Testosterone Gel

Testosterone gel is a topical hormone preparation applied to the skin to deliver a measured amount of testosterone when prescribed.

Testosterone gel is a medicine applied to the skin. Testosterone passes through the skin into the bloodstream, where it can act on tissues throughout the body. In women’s health, a clinician may prescribe it for a carefully assessed hormone-related concern, often when other explanations for symptoms have been considered. It is different from a moisturiser or a vaginal lubricant and should be used only in the amount and places directed.

The gel is spread over intact, dry skin and needs time to dry. Formulations differ in concentration, applicator, drying time, and application area, so instructions for one product may not suit another. Testosterone can transfer through skin contact before the application area is covered or washed according to the product directions. Wash hands after applying it and keep the area away from children and pets.

Testosterone gel may be included in hormone therapy for women when a clinician judges that it is appropriate. The application site depends on the product instructions and prescription; it is generally placed on a clean area of skin rather than inside the vagina. Do not apply it to broken skin or move it to a new body area without checking the instructions.

The best approach depends on the symptom, its cause, medical history, and treatment goals. Alternatives may include addressing sleep or mood problems, reviewing other medicines, local or systemic oestrogen when suitable, lubricants or moisturisers for genital symptoms, or no hormone treatment. A clinician may also recommend stopping or changing treatment if benefits are not clear or unwanted effects appear.

Keep a record of the dose, application site, and any changes you notice. New acne, increased facial or body hair, scalp hair thinning, voice change, clitoral enlargement, mood changes, or skin irritation should be reported. Avoid sharing the product. The [Testosterone Therapy for Women](/treatments/menopause-and-hormone-therapy/testosterone-therapy-for-women/) page explains how this treatment fits into a clinical plan.

Use the gel on the schedule prescribed and attend monitoring appointments so symptoms and hormone levels can be reviewed. Store it as directed, with the container closed and out of children’s reach. Cover the application site when instructed, and wash the skin before close contact that could expose another person. If you miss an application, follow the product advice rather than applying extra gel.