How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44419
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

I am a 65 year old woman, 3 years into a sexually active 2nd

Resolved Question:

I am a 65 year old woman, 3 years into a sexually active 2nd marriage, and my libido has
completely disappeared. I can achieve orgasm regularly but I'm just not interested in or bothered to initiate in sex activity, which is upsetting to my very loving husband. About 15 years ago I was told that I had zero DHEA (whatever that does) by an endocrinologist which appeared to be familial (my female cousins had the same problem). I have tried HRT in the past years but ended up having bleeds and also putting on 3kg almost immediately. I think maybe I have very low testosterone too as I very rarely have to shave my legs or underarms. I currently take Vagifem (10mgs pessaries) twice a week together with Replens twice a week to combat dryness. Is there anything which will help me to regain my former libido? I love my husband very much and have no emotional problems do believe the problem is physical/endrocinological.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.
This is Dr. David

the most common agent used for women to improve libido is testosterone.

several studies showed that 300 mcg/day testosterone patch increased sexual desire and frequency of sexual activity and was well tolerated and presented few side effects

North American Menopause Society's position statement about testosterone therapy in postmenopausal women states that transdermal patches and topical gels or creams are preferred over oral products because of first-pass effects which make the testostserone more effective at lower doses

oral testosterone is generally not well absorbed and does not result in measurable blood levels of the hormone

1% testosterone gel Androgel for the treatment of low libido in women is being studied in the US but has not gained FDA approval yet.

it can be difficult to obtain androgel for women in the UK.

you can talk to your doctor about this option and see if they will be willing to prescribe this for you for you to pay out of pocket for topical testosterone to help improve libido. you might have to find a private endocrinologist or gyn doctor to prescribe this for you

let me know if you have other questions.
Customer: replied 3 years ago.

Does taking topical testosterone require oestrogen to be taken at the same time? Does it cause problems like body hair and a deep voice?

Expert:  Dr. David replied 3 years ago.
with low doses of topical testosterone, there are risks

there are small risks for blood clots and hair growth and acne.

it doesn't require you to take estrogen.

it shouldn't affect your voice.
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44419
Experience: Board Certified Physician
Dr. David and 3 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions