Ask the Expert: Female Sexual Dysfunction

madman

Super Moderator
*15:10-25:00 (use of testosterone in women/accurate assays)



Dr. James A. Simon and Dr. West discussed various issues related to female sexual dysfunction, including low desire, pain, arousal, and orgasm. They highlighted the impact of medications on sexual function and the importance of addressing psychological and relational aspects of sexual health. They also emphasized the availability of resources such as sex therapists and pelvic floor physical therapists for comprehensive care.


Key Takeaways:

*Dr. Simon emphasized the importance of addressing sexual health concerns with practitioners directly to get the conversation started.

*Medications, particularly antidepressants and blood pressure medications, can interfere with sexual desire, arousal, and orgasm.

*Communication and psychological support are essential, as sexual problems can create new dynamics in a couple’s relationship.

*Useful resources for information on sexual health include the IntimMedicine website and the North American Menopause Society.

*Dr. Simon shared insights from his training as a sex therapist, highlighting the availability of specialized expertise in the field.

*Women are encouraged to explore self-pleasure through resources like the OMGYES website to enhance sexual understanding and communication with their partners.

*Dr. West emphasized the availability of sex therapists and pelvic floor physical therapists for in-depth support with sexual health issues.

*The doctors reassured the audience that there is help available for people experiencing sexual health issues and encouraged seeking specialized c
are.
 

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Predict estradiol, DHT, and free testosterone levels based on total testosterone

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This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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