Female Sexual Dysfunction - Testosterone

Re: Test for women

All kidding aside, Tarzan, I would think 10 mg per week would do wonders, though it might take a while to kick in. If, as Michael suggests, you can get the bonafide LibiGel® cream (especially prescribed by a doctor) that's even better. You don't need lube, you need heightened libido and, for men or women, that's mostly testosterone in one form or another.

I don't think a slightly enlarged clit is such a bad thing: Much easier to find in the dark!:rolleyes:

Solo
 
Re: Test for women

Solo, thank-you! Jasthace, KY sucks! they do have this stuffcalled liquid silk that iswaterbased and amazing. i dont mind the lube, especially after a marathon. its just the day or two after she has difficulty and it bothers her more then me. i totally understand. depending on what im doing i can keep it hard for a marathon too and then the next day or whatever i need a popsicle stick and duct tape. not really but you know what i mean. i feel like crap. thank the medical profession for cialias! so mentally we are in the same boat. i will give her a couple i/u's of prop to get it started and maybe 1 or 2 of cyp 2x a week. sound ok?

thanks again! :D
 
BPAX says it expects to submit the LibiGel NDA by the end of 2012.

BioSante Pharmaceuticals Completes Enrollment in LibiGel® Phase III Safety Study
http://finance.yahoo.com/news/BioSante-Pharmaceuticals-bw-2283110737.html?x=0&.v=1

“The LibiGel safety study will continue as per protocol and the DMC will continue to take its periodic unblinded looks at all safety data. BioSante will remain blinded until the primary data analysis which, as per protocol, will occur after the last subject enrolled has been in the study for 12 months of therapy.”

The sample size analysis was conducted, by the DMC’s unblinded statistician, based on 3,307 subjects enrolled at the time of the analysis and on 22 adjudicated CV events. Since the analysis, an additional 250 subjects have been enrolled. The sample size analysis requires BioSante to stop enrollment of subjects when there is at least a 90% chance of meeting one or both of the following criteria one year after enrollment is completed: the ratio of the rate of CV events on LibiGel compared to placebo has an upper bound of the 97.2% confidence interval = 2, or the 97.2% confidence interval for the risk difference is = 1% (and less than twice the observed CV events in the LibiGel group vs. placebo group).
 
Re: Flibanserin & Sexual Desire

it may well be that the problem of FHSDD is as much related to the duration and adequacy of a woman's partner. These have nothing to do with anything that can be put into a pill.

Women's motivations for sex: exploring the diagnos... [J Sex Med. 2010] - PubMed result

No doubt true in some cases but not generally. From my 45 years of studying the issue in depth and from many points of view, the cause is more often than not one of psychological control issues.

Dr. Julia V. Johnson, the panel’s chairwoman, said that the drug’s impact was “not robust enough to justify the risks,” which include dizziness, nausea and fatigue, particularly with long-term daily use.

That is ludicrous. Would be interesting to look into her personality. Puritianism lives on in America. [}:)]
 
I am currently taking this (testosterone - as well as DHEA, progesterone, melatonin, estradiol?) as a supplement from the test results I received a couple of weeks ago. Perhaps you can assist me in another opinion as to what they all mean:
Saliva tests:
Estradiol 3.9H pg/ml
Progesterone 37L
Ratio 9L
Testosterone 25
DHEAs 14.1
Cortisol 6.6 (morning) 3.5 (afternoon and evening) 1.0 (night)

Blood work:
TSH, 3rd Gen 2.43 mIU/L
T4 Total 7.3 mcg/dl
T4 Free 1.2 ng/dl
T3 Free 2.2 pg/ml
T3 Reverse 25 ng/dl

Read more from the MESO-Rx Steroid Forum at: https://thinksteroids.com/community/threads/134304147
 
BioSante Female Sex Drug Spurs Deal-Making Talks, CEO Says
BioSante Female Sex Drug Spurs Deal-Making Talks, CEO Says - Bloomberg

BioSante Pharmaceuticals Inc. (BPAX) is in talks to partner on its sex gel to raise female libido or sell the company, according to Chief Executive Officer Stephen Simes. The shares rose to their highest value since 2008.

