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What are The Benefits of Tongkat Ali for Women: Backed by Science

  • Writer: Ayu Flores Malayan Herbals
    Ayu Flores Malayan Herbals
  • Apr 12, 2024
  • 7 min read

Updated: Jan 14

What are The Benefits of Tongkat Ali for Women: Backed by Science
What are The Benefits of Tongkat Ali for Women: Backed by Science



Tongkat Ali for Women: Evidence-Informed Benefits for Hormonal Health, Energy, and Performance

Tongkat Ali a traditional Southeast Asian medicinal plant, has gained global attention for its role in hormonal regulation, stress resilience, and physical performance. While often marketed as a male supplement, this framing is incomplete and misleading. Women also produce and require testosterone, and its decline or dysregulation contributes to fatigue, mood instability, reduced libido, bone loss, and unfavorable body composition.


Emerging clinical and mechanistic evidence suggests that Tongkat Ali may support female health through endocrine modulation rather than hormonal overstimulation. This article examines the biologically plausible and research-supported benefits of Tongkat Ali for women, with emphasis on hormonal balance, energy metabolism, mental health, and musculoskeletal integrity.



What Makes Tongkat Ali Relevant to Women’s Health?

Women synthesize testosterone primarily via the ovaries and adrenal glands, and circulating levels, though lower than in men, are essential for:

  • Energy production

  • Libido and sexual function

  • Mood stability

  • Muscle and bone maintenance

  • Metabolic efficiency


Testosterone declines progressively with age and more sharply during perimenopause and menopause. Tongkat Ali does not act as an exogenous hormone. Instead, it appears to influence upstream regulators such as luteinizing hormone and sex hormone binding globulin, thereby improving the availability of endogenous androgens and estrogens when levels are suboptimal.



  1. Hormonal Balance and Endocrine Support

It may surprise you to know that men don't have a monopoly on testosterone. Testosterone belongs to a class of male hormones called androgens. But women also have testosterone.

The ovaries produce both testosterone and estrogen. An imbalance in these hormones can lead to various issues like mood swings, menstrual irregularities, and symptoms associated with menopause. 

Relatively small quantities of testosterone are released into your bloodstream by the ovaries and adrenal glands. In addition to being produced by the ovaries, estrogen is also produced by the body's fat tissue.


One of the key benefits of Tongkat Ali for women is its ability to help balance hormones. This herb can influence the body's production of estrogen and testosterone, both of which play vital roles in women's health. Hormonal imbalance in women often manifests as mood swings, irregular menstruation, sleep disruption, and menopausal symptoms. Tongkat Ali has been shown to modulate the hypothalamic-pituitary-gonadal axis, improving the bioavailability of testosterone while supporting estradiol balance rather than suppressing estrogen. Tongkat Ali helps to assist in stabilizing these hormones, thus helping to alleviate these symptoms and promote overall hormonal health.


This is clinically relevant because both testosterone and estrogen are required for reproductive tissue maintenance, skeletal health (bone mass), and neurological function. These sex hormones are involved in the growth, maintenance, and repair of reproductive tissues.


Hormonal Pathways Impacted by Tongkat Ali in Women
Hormonal Pathways Impacted by Tongkat Ali in Women



  1. Menstrual Cycle Regulation and Menopausal Comfort

Irregular menstrual cycles are often linked to disrupted estrogen-androgen ratios. For women experiencing irregular menstrual cycles, Tongkat Ali might offer some benefits. By supporting hormonal equilibrium, Tongkat Ali may contribute indirectly to more predictable cycles and reduced symptom severity.


When hormones are better regulated by having a balance of testosterone and estrogen in the body, it can help in regulating the menstrual cycle.


In peri- and postmenopausal women, improved androgen availability has been associated with reductions in vasomotor symptoms, fatigue, and mood instability, particularly when estrogen alone is insufficient. It may also alleviate some of the symptoms associated with menstruation and menopause, providing a more balanced and comfortable experience.


Regulating Menstruation Symptoms
Regulating Menstruation Symptoms



  1. Energy Production and Fatigue Reduction

Chronic fatigue in women is frequently underpinned by hormonal decline, stress overload, or metabolic inefficiency. Testosterone plays a measurable role in elevating energy levels., mitochondrial activity and muscle energy utilization. It helps enhance physical stamina and reduce feelings of lethargy. 


Clinical studies in mixed-gender populations have demonstrated that Tongkat Ali supplementation is associated with improved vigor, reduced fatigue scores, and enhanced physical stamina. These effects are especially relevant for women managing high cognitive or physical workloads, leading active lifestyles or those who need an extra energy boost to manage daily tasks.


Testosterone & Cellular Energy Metabolism
Testosterone & Cellular Energy Metabolism



  1. Stress Adaptation and Cortisol Reduction

Tongkat Ali functions as an adaptogen, meaning it helps the body normalize physiological responses to stress. Elevated cortisol is strongly associated with anxiety, sleep disruption, abdominal fat accumulation, and hormonal suppression.


Controlled studies have shown that Tongkat Ali supplementation can significantly reduce cortisol levels while improving perceived stress and tension scores. For women, this translates into better emotional regulation and reduced stress-induced hormonal suppression.


If your testosterone levels are low, you may find yourself feeling stressed out and exhausted all the time. Tongkat Ali acts as an adaptogen, which means it helps the body manage stress more effectively. It can reduce the levels of cortisol, a stress hormone, thereby alleviating symptoms of anxiety and stress. 


This calming effect can contribute to a more balanced and relaxed state of mind.


Tongkat Ali Reduces Stress
Tongkat Ali Reduces Stress



  1. Libido and Sexual Health

As men need a little oestrogen in their system, women need some testosterone in theirs. In fact, female testosterone levels are only 10% different to levels in men. Androgens like testosterone are important for the development and maintenance of the female sex organs, physiology and libido.


Like in andropause for men, testosterone also declines during menopause for women along with oestrogen and progesterone which can cause a hormone imbalance. This can lead to unfavourable symptoms such as low libido.


Female sexual desire is androgen-dependent. Declining testosterone levels are a recognized contributor to reduced libido, particularly during menopause.


By improving endogenous testosterone availability, Tongkat Ali may enhance sexual desire and satisfaction without the risks associated with synthetic hormone therapy. This aligns with clinical observations that balanced androgen levels support vaginal tissue health, arousal, and sexual motivation. It may improve sexual desire and function, which can be particularly helpful for those experiencing a decrease in libido due to hormonal changes or other factors.


Testosterone Changes in Women Overtime
Testosterone Changes in Women Overtime


Testosterone in Women Through the Years
Testosterone in Women Through the Years



  1. Mood Stability and Cognitive Well-Being

Testosterone interacts with neurotransmitter systems, including serotonin and dopamine, which influence mood and motivation. Low androgen levels have been associated with depressive symptoms in women, particularly in PMS and menopause.


Evidence suggests that improving hormonal balance through natural endocrine support may contribute to improved mood, reduced anxiety, and greater emotional resilience.


By stabilizing hormones, Tongkat Ali may help in alleviating symptoms of depression and anxiety, leading to an overall improvement in mood and emotional well-being.


"There is some evidence that the effects of testosterone on moods is due to its effect on serotonin. Women with PMS and menopausal depression are best treated with oestrogen and testosterone replacement." - London Menopausal


Tongkat Ali Alleviates Moods
Tongkat Ali Alleviates Moods



  1. Bone Density and Musculoskeletal Health

Women face accelerated bone loss after menopause due to declining estrogen and testosterone. Higher free testosterone levels in older women are correlated with increased bone mineral density and lean mass.


Tongkat Ali may support skeletal health indirectly by improving androgen availability, thereby reducing osteoporosis risk and preserving functional strength.


