Posts Tagged ‘testosterone’

DHEA…we thought so all along

Tuesday, January 3rd, 2012 by Bat Sheva Marcus LMSW MPH PhD

A new small scale study out of Italy seemed to show that DHEA can be helpful with menopausal symptom and can also positively affect a woman’s sexual desire.

http://www.healthnews.com/en/news/DHEA-Hormone-Therapy-May-Be-Menopause-Magic/0UuHws6wf6pBU1vtwcDIcD/

So why is anyone surprised? The truth is that DHEA is a precursor hormone (or a “mother hormone” – but that title might suggest that it yells at you if you don’t clean your room and DHEA definitely does not do that!) which converts in your body to estrogen, progesterone and testosterone. So yes, taking DHEA every day is going to have an impact on your hormones. The fact that it is a hormone that is identified by the FDA as merely an “herbal supplement” is what should be surprising.

Be that as it may, for women who are suffering from the effects of low hormones, either with menopausal symptoms, low libido, dry skin or memory loss, DHEA might indeed give them relief. But keep in mind one caveat. It really and truly is a hormone. Don’t mess around with it alone too much. If you are serious about using it see your doctor, or better yet, see a specialist. Make sure you are having regular blood tests and someone is monitoring your hormones to make sure you are in a normal range and checking you regularly for side effects.

And keep your eyes out for more studies – it will be interesting to watch as DHEA comes of age.

Testosterone Treatment

Friday, October 7th, 2011 by Barbara Gross, LMSW

At the Center, we often treat women with low desire by giving them testosterone.   Whether a woman is 24 or 54, they generally fear that testosterone will “turn them into a man”. Though high enough doses can have masculinizing side effects, we use such small doses that we rarely see them. Women make testosterone just like men do and they need it to have optimal sexual  functioning. We see in women with either short or long term issues with desire that they become sexually alive in a way they had not been when they use the testosterone treatment.

I recently saw a woman who was 56, single and newly comfortable with sex toys. She came back to the Center after having been away for many months, because she had stopped  using the testosterone and she really missed having her sex drive.  She said, “my friends think I am crazy. But I had been told that if I don’t use it I will lose it.” We agree.  The more sex someone has either alone or with a partner the more sex they’ll want to have. And feeling alive in a sexual way can add to your energy level, health and overall wellbeing. So don’t think that because you are single, too young or too old you have to accept  having low desire. I have seen over and over again that women who lack desire generally don’t feel as good about themselves. This patient was an inspiration – everyone deserves a good sex life at every age, and if you aren’t having one we can help you create one!

Testosterone Loss for Dads

Tuesday, September 20th, 2011 by Bat Sheva Marcus LMSW MPH PhD

The New York Times recently had a really interesting article on a testosterone study done on men. The study reported that testosterone in men who became fathers was lower than single men, and the more time men spent with their children the lower their testosterone dropped. WOW!

So if I were a guy, my immediate natural reaction would no doubt be  “argghhh. No way am I spending more time with my kids. I need my testosterone.”  And I’m assuming that was other people’s reaction because, under the header of “me thinks the lady doth protest too much,” the Times argued mightily — but frankly illogically —that the conclusion should be different. “The real take-home message,” said Peter Ellison, a professor of human evolutionary biology at Harvard who was not involved in the study, is that “male parental care is important. It’s important enough that it’s actually shaped the physiology of men.”

Huh?

That strikes me as a rather illogical conclusion. If men’s bodies changed before they had kids and that made them want to stay home with the kids, one could make that argument, but this sounds more like biology follows the decision. Once a man has decided to become a father, his body shifts to support his decision. But that’s  a lovely thought on its own so I suppose I shouldn’t split hairs. I love the idea that biology will help support your decisions, like a woman who decides to become a mother and becomes pregnant, her  body shifts and changes to make that possible. These changes in men are obviously more subtle, but seem similar. Especially since the males with higher testosterone were most likely to find a  mate and get married. “Scientists say this suggests a biological trade-off, with high testosterone helping secure a mate, but reduced testosterone better for sustaining family life.”

Much more interesting to me is the fact  that the study “suggests that men’s behavior can affect hormonal signals their bodies send, not just that hormones influence behavior.” Hell yes!! Once more we are seeing the fine line between what we think of as “in your head” and “in your body.” So hormones work both ways and testosterone is affected by our behavior. How great for us to see in studies what seems clear to so many of us in this field. When you’re having more sex, you want more sex. When you meet someone new, something hormonal shifts and your gears are up and running.

