Women experiencing moderate to severe symptoms of Hypoactive Sexual Desire Disorder (HSDD) are primary candidates. This includes women aged 18 and older consistently experiencing low libido impacting their sex life and relationships for at least six months. A proper diagnosis from a healthcare professional is crucial before considering treatment.
The medication flibanserin, currently the only FDA-approved treatment for HSDD, is prescribed to premenopausal women who haven’t found relief through other methods. It’s important to understand that flibanserin isn’t a “quick fix” and requires consistent use to show effects. Your doctor will assess your medical history, including current medications and potential interactions, before deciding on the appropriateness of this treatment.
Certain medical conditions or medications might exclude women from using flibanserin. These include severe liver disease, low blood pressure, or the simultaneous use of certain antidepressants. Open and honest communication with your gynecologist or primary care physician is vital for determining whether flibanserin is a suitable option for you. Remember, various factors influence sexual desire, and exploring these with your healthcare provider can lead to effective solutions.
Understanding Flibanserin: Eligibility Criteria for Female Sexual Dysfunction
Flibanserin is approved for premenopausal women with acquired, generalized hypoactive sexual desire disorder (HSDD). This means the low desire must be a recent development, not lifelong, and affect all or most sexual encounters.
Key Eligibility Factors: Women must experience significantly reduced sexual desire causing personal distress. This distress should be documented by a healthcare provider through a thorough evaluation including a detailed history, physical exam, and discussion of other contributing factors. Prior treatment attempts for HSDD might be considered.
Exclusion Criteria: Severe hepatic impairment, uncontrolled hypertension, or concurrent use of strong CYP3A4 inhibitors (like ketoconazole) precludes flibanserin use. Women with a history of syncope (fainting) or severe orthostatic hypotension should also be excluded.
Before Starting Treatment: A physician will perform a complete medical history review and assess for possible underlying medical or psychological conditions contributing to HSDD. They’ll also discuss potential side effects, which commonly include drowsiness, nausea, and dizziness.
Important Note: Flibanserin is not a “quick fix.” It requires consistent daily use, and its effect on sexual desire may vary. Open communication with your doctor about your experience is vital for determining if flibanserin is the right option and to adjust treatment as needed.
Beyond Flibanserin: Other Treatments and Options for Women with Sexual Dysfunction
Consider seeking a thorough medical evaluation. Your doctor can identify underlying medical conditions contributing to your sexual dysfunction, such as hormonal imbalances, diabetes, or cardiovascular disease. Addressing these issues directly often improves sexual function.
Hormone replacement therapy (HRT) might be an option if hormonal deficiencies are identified. This should be discussed extensively with your doctor to weigh the benefits against potential risks. HRT aims to restore hormonal balance, potentially improving libido and vaginal lubrication.
Lifestyle changes significantly impact sexual health. Regular exercise, a balanced diet, and stress reduction techniques (like yoga or meditation) can boost overall well-being and improve sexual function. Quitting smoking and limiting alcohol consumption are also crucial.
Various medications, beyond flibanserin, might be prescribed. These include medications to treat depression or anxiety, which can sometimes negatively affect libido. Your doctor will carefully assess your specific situation and determine suitability.
Counseling, particularly sex therapy, offers a valuable approach. A therapist can address emotional or relationship issues impacting sexual desire and function, providing strategies for communication and intimacy.
Vaginal lubricants and moisturizers can alleviate discomfort and improve sexual experience, particularly for women experiencing vaginal dryness. These are readily available over-the-counter.
Devices like vibrators or clitoral stimulation devices can enhance arousal and pleasure. Explore these options to find what works best for you.
Remember to openly communicate with your healthcare provider about your symptoms and concerns. They can guide you toward the most appropriate treatment plan based on your individual needs.
