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1. Article - Testosterone
Patches - The Cure for Low Female Sexual Desire?
2. Question - Lack of Desire 3 Product - Counseling and Coaching 4. Movie Review - Kinsey (currently in general release) Testosterone Patches –
The Cure For Low Female Sexual Desire? Proctor & Gamble is about to release a new drug, Intrinsa™, which is intended for women suffering from a loss of sexual desire as a result of medical or surgical menopause. The drug is being developed as a skin patch containing testosterone, a hormone that affects sexual desire in women. While there is considerable evidence that testosterone can impact sexual desire after menopause1-3, we don’t accept the idea that female sexual desire is totally or - even mostly - about hormones. A growing body of evidence - as well as most people’s personal experience - tells us that emotional connection and good communication play key roles. Our fear is that Proctor & Gamble is about to spend $100,000,000 to convince all women that the cure for low sexual desire is Intrinsa™. We fear that, since most people hope this is true, Intrinsa™ use will lead to preventable disappointments. Let’s start with some hormone science. Studies do show that testosterone can make a big difference for women who have had their ovaries removed. However, it won’t do much good for post-menopausal women who don’t have low free testosterone levels. While we’re sure Procter and Gamble is not deliberately promoting the idea that sexual desire is about hormones and needs drugs to fix it, they are certainly capitalizing on the increasing public hope that sexual desire is basically a medical issue and can be fixed with drugs or surgery, and if not that, then a new partner. Because of this, people will take drugs or get surgery and not deal with issues of turn on, communication, and personal transformation. The most one could hope for is a return to the previous state of affairs, definitely an improvement, but, for most people in long term relationships, the previous state of affairs wasn't all that great. In terms of using testosterone to stimulate sexual desire in women, the long-term effects are unknown and might prove to be dangerous. After years of promoting HRT (hormone replacement therapy – estrogen or estrogen/progesterone) to millions of women, United States health authorities have stopped clinical trials of various forms of HRT because of the dangerous nature of their findings 4, 5 and the North American Menopause Society has recommended that these hormones not be prescribed except for short-term relief of severe symptoms of menopause6. In the case of declining levels of testosterone, just because a hormone is declining from levels achieved at age 25 doesn't imply that it should (in terms of healthy outcomes) be replaced back to those levels (or even higher). The lessons from estrogen and estrogen/progestin are quite relevant in this regard. It may be years before we know about the safety of testosterone replacement, especially after natural menopause. The first good studies will likely be completed after at least five years of use of the drug. These initial studies will likely be simple case-control studies (find two groups of people; one group of 'cases' has some disease you want to study like heart disease or some kind of cancer; the other group is a 'control' with those who don't have the disease; then you look back to get the odds of 'exposure,' to testosterone.). Early case-control studies of estrogen and estrogen/progestin suggested that these medications were beneficial or at least not harmful for preventing heart disease7 and in combination even prevented uterine cancer8. Later more rigorous studies called ‘retrospective cohort studies’ often agreed with the case-control studies9. It was only when we had ‘randomized prospective trials’ that the truth (even though suggested by a few of the earlier studies) emerged10, 11. It could be at least ten years until we get to that point with testosterone, if indeed anyone even decides to study it. When Intrinsa™ is released, with its $100 million ad campaign, we strongly suspect that there will be enormous patient pressure on doctors to prescribe Intrinsa™ for all women who perceive themselves to have low sexual desire, regardless of their age or reproductive status. In order to be medically responsible, Intrinsa™ should not be prescribed for any woman until tests have been performed to determine whether she really has low testosterone levels. If the testosterone levels are low, our recommendation would be to replace testosterone at the lowest level of free testosterone in range for women in their late 30s; get tested for cancer and liver function as well as blood counts a couple of times a year; get screened for cancer as recommended; and live an extremely healthy lifestyle. And be aware that women using this patch are part of an uncontrolled experiment. Even for women whose biochemical profile and history make a strong case for the patch, it’s only a part of improving her sex life. We believe that the emotional and psychological components are still the most important aspects of female sexual desire. And let’s distinguish between sexual drive and sexual desire. One can have profound levels of desire - for emotional connection, physical contact, and erotic arousal and adventure - with minimal levels of drive. We are not born knowing how to be sublime lovers, but the good news is that that can be learned, as a reflection of love and caring for another human being. Sadly, in our culture, boys and girls are not given good information about human sexuality so as to be able to craft a rewarding sex life. We are