Female sexual dysfunction affects 40% women and 60% of
postmenopausal women. The number one mistake is accretive sexual dysfunction as
traditional.
What causes it?
Number one is low sexual desire. It should ensue to
medication; it may be depression. It may start out that you’re having painful
intercourse. Then after all you’re attending to have decreased libido, as a
result of people don’t wish to try and do painful things.
What usually causes the pain?
Sometimes it’s endometriosis, and typically it’s vaginal
dryness. If somebody doesn’t lubricate, that fairly often as a result of sexual
hormones issues: menopause or birth control pills. Additionally you would like
an good blood supply to the vagina in order to have normal lubrication, and
women with diabetes and heart disease often have a decline in their blood
supply in that area.
How does one fix it?
It may somewhat be if a lady uses the proper lubricant,
she’s attending to be fine.
And if not?
Women are nervous concerning taking hormones. But local
vaginal estrogen is safe for essentially everyone to use. We’re using this in
women with breast cancer because the systemic absorption is so low that it
doesn’t even increase their blood levels beyond the postmenopausal range.
Are there any recent breakthroughs that ladies ought to
remember of?
There’s a tool known as InTone that reproduces what a pelvic
floor therapist will. There are variety of latest product, like nonestrogen
product for treatment of vaginal dryness that most women are not familiar with.
So typically a prescription is necessary?
Would you say to a man who couldn’t maintain an erection
that he shouldn’t consider Viagra? Right now there are 25 drugs approved for
male sexual health, and other than the vaginal dryness drugs, there are zero
approved for female sexual health. That’s a real problem.
Any promising medicine within the pipeline?
Flibanserin has been shown in the medical literature to have
an impact on female libido. It is going back to the FDA [for approval] in a
couple of months. You say that most doctors are not up on these solutions. Why?
Knowledge is highly variable depending upon where somebody trains. At
Northwestern, sexual health is not a part of the residency. I’m trying to
change that. It sadly all comes down to funding.
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