Female Sexual Problem - Female Sexual Dysfunction

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Menopause. 2004 Nov-Dec;11(6 Pt 2):749-65.

The effects of postmenopausal hormone therapies on female sexual functioning: a review of double-blind, randomized controlled trials.

Alexander JL, Kotz K, Dennerstein L, Kutner SJ, Wallen K, Notelovitz M.

Kaiser Permanente Medical Group of Northern California Psychiatry Women's Health Program, Oakland, CA, USA. jeanne@afwh.org

Double-blind randomized controlled trials of estrogen and/or testosterone on sexual function among natural or surgical menopause in women are reviewed. Power, validity, hormone levels, and methodological issues were examined. Certain types of estrogen therapy were associated with increased Frequency of sexual activity, enjoyment, desire, arousal, fantasies, satisfaction, vaginal lubrication, and feeling physically attractive, and reduced dyspareunia, vaginal dryness, and sexual problems. Certain types of testosterone therapy (combined with estrogen) were associated with higher Frequency of sexual activity, satisfaction with that Frequency of sexual activity, interest, enjoyment, desire, thoughts and fantasies, arousal, responsiveness, and pleasure. Whether specific serum hormone levels are related to sexual functioning and how these group effects apply to individual women are unclear. Other unknowns include long-term safety, optimal types, doses and routes of therapy, which women will be more likely to benefit from (or be put at risk), and the precise interplay between the two sex hormones.

 

 

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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided. If you still have unanswered questions, please consider entering them into one of our forums and I will try to assist you.