a society full of contradictions about sex and young people are coming to sexual maturity full of fears and confusion and misunderstandings. Men are not taught how to pleasurably stimulate a woman sexually and function with beliefs that intercourse is the ultimate sexual goal and is the way to sexual satisfaction for both partners. Yet study after study shows how dissatisfied women are with intercourse alone as a path to sexual gratification, and how women’s sexual response cycles are usually much longer than men’s. It would make sense to be teaching men and women lovemaking techniques that will allow for - even celebrate - the differences in male and female physiology. Just as Viagra has turned out not to be the universal panacea for male sexual issues, Intrinsa™ will not be the "magic pill" that resolves the problem of female low sexual desire, either pre- or post-menopause. The human issues, how to love and care for another human being and be aware of and satisfy their emotional as well as physical needs, are still the most important factors. Intrinsa™ is a registered trademark of Proctor and Gamble. ENDNOTES can be found at: http://www.doctorg.com/intrinsa.htm. Hi, I'm a 25 yr old woman who has been on the pill for the past 9 years. I have no sexual interest or desire for anyone, including my boyfriend. There really are no problems in our relationship...except for the fact that I have no interest in having sex. It's just not something I ever think about, nothing from romance to porn makes me want to have sex. This has been going on for years. My doctor has given me Wellbutrin hoping that the sexual side effects would help, that was months ago and still nothing. Is there anything you can suggest? Thank you for your excellent question. I can really empathize with what you're saying but unless you actually have low testosterone, which can be tested for, Intrinsa is not the answer. There are a number of other areas where scientists are working with various neurotransmitters to see if chemistry can impact low female sexual desire. Personally, I still believe that, just like people born with physicial disabilities, it is possible to expand your potential and make better use of what we have. For you I would specifically suggest that you read Dr. Patricia Taylor's book, Expanded Orgasm or view the video, Expand Her Orgasm Tonight! Also, you and your boyfriend might want to consider having Dr. Taylor and I do an Introductory Evaluation. The cost is only $399 and well worth every penny. - Doctor G Product There are numerous indications of the dissatisfion many people feel about their sexual relationships. For example, a large number of women are dissatisfied with sexual intercourse, while men continue to experience a wide variety of erectile issues, including premature ejaculation and difficulty with obtaining and maintaining erections. Overall, many couples are not getting the kind of love, caring and intimacy they would like to have with each other in their sexual relationships. The good news is that the skills to greatly enhance sexual relationships within the context of love, caring and intimacy can be learned in the privacy of your own home through books, videotapes, DVD's and CD's. And now there's more! A new, direct and customized method for learning sexual skills is now available! My colleague, Dr. Patricia Taylor, and I, are offering evaluations of your sexual potential as a couple or single, along with recommendations for your sexual growth and increased sexual pleasure. The evaluation is comprised of an interesting questionnaire, three hours of personal phone time and written recommendations for developing your sexual potential. If you'd like to have a sex life that is truly a reflection of your love and caring for another human being, visit http://www.DoctorG.com/sexualcounselingandcoaching.htm. Kinsey ![]() (2004, Director/Writer: Bill Condon; Producer: Gail
Mutrux; Myriad Pictures) Reviewing movies about historical figures always involves at least two factors. First, there is the question of the historical accuracy of the material and whether the essence of the character is portrayed when theatrical license has been taken. The second question is whether the film is relevant to today's moviegoers - and, if so, in what ways? I found the movie Kinsey to be both true to his work and to the essence of this dedicated man. Besides being highly entertaining, it was very relevant today to an audience which had no idea who Alfred Kinsey was or how his work had impacted their lives. Anyone who sees this movie will get to experience first hand how ignorant and misinformed people were about sex when Kinsey began studying human sexuality in 1937. Examples of this were the stated belief that performance of cunnilingus would reduce a woman's fertility, as well as most of the clichés about masturbation. These seem ridiculous to us now, but before Kinsey, they were considered common knowledge. When I saw the film, the audience laughed at such misleading ideas, while becoming poignantly aware of just how much pain, suffering, and loss of intimacy this misinformation caused. Liam Neeson, a wonderful actor with a talent for humanizing historical characters, especially as tragic heroes, in films such as Schindler's List, Rob Roy and Michael Collins, is perfectly cast as Professor Alfred Kinsey. It was a brilliant stroke of genius for director/writer Bill Condon to create audience empathy for Kinsey through a series of flashbacks showing Kinsey demonstrating to his associates how to take a sex history by sharing his own. Another exceptionally inspired decision on Condon's part was to show Alfred Kinsey to the audience through the eyes of his