Women's sexual health:
In most women who are suffering from sexual problems they may be experiencing decreased libido and sexual arousal. Libido and sexual arousal are closely related and difficult to separate and are often related to proper hormone balance. Libido refers to a baseline interest in sex and might be defined as your sexual appetite. Arousal refers to the physiologic response to sexual stimuli. Women with higher libidos generally have a greater response to sexual stimuli, or sexual arousal. Physical manifestations of sexual arousal include vaginal lubrication, increased blood flow to the labia, clitoris, and vagina and ability to have an orgasm.
Women who are experiencing a decrease in libido and sexual arousal often have had a decrease in certain hormones and a loss of proper hormone balance. More youthful levels of hormones and proper hormone balance can be reestablished through hormonal evaluation by blood testing and then hormone replacement with bioidentical hormones.
The blood testing includes testing for estrogen, progesterone, and testosterone. There are essentially three types of estrogen: estrone, estradiol, and estriol.and all should be tested for. The goal is to return the levels of these hormones to the levels they were at in a women's 20's and 30's. As a woman becomes perimenopausal and menopausal the level of these hormones diminish and can result in loss of libido and sexual arousal.
Progesterone is one of the first hormones to start to diminish and can decrease in a women's early 30's while they are still having regular periods. This can result in a decrease in libido and in women becoming more anxious or having panic attacks as progesterone has a powerful beneficial affect on the brain. It can be helpful for women in their 30's and older to use bioidentical progesterone replacement either topically or orally. The dosages would be tapered according to each women's response to this therapy.
As a women gets closer to menopause and goes through menopause their estrogen level drops as well resulting in possible loss of libido and sexual arousal. Their are physiologic changes in the vagina which can result in vaginal dryness and difficulty performing sexual intercourse. Bioidentical hormone replacement therapy can help correct these problems. This type of therapy includes estriol cream. This cream is applied intravaginaly and to the labia. This will help reestablish a more healthy and youthful vagina and help to increase libido and sexual arousal. This regimen can be used in both premenopausal and post menopausal women.
Also testosterone cream can be used to help increase a women's libido and sexual arousal. This cream is applied intravaginaly and to the labia and clitoris. This is a very low dose of testosterone and will not have any adverse affects such as masculine changes. These hormones will not cause any increase risk in uterine or breast cancer.
For a menopausal woman biest cream should also be used topically to the inner arms daily. Biest cream is a combination of estriol and estradiol and will result in maintaing a youthful hormonal level. Biest is an estrogen cream and should be balanced with the use progesterone either topically or orally,daily, to help achieve proper hormone balance.