Here’s something that might surprise you: compared to men, women have more reports of sexual dysfunction. Men have endless prescriptions—Viagra, Cialis, Levitra, you name it. While women are left with two FDA-approved options: Addyi and Vyleesi.
What’s the reason behind this?
Dr. Brooke Faught, a women’s sexual health doctor, breaks it down with Cat Williams on a new episode of the Balls Deep podcast. The disturbing lack of medical research related to sexual health in women stems from a broad array of reasons. Historically, most medical studies have been done on white males. Women were not included due to “complex” issues like—a menstrual cycle, contraception, pregnancy, and menopause. Just being a woman was too troublesome for the clinical trials.
Why Sexual Health in Women is Still in the Background
Among many factors that can explain the lack of conversation around sexual health in women, the following stand out most:
- Taboo: Women often feel ashamed to talk about libido—or having one.
- Provider Gaps: If your healthcare provider isn’t trained in this area, they probably won’t ask, which means you probably won’t bring it up.
- Cultural Blunders: It's socially acceptable to say “penis” on television while "vagina" gets bleeped out. The media often makes sex look effortless for women, which isn’t the case.
This sort of reasoning creates a self-perpetuating problem. Women feel as though their issues don’t hold water, and often seem uncomfortable bringing it up, which means no action is taken. Commercials for ED are non-stop during all hours of the day on every channel. Dr. Faught says she’s been told she cannot use terms like “vulva” on the air.
Desire Isn’t Simply Sexual—It’s About Health
Libido is not simply defined as a “want to.” More often than not it is used as a warning sign for other health issues. Think:
- Problems with the thyroid
- Hormonal imbalances
- Heart problems
- Stressful conditions
- Lack of sleep, eating well, or exercise
When a woman’s libido decreases significantly, it's usually her body indicating that “Hey, something is fundamentally wrong.” Dr. Faught suggests a complete checkup which can change a lot—and so do lifestyle changes.
Healthy Habits = Better Sex Drive
Dr. Faught emphasizes the importance of:
- Physical activity
- Deep breathing
- Sleep hygiene
- Stress alleviation
- Having fun and laughing
These are not just suggestions, but legitimate physiological changes. These can lead to improvement in circulation, oxygenation, and pelvic circulation. Remember: something even as simple breathing properly can improve arousal and enhance orgasmic responses.
Yes, Women Can Use Viagra
Here’s a statement that shocked Cat: Women can be prescribed viagra (sildenafil). Although it does not directly affect libido, it can enhance arousal due to increased blood flow to the clitoris—much like it does to the penis. There are even unapproved uses for other PDE5 inhibitors like Cialis and Levitra for women.
Important caveat: do not borrow your husband's medicine. Always consult a doctor first because these medications have risk factors and side effects.
Resources & Moving Forward
Dr. Faught encourages women to be advocates for their health. If your provider dismisses your concerns, go to another one. There are amazing organizations out there like:
- The Menopause Society
- International Society for the Study of Women’s Sexual Health (ISSWSH)
- National Vulvodynia Association
These communities are working hard to expose the reality behind sexual health in women.
Final Thoughts: You're Not Broken, Just Overlooked
Sexual health in women has been overlooked for too long, but it doesn’t have to remain that way.
If your libido has decreased, don’t attribute it to “just getting older” or “being tired.” Your sexual health is important. Your pleasure is important.
See your doctor. Demand answers. The bottom line is, if they lack answers—move on. Sexual health in women is important and you deserve to feel good, to be listened to, and to be taken seriously. If you’re a woman experiencing low libido, discover more about FDA-approved options!
Disclaimer: This blog is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for personalized guidance.