wife, Clara, played by Laura Linney. The chemistry between Linney as Clara Kinsey and Neeson as Alfred Kinsey is magical and, through Clara's eyes, we see his extraordinary humanity as well as his dogged persistence. Trained as a zoologist, Kinsey made no moral judgments on the differences in the millions of gall wasps he studied earlier in his career. Instead, he observed and reported his observations. An appreciation of diversity in nature made him uniquely prepared to objectively study and do research on human sexuality. One of the things which differentiated Kinsey from anyone who came before him was the way he was able to put people at ease during the interview so they would disclose their innermost secrets. His associates were trained to discuss people's sex lives without any portrayal of judgment or reflection of personal sexual issues. No one before or since has been as good at doing this as Kinsey. How this is depicted in the film is a wonderful way for the viewing public to empathize with Kinsey and his compassionate aspects which are in all of us. The film also accurately portrayed how much people love to talk about and want to know about sex, if they feel free enough to ask and explore. As sexologists, we see this all the time but the film made a meaningful contribution in bringing out the natural joy about sex that people can experience, even in an age of severely repressed and misleading sexual knowledge. Towards the end of the movie two superb scenes had significant emotional impact on the audience. Lynn Redgrave, in a small part as a Kinsey interviewee, demonstrated to the audience how Kinsey, even after he was emotionally beaten down from scathing criticism, had made a significant difference in people's lives. Redgrave's character, in giving her sex history to Dr. Kinsey, showed just how far people had come in Kinsey's time in understanding that they were not alone in their sexual feelings and preferences and that they could be free of the shame and guilt that often preoccupied them because of the overall sexual ignorance of society about sex. Additionally, the scene with John Lithgow as Kinsey's father, in which Kinsey takes his father's (very reluctantly given) sex history, shows again how much suffering can be caused by cruel and unnecessary ignorance. These two powerful scenes capture the vitally important contribution that Professor Kinsey made in their lives as representative of his potent gift to all of our lives. These scenes also served to give the audience an emotional response to the mostly intellectual aspect of Kinsey's work. The second time I saw the film I had a chance to watch the audience reaction to these scenes and many people were moved to tears. The essential message of Kinsey is that knowledge is power. Freedom of scientific inquiry and the free exchange of information in the area of human sexuality are not unrelated to a profound faith in the right of all people to see, to hear, and to read material that may be essential to their growth, happiness and fulfillment as human beings. In this nation, we have taken one fundamental gamble: that in the free marketplace of thought, by the matching of ideas, truth has a better chance of winning than any other method known to man. Sadly, the struggle for sex research and education has fallen on difficult times in recent years. We are still in the relative dark ages in terms of knowledge in this most essential area of people's lives. Kinsey, the movie, emphasizes how important comprehensive sexual education is for the future and survival of humankind. Ultimately, this is the meaning and legacy of Kinsey - the person and the movie. The 'religious right' is probably going to be very upset about Kinsey. They may traipse out a lot of old, unproven rumors about how Kinsey obtained his information regarding childhood sexuality. They will probably claim that Kinsey used information from shady characters, criminals, Nazis, pedophiles, or other unsavory people. The truth of the matter is that, as a scientist, Kinsey was willing to accept written and oral data from anyone willing to reveal that private aspect of their lives. However, this did not shake his overriding commitment to the strong belief that no one ever should be forced to do anything against his or her will. The film handled this well by showing Kinsey's interview with the character "Kenneth Braun," a pedophile who represented all of the unconventional and socially outcast people with whom Kinsey had to deal in order to obtain his data. Moral conservatives dream of erasing all the gains of the sexual revolution. Instead, we need more, not less, of the kind of straightforward sexual research that Kinsey stood for. It is my hope that this movie galvanizes public sentiment, not only to greater compassion and tolerance, but for continued research and education, so that the overall quality of human life, in full sexual and intimate expression, can be potentiated and optimized. I believe Dr. Kinsey's most valuable accomplishment was that, in an authoritarian age with a rising conflict between the religious and secular segments, he reaffirmed the rational pragmatic values of experimental science in a field of human existence previously given over to dogma and fear. The work which Professor Kinsey and his associates pioneered ultimately led other researchers to a body of comparative data on the sexual behavior of all mankind that was appreciably more realistic and dependable. With openness and a natural desire to learn, American society finally began to approach the subject of human sexuality with something more than shame or feigned self-righteousness.
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