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

Re: Low Libedo

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 30 Jan 1998 18:03:06 -0600 (CST)

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In reply to: Harvey S. Marchbein, M.D.: "Re: Low Libedo"

At Fri, 30 Jan 1998, Harvey S. Marchbein, M.D. wrote: >
>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

Once again. I'd like to echo Dr Marchbein's comments -- what we DON'T know about testosterone to increase libido is a heck of a lot more than we DO know. Most of the research on testosterone and libido has been done in post-menopausal women and we cannot take that info and apply it to premenopausal women. Certainly, if you could become pregnant, you should not be using testosterone.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

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