Female Sexual Dysfunction and Hormone Management

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Key Takeaways

 

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Objectives

 

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Foundations of Female Sexual Function

 

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Types of Female Sexual Dysfunction

 

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Pelvic Floor Muscles

Regional Anatomy: Superficial Pelvic Floor Muscles

Regional Anatomy: Deep Pelvic Floor Muscles

Side by side view of both layers

 

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The "CORE"

 

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Pelvic Health Evaluation

 

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Pelvic PT and Painful Sex

 

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Pelvic PT and Hormonal Shifts

Hormone Management in FSD

 

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Key Takeaways

 

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Hormone Influence on the Pelvic Floor

Declining Hormones on the Pelvic Floor

 

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Hypoactive Sexual Desire Disorder

 

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Testosterone Levels in AFAB

Testosterone Changes in AFAB

Testosterone Therapy

Free & Bioavailable Testosterone calculator
Sweet spot cFTV 0.6-0.8 ng/dL

Free & Bioavailable Testosterone calculator

Testosterone Therapy Options

 

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Subcutaneous Options

* Compounded Testosterone Enanthate/Cypionate 10 mg/mL

- Inject SQ 0.2 mL-0.5 mL once weekly

- Out of pocket expense

 

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Avoid supraphysiological levels (>150 ng/dL)

* Permanent changes --->clitoromegaly and voice deepening

 

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Female Sexual Arousal

Testosterone for Female Arousal

 

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Female Sexual Orgasm

Testosterone for Female Orgasm

 

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Key Takeaways

 

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post #5 (Go nuts!)

Thread 'Therapeutic options for treatment of Female Sexual Dysfunction'

Apr 18, 2022

Medical Treatment of Female Sexual Dysfunction (2022)
Rossella E. Nappi, MD, PhD, Lara Tiranini, MD, Ellis Martini, MD, David Bosoni, MD, Alessandra Righi, MD, Laura Cucinella, MD


INTRODUCTION

A sexual problem associated with personal distress in women qualifies as a female sexual dysfunction (FSD).1 Although sexual symptoms are quite common across the life span, “true” dysfunction is less prevalent because many biopsychosocial determinants influence attitudes to report distressing problems with desire, arousal, orgasm, or experiences of sexual pain.2...

• madman
• androgens estrogens Fsd Gsm Hssd
• Replies: 17
• Forum: HRT in Women

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Thread 'What is Female Sexual Dysfunction, and What Can I Do About It?'

May 10, 2026

In this interview, Dr. Amy Pearlman explains genitourinary syndrome of menopause in a clear and practical way. Genitourinary syndrome of menopause is a chronic condition driven by estrogen deficiency after menopause and can present with vaginal dryness, burning, irritation, pain with sex, urinary urgency, frequency, and recurrent urinary tract infections. It is extremely common, yet often underdiagnosed and undertreated.

Dr. Pearlman also reviews non hormonal treatment options, including lubricants, moisturizers, and pelvic floor physical therapy, which can...

• madman
• Estrgen/testosterone hrt menopause sexual health
• Replies: 2
• Forum: Health & Wellness