
Also, your doctor will
Your doctor needs to diagnose you with HSDD in order to prescribe either drug. They can do that by asking screening questions, such as: • Have you been satisfied with your level of sexual desire before?• Has your sex drive gotten lower?• Does your lack of libido bother you?• Would you like it to increase?• Are there other things (medication, pregnancy, surgery, stress) that could be affecting your sex drive? If you answer “yes” to the first four questions, and there’s no other cause for your low sex drive, you probably have HSDD. Volkar says the distress that a woman feels about her sex drive is often the driving factor in whether or not she needs to take medicine for it. “Because if you aren’t bothered by it, it’s not a problem,” she says. want “to make sure
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it's not related to
But in recent years, the FDA has approved two prescription drugs to treat HSDD. These treatments are often referred to as “female Viagra” -- a nod to one of the medicines that men can take for sexual problems. But they’re not much like Viagra at all. In fact, they work very differently inside the body. “In men, Viagra fixes a ‘plumbing problem,’ if you will,” says Judith Volkar, MD, of the UPMC Magee-Womens Hospital in Pittsburgh.
Viagra and other similar drugs treat erectile dysfunction, when a man can’t get or keep an erection that’s firm enough to have sex. These men often still have sexual desire, but they just can’t get their bodies to respond physically when they want to have sex. The drugs help by relaxing the muscles in the penis and boosting blood flow so an erection can happen. “I often say you can picture men's sexual desire as a light switch, and women's sexual desire as the cockpit of a 747,” she says. “There are more factors at play in female sexual desire.” As a result, the treatment for HSDD requires a more nuanced approach.
The drugs the FDA has approved for HSDD are: Flibanserin (Addyi): It’s a pill you take every evening. Bremelanotide (Vyleesi): It’s a shot you give yourself in the belly or thigh 45 minutes before you have sex. You take one in a 24-hour period, and doctors recommend only eight viagra gel shots per month. Both drugs boost the activity of chemical messengers in your brain, called neurotransmitters, that are key to helping you feel aroused. You take flibanserin every day, whether you plan to have sex or not. your present situation or relationship.
You inject bremelanotide only when you need it. It’s important to note that neither drug makes sex better. They just make you more likely to feel in the mood. Your doctor may recommend that you try sex education and counseling along with the medication. You may also need hormone therapy, if you deal with any physical issues that affect sex, such as vaginal dryness.