Women can take testosterone as a cream, through a patch or in the form of pellet implants, which have the highest consistency of delivery. Synthesized from yams or soybeans, and compounded of pure, bioidentical testosterone, the pellets, each slightly larger than a grain of rice, are inserted just beneath the skin in the hip in a one-minute outpatient procedure. They dissolve slowly over three to four months, releasing small amounts of testosterone into the blood stream, but speeding up when needed by the body -- during strenuous activities, for example -- and slowing down during quiet times, a feature no other form of hormone therapy can provide.
Similar to other hormones, the onset of perimenopause and menopause cause the decline in production of testosterone (by at least 50%) in women. Again, hysterectomy with or without removal of the ovaries will cause a more significant decline in testosterone levels . Also, high levels of stress can divert the precursors for testosterone hormone production in women over to cortisol production and create a further reduction. High stress levels can also contribute to symptoms earlier in the perimenopause when a woman is in her late thirties or early forties. This means less energy, brittle hair, less bone and muscle strength, and a diminished sexual drive. A hysterectomy and some prescription drugs can also result in lower levels of testosterone for women .