Scientists have tried to chemically treat female sexual dysfunction since Pfizer Inc. (PFE)’s Viagra, with $1.9 billion in 2010 sales, was introduced 13 years ago for erectile dysfunction in men. After failed attempts by Pfizer, Boehringer Ingelheim GmbH and Procter & Gamble Co. (PG), BioSante, based in Lincolnshire, Illinois, is next in line seeking to capitalize on the idea.
 
Braunstein GD, Reitz RE, Buch A, Schnell D, Caulfield MP. Testosterone Reference Ranges in Normally Cycling Healthy Premenopausal Women. J Sex Med. Testosterone Reference Ranges in Normally Cycling Healthy Premenopausal Women - Braunstein - 2011 - The Journal of Sexual Medicine - Wiley Online Library

Introduction. At present, there are no well-accepted reference ranges for serum testosterone concentrations in women.

Aim. The aim of this study was to determine the reference ranges for serum testosterone and sex hormone-binding globulin (SHBG) in premenopausal women with normal menstrual cycles.

Methods. We measured serum total, free, and bioavailable testosterone and SHBG concentrations in 161 healthy, normally cycling women (18-49 years). Morning blood samples were collected during follicular, mid-cycle, and luteal phases of the menstrual cycle and analyzed using validated methods. Mean, median, and weighted average hormone levels across menstrual cycle phases as well as percentiles for a typical 30-year-old woman were determined.

Main Outcome Measures. Age-related serum levels of total, free, and bioavailable testosterone and SHBG levels in normally cycling premenopausal women.

Results. Serum testosterone concentrations exhibited an age-related decline, whereas SHBG remained relatively stable across studied age ranges. Reference ranges for total, free, and bioavailable testosterone and SHBG were established using 5th and 95th percentiles. The estimated 5th and 95th percentiles for a 30-year-old woman were: testosterone, 15-46 ng/dL (520-1595 pmol/L); free testosterone, 1.2-6.4 pg/mL (4.16-22.2 pmol/L); calculated free testosterone, 1.3-5.6 pg/mL (4.5-19.4 pmol/L); bioavailable testosterone, 1.12-7.62 ng/dL (38.8-264.21 pmol/L); and SHBG 18-86 nmol/L. The variations of hormones and SHBG across menstrual cycle were consistent with previous literature.

Conclusions. Reference ranges for free, total, and bioavailable testosterone and SHBG were established in premenopausal women using validated immunoassays and an adequate number of subjects consistent with recommendations by the National Committee for Clinical Laboratory Standards. The increase in testosterone in the mid-cycle period is relatively small compared with the overall variability, so these reference ranges can be applied irrespective of the day in the menstrual cycle the sample has been taken.
 
Managing Low Sexual Desire In Women

Low sexual desire is a common problem amongst women of all ages. When associated with distress, it is termed hypoactive sexual desire disorder (HSDD), which is estimated to affect approximately one in ten women. Unfortunately, women are often reluctant to report the symptom of low sexual desire, despite the fact that it is a prevalent and distressing condition for many women, associated with a range of negative effects on women’s health. This article aims to give a practical overview on the identification and management of this disorder by reviewing the most recent and relevant literature on the subject.

Summary:

Female Sexual Function
• Female sexual dysfunction is commonly classified into distinct disorders of desire, arousal, orgasm or pain. In clinical practice, these disorders frequently overlap.
• Hypoactive sexual desire disorder (HSDD) is defined as low sexual desire that causes distress or relationship difficulties.

Epidemiology
• HSDD affects 6–16% of women in Europe and menopausal status has a significant impact on its prevalence.
• HSDD has important effects on women’s wellbeing and is associated with low self-esteem, depression and relationship dissatisfaction.
• Etiology
• Low sexual desire can result from a variety of physiological, psychological and sociocultural factors.
• Estrogens and androgens play a crucial role and interact with various neurotransmitters to modulate sexual desire.

Assessment
• A thorough history will uncover many causes for sexual dysfunction that may be treated with the specialist psychosexual environment such as medication side-effects or medical comorbidities.

