause

🔸 Test, Don’t Guess – Get your hormone levels tested before considering therapy. Many women don’t actually need testosterone. Find a hormone-literate doctor.

🔸 Know Your Options – Biote pellets are great for consistency, but testosterone cream gives more flexibility and fewer side effects.

🔸 Be Aware of Hair Loss – If androgenic alopecia runs in your family, discuss preventative options before starting therapy.

🔸 Give It Time – Hormone therapy is a journey, not a quick fix. Be patient as your body adjusts.

Perimenopause Isn’t the End—It’s a New Beginning

Perimenopause often feels like a loss—of youth, energy, and control over our bodies. But it’s also an invitation to step into a new phase of power, self-care, and well-being.

Let’s embrace this transition together. Let’s share our experiences, talk about what’s working (and what’s not), and support each other as we step into our strongest, most vibrant selves.

Have you tried testosterone therapy? Thinking about it? Let’s talk—drop your thoughts in the comments!

💛 Be kind to yourself, always.

Hormonally Yours,

Kimberlee Erin

✨ Perimenopause Power Moves: Transform your Hormones and Health! ✨
Grab your free guide today! Recipes Included!
👉 Download Now!

Just a heads-up: I’m a Certified Menopause Coaching Specialist and Holistic Nutritionist, and while I love sharing what’s worked for me and my clients, this blog is for informational purposes only. It’s not a substitute for medical advice. Always check in with your healthcare provider before starting new supplements, hormones, or treatments—especially since every woman’s perimenopause journey is different. You deserve personalized care that truly fits you.