As we understand more and more about hormones, how our behavior affects the hormones and how the hormones affect our behavior, maybe some of the mysteries of the world (why, for example, my husband can’t multitask) will be answered once and for all.

Testosterone: The Most Misunderstood Hormone

Friday, June 17th, 2011 by Barbara Gross, LMSW

I have spent a lot of time in the last few months analyzing testosterone research.  The bottom line is we all need it for healthy sexual functioning.  Men and women both make it and men and women both need it to have healthy sexual functioning.  If either group does not have enough testosterone, his or her libido will probably decline. So we have found replacement Testosterone is one of the best ways to treat low desire.  Obviously men and women needs different amounts but ultimately they both need to have it circulating in their bodies for optimal health. Women always ask if they will start to see masculinizing side effects. Though there are some slight side effects, we do not generally see that.  In fact, what we see is improved sex drive and an improved sense of overall well being.  The research supports our experience that using Testosterone improves desire. I have seen plenty of published research and a lot of women we have treated report its efficacy in improving low desire.

The question is whether or not there is a risk to taking it. In the past estrogen has been linked to breast cancer. And testosterone and estrogen have a similar molecular structure.   After many months of reviewing the most recent literature I would say that we cannot definitively say there is no risk. However we can say that there does not seem to be a strong risk. All medications have a risk. All pharmaceutical companies must print warnings on the bottle or package because every individual’s body is unique and medications affect everyone differently. Every individual brings a different background to the decision and history and genetics all play a part that I think is important in the decision making process. What i would say is if you are suffering from low desire, there are lots of things that can be done to help improve it, and Testosterone is one of them.

Embracing the Masculine and the Feminine

Monday, March 7th, 2011 by Barbara Gross, LMSW

I recently heard a lecture about the history of  sexuality. The lecturer  said he thought the greatest lovers of all times had a strong mix of masculine and feminine qualities. He cited Catherine the Great, Cleopatra, Marc Antony and Casanova. The men possessed a strong feminine side and the women a strong masculine side.
 
At the Center we see the crucial role that testosterone, a hormone generally associated with masculinity plays in the female sex drive. Testosterone is naturally produced in a woman’s body and it is actually necessary for optimal female sexual functioning.  I have seen that this hormone is actually necessary for women to experience desire and arousal.  And when it is low there is a lot we can do to help women to increase the levels they have within their bodies.
 
Another interesting aspect of the male/female duality is the comfort one has with themselves as a sexual being. At the Center we often see women feel guarded or afraid about being a sexual person. Sometimes women feel afraid to explore their sexuality. They may have gotten messages that being sexual is too male or unseemly. They may have gotten religious or familial ideas that sex is bad.  I want to encourage everyone to challenge these ideas. Women who embrace their sexuality and their desire tend to feel better about themselves. As a society we need to empower women to feel good about their sexuality and we can certainly begin one woman at a time.

Oh What a Difference Some Testosterone Makes!

Thursday, April 15th, 2010 by Bat Sheva Marcus LMSW MPH PhD

A female patient just told me the following story. She thought her husband of 15 years was having an affair. He hadn’t been acting suspiciously or working late. He just was less demonstrative, less loving and seemed way less interested in sex. They  had always enjoyed a fun sex life. He usually initiated sex but sometimes she did as well and they would have sex about twice a week. Now he never initiated and when she did, he acted pressured or distracted. If she didn’t initiate two weeks could go by without having sex. She was confused and hurt and so, so sad.

 She finally approached him and asked if he was having an affair. He was stunned and assured her that he loved her as much as always – but when she pointed out to him that their sex life had dwindled to nothing he seemed even more stunned. She was right and he somehow hadn’t noticed. He was pretty shaken up and tried after that to be more interested in their sex life, but it was a chore and it showed. We suggested that he see Dr. Werner and after a few months of gentle prodding he did go. Low and behold… he had low testosterone. (I could have told her that!)

 Well, he’s been on testosterone now for 4 months and she said he’s a changed man. He is initiating and they are back to having fun sex. Even more, the teasing and the playfulness has returned to their marriage. They are both so much happier. Her face lit up as she told me this story. And once again, (I know that sometimes I sound like a broken record,) the sex has made such a big difference in so many aspects of their marriage and their lives!

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.