In 2021 Menopause Support teamed up with Dr Zoe Hodson to see if we could collectively improve access to Testosterone for women via the NHS.
The possible prescribing of Testosterone to women via the NHS is still a postcode lottery, but we are making encouraging headway. Each area of the country has a CCG prescribing formulary, and if you search on the Clinical Commissioning Group CCG formulary for your area and then search ‘testosterone’ then click on it and see who is ‘allowed’ to have testosterone it will tell you about the situation in your area.
If there is no sign of Testosterone being considered an appropriate treatment for women in your area, please contact the CCG and ask why, using the template letter that you can find here.
Once you have received a reply, please drop us an email email@example.com so that we can update the information below.
Dr Hodson deserves much of the credit for this project as she has done all the emailing to CCGs etc, we have simply helped by preparing and sharing the information. Thanks to all the doctors, nurses, pharmacists and women on social media who got involved in this project by contacting their own CCG’s. As they say teamwork makes the dream work. All hail the team.
Below you will find the latest update and an explanation of the NHS traffic light system. We will continue to update this as more information is received.
|Bedfordshire (Luton & Milton Keynes)||Amber (changed 2021)|
|Brighton & Hove||Green|
|*Bristol, North Somerset, South Gloucestershire||Amber (changed 2022) See addtional notes below|
|Cumbria||Green (changed 2021)|
|Durham||Amber (changed 2021)|
|Greater Manchester & Stockport||Amber|
|Harrogate & Yorkshire||Green (changed 2021)|
|Hereford & Worcester||Amber (changed 2021)|
|Hampshire||Amber (changed 2021)|
|Sheffield||Amber (changed 2021)|
|Somerset||Green (changed 2021)|
|Wiltshire & Avon||Amber (changed 2021)|
|Warwickshire||Amber (changed 2021)|
|West Midlands||Amber (changed 2021)|
TESTOSTERONE GEL 21
Tostran® 2% gel and Testogel® 40.5mg/5g gel sachets
TLS Amber 3 months – See Shared Care Protocol
Restricted to use for treatment of low libido causing distress in women with optimised HRT and with either early menopause (age 45 and under) or surgical menopause only.
Use of testosterone gel for women outside of this indication is non-formulary.)
NHS Traffic Light System
The “traffic light” system defines where responsibility for prescribing between primary and specialist clinicians should lie through categorising individual drugs as red, amber, or green.
Red Considered suitable for a consultant or specialist, usually within a secondary or tertiary care services, to initiate and continue prescribing.
Amber Medicines that are appropriate for shared care – responsibility for prescribing may be transferred from the specialist team to primary care with the agreement of an individual GP.
Green Regarded as suitable for primary care prescribing
Black/Grey Not recommended for use except in exceptional circumstances.