GynoFiles

Vyleesi Is the Newest Medication For Female Libido Enhancement   Females have more trouble with libido and desire than they do with arousal and orgasm, a low desire medical condition called hypoactive sexual desire disorder that occurs in 10% of all women prior to menopause. Although male desire is often simultaneous with erection, females need to have their interest piqued before they lubricate and physically desire sex. This is why Viagra and Cialis are effective for males, but physiologically not designed for female sexuality. So the ‘Pink Pills’ have to work on a unique pathway that involves the brain, not the vagina, where as Viagra and Cialis stimulate the penis before the brain. Vylessi is the newest Pink Pill to win FDA approval.   Addyi was the first medication to be approved for low female libido. There are a few non-FDA approved herbal medications that have shown some promise, but in most studies they didn't out perform placebo. Dr. Tru...

Trying for pregnancy should be fun and relaxed, most couples manage quite well without a lot of plotting, tools or technique. Statistically between 50 and 60 % of couples are pregnant after 6 months of trying. One of the first questions many gynos get: is 'do I need to lay down for a certain amount of time after we have sex to maximize the chances I will get better? Or can I still quickly run to the bathroom? Or do I need to put a pillow under my hips?! To answer the question of what is the best way to get pregnant regarding whether you need to rest in bed after sex in order to enhance getting pg  Dr.Coroday and collaborators from the University Hospital in Nancy France reviewed the information from 176 medical reports to come to the conclusion that yes, laying back improves your odds of getting pregnant, but by just a bit. It will increase pregnancy rates by about 60%, whether the couple was having sex, or getting inseminated. But the studies were not large and didn't last v...

Physicians don't like to talk about sex, and they don't like to talk about diet, and few have recognized the now proven link between metabolic syndrome and sexual woes. In a study of post menopausal women, done at the University of California San Diego, there was a clear link between heart heatlth, specifically those with metabolic syndrome and sexual dysfunction. We aren't exactly sure why this would be. But circulation to get our 'juices flowing' and nerve function for o, and enough power of metabolism to get the smooth muscles contracting, are all part of proper sex. Without thees physiologic capabilities you will function poorly in bed! Metabolic syndrom e is a condition that raises the risk of multiple disease and death rates from heart disease, stroke, and diabetes. You only need 3 out of the following criteria to have this syndrome.  Waist over 35 inches, or over 31 inches in an Asian Triglycerides greater than 150 Fasting Blood sugar of over 100 ...

There is no fix if you don't even bring up your incontinence problems with your gyno.  Dr. Elaine Waetjen of the University of California Davis School of Medicine, Sacramento, and colleagues evaluated 9 years of data of yearly check ups from the Study of Women’s Health Across the Nation (SWAN), a multicenter, multiracial/ethnic, and multidisciplinary longitudinal study of women ages 40 to 55 at baseline. Over 60% of the women with incontinence said that they never brought the topic up and that they just thought it was 'a normal part of aging.' The researchers emphasized that it's important for the gynos to bring it up, as these problems can be disabling and yet curable if a woman works with her health care provider. . These problems are rampant at least 30% of women in reproductive age have urinary incontinence, and by age 72 over 70% of women have this. There are specific types of urinary incontinence, including urge, stress, or mixed incontinence. Very few ...

Childbirth can cause many pelvic floor changes, that will heal, but sometimes need attention to make sure the healing is proper and doesn't cause problems with your sexuality. Between a quarter and a third of women report painful sex after having a child. Unfortunately this is one area of gynecologic care that has not been well studied or much attention given to how to avoid these problems. Basically your gyno gives you the green light to begin to have sex, and not much more information. Some of the main reasons for painful sex after childbirth are: tears, breastfeeding, and episiotomy. Circulatory problems may cause painful sex after childbirth as well. If the trauma of compression, or the location of tears. This can lead to difficulty with dryness, arousal, or painful sex. This condition is more typically caused by conditions other than childbirth. It is termed clitoral and vaginal vascular insufficiency syndromes. Due to poor blood flow from some very complex network of blood v...

When you show up for your first prescription or a renewal of your contraceptive method, your health care provider is likely to check your pelvic exam, see about any bleeding and review with you the effectiveness of your contraceptive method. What women really want to know, based on a study from the University of Utah is how your contraceptive method is going to affect your sexual experienced. Actually some of this research has been done on males. Males are much more likely to use contraception if it doesn't affect their penile erections, their sexual feelings, and their overall sexual performance. The study in Utah was undertaken and reported in November issue of OBSTETRICS & GYNECOLOGY after studies from Europe and the Middle East actually showed improvement of sex drive in women using IUDs. Since some women have a fear of getting pregnant if they are not protected against pregnancy, many women will report a better sexual experience as they can 'let go' more easily....