Management of HSDD
• A greater understanding of the female sexual response has helped identify many potential biological and psychosocial targets for therapeutic intervention.
• Management of HSDD requires an individual approach incorporating pharmacological and psychosocial interventions.

Hormonal Management
• Menopause is a time particularly associated with sexual dysfunction and estrogen and testosterone replacement can be valuable in improving sexual function.
• The transdermal testosterone patch is licensed in Europe for the treatment of HSDD in surgically menopausal women on concomitant HRT.
• No pharmacologic therapy is currently approved for the treatment of HSDD in premenopausal or naturally postmenopausal women and further research is urgently needed in these populations.
• At present there is no evidence that dihydroepiandrosterone supplements should be used for HSDD as its safety and efficacy are currently unclear.

Other Treatments
• Despite evidence supporting the use of flibanserin for HSDD, its development has been withdrawn owing to safety concerns.
• Bupropion is associated with an improvement in sexual desire and may be particularly useful in selective serotonin reuptake inhibitor-induced low desire.
• In the future, improved understanding of the neurochemical pathways of sexual desire may help aid development of more selective agents.


Maclaran K, Panay N. Managing low sexual desire in women. Womens Health (Lond Engl) 2011;7(5):571-83. http://www.futuremedicine.com/doi/pdf/10.2217/whe.11.54 (An Error Occurred Setting Your User Cookie)

Low sexual desire is a prevalent symptom, but not one frequently volunteered by women. When accompanied by distress, loss of libido is known as hypoactive sexual desire disorder, which can have a significant impact on a woman's wellbeing. The etiology of hypoactive sexual desire disorder is multifactorial and its management requires a combination of psychosocial and pharmacological interventions. This article outlines the assessment of patients presenting with the symptom of low sexual desire and discusses the evidence for pharmacological management.
 
Goldfischer ER, Breaux J, Katz M, et al. Continued Efficacy and Safety of Flibanserin in Premenopausal Women with Hypoactive Sexual Desire Disorder (HSDD): Results from a Randomized Withdrawal Trial. J Sex Med. Continued Efficacy and Safety of Flibanserin in Premenopausal Women with Hypoactive Sexual Desire Disorder (HSDD): Results from a Randomized Withdrawal Trial - Goldfischer - 2011 - The Journal of Sexual Medicine - Wiley Online Library

Introduction. Flibanserin is a 5-HT(1A) agonist/5-HT(2A) antagonist that has been shown to increase sexual desire and reduce distress in premenopausal women with Hypoactive Sexual Desire Disorder (HSDD).

Aim. To assess the efficacy and safety of flibanserin over 24 weeks of double-blind treatment vs. placebo in premenopausal women with HSDD who showed a predefined response after 24 weeks of open-label treatment with flibanserin.

Methods. Women (N = 738) were treated with open-label, flexible-dose flibanserin (50 mg or 100 mg/day) for 24 weeks. At week 24, women who showed a predefined response, measured using an eDiary, were randomized to 24 weeks of continued flibanserin therapy at optimized dosage (N = 163) or placebo (N = 170). The criteria for entering the double-blind phase were an increase from baseline to weeks 21-24 of >/=2 satisfying sexual events (SSE) and/or >/=4 "desire days." A "desire day" was one in which a woman reported more than "no" desire.

Main Outcome Measures. Coprimary endpoints were change from randomization to study end in SSE and desire score. Secondary measures included change in Female Sexual Function Index (FSFI) total and desire domain scores and Female Sexual Distress Scale-Revised (FSDS-R) total and Item 13 scores.

Results. During the open-label period, mean SSE and desire score approximately doubled, and FSFI, FSDS-R total, and Item 13 scores improved. At the end of the double-blind period, flibanserin was superior to placebo in change from randomization in SSE, desire score, FSFI desire domain and total scores, and FSDS-R total and Item 13 scores (P < 0.05, for all). Flibanserin was well tolerated, and withdrawal reactions were not observed.

Conclusions. At the end of the 24-week randomized withdrawal phase of a 48-week trial in premenopausal women with HSDD, flibanserin was superior to placebo on measures of SSE, sexual desire, overall sexual function, and sexual distress. Flibanserin was well tolerated, and no withdrawal reactions were observed following discontinuation.
 
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