Posts Tagged ‘depression’

Why I’m Not as Crazy as I Thought

Monday, April 5th, 2010 by Bat Sheva Marcus LMSW MPH PhD

The following is a blog entry written by a patient at MCFS.  Later this week we will post another entry by the same patient, reporting on her progress.  This was written in October 2009

For about 14 years now I have been told constantly that things are in my head. Stomach cramps-must be stress, acne- must be stress, extreme exhaustion-stress, canker sores- stress, breathing issues- stress, and most recently, no interest in sex - stress and depression. 

But recentl, for the first time in my life, someone found a real reason something was going wrong.  And I could not be happier. 

My life in general is amazing. I have a loving doting husband, two beautiful children, a wonderful home, and a fine job. And yet, depression, being overweight, exhaustion and a low sex drive have plagued my life. With some strong encouragement from my husband, who is tired of feeling physically and sexually rejected, I went to the Medical Center for Female Sexuality.  And,  for the first time, someone checked my hormone levels. No one before had ever thought to stick a needle in my arm and actually see what was going on in there. They just made me pop pills and sit in front of therapists and talk and talk and talk. None of which did much except put band-aids over the problems and cause me to doubt myself more and more. With each passing day I would feel less competent, less self-confident, and more sure that I was just crazy, that many of the simple pleasures in life were out of my grasp and this was my destiny.

But yesterday that all changed.

Yesterday 2 doctors sat me down and showed me my lab results. My hormones are a mess. My thyroid is inactive and I have almost no testosterone. There is something wrong with me! I cried the whole way home for the office, grateful to God that there is an end in sight.

The journey ahead will be difficult, hormone therapy will be tough and I’m not so excited about the potential side effects. But it will all be worth it.

desire and depression

Friday, March 19th, 2010 by Shannon Bertha, ACS, PhD

Sometimes, when women come into the center with low desire we talk to them about anti=depressants.  The reaction isn’t always good:   “You think I’m depressed? I’mhere to talk about my lack of sex drive!”

Life situations and hormones can play a role in depression.  Serotonin, the hormone normally associated with depression, isn’t the only culprit.  Testosterone may also have an effect on mood.  As an essential hormone needed for desire, low Testosterone levels may contribute to mild feelings of depression as well as low desire for sex.

 So it would make sense that if a women is experiencing low desire, she may also have low testosterone levels and that may be affected her moods. 

If your relationship is unstable lately, or if life is stressful and you haven’t had appropriate time to give to yourself and your partner, you may feel ‘down’ and exhausted from dealing with this.    You may miss the comfort of a loving connection, you may feel lonely and estranged. You may wonder when you’ll have the chance to focus on sex in your life without the myriad interruptions we experience.  Who wouldn’t be a little depressed!

When we prescribe treatment for low desire, after conducting significant blood work and a physical exam,  we investigate levels of testosterone along with other hormones.  Depending upon the patient, treatment will be individualized; but the message is same:  your depression may or may not be the ‘I can’t get out of bed’ kind of depression, but mild or low grade depression can go hand in hand with low interest in sex .  Although people may have a negative association with depression and anti-depressants, it is completely normal to experience some depression with a lack of desire. 

So, don’t be afraid to bring up the issue of low desire with your practitioner.  You may find yourself solving more than one problem when you when you do.