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Understanding Female Libido and Sexual Wellness

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There are options to increase sex drive that can be very effective.” But it can be particularly common in women, in part because of hormonal makeup, as well as societal expectations regarding sex and sex drive. Dr. Zanotti explains why females commonly experience low sex drive, and what options are available to increase your libido.

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There are a number of reasons your sex drive may shift into neutral. Physical changes can do a number on your sexual interest.

Age Group Average Response Rating Commonly Reported Effects Unique Considerations
20-30 4.2 Increased libido, energy Generally higher response
31-40 4.0 Improved arousal May need dosage adjustments
41-50 3.8 Slight improvements in desire Menopause effects may influence outcomes
51+ 3.5 Variable, often less responsive Discuss medications with doctor

New medications and other changes to your health can impact your interest in getting frisky. Your age may be a consideration, too, as low sex drive is commonly associated with changes that happen in perimenopause and postmenopause.

What to avoid

What if what you’re looking for is a sex life that’s a little bit rock-and-roll, but you can’t seem to dial up the volume these days? A low libido can leave you feeling lonely, frustrated and unfulfilled in your relationships. Fortunately, there are ways to get your music bumping again. “It’s not at all uncommon for your sexual interest to change and get in the way of enjoying a healthy and fulfilling sex life,” says Ob/Gyn Salena Zanotti, MD. “But you don’t have to live with low libido. And for some people, issues in how your body responds to sex and sexual arousal can keep you from getting in the mood — like muscle tension, blood flow and lubrication.

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Additionally, emotional struggles can relegate sex to the back burner, especially if you’re living with concerns like: And in other cases, you can experience reduced sexual desire for no obvious reason — a condition sometimes called hypoactive sexual desire disorder. “Low libido can stem from any number of concerns, and there may be more than one issue at play,” Dr. Zanotti explains. “The important thing to remember is that you’re not alone and that low sex drive isn’t a reflection on you or your relationship.” Depending on the reasons for your decreased sexual interest, there are medications and other options available that may help you get your groove back.

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“Low sexual desire is often multifactorial, and medications may not fix it all,” Dr.

Further information

“I often say you can picture men's sexual desire as a light switch, and women's sexual desire as the cockpit of a 747,” she says. “There are more factors at play in female sexual desire.” As a result, the treatment for HSDD requires a more nuanced approach. The drugs the FDA has approved for HSDD are: Flibanserin (Addyi): It’s a pill you take every evening. Bremelanotide (Vyleesi): It’s a shot you give yourself in the belly or thigh 45 minutes before you have sex. You take one in a 24-hour period, and doctors recommend only eight shots per month.

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Both drugs boost the activity of chemical messengers in your brain, called neurotransmitters, that are key to helping you feel aroused. You take flibanserin every day, whether you plan to have sex or not. You inject bremelanotide only when you need it. It’s important to note that neither drug makes sex better. They just make you more likely to feel in the mood.

Is it safe?

Your doctor may recommend that you try sex education and counseling along with the medication. You may also need hormone therapy, if you deal with any physical issues that affect sex, such as vaginal dryness. Your doctor needs to diagnose you with HSDD in order to prescribe either drug. They can do that by asking screening questions, such as: • Have you been satisfied with your level of sexual desire before?• Has your sex drive gotten lower?• Does your lack of libido bother you?• Would you like it to increase?• Are there other things (medication, pregnancy, surgery, stress) that could be affecting your sex drive? If you answer “yes” to the first four questions, and there’s no other cause for your low sex drive, you probably have HSDD. Zanotti acknowledges. “It’s important to investigate the causes. Medication, along with seeing a sexual therapist, can be very helpful for various sexual dysfunction issues.” Dr. Zanotti explains some options to increase female libido. This prescription pill has been available since 2015.

The bottom line

The drugs can cause side effects, such as: Bremelanotide can cause your skin and gums to get darker. To measure how well these drugs treat HSDD, doctors look at whether sexual desire has gone up and if distress about it has gone down. Volkar says flibanserin typically leads to “one more sexually significant event per month.” That may sound like a success to some and not to others. “It depends on how you define things,” she says. “Is that awesome, or is that not so great?

