Women need testosterone too. Almost no one checks yours.
A change in sexual desire deserves a real conversation. Women produce testosterone, but low libido can also involve medications, pain, sleep, stress, or relationship factors. Teresa reviews the whole picture with you. The strongest evidence for testosterone treatment is for persistent, distressing low sexual desire after menopause — not as a general treatment for fatigue, mood, or strength.
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Rated 5 out of 5 stars
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Start here
What testosterone therapy for women actually is.
Testosterone therapy may be considered for certain postmenopausal women with persistent, distressing low sexual desire after a full assessment. A low blood level alone does not diagnose that condition or establish a need for treatment. Dosing and monitoring matter, alongside the limits of the evidence.
Testosterone
Not just a male hormone
Women produce testosterone in the ovaries and adrenal glands throughout life, and levels decline with age. It is filed as “male,” which is exactly why it gets left off a standard panel.
Free testosterone
The usable fraction
Most testosterone is bound and inactive. Free testosterone is what your tissue can actually use, and it can sit near the floor while a total reading still looks acceptable.
Physiologic dosing
Female-range, not male-range
Therapy aims for the level a healthy younger woman would have — a small fraction of a man’s dose. Done to range and rechecked, it is not about masculinizing anyone.
In their own words
What women tell us before we check testosterone
“My sex drive is gone and estrogen alone did not fix it.”
“I train as hard as ever and keep losing strength.”
“I feel flat — not sad exactly, just switched off.”
“My motivation and drive disappeared.”
“I cannot build or hold muscle anymore.”
“My words come slower and I cannot focus.”
“I am exhausted in a way sleep does not touch.”
“I already do hormone therapy and something is still missing.”
Every one of these is measurable. None of them is something you have to live with because someone called it normal.
Drawn at our in-office lab · Walk-in lab draws Mon–Thu 7:30–2, no appointment needed
What we measure
We measure total and free testosterone — not just total
Most panels that bother with testosterone at all report only the total, which can look acceptable while the amount your body can actually use sits near the floor. We draw total and free testosterone together with SHBG — the protein that binds it up — and read all three against your estradiol, thyroid, and insulin, because none of them move alone.
Total testosterone
Free testosterone
SHBG
Estradiol
Progesterone
DHEA-S
Full thyroid panel
Fasting insulin
We measure testosterone in women. Most panels never do.
Free and total testosterone alongside estradiol, progesterone and thyroid — because the marker most likely to explain your symptoms is the one usually left off the order.
There is no tidy reference range for this, and we say so.
Female testosterone ranges are wide and poorly standardized. We read your number against your symptoms rather than against a population you were never compared to.
How it works
Three steps to testosterone dosed for a woman.
Dosing is the whole game here, and you are part of it. You see your own numbers, you hear the tradeoffs in plain English, and nothing starts until you are comfortable.
Step 01
Get testosterone actually measured
Total and free testosterone plus SHBG are drawn at your Total Health Assessment, in our office, alongside your full hormone and metabolic panel.
Drawn in our office
Step 02
Sit down and understand it
About ten days later you get a full hour with Teresa, who walks you through where your testosterone sits and what it is doing to how you feel.
One full hour
Step 03
Start low and recheck
Women need a fraction of a man’s dose. We start conservatively at female physiologic levels, recheck your labs, and adjust from what they show.
The problem here is rarely who will treat it — it is who will even measure it. Most panels for women skip testosterone entirely. Here is the honest landscape.
OB-GYN
Focused on reproductive health; testosterone is often outside the routine order.
Checks it in women
Occasionally, if asked
Doses to female range
When they treat it
Reads it in context
Estrogen-first as a rule
Primary care (PCP)
Where symptoms first come up, and where testosterone is usually left off.
Checks it in women
Rarely ordered
Doses to female range
Seldom treats it
Reads it in context
Not typically
Med spa
May offer pellets, often at doses set for a package rather than your labs.
Checks it in women
Sometimes, briefly
Doses to female range
Pellets can overshoot
Reads it in context
Product-first
Dedicated hormone clinic
Where you are
A practice where measuring and dosing this correctly is the whole job.
Checks it in women
Free + total, routinely
Doses to female range
Physiologic, rechecked
Reads it in context
With estrogen, thyroid, insulin
The specialty matters less than one habit: does this provider actually measure free and total testosterone, dose it to a female range, and recheck it? No referral is needed to have yours checked here.
Who qualifies
Are you a candidate for testosterone therapy?
These are reasons to discuss an evaluation, not automatic eligibility for testosterone. Persistent, distressing low sexual desire after menopause has the strongest evidence; fatigue, mood changes, or a low lab value alone do not establish that treatment will help.
Likely a fit if
Your libido, drive, or mood is flat and estrogen alone didn’t restore it.
You’re losing strength or muscle despite training the same as ever.
You already do hormone therapy and something still feels missing.
You want testosterone actually measured and dosed to a female range, then rechecked.
Not the right starting point if
You’re pregnant, breastfeeding, or might be — this isn’t the right time to start.
You have unexplained symptoms that point elsewhere first — the full panel usually shows where.
You want a pellet on demand without testing; that isn’t how anything is dosed here.
Your levels are healthy and the cause is something else the same panel can surface.
