Women's sexual health has become ignored in healthcare discussions. In a new episode of the Balls Deep Podcast, Cat Williams sits down with Dr. Brooke Faught, a Doctor of Nursing Practice and a certified sex medicine expert, to discuss treating a condition which many women suffer from in silence: Hypoactive sexual desire disorder—or HSDD. Continue reading as we what it is and how it can be treated:
What Is HSDD?
HSDD is an abbreviation of hypoactive sexual desire disorder. Low libido is a symptom, while HSDD is a condition. To put it in clearer terms, you could say that lack of interest, whatsoever, in sex comes with a disquieting sense of void as a distressing absence of interest in sexual activities, which HSDD patients go through. In layman's terms, you can have numerous reasons for not wanting to have sex due to being tired, stressed or preoccupied. But if a lack of interest in sex starts having an impact on your life or relationship and is persistent then it might be HSDD.
There are legitimate medical treatments available to treat HSDD.
FDA-Approved Medications for Low Libido in Women
Two prescription medications exist, both approved for premenopausal women living in the United States, and almost no one is aware of them.
Flibanserin – Addyi, The Little Pink Pill
Addyi is not the equivalent of "female Viagra". While Viagra works on boosting blood circulation to the penis, Addyi operates on the mind much like an antidepressant does. It’s supposed to be taken once a day before bed, and can take up to eight weeks to start working. Women tend to report a change in sexual activity and desire in 80% of cases, sometimes describing the difference as switching on a light.
Pros:
- Enhances sexual drive by balancing emission of serotonin and dopamine.
- May assist in improving sleep.
- Doesn't cause weight gain (some women even lost weight during trials)!
Cons:
- Women who actually notice a significant difference are approximately 50 percent.
- Has a tendency to cause sleepiness.
- Works better for those willing to wait longer, meaning it’s not always a quick fix.
Bremelanotide – Vyleesi, The Sexy Self-Injection
Vyleesi on the other hand, is ideal for those looking for a “quick action” alternative. Used roughly 45 minutes before engaging in sexual intercourse, this injectable under-the-skin prescription excites the brain and boosts the desire to engage in sexual activity. For people who want options without a constant dosage, Vyleesi is ideal as it operates quickly.
Pros:
- Convenient to use on an as needed basis.
- For some women, it can last a couple of hours and even longer for others.
- One shot takes care of the need instead of daily prescription pill popping.
Cons:
- Nausea, mild in nature, could possibly accompany the initial treatment.
- It’s an injection, which can be a no-go for some patients.
- These medications are tailored to premenopausal women’s needs. Dr Faught goes on to add that she prescribes them “off-label” for postmenopausal women with great success.
A Comprehensive Approach To Treatment
Medication is just one piece of the puzzle. Dr. Faught says puzzle pieces include a myriad of factors including relationships, mental health, stress levels, hormonal balance, and even sex, which may need to go hand in hand with medication.
Why Isn’t Everyone Talking About These?
The lack of conversation around Addyi among women and doctors alike, is due to stigmas surrounding female sexuality and marketing constrictions, despite Addyi’s approved status since 2015.
In short, open the dialogue. If your doctor doesn’t bring it up, you absolutely should.
Key Takeaways
- HSDD exists, and can be treated.
- HSDD, classified as a medical condition, means that low libido in women isn’t the only indicator of its presence.
- Two options that have received FDA approval include Addyi, taken as a daily pill, and Vyleesi, which is administered via injection as needed.
- While these medications have been approved for use in premenopausal women, a number of practitioners, including Dr. Faught, prescribe them safely off-label for postmenopausal women as well.
- Evidence shows that absence of holistic approaches greatly reduces treatment efficacy. That includes medications, therapy, relationship and lifestyle.
- Approach your provider, and if they are not familiar with these alternatives, give them the information!
Let's remove the stigma that has long crippled discussion on women's sexual wellness. No matter whether you are, pre or postmenopausal, facing challenges with desire does not make onedefective; it makes one human. There are professionals such as Dr. Faught who are ready to extend their help, hope, and even a little pink pill to help you reclaim your zest.
Interested in learning more about low libido in women caused by HSDD? Check out some more helpful information about hypoactive sexual desire disorder!
Disclaimer: This blog is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for personalized guidance.
