For many women, sexual desire rises and falls with age, often associated with relationship changes, weight, and physical changes such as pregnancy and menopause.. But about 10% of women are affected by low blood pressure. It is a condition known as sexual hypoactive syndrome (HSDD).
There are some over -the -counter fillers that are supposed to keep the problem at bay, limited, not guaranteed, results. But in recent years, the FDA has approved two drugs to treat HSDD. These medications are called “female Viagra” – a nod to one of the medications that men can take for sexual problems. But they are not the same as Viagra. In fact, they work very differently in the body.
“In men, Viagra fixes a‘ pipe problem, ’if you will,” says Judith Volkar, MD, of UPMC Magee-Womens Hospital in Pittsburgh. Viagra and other similar drugs treat erectile dysfunction, when a man is unable to have or maintain a stable erection during sexual intercourse. These men often have sexual desire, but they cannot allow their bodies to respond physically when they want to have sex. Medications help to relax the muscles in the penis and stimulate blood flow so that it can be erected.
In women, low libido is more difficult.
“I’ve often said you can capture a man’s sexual desire as a beacon, and a woman’s sexual desire is like the cockpit of a 747,” he said. “There’s a lot to play with in lesbian desire.”
As a result, care for HSDD requires a more nuanced approach.
FDA -approved medications for HSDD:
- Flibanserin (Addyi): It is a drug that you take every evening.
- Bremelanotide (Vyleesi): You are a shot that is given to yourself in the abdomen or thigh 45 minutes before your sexual intercourse. You take one in a 24-hour period, and the doctors say only eight pictures per month.
How do they do it. Both drugs stimulate the action of chemical messengers in your brain, called neurotransmitters, which are the key to helping you wake up. You should take flibanserin daily, whether you plan to have sex or not. You only take bremelanotide if you need to. It is important to remember that sex is not a good thing. They make you think.
Your doctor may suggest that you try sex education and training with medication. You may need hormone therapy, if you are dealing with physical problems related to sex, such as dry mouth.
How do I get it? Your doctor will need to diagnose you with HSDD in order to prescribe each medication. They can do that by asking screening questions, such as:
• Are you satisfied with your level of desire to sleep before?
• Did you feel less sexually promiscuous?
• Do you suffer from lack of libido?
• Do you want to improve?
• Are there any other factors (medications, pregnancy, surgery, stress) that can affect your physical activity?
If you answered “yes” to the first four questions, and there is no other reason for your low physical activity, you probably have HSDD.
According to Volkar, the problem a woman feels about her sexual activity is what determines whether she needs to take medication for it. “Because if you don’t have a problem with it, it’s not a problem,” he said.
In addition, your doctor wants to “make sure it’s not about your status or your relationship. Because you can’t cure HSDD if you don’t like your partner,” she says.
What is the cost? Some insurance companies will cover HSDD medications. Your price will vary depending on your plan, but the price for flibanserin is around $ 100 for 30 pills (monthly supply).
Who is right for me? The two drugs are different and have problems. What you take will depend largely on what is best for your lifestyle. “Of course some women don’t like injections,” Volkar said. “Other people don’t like taking the pill every day.” It’s best to talk to your doctor about what works best for you.
Consequences and risks
Researchers have learned a great deal about how the drugs work in women who have not gone through menopause. Therefore, the FDA approved both drugs for premenopausal women only. Pregnant or breastfeeding women should not use every drug.
There are some people who do not need to take medications, including those who:
“They can interact with certain medications that are often taken by women, such as fluconazole (Diflucan), a yeast antibiotic, and some antibiotics,” Volkar said. “So it’s a good idea to know the medications you’re taking and talk to your doctor.”
Women using HSDD medications should not drink alcohol from 2 hours before taking the medication until the next morning, as it can lower blood pressure to dangerous levels.
Medications can cause side effects, such as:
Bremelanotide can make your skin and neck darker.
To measure the effectiveness of these medications in treating HSDD, doctors check to see if sexual desire has increased and if the risk associated with it has decreased. Volkar said flibanserin often leads to “one serious stroke per month.” It may or may not be the responsibility of others.
“Because you explain things,” he said. “Is that good, or isn’t it very good? I teach a patient, I leave their opinion and they decide what it means. “
There is no “normal” amount of sex or desire. Therefore, changing the problem a woman feels about her makeup is a big sign of how well she is doing.
If you try the drug for 8 weeks and do not notice any change, your doctor may tell you to stop taking it.
The bottom line, Volkar says, is that while these drugs are not suitable, the availability of both drugs available on the market is a move in the right direction.
“I think we’re doing a really good job of researching medications for women and sexual desire,” she said. “I don’t think that’s the answer right now, but it’s a great first step.”