Love Is In the Air
As the days finally grow longer and with Valentine’s Day approaching, romance is in the air. Ideally, sexual fulfillment should improve with age but alas aging, hormonal decline and illness can blunt sexual responsiveness.
Women’s Sexual Health
Many authors have opined over the years that the female sexual response is a complicated issue. However, aside from obvious human interpersonal relationship problems, sexual desire in both sexes is regulated by hormones and neurotransmitters.
The adrenal glands sitting on the kidneys are the stress glands. If one doesn’t sleep or is under lots of stress it can cause an outpouring of adrenalin into the body. This is the fight or flight hormone and doesn’t cause people to feel very sexy and can cause fatigue and exhaustion. Progesterone, an adrenal hormone can block adrenalin and promote calmness and sleep, especially the stronger professional grade. Bioidentical progesterone is available at 50 mg per pump and rubbed on the inner arms and wrists. It promotes relaxation in three to five minutes in most people and returns them to sleep promptly and also improves energy.
Testosterone is the sexual desire hormone in both sexes and women make 50% of their testosterone in their adrenal gland. Again, stressed out adrenals don’t help a woman’s desire. Giving a female appropriate-dose testosterone replacement at about 1/5th or 1/10th the dose for a male, rubbed on as a cream, can be very helpful to restore lost libido. Too much can cause acne and facial hair.
DHEA is an adrenal hormone and can help with energy, libido and immune functioning. Given orally at 10 mg to 25 mg once or twice per day it is a precursor to testosterone which is the most direct libido component. It only helps libido in women.
Menopausal issues such as vaginal dryness can be reversed with bioidentical biest cream administered vaginally. It contains 80% estriol and 20% estradiol and, when balanced with progesterone is very safe and helps prevent osteoporosis and depression as well. Transdermal (skin application) estrogen patches may be necessary to control severe menopausal symptoms. Estrogens should never be taken orally as it leads to increased risk of heart disease and blood clotting and transdermal does not.
Men’s Sexual Health
Men’s testosterone levels decrease by about 3% per year after age 30. The blood tests for testosterone levels run from 350 to 1200 and we think it is better to be in the upper quartile rather than the lower quartile. Even young men in their thirties are frequently low in testosterone. Topical, bioidentical testosterone is very helpful to restore normal levels and enhance libidos. Recent studies on testosterone have revealed that supplementation is very safe and reduces the risk of heart attacks, strokes and all-cause mortality by 50%1. It also improves mood, muscle mass, bone density and doesn’t cause prostate cancer2, 3.
In the last few years we have enjoyed Pandan, a combination of 15 herbs from the Philippines which promote a notable increase in erectile function. Men take one or two per day and two or three more, two hours before intimacy. We call it Viagra light. It is all herbal and has no side effects, except it very rarely lowers blood pressure.
Oxytocin is a human hormone which is increased in women around childbirth to promote uterine contractions and bonding with the baby. It also elevates around loving relationships and orgasms. It can be applied topically before intimacy and is good for orgasms in both sexes. Called the “cuddle hormone” it is a recognized love hormone.
- Morganthaler, A et al. Testosterone Therapy and Cardiovascular Risk: Advances and Controversies. Mayo Clin Proc. February 2015; 90 (2): 224-251
- Morganthaler, A. Testosterone and Prostate Cancer. An Historical Perspective on a Modern Myth. Eur Urol. 2006 Jul 26
- Ahmed Haider et al. Incidence of Prostate Cancer in Hypogonadal Men Receiving Testosterone Therapy: Observational Studies in Follow Up of Three Registries. The Journal of Urology, Volume 193/ issue 1(January 2015) 11