When you see your gyno it's important to be able to discuss the issue of sex: not just sexual risks and STDs (although you definitely need to discuss that); but the whole topic: your libido, your arousals, your orgasms, your partner relationships, your cycle and sex, any pain, any prior unwanted sex,it's all important and all of these concerns may relate to the use of birth control pills. Gynos love to look at hormone levels, and in turn, we love to try to tag our sexual behavior to specific hormones, lack of hormones, or lack of effective hormone levels. To the extent that oral contraceptives can alter our sexual hormones, being on the birth control pill might affect how your sex life is. A study attempted to be the first to look at how sexual function was on birth control pills and it was just published on line. Overall women did not have adverse effects on their sexual function although when researchers looked specifically at desire, arousal, and pleasure which all decreas...

Prostate cancer is the second most common cancer in men. In the US screening by testing the PSA level has led to early diagnosis and fewer prostate cancers been found in advanced states. And now it has been reported at last year's annual meeting of the American Urological Association (AUA), was published online March 29 in European Urology that frequent ejaculation can lower risk of ever getting prostate cancer.  Although definitive proof of prostate cancer protection still needs to come in subsequent studies as a mere association may not prove that extra ejaculations are going to prevent disease consistently.  For men who want to improve their sex life and increase pleasure the P shot can do just that. The Priapus shot , or P shot, is provided by specifically trained clinicians to improve male sexuality. The P shot is a treatment using Platelet Rich Plasma (PRP) to enhance male sexual performance. The shot is also reported to be successful in enhancing sexual feel...

MonaLisa Touch: The Issue of Vaginal Symptoms Even with the passage of time, many women still retain their youthful energy and enthusiasm, but post-menopausal changes can affect a woman's quality of life in unexpected ways. Hormone replacement therapy may not be the best option for many patients, as treatment outcomes can be uncertain. Now there is an alternative therapy for those who are unable to undergo other treatment options for the vaginal and sexual changes that occur due to perimenopause and menopause. What is the MonaLisa Touch? MonaLisa Touch is a medical laser that delivers controlled energy to the vaginal tissue to revitalize the cells in the vaginal mucosa (vaginal tissue) so that these cells make more collagen, an essential ingredient in vaginal cell health. How does it work? MonaLisa Touch implements CO 2 laser energy that is delivered via side-firing probe inserted into the vaginal canal. A two-part pulse targets surface (epithelial) tissue and dee...

Sex can help us feel better, lose weight, get closer as a couple , and some studies have even linked sex to better sports performances. But there is a new trend in self realization that takes into consideration how you actually feel about those 'parts.' Medically the term has arisen, a bit graphically termed, Genital Self Image is those self-definition, self-attitudes and feeling which arise from interactions and experiences which directly or indirectly involve...well your genitals. Some have defined genital self image as the way a woman feel about the size, shape, odor and function of her genitals. Of course some of these sensitivities may be well grounded: you are healthy, you know it and you express it it. Or perhaps some of the feelings are not well grounded: you think there is something wrong, and in fact your just need reassurance from your gyno that there really is nothing wrong. Bottom line, in the bedroom or in the boardroom: If you feel good about yourself you will...

Planning a pregnancy? Just how tight is your window, between those big work projects, your cousin's wedding, the bro trip he insists on, and then all the other things you are mulling over: the best birth date for astrology, the Indian calendar, or for setting swim records? There is a lot to consider, and the first question for your gyno is just what is going to get me pregnant the fastest. Her first question back, is lets get you the healthiest you can be, when should we stop contraception, are your vaccinations up to date, and lets get your nutrition bested, but all that medical fuss aside, eventually you just need to get down to sex. And the question is, really? Just sex, or sex aided by a bit of infertility treatment boost? Missionary position? Extra deep penetration? Sex with someone skinnier to get deeper penetration? Do you need to have an orgasm to get pregnant? Laying still for 15 minutes after sex! Conception Configuration: Best Position(s) For Conception 15 minutes ...

Vaginal discomfort can be one of the most bothersome conditions for a woman. itching, burning, urinary frequency, they are all related, and can all be fixed without medication. Vaginal dryness is one of the most annoying symptoms of menopausal change and aging. We encourage women with this symptoms to first get an exam. This can help you determine if there are any medical conditions that need prompt evaluation and therapy: infections including yeast , pre-cancerous changes, skin conditions or moles, or even sexually transmitted infections, all of which can present as new onset vaginal dryness. Estrogen works to treat the vaginal changes that occur in menopause. For some women there are only minor symptoms, others have bladder symptoms, recurrent urinary tract infections, stress incontinence, painful sex, irritating dryness or itching. Women who have these symptoms in menopause, and now is more accurately called genitourinary syndrome of menopause.  It is commonly caused by the thi...

Do you wonder if you have sexual health. Unlike other health concerns, it's not merely the absence of problems or disease that means sexual health. The World Health Organization defines sexual health in a very comprehensive interesting way, although this is not necessary for health, it is complex to be sexually healthy. The World Health Organization, in collaboration with the World Association for Sexuality actually defined sexual health   began looking at sexuality together since 1975. And the WHO issued a definition of sexual health as “a state of physical, emotional, mental, and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity.” The statement goes on to say, “Sexual health requires a positive and respectful approach to sexuality and sexual relationships as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence. For sexual health to be attained and mai...

