WOMENS-HEALTH Messages for January, 1998: Re: Low Libedo

Re: Low Libedo

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 30 Jan 1998 17:43:08 -0600 (CST)

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At Fri, 30 Jan 1998, Lucille wrote: >
>I was looking for information on where I could find help in with a low
>libedo. I had recently saw a show that covered this subject and there
>was a obgyn on this show stating that you can get medication that would
>help you raise your level of sexual desire.
>She had said that there was a cream that has 2% testosterum in it and a
>formulated pharmisices can make it up. You can not get it any other
>way.
>My obgyn tells me that I should see a sex theripist. I know it is more
>than that. I have a very open relationship with my husband and it not
>that I am inhibited in anyway. I feel I could care less about ever
>having sex again. I never think about it, I don't desire it, I don't
>even get aroused. I hope this is some hope for me in order to have a
>healther relationship with my husband. Please direct me in the right
>direction.
>Thank you
>L. Wilson

Lucille,

You stae very eloquently a very difficult problem.

The medication you speak of is Testosterone proprionate 2% in a petrolatum base. The problem is there are no randomized controlled tests (RCT) to determine whether or not it is real or placebo effect. There are potential dangers with testosterone since it has not been determined how much is enough and how much is too much when it comes to supplementation. This was left out of the shows peolpe are seeing. We're still learnign about advantages and disadvantages of HRT and ERT 20-30 years after it was first used.

Using Testosterone now may be right for some people but understand that it is as a medical guinea pig because we don't know enough to use it wisely and safely and we can't even guarantee that it works and not a placebo effect.

I'd love to prescribe it if I knew the answers to the questions I raised. Truly I would. I (and others like me) don't want to hurt anyone while trying to help them.

In the future, I believe psychotherapy and Testosterone will both play a part in decreased libido. Just MHO.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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