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When I'm counseling a patient, I kind of leave that to their discretion and let them decide what that means for them.” There is no “normal” amount of sex or desire. So a change in the distress a woman feels about her sex drive is often a key sign of how well the treatment is working. If you try the medicine for 8 weeks and you haven’t felt a change, your doctor may recommend you stop taking it. The bottom line, Volkar says, is that though these treatments may not be perfect yet, having two medications available on the market is a move in the right direction. “I think it's great that we're finally doing research into medications for women and sexual desire,” she says.

Hormone therapy

“I don't think it's quite the answer yet, but it’s an important first step.” Medications and therapy can help get your groove back Image content: This image is available to view online. People in bed sleeping at night, caught up in their sheets. We all have different ideas of what an active and fulfilling sex life looks like. Think of your sex life like driving to your favorite tunes: Some people drive around with their music full blast, singing along at any hour of day or night to whatever comes on. Other people keep the volume a little lower. Flibanserin (brand name Addyi®) is taken nightly and can ramp up sex drive, Dr.

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And if she doesn't have significant side effects and it improves her intimate life, just thinking about sex makes people have sex more often, so the placebo effect can be significant. Announcer: TheScopeRadio.com is University of Utah Health Sciences Radio. If you like what you heard, be sure to get our latest content by following us on Facebook. For many women, sexual desire goes up and down over the years, often tied to changes in relationships, stress, and physical changes like pregnancy and menopause. But roughly 10% of women deal with a low sex drive that causes them distress.

More Information

It’s a condition known as hypoactive sexual desire disorder (HSDD). There are a few over-the-counter supplements that aim to treat the problem, which have limited, mostly unproven, effects. But in recent years, the FDA has approved two prescription drugs to treat HSDD. These treatments are often referred to as “female Viagra” -- a nod to one of the medicines that men can take for sexual problems. But they’re not much like Viagra at all.

Related treatment guides

In fact, they work very differently inside the body. “In men, Viagra fixes a ‘plumbing problem,’ if you will,” says Judith Volkar, MD, of the UPMC Magee-Womens Hospital in Pittsburgh. Viagra and other similar drugs treat erectile dysfunction, when a man can’t get or keep an erection that’s firm enough to have sex. These men often still have sexual desire, but they just can’t get their bodies to respond physically when they want to have sex. The drugs help by relaxing the muscles in the penis and boosting blood flow so an erection can happen. Zanotti explains.

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It may cause drowsiness and shouldn’t be taken within two hours of drinking alcohol. Don’t expect fireworks to happen immediately, though.

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The medication takes about two months to start working. But you may find it’s worth the wait.

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Vyleesi® is an on-demand prescription medication — as in, take it when the mood is right.

How It Works

Some people really only enjoy a few select songs or artists. Or maybe they need some time to try out a few playlists until they find just the right one to get them in the dancing mood. Different people have different preferences — whether we’re talking music or life between the sheets. And whether your sex life is thumping party jams or tasteful light jazz, there’s nothing wrong with it … if that’s what you choose. But what if it’s not working for you anymore? (Or at least 45 minutes before you anticipate the mood being right.) Vyleesi is an injectable medication you use in your thigh or abdomen.

Addyi side effects

Volkar says the distress that a woman feels about her sex drive is often the driving factor in whether or not she needs to take medicine for it. “Because if you aren’t bothered by it, it’s not a problem,” she says. Also, your doctor will want “to make sure it's not related to your present situation or relationship. Because you can't fix HSDD if the problem is you really don't like your partner,” she says. Some insurance companies will cover HSDD medications.

Addyi (filbanserin)

Your cost will vary based on your plan, but out-of-pocket cost for flibanserin is about $100 for 30 pills (1 month’s supply). Both drugs have different concerns and risks. The one you should take mostly depends on what works best for your lifestyle. “There are certainly women who have no interest in injections,” Volkar says. “Others have no interest in taking a pill every day.” It’s best to talk to your doctor about which one would work for you.

Boxed warnings

Researchers have mainly studied how the medicines work in women fildena 120 who haven’t gone through menopause yet. So the FDA approved both drugs for premenopausal women only. Women who are pregnant or breastfeeding should not use either drug. There are others who shouldn’t take the medications, including those who: Take medication for HIV, hepatitis C, or high blood pressure that’s not under control “They can also interact with several drugs women commonly take, like fluconazole (Diflucan), which is a yeast infection medication, and also some antibiotics,” Volkar says. “So it's good to be aware of what medications you're on and discuss those with your doctor.” Women who use HSDD medications shouldn’t drink alcohol from 2 hours before they take the drug until the following morning, because it can lower blood pressure to dangerous levels.