Women frequently are looking for options to help a low sex drive or trouble with the climax. Many women ask about testosterone prescriptions since that is been dogged the hormone of desire. And testosterone is present in both men and women, with women having about one-tenth of the amount of testosterone in males.
In the woman, there is no a direct relationship between testosterone levels and sex drive. Most women do not need prescription testosterone. However, women who had their ovaries removed or have severe hormonal deficiencies may benefit from a testosterone prescription, although in the United States there are no FDA-approved prescriptions for just plain testosterone. So woman really needs to see an expert in hormones in women.
In terms of climax, most women climax some of the time unusually direct stimulation. Some women have never climaxed. And a small percent of women easily climax. There are some non-hormonal treatments that help women climax that are good for the pelvic floor, that stimulate the pelvic muscles. So there are over-the-counter pelvic stimulating devices that can help someone who has sexual dysfunction.
Libido is so much more than the just sex drive. Libido is your life drive; it is your life worth. Libido is the energy needed to support everything that is important in you.
Hormone replacement therapy in women’s had a bad name since a large trial showed that cause breast cancer and increased the risk of heart diseases. But those were female hormones. But what about the male hormone testosterone? There is evidence that it could be a benefit to women. The research in this area is having an impact is being done in Melbourne by professor Sue Davis.
People generally not aware that testosterone is an important female hormone. Female actually make estrogen in their bodies from testosterone. A young girl has more testosterone circulation in her blood.
What is sexual dysfunction in women?
How is it define? Female sexual dysfunction can be the loss of desire, lower arousal, sexual pain or inability to have an orgasm. Some women may experience just one of these things, other women may experience all of them. But ultimately it is real whether or not a woman experiences a satisfactory sense of sexual well-being or not. And it can only be understood by the woman herself.
What are the causes of female sexual dysfunction?
Well, there are multiple causes. A woman might have had bad sexual experiences in the past, she may have a bad relationship with her partner or she might have changes in her general health such as illness or depression that impact on her sexual function.
There are other factors. For example, change in hormones in the body that occur with age or changes with menopause that can impact on sexual function in a woman.
What is the evidence that testosterone is related to sexual desire?
It is natural to testosterone to decline with age. However we know for certain that women, who have their ovaries removed and at that time the testosterone levels drop acutely by the 50%, has a significant reduction in the sexual desire and arousal. And if we treat those women with testosterone, there is an improvement in arousal, desire, and sexual well-being.
Now across-the-board woman’s testosterone levels decline with age. When the woman hits about 40, her levels are about half of what they were when she was in her twenties. So the question is not wat the levels of testosterone in the blood is but would lower testosterone causing the symptoms. And that can be determined by really looking at the full picture of any individual; it is not simply do a blood test.
We did one particular study where we recruited 800 postmenopausal women across multiple countries. And these women who felt that they had lost sexual desire compared to the younger years and that they would like some treatment to improve it. And women were randomly allocated to whether receive a placebo patch, skin patch, a testosterone patch in a small dose, and a testosterone patch what we call 300 microgram dose of testosterone. And these women wore these patches for twelve months not knowing what treatment they are on. And by the end of the study we found that the woman treated with the 300 300 microgram testosterone dose have the significantly greater desire, arousal compared to the women on placebo.
But more importantly woman were recording every sexual event. And the reported each event whether it was satisfactory to them or not. And the women treated with the 300 microgram dose of testosterone patch had significantly more satisfactory sexual events that women treated with placebo.
Can drugs cause sexual dysfunction as well?
Well, certainly there are classes of drugs that impact on sexual dysfunction in both men and women. And the most known compounds are what we call selective serotonin reuptake inhibitors or SSRI‘s. They are used to treat depression and as a consequence of SSRI’s therapies many men experience erectile dysfunction and in women it commonly cause loss of arousal or inability to achieve an orgasm.
The woman goes on her antidepressant therapy; she starts to feel better. But then she recognizes that she has low libido or she has libido but can’t actually get sexually arouse or have an orgasm. If a woman feels that this is really impacting on her quality of life and her relationships and starting to create tension on her relationship, a woman must stop the treatment of her anti-depressants which she actually makes.