Higher serum free testosterone concentration in older women is associated with greater bone mineral density, lean body mass, and total fat mass.


This is crucial for postmenopausal women who are more susceptible to bone-related and weight issues.


Hormones & Bone Density in Women
Hormones & Bone Density in Women



  1. Weight Management and Body Composition

Testosterone influences basal metabolic rate, muscle protein synthesis, and fat distribution. Low levels are associated with increased fat mass and reduced motivation for physical activity.


Tongkat Ali may assist in weight management by supporting lean muscle preservation while promoting fat utilization, making it relevant for women seeking metabolic efficiency rather than rapid weight loss, a key aspect of a healthy body composition.


Testosterone Increases Metabolism
Testosterone Increases Metabolism



  1. Antioxidant and Anti-Aging Properties

Tongkat Ali contains bioactive quassinoids with antioxidant properties. These compounds help mitigate oxidative stress, a key contributor to cellular aging, skin degradation, and chronic inflammation. While not a cosmetic intervention, improved cellular resilience can translate into healthier aging trajectories.


Another women-related benefit of Tongkat Ali is that it contains antioxidants that combat the effects of aging. These antioxidants help in reducing cellular damage caused by free radicals, thereby potentially slowing down the aging process and promoting healthier, more youthful skin.


Women Combating Aging with Tongkat Ali
Women Combating Aging with Tongkat Ali



  1. Athletic Performance and Physical Endurance

For physically active women, balanced testosterone levels support muscle recovery, bone integrity, and endurance capacity.

For women who are athletes or engage in regular physical activity, Tongkat Ali can be a natural way to enhance performance. It can enhance training outcomes by improving strength and reducing exercise-induced fatigue without violating hormonal homeostasis.


Balanced testosterone levels contributes to higher bone and muscle mass which naturally increases physical endurance. It may improves strength, helping women to achieve their fitness goals more effectively.


Testosterone Improves Physical Strength
Testosterone's Role in Women's Performance



Conclusion

Tongkat Ali is not a male-only supplement. Its relevance to women lies in restoring hormonal balance, not overstimulating hormones. For women experiencing fatigue, stress overload, mood instability, or age-related hormonal decline, Tongkat Ali represents a biologically plausible and research-supported botanical option.


Individual responses vary, and supplementation should always be discussed with a qualified healthcare professional, particularly for women with endocrine conditions or those using hormone therapy.



FAQs

Can Tongkat Ali raise estrogen?

Tongkat Ali does not lower estrogen levels. In fact, studies have shown that Tongkat Ali can increase estradiol, a form of estrogen, in both men and women.


This effect is linked to Tongkat Ali's influence on hormonal balance, where it is observed to increase both testosterone and estrogen levels when consumed regularly​​.



Does Tongkat Ali increase fertility in females? 

While the specific effects of Tongkat Ali on female fertility haven't been extensively studied, its role in hormonal balance and general health benefits could potentially contribute to improved fertility.


Tongkat Ali's ability to increase energy levels, reduce fatigue, and support bone health can be advantageous for overall female health, which indirectly may influence fertility.


However, direct evidence linking Tongkat Ali to increased fertility in females is limited, and more research in this area is needed​​​​.



Peer-Reviewed Citations

  • Talbott SM et al. Effects of Eurycoma longifolia on stress hormones and psychological mood state. Journal of the International Society of Sports Nutrition.

  • Low BS et al. Effects of Eurycoma longifolia supplementation on testosterone levels in aging individuals. Phytotherapy Research.

  • Davis SR et al. Testosterone and its role in women’s health. Endocrine Reviews.

  • Finkelstein JS et al. Gonadal steroids and body composition in women. The New England Journal of Medicine.

  • Hackney AC. Stress and the neuroendocrine system in women. Sports Medicine.



This article is intended for educational purposes and reflects an evidence-informed overview integrating traditional knowledge with modern research.


What are The Benefits of Tongkat Ali for Women: Backed by Science

 
 
 

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