Dr. Mary Claire Haver

We have arousal disorder where you're not getting enough blood flow to the area.

Very common in perimenopause and menopause where you can't get the juices flowing or the blood to go where it needs to.

You don't have enough lubrication, the general urinary center of menopause.

And we have relationship disorders.

That's the first thing I ask my patients.

And then did you ever want to do this?

Was this ever a good idea?

And they're like, no, I've never had desire.

I'm like, okay, that's, you know, do you love your partner?

Is this, you know, did you, do you miss it?

So we really, it's a very nuanced conversation, but most women it's desire.

That's where we start.

Okay.

There is a lot of pain though.

So

And desire in the brain is neurotransmitters, right?

And so testosterone can be incredibly helpful for these women when we rule out the other causes, right?

And there's also in the US, two FDA approved medications that work on releasing dopamine.

Dopamine's that hormone that makes you wanna do pleasurable things.

So we are seeing with GLP-1s,