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“You can get past the dead end. You can break through the ceiling. I did and so have countless others.”

Clinical Pearl Wednesday #50

This pearl comes directly from the co-author of the Women’s Health and HRT Clinic Course: Danielle Hawkins, APRN, Owner of the Aphrodite Virtual Women’s Sexual Health Clinic!

Do you have a woman in your office complaining of loss of sexual desire or libido? If not, do you even ask about this?  

Studies show that less than 10 percent of providers ask women about sexual satisfaction and that an overwhelming amount of women WANT YOU to start the discussion. 


Once you’ve had the discussion, ruled out hormone imbalance and any medications or illnesses that could be contributing to her desire issues, consider if she may have a sexual dysfunction condition called Hypoactive Sexual Desire Disorder (HSDD). 


HSDD is the most common sexual dysfunction condition in premenopausal women. You should suspect HSDD in women who have experienced a decrease in overall sexual desire for greater than 6 months, who do not have other associated factors like medications or relationship issues, and who are feeling significantly distressed from their lack of desire.

Guys, this isn’t something to brush over, many women contribute their desire issues to problems in their relationships and even their divorces or depression issues. Women WANT to enjoy their SEX LIFE. Its critical to their overall health and well-being!

There are two medications that are FDA approved for HSDD.


Addyi- (Filbanseran) given nightly. It cannot be taken at the same time as alcohol and can take up to 8 weeks for the woman to feel effectiveness. In studies, it has shown to improve both desire and reduce distress.


Vyleesi (bremelanotide) is an “as needed” subQ injection given 45 min prior to intercourse. It should not be used in women with cardiovascular disease or uncontrolled hypertension. Studies have shown significant increase in desire, arousal & orgasm and it has been studied in both straight and lesbian women with similar results. It even works in men for ED!

For more female specific clinical pearls, training, and instruction, check out the Women’s Health and HRT Clinic Course!

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