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Rev Up Your Sex Drive With These Helpful Tips

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Hormone Therapies That May Help You Find Your Sex Drive

Testosterone Replacement Therapy

When the levels of the steroid hormone testosterone go down in people of all genders, so can libido. It’s a normal part of the aging process. Unlike menopause, for which the clinical consequences of estrogen deficiency are known, the clinical consequences of testosterone level decline are not well established.

Treatment options may include:

For Men A topical testosterone gel or cream (AndroGel, Testim) may be used, or a testosterone transdermal system patch (Androderm) can be applied once a day to mimic the daily secretion of testosterone. Another option is an injection of testosterone cypionate or testosterone enanthate, which patients can learn to give themselves at home.

Another option is a testosterone pellet, Testopel, that’s placed by a physician underneath the skin of the buttock under local anesthesia. It offers a time-released dosage of testosterone over three to six months. An oral form of testosterone, Jatenzo, is also available for use in the United States.

For Women The FDA hasn’t approved testosterone supplements as a treatment for women with low libido, but there is substantial research supporting its efficacy in women, including a research review published in October 2019 in The Lancet Diabetes & Endocrinology of 36 randomized, controlled studies.

According to guidance from the North American Menopause Society, doctors can prescribe testosterone treatments to women off-label at a fraction of the dose.

“We take a baseline testosterone level to start and then prescribe at one-tenth the male dose,” says Tami Rowen, MD, an obstetrician and gynecologist who specializes in sexual health at UCSF Health in San Francisco. “Because women have about one-tenth to one-twentieth the testosterone level as men.”

Women on testosterone treatments are continuously monitored for adverse effects and to see how they’re responding to therapy.

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