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Article: Male Hormones (Androgens) and Female Sexuality --A Look at Pharmacology

Sassy69

New member
I'm posting this as a sticking so all the regular ladies can be aware of it and hopefully reference it for anyone asking about this topic if it gets removed from the sticky list.

Occassionally we get guys or ladies on here who want to use AAS (for the ladies) specifically for sex drive and having nothing to do with the "sports-use" of AAS. It scares the shit out of me when women take something because a guy says "it works for me" or "try this" and they have no friggen clue what it is or what it can do (or not do) that is what they are looking for (or not looking for). Particularly in the case of using AAS as a sex enhancer, there's no information about whether or not the girl even understands what a steroid is and most likely won't have any understanding of the discipline that goes into using, regarding keeping your diet healthy, not drinking or doing other things that will further stress the organs that have to process this foreign stuff or deal w/ the hormone-driven results.

READ ON...

(http://www.hisandherhealth.com/articles/male_hormones_androgens_and_female_sexuality.shtml)

Male Hormones (Androgens) and Female Sexuality --A Look at Pharmacology

Female sexuality is much more complicated than male sexuality with multiple factors concerning desire, including such disparate items as level of education, past sexual experiences, sexual expectations, cultural and religious beliefs, availability of a partner and of course, the individual’s hormonal status.
Many hormones may influence female sexuality, including estrogens (female hormones), oxytocin, progesterone, androgens and all their metabolites. Estrogen deficiency is most commonly seen in the peri-menopausal and postmenopausal women and include vasomotor symptoms including hot flashes, night sweets, urogenital atrophy and often a diminution in sexual desire.

In addition, there is frequently a decrease in a feeling of well being, atrophy of the vagina, anxiety, emotional instability, depression, decline in short term memory and concentration, myalgia, arthralgia, an aversion to be touched and in general these also can lead to a decrease in sexual desire. Estrogen replacement will alleviate most of these vasomotor symptoms, including vaginal atrophy, but desire and restoration of female libido may not always occur in the estrogen treated peri-menopausal and postmenopausal women.

This has lead to the theory that in postmenopausal women where desire is not elevated by estrogen replacement there may be an androgen deficiency. On the other hand, if we are to treat women with androgens in a safe and effective manner, doctors must weigh the risks.

The ability of laboratory techniques to define hypoandrogenism in women is hampered by the inability of the laboratory test themselves to measure testosterone levels of the lower end of the normal female reproductive range.

On the other hand, there is an entity in postmenopausal women treated adequately with estrogen therapy that not only includes low sexual libidos but decrease sexual motivation, fatigue, lack of well being and probability low levels of bioavailable free testosterone.

Before a doctor treats women with androgen replacement therapy adequate estrogen therapy must be instituted and consideration for mental health counseling or referral to a sex therapist should be made. This androgen deficiency syndrome, however, is accepted for women who have had bilateral ovariectomy or in younger women who have suffered primary or secondary ovarian failure associated with low libido and low blood androgen levels.

What causes low levels of male hormones in women. The ovaries produce androstenedione, testosterone and dehydroepiandrosterone (DHEA). The adrenals produce androstenedione and dehydroepiandrosterone sulfate (DHEA-S). The DHEA-S can be further metabolized to testosterone or estrogens. In addition the testosterone through the enzyme of 5-alpha reductants converts the serum testosterone to dihydrotestosterone (DHT) or estradiol (E2) these are the active hormones that work within the cells.

Age in general leads to a drop in androgen levels in women and is due to the age-related drop in adrenal production of androgen and the loss of the mid-cycle surge in ovarian testosterone. Removal of the ovaries results in a reduction of 50 percent in testosterone and androstenedione. Chemical oophorectomy including chemotherapy, use of GNRH hormone inhibitors, radiation therapy, glucocorticoids and the administration of exogenous estrogens are other causes for diminution in androgens. Oral postmenopausal estrogen therapy and oral contraceptives will suppress free testosterone by increasing serum hormone binding globulins (SHBG) and suppressing pituitary luteinizing hormone (LH).

Steroids by mouth suppress pituitary secretions of adrenal corticotropic hormone and therefore adrenal androgen production as well. This probably explains the bone loss frequency in patients who are taking long-term steroids. Lastly, hypothalamic amenorrhea and hypoproaccelerinemia are usually associated with low testosterone and many women with premature ovarian failure have low testosterone levels. Therefore, the use of oral contraceptives in older women or women with amenorrhea or premature ovarian failure may actually worsen their androgen deficiency.

How testosterone therapy affects female sexuality is not well understood although it is a clinically known factor. The male hormones may work directly on androgen receptors or may be a precursor for additional estrogen production in tissue such as fat, bone, brain, blood vessels or possibly by lowering serum hormone binding globulins (SHBG) and therefore causing an increase in the levels of bioactive steroids such as androgen. Probably the mechanism is all of the above.

There is no doubt that the administration of testosterone to older women with sexual desire problems improves the intensity of sexual desire, arousal, frequency of sexual fantasies, satisfaction, pleasure and relevancy and importance of sex to daily life. And therefore, postmenopausal women who are probably treated with estrogen therapy should be offered androgen replacement to improve this symptom complex.

A more difficult question deals with the pre-menopausal women who complains of decreased sexual drive and libido and who have low bioavailable testosterone. Studies have not been done; each case should be individualized especially in those individuals in which other factors do not appear to play a role in desire and where the psychosocial and sexual history indicates hormonal problem as being the basic ideology of their libido decrease.

