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Stockholders' equity (deficit) - Summary of our Outstanding and Exercisable Warrants and Related Transactions (Details) - Warrant [Member] - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands | 9 Months Ended | 12 Months Ended |
--- | --- | --- | ---
Sep. 30, 2023 | Dec. 31, 2022 | Jan. 01, 2023
Class Of Warrant Or Right [Line Items] |  |  |
Beginning balance, Warrants | 536 |  |
Exercised, Warrants | (435) |  |
Expired, Warrants | (2) |  |
Ending balance, Warrants | 99 | 536 |
Beginning balance, Weighted Average Exercise Price | $ 13.1 |  |
Ending balance, Weighted Average Exercise Price | $ 66.61 | $ 13.1 |
Warrants, Aggregate Intrinsic Value | $ 1,793 |  | $ 2,427
Exercised, Weighted Average Exercise Price | $ (634) |  |
Warrants, Weighted Average Remaining Contractual Life (in Years) | 6 years 6 months | 9 years 3 months 18 days |
Warrants Outstanding And Exercisable Other Than Options Warrants Weighted Average Remaining Contractual Life Exercised | 4 years 6 months |  |

X
- Definition Warrants outstanding and exercisable other than options warrants. + References No definition available. + Details
Name: | txmd_WarrantsOutstandingAndExercisableOtherThanOptionsWarrants
Namespace Prefix: | txmd_
Data Type: | xbrli:sharesItemType
Balance Type: | na
Period Type: | instant

X
- Definition Warrants outstanding and exercisable other than options warrants aggregate intrinsic value. + References No definition available. + Details
Name: | txmd_WarrantsOutstandingAndExercisableOtherThanOptionsWarrantsAggregateIntrinsicValue
Namespace Prefix: | txmd_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Warrants outstanding and exercisable other than options warrants aggregate intrinsic value exercised. + References No definition available. + Details
Name: | txmd_WarrantsOutstandingAndExercisableOtherThanOptionsWarrantsAggregateIntrinsicValueExercised
Namespace Prefix: | txmd_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Warrants outstanding and exercisable other than options warrants exercised. + References No definition available. + Details
Name: | txmd_WarrantsOutstandingAndExercisableOtherThanOptionsWarrantsExercised
Namespace Prefix: | txmd_
Data Type: | xbrli:sharesItemType
Balance Type: | na
Period Type: | duration

X
- Definition Warrants outstanding and exercisable other than options warrants expired. + References No definition available. + Details
Name: | txmd_WarrantsOutstandingAndExercisableOtherThanOptionsWarrantsExpired
Namespace Prefix: | txmd_
Data Type: | xbrli:sharesItemType
Balance Type: | na
Period Type: | duration

X
- Definition Warrants outstanding and exercisable other than options warrants weighted average exercise price. + References No definition available. + Details
Name: | txmd_WarrantsOutstandingAndExercisableOtherThanOptionsWarrantsWeightedAverageExercisePrice
Namespace Prefix: | txmd_
Data Type: | dtr-types:perShareItemType
Balance Type: | na
Period Type: | instant

X
- Definition Warrants outstanding and exercisable other than options warrants weighted average remaining contractual life. + References No definition available. + Details
Name: | txmd_WarrantsOutstandingAndExercisableOtherThanOptionsWarrantsWeightedAverageRemainingContractualLife
Namespace Prefix: | txmd_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Warrants outstanding and exercisable other than options warrants weighted average remaining contractual life exercised. + References No definition available. + Details
Name: | txmd_Warrantsoutstandingandexercisableotherthanoptionswarrantsweightedaverageremainingcontractuallifeexercised
Namespace Prefix: | txmd_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_ClassOfWarrantOrRightLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | us-gaap_ClassOfWarrantOrRightAxis=us-gaap_WarrantMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |