Estrogen is vital to women’s proper sexual functioning. There are three major estrogens in the body: estrone, estriol, and estradiol. Estradiol is the most potent of the three. Women’s major source of estradiol is the follicle, or eggsac, of the ovary. When these follicles are depleted at menopause, when the ovaries are removed surgically, or when their function is destroyed by chemotherapy or radiation, women often experience a tremendous loss of sexual desire and other changes to their sexual functioning.
To replace this important hormone, women can use a vaginal lubricant, as well as estrogen vaginal creams, oral supplements, or skin patches. A new form of replacement estrogen is a silicone ring called the Estring, which resembles a diaphragm and releases a small amount of estrogen daily. This ring can even stay in the vagina during intercourse and release estrogen only to the ovarian tissue. Good enough, there is an increasing variety of preparations now available, so that each woman can decide what to use: a patch, a pill, a cream, or even nothing at all. Your comfort and your body’s requirements are vital in making your choices.
The Power of Testosterone
Often referred to as the hormone of desire, testosterone has the power to make us feel sexual and lusty. Sexually, the presence of testosterone is not only linked to sexual desire but also to feelings of well-being and a sense of energy in men and women. When we don’t have enough testosterone, we often feel sluggish about sex or lose interest in it completely.
Testosterone And Men
When testosterone levels are high or adequate, men feel alive, vigorous, and sexually turned in and frequently turned on. However, testosterone, which is produced by the testicles, decreases gradually and variably with age. At low levels, not only can the male experience diminished libido but also difficulty attaining an erection. Of course, this is not the sole cause or even the most frequent reason for loss of erections, but measuring levels of testosterone in the blood or saliva is an important step in understanding any kind of erectile problem. Since testosterone cannot be readily absorbed through the stomach in pill form, skin patches and creams are applied to hairless areas of a man’s body, such as the back, abdomen, and buttocks.
Medical Side Effects
It is important to keep in mind that the replacement of testosterone requires a careful analysis of the libido and erectile problems. Because testosterone can stimulate prostate growth, an evaluation of the size of the prostate as well as a measurement of the PSA (prostate specific antigen) are necessary before this hormone is given to a man. Another concern is the correlation of testosterone with levels of cholesterol in the blood. This is also true of liver function; your physician may recommend a liver function test before any hormonal treatment takes place.
Women do produce testosterone, but some begin to lose it even before menopause. When this happens, they not only lose interest in sex but also decrease sexual responsiveness. They complain of clitoral numbness, atrophy, and difficulty being orgasmic. Possibly, something else in her body may be responsible for her loss of sexual desire too.
OTHER Side Effects
The side effects in women are mild compared to those in men: acne, edgy moods, facial hair growth, or blood cholesterol changes.
Progesterone: An Important Balance
Progesterone is produced in a woman’s ovary by the eggsac that is left behind after a ripened egg has erupted at ovulation each month and prepares the uterine lining for the fertilised egg that will have no place to implant after its trip down the fallopian tube from the ovary. Lack of progesterone is often one cause of infertility in women.
Thus, if there’s no fertilisation, the progesterone production is quickly exhausted. What is important for women is to maintain a healthy estrogen/progesterone balance.
Importantly, while taking any hormonal replacement is a very personal decision, I counsel that it be done with a trusted physician or gynaecologist.
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