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:
Sex and Menopause
Menopause:
Menopause Overview
Hysterectomy:
Hysterectomy Overview
Ovarian Failure Following Hysterectomy
I Want To Know If I Should I Keep My Ovaries
HRT
& Hormones:
About HRT
Ask
Dr N:
Questions & Answers
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.
Hopeless
Reply:
Hi,
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).
This web site is for educational purposes only. It is not intended to suggest a specific therapy for any individual and must not be construed to establish a physician/patient relationship.