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Testerone for decreased libidoFrom: ainsron@msn.comSun Mar 4 00:02:47 2001
I don't use testerone on all postmenopausal patients (surgical or natural), but I have found it useful on a select group who complain of decreased libido. I usually tell them that ~5% of patients may require it for that reason. I just had a managed care pharmacy deny coverage for testerone unless I provided 2 peer reviewed articles that support its use. Annoying to say the least! On looking for support of this use, I didn't find much. In fact, a recent ACOG committee opinion (Nov 2000) was cautionary about its use, for reasons we are all aware of, i.e. androgenic side effects. The Cochrin (sp?) Review was also less than helpful. Does anyone have any references they could suggest, or is it a waste of time to pursue this? Does anyone feel that testerone is simply not useful and to dangerous to use, like cytotec for VBAC's? (TIC)
-- Ronald E. Ainsworth, MD
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