Hormone Replacement for Women: Physician Information on “Libido”
Dear Doctor and Health Professionals:
A past episode of “Oprah” featured Judith Reichman, M.D., a gynecologist who teaches and practices at Cedars-Sinai Medical Center in Los Angeles. Dr. Reichman wrote and co-hosted the PBS series “Straight Talk on Menopause,” has served as keynote speaker for the American Heart Association, and is the author of “I’m Too Young to Get Old – Health Care for Women After Forty.” She discussed the use of transdermal testosterone ointment in treating women with libido problems, and stated that a “formulating pharmacy” must compound this medication
Testosterone supplementation within a physiological range of .25 mg to .8 mg daily does not produce virlizing side effects. When the tissue becomes healthy and local testosterone receptors have been well-supplied, sensation and libido return. We have included an article by Dr. Susan Rako, author of The Hormone of Desire, which explains the reasons why we recommend the following.
Martin Avenue Pharmacy, Inc. generally recommends using:
Methyltestosterone USP 0.25 mg / 0.1ml in PLO gel (Pluronic Lecithin Organogel) or Testosterone Propionate Emollient Cream 0.25% to .5% cream.
The directions to apply are:
- Methyltestosterone USP 0.25 mg / 0.1 ml PLO gel: apply to vulva daily for two weeks then daily or every other day to inner thigh for thirty days and continue as needed.
- Testosterone Propionate Emollient Cream 0.25% to .5% cream: apply to vulva daily for two weeks then daily or every other day to vulva for thirty days and continue as needed.
Once libido has improved and capacity for genital stimulation has been established, a shift to an oral supplement (0.25-mg testosterone) will usually maintain an adequate effect on the genitals.
Our pharmacy is here to fill the void of information about natural hormone replacement therapy. Your questions are welcome or feel free to call us for one of our newsletters or brochures on Natural Hormone Replacement Therapy.
Thomas G. Marks R.Ph