Oxytocin is a peptide hormone produced in the hypothalamus section of our brain and most women know it as a medicine that is used to bring on contractions. But it has been called the hormone of love as wel l. So in a new study they looked at whether the hormone of desire could produce better sexual function as well. In the Karolinska Institutet, Stockholm in women with symptoms of vaginal atrophy such as vaginal dryness, pain, itching, discomfort and bleeding during intercourse were treated with vaginal oxytocin for seven days. A s with treatments such as estrogen, Osphena, and the MonaLisa Touch treatment there was significant improvement in the health of the vaginal tissues including more of the healthy superficial cells rather than the atrophic basal cell layer. This was a well tolerated treatment and with this study of just one week there were no significant side effects either. It is still a medication with potential systemic effects however, and most women when asked w...

For women on an IUD sex drive changes are often reported, and there may be a biological basis for those on hormonal IUDs, of which now there are three: Mirena, Skyla, and Lilleta. We have already discussed relationships between the levels of testosterone and a woman's sexual function in a prior post.   Women on OCs (oral contraceptives, birth control pills) have a known decreased levels of male hormones due to suppression of their hormones naturally made by their ovaries. We take advantage of that fact, and it is a bonus non-contraceptive effect of the pill , that when using OCs to suppress ovarian male hormones this treatment therefore helps to control acne, PMS, heavy bleeding, menstrual cramps as well as other hormonal symptoms such as breast pains. But a disadvantage of this is that some studies have reported that the suppression of testosterone by OCs also suppress sexual function and desire. We know that even aging changes our male...

Non-hormonal vaginal health is the current buzz word. While estrogen therapy is fast, effective and safe for vaginal health through perimenopause and menopause, and the SERM Osphena appealing because of the benefits beyond vaginal health, it's the alternatives that are gaining traction current. The most shocking news yet is the finding that SSRI treatment can be beneficial for vaginal health. Since the introduction of Prozac, a medication that alters serotonin for the treatment of depression, there has been an expansion of the use of all of serotonin modulators for the treatment of a variety of conditions including sexual function, smoking cessation, and pain syndromes. When used in a study of hot flash treatment it was found that a short eight week course venlafaxine improved the vaginal dryness and pain of intercourse of sex and that it was even better than low dosage estrogen in this trial. Just improving mood and having more sex is also beneficial for vaginal health, so do no...

meadow rue No one has patience when it comes to weight loss. Pounds seem to come on rapidly, and once we get in the mindset to get on with serious weight loss we all can fall prey to wanting it to occur quickly. But faster is not always better when it comes to the exact pace of weight loss.The best diets are enhanced in their weight loss by exercise. So get off the couch: you are only burning one calorie per minute, and do something energetic! Some calorie burn your fit bit isn't necessarily tracking: sex, that burns about 5 calories a minute. Exercising off the weight is a healthier way to do it, exercisers with a modest diet are not as likely to get into ketosis. Dieters who get into ketosis, which is the end metabolic consequence of too low a calorie count and too low a carb consumption put themselves at risk of harm. Long term they may find trouble with high blood lipids, and impaired immunity due to their white cells called neutrophils to not function, vision problems due...

Sex is still a fascinating, expressed very much individually, and the subject of lots of discussion. Sexual arousal and orgasm disorders have been given new names, and the never ending G spot discussion had a new 8 women study to prove it exists (although it's off to the side more than we thought in some of us). We've had more sexual discussion in the past weeks about our clitoris than in the many generations before us. The Huffington post editors have admonished us as a society, and us as the medical practitioners as being in need of some serious clitoris education , specifically they are saying we need more clitoracy. Although I graduated medical school, well, lets just say a very long time before this date, it has been said that whatever I thought I dissected in all the anatomy and cadaver classes prior to 1998, was wrong, because it wasn't before 1998 that the true anatomy of the clitoris was accurately revealed. With this newer description all types of new terms an...

Sex is definitely healthy and now and then it needs to be spiced up. So after you watch the 50 shades premier, and are thinking new sex moves, maybe you want to know your gyno's opinion on the medical considerations before you pick your passion. Sex toys are definitely one way to spice up your sex life, and sex toy stories.seem to be abounding. No need to wonder where to get them, as you can buy them at tea parties, in your spa catalogs, at your gyno's office or local pharmacy, women are enjoying options for sexuality that they never had before! Sex toys are often recommended by gynos. They can be very successful dilators, they can bridge gaps between partners or when your partner is on a trip, they can help with Kegel's exercise, just to name a few obvious benefits. Vaginal dilators are prescribed by gynecologists for chronic infections and vaginal pain with intercourse, for women with bladder pain conditions, for women with lichen sclerosus and for women with ...