The administration of testosterone has been formulated and fairly much determined for men but androgen replacement therapy in women has no true guidelines and in the United States there are no drug indications for the use of androgens in women. Oral methylated testosterone is available in the United States and should be administered in combination with esterified estrogens (E.E.) 1.25 milligrams of methyltestosterone with 0.625 milligrams of E.E. or 2.5 milligrams of methyltestosterone with 1.25 milligrams of E.E. Patients obviously have to be warned about androgen side affects including increase in high density lipoproteins, cholesterol and low density lipoproteins, adverse liver affects including chemical hepatitis and possibly a higher incidence of liver cancer. More commonly, however, testosterone will lead to masculinizing tendencies which should be monitored by the patient and her physician should be informed if such occurs.

Oral testosterone undecenoate has not been studied in women and doses as low as 20 milligrams appear to cause undesirable side effects and therefore is not recommended at this time.

Subcutaneous implants of testosterone is not available in the United States at this time, but has been in Australia and the United Kingdom for many years and has found to be quite effective for up to six months. Doses of 50 to 100 milligrams appeared to affectively raise the levels of testosterone for up to six months to adequate levels to treat sexual desire problems. In the United States compounding pharmacists are able to manufacture a subcutaneous testosterone pellet which could easily be implanted by your physician.

Injectable depo-testosterone in the form of testosterone esters appears to be the safest and most commonly tried form of androgen replacement in women in the United States. The most common administration is 50 to 100 milligrams administered every four to six weeks intramuscular. However, many physicians use 20 milligrams every three weeks. Masculinization with increased acne and occasional clitoral myoglia may occur with this therapy.

Recently transdermotestosterone patches have been manufactured and approved for use by men and newer technology is developing androgen replacement patches for women. Patches that increase testosterone levels greater than 25 nanograms per DL appear to produce significant masculinization and side affects that they should not be used.

Transdermotesosterone as a cream or a jell or testosterone using a transvaginal testosterone impregnated cream is available in the United States by specific prescriptions or through compounding pharmacists.

Contraindications to testosterone treatment include: acne, hirsutism, alopecia, and circumstances in which enhancing libido would be undesirable. Absolute contraindications include pregnancy and lactation as well as known or suspected androgen dependent neoplasia. Side effects from excessive testosterone include virilization, fluid retention and an adverse lipoprotein profile which more likely occur with the oral administration of the drug. Afenteral administration raising levels of testosterone to within physiologic ranges does not appear to have any undesirable metabolic effects. It is not known whether additional androgen will affect breast cancer since more than 50 percent of breast cancers have androgen receptors and these are associated with a longer survival in women.

In conclusion, androgen deficiency in women causing various symptoms including poor sexual desire is an entity that exists both in the menopausal and probably pre-menopausal female. In the peri or postmenopausal female the patient should be adequately treated with estrogen therapy before using androgen replacement. And the pre-menopausal woman who appears to have low bioactive levels of testosterone, androgen replacement should be used with closer monitoring.
 
This is an excellent article that hopefully makes women think about their use of hormone replacements, and helps men be better informed.

My Anti-Aging Doctor treats both men and women. His goal is to improve the fundamental health levels for a higher quality of life. This approach includes hormone replacements.

Any hormone replacement action is data driven from extensive blood testing. The amounts prescribed are only those that will drive the levels to the desired points in the range.

He does prescribe test for women. The strength and dosage are very, very small. For a woman to experiment with male dosages would be frightening and damaging.
 
My doc specializes in female hormonal issues. From any research I have seen, he is way ahead in the field of Women and HRT. My sister has been going to him for a while and has made some really positive changes in her overall health. She was seeing her OB for what she was lead to believe was pre-menopausal symptoms. Her doc was just handing out drugs without proper bloodwork. When the hormones didn't work, he tried to give her anti-depressants! After hearing that, I urged her to see my doc. He ran extensive blood work, and found that the only thing she was lacking was low test, and low dhea. He started her on sub-lingual testosterone at 2mg/ed. He also started her on very low dose DHEA. She did not see immediate results, but slowly and gradual improvements in libido and body composition. She is now much happier, aware, and is thinner than she has been in ten or so years.

I have researched this topic quite a bit over the past year or so and find that most doctors are in the stone age regarding this topic. I'll see if I can add some links to some articles. The main gist is no different than men and Test Replacement. If you bring blood levels above the phisological "normal" ranges you will see problems. With Women, thats easy to do because there are not many delivery methods of Test that can safely do this. There are creams specifically formulated for women, and sub-lingual drops. Thats it as far as I know, (safely).

The article from doctor Murdock is based on some outdated information. The fact that he calls Testosterone the male hormone is a good example of this. He also mentions Methylated Testosterone which is old school, and Sub-Q Testosterone pellets which are barbaric and outdated. The real problem lies in the fact that there are so many anti-aging clinics that will prescribe test to women without the proper testing and monitoring. Women that are not testosteone deficient should not supplement, and these clinic will sell Test to women that should never take it.

http://mama.indstate.edu/users/anon/fsd/test.html

http://www.gynob.com/testost.htm

http://www.newshe.com/factsheets/testosterone_faq.shtml

I'll try to dig up more when I get a chance, but I have to get back to work for now. Thanks Sassy for putting this up. I too can't believe some of the questions / advice I see on the boards when guys give advise based on "male" experience with Test.
 
Thx for updating this! I know hormone therapy is still in the Pleistocene era and women's health is even further behind. It wasn't too long ago that doctors were just prescribing a hysterectomy for any "female"' issue. Imagine if doctors prescribed castration for every "male" problem....
 
Sassy69 said:
Thx for updating this! I know hormone therapy is still in the Pleistocene era and women's health is even further behind. It wasn't too long ago that doctors were just prescribing a hysterectomy for any "female"' issue. Imagine if doctors prescribed castration for every "male" problem....

I'll update any thing I run across. I will also keep track of anything good or bad that happens to my sis...
 
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