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Subcutaneous Hormone Implants:
Relief for Persistant Menopausal Symptoms and Sexual Dysfunction

HRT Therapy
Part 1: Hormone Replacement Therapy, Panacia or Poison?
Part 2: Hormone Replacemnet Therapy Is a Personal Choice
Part 3: What Is Optimum Hormone Replacement?

How To Find A HRT Program That Works For You...
Part 1: Finding An Ideal Regimen
Part 2: Unpleasant Side Effects
Part 3: Progesterone, Progestins & Progesterone Cream

Sex and Menopause

Sex & Libido With HRT

Menopause Overview

Menopausal Symptoms

Sex and Menopause

Menopause & Weight Gain

Menopause & Migraine

Menopause & Hair Loss

Hysterectomy Overview

Ovarian Failure Following Hysterectomy

I Want To Know If I Should I Keep My Ovaries

HRT & Hormones:
About HRT

Methods Of HRT

HRT Regimens

Sex & Libido With HRT

Breast Cancer & HRT

Hormone Deficiency

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Questions & Answers

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Loss of Libido And Clitoral Sensitivity

Dr N:
Although I am grateful that I am basically a healthy individual, I am very distressed (and so is my partner) at the fact that my libido has dramatically declined. I had a complete hysterectomy about 12 years ago due to fibroids. I have been given since that time .625 milligram estrogen. Although I feel otherwise healthy and look much younger than my age - I am very concerned. One of the problem is that my clitoris has lost just about any sensitivity. Is there any hope to revert this condition. I used to be hot to trot but it's all gone.

It is not unexpected that you are feeling the way that you are. In fact I have had a number of women tell me very similar things over the years and not surprisingly, most of them have had their ovaries removed. In short, you likely require a more appropriate HRT program, including some testosterone. I have addressed this in the area of the web site, Sex and Menopause, and Sex and Libido with HRT.
If you have not read these sections of the web site, it is important to do so as they may provide some insight.
If the an appropriate HRT program is instituted, your chances of regaining your sexuality, including your clitoral sensitivity, are close to 100%. A program of this nature would include testosterone and at least for hypothetical reasons, avoid the oral route. When estrogen is given orally, the level of SHGB, (Sex Hormone Binding Globulin), in the blood becomes elevated. SHGB binds to testosterone, leaving less available to exert its positive affect on sexually involved tissues and libido.
If your physician is unable to do this for you, find another one. Your quality of life is too important to do otherwise.
Let me know what and how you do.
Dr N



Appointments with Dr. Nosanchuk can be made by contacting Caroline
(248) 644-7200 from 10:00am to 6:00pm Monday - Friday (EST).


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