Unsure which column fits? That’s the usual starting point — the assessment and a full panel, including testosterone, settle it.
Who you'll actually see
Teresa Mealy, APN
There is no rotating staff here. Teresa is the founder and the only clinical provider, which means the person who reads your labs is the same person who builds your testosterone therapy for women plan and the same person you see at every follow-up.
“I am only a consultant. YOU are the leader.”
APN — Advanced Practice Nurse
Licensed in Missouri and Florida
Medically supervised with a board-certified physician
Women writing about hormone care at this clinic. All public reviews, quoted exactly as published.
Rated 5 out of 5 stars
Teresa is Fantastic!! So glad I was able to get in with her. She genuinely cares and is there to help with suggestions and a ton of knowledge. Ladies, get those levels checked correctly, because I’m certain our Commercial doctors are not going that far!!!
Savannah Jones · Google review · May 2024
Rated 5 out of 5 stars
I just started working with Teresa and her team and I love them! Teresa is very knowledgeable and talks REAL talk. Providing you a collaborative and safe space for your health care! Midlife menopause care is a journey and I’m glad I’m taking it with Teresa and the THW team.
Cheryl Kelly · Google · April 2024
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google · July 2023
Rated 5 out of 5 stars
Very knowledgeable. Listened to every issue I had patiently and responded in a way that made me feel like my opinion mattered! Extremely pleased with everyone in her office and can’t wait to get these hormone issues figured out with her leading the way. I have hope and a plan and I’m super grateful for Teresa!
Dayna Rogers · Google · February 2023
Rated 5 out of 5 stars
I finally made an appointment with her due to major hormonal issues (PCOS, hot flashes, mood swings, weight gain, hair loss, etc.). Her assessment and supplement recommendations have changed my life. My hot flashes are subsiding, I’m sleeping better, I’m starting to feel like a fully functioning adult again that doesn’t need caffeine to keep me going throughout the day…
Erin Hardy · Google · October 2022
Rated 5 out of 5 stars
I am grateful to have been referred to Teresa Mealy for help in balancing my hormones. She is very thorough in testing, which I appreciate. She is knowledgeable, yet she made understanding my results easy. The staff are all pleasant and helpful as well.
Deborah Chateauvert · Google · August 2022
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google · December 2019
Quoted word for word, trimmed only at sentence breaks. 4.9 out of 5 across 126 Google reviews as of July 2026. Read them on Google.
Individual results vary. These are personal experiences, not a promise of any particular outcome.
After your assessment
Care that keeps adjusting.
Hormones and metabolism aren't set once and left alone — the dose that's right in month one usually isn't right in month six. Total Health Optimization is how that keeps getting tuned: unlimited visits, labs re-read as they change, and your provider reachable between them.
Total Health Optimization
$499 to start, then $275/qtr
Optimization members unlock better pricing on nearly everything else. If you already spend on supplements and treatments, the savings offset much of the quarterly fee.
Wholesale pricing on our own supplement line
Members-only peptide pricing
Discounted compounded prescriptions
A supplement starter pack included
A free InBody body-composition scan
A direct provider line, Monday–Thursday
No insurance, no contracts, cancel anytime.
Start with the $299 Total Health Assessment — credited in full toward any program you start.
Common questions
Questions women ask about testosterone therapy.
Is testosterone therapy safe for women?
Testosterone is not appropriate for every woman. Evidence supports its use for some postmenopausal women with hypoactive sexual desire disorder (HSDD), meaning persistent low desire that causes distress, after other contributors are assessed. It is not an established treatment for general fatigue, depressed mood, or muscle gain. Side effects and uncertainty about long-term safety need discussion; keeping levels in the female physiologic range and monitoring does not remove every risk.
Will testosterone make me look masculine?
That is the fear almost every woman raises, and it comes from doses far above the female range. Side effects like unwanted hair growth or voice change are dose-dependent, which is exactly why we dose to your own labs at female physiologic levels and recheck rather than setting a dose and leaving it. You will see your numbers at every follow-up, and anything you are noticing gets addressed then.
My doctor said testosterone is a male hormone. Was that wrong?
Women produce testosterone throughout life — in the ovaries and adrenal glands — and levels decline with age just as estrogen does. It is not a male hormone; it is a hormone both sexes need at very different levels. What is true is that it is rarely tested in women, which is why it so often goes unaddressed.
Can I take testosterone with estrogen and progesterone?
Frequently, yes — and for many women that combination is what finally works, because these hormones act together rather than independently. If you are already on hormone therapy and still feel that something is missing, testosterone is one of the first things we look at. Your full panel tells us how the pieces fit for you.
How long before I feel a difference?
When testosterone is appropriate for low sexual desire, response is assessed over several months, not guaranteed by a particular date. The Global Consensus recommends stopping if there is no benefit by six months. Follow-up looks at your symptoms, side effects, and testosterone levels; it is not simply a reason to keep increasing the dose.
Have a question that is not here? Call (417) 771-5277 and talk to a real person.
Often connected to
One system, not separate problems.
These rarely show up alone. Teresa treats them together, in one plan, rather than as separate departments.
It all starts with the $299 Total Health Assessment — a full lab panel, a one-hour results review, and a plan built around you. The fee credits fully toward any program you start.
