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It regulates many aspects of your health, so having normal testosterone levels is very necessary for your wellbeing. The consequences of this can be severe, but the causes of abnormal testosterone levels are not identical in women and men. So having a healthy testosterone balance helps your body burn the right amount of fat.
As the metabolism of testosterone in males is more pronounced, the daily production is about 20 times greater in men. On average, in adult males, levels of testosterone are about seven to eight times as great as in adult females. Testing your testosterone levels is – luckily – easy to do with the Everlywell Testosterone Test.
Does testosterone increase metabolism in women the same way it does in men? An imbalance in testosterone metabolites can lead to slower recovery times, decreased muscle mass, and increased risk of injuries. Sleep quality also plays a key role—poor sleep can disrupt hormonal balance and reduce the body’s ability to metabolize testosterone effectively. A diet rich in healthy fats, lean proteins, and micronutrients like zinc and magnesium can further support testosterone metabolism. Resistance training and high-intensity interval training (HIIT) have been shown to boost testosterone levels and improve its metabolism. Proper management of testosterone levels through exercise and diet can optimize metabolism and promote long-term weight maintenance.
Testosterone therapy may make sense for women who have low testosterone levels and symptoms that might be due to testosterone deficiency. Estradiol balance matters for men, and when estrogen metabolism is sluggish, symptoms like water retention, mood instability, and reduced libido can persist even when testosterone levels appear favorable. Its levels are tightly regulated by the liver and are influenced by insulin signaling, inflammation, thyroid function, and overall metabolic health. The same research found fathers (outside competitive environments) had the lowest testosterone levels compared to other males. In accordance with sperm competition theory, testosterone levels are shown to increase as a response to previously neutral stimuli when conditioned to become sexual in male rats. For women with PCOS, hormones like birth control pills can be used to help lessen the effects of this increased level of testosterone. In humans, testosterone plays a key role in the development of male reproductive tissues such as testicles and prostate, as well as promoting secondary sexual characteristics such as increased muscle and bone mass, and the growth of body hair.
Sleep disruption during perimenopause creates a cascade of negative consequences affecting every aspect of health and functioning. Additionally, increased anxiety during perimenopause often contributes to insomnia and sleep fragmentation independent of night sweats. The mechanisms underlying cognitive changes involve hormonal effects on neurotransmitter systems, particularly dopamine and serotonin, that influence cognitive function and attention. Research suggests these changes reflect real alterations in cognitive function rather than women\'s perception alone; studies document measurable declines in processing speed and working memory during perimenopause.

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