Dr. Rena Malik

So feeling aroused, meaning having lubrication and having that response can make you feel like, oh, that kind of your brain makes a link with that as desire. So that can help with that part of it. But generally speaking, when you're thinking about libido in postmenopausal women or perimenopausal women, there's a few things that we assess. One is how's their testosterone level?

So the testosterone for women should be about one tenth of a male amount of testosterone. And so we check the testosterone level. And if it's low, then we can supplement it with topical testosterone, a very small amount of topical testosterone. You put on the back of the calf every day and see if they improve. There's also some medications that we have available.

So the testosterone for women should be about one tenth of a male amount of testosterone. And so we check the testosterone level. And if it's low, then we can supplement it with topical testosterone, a very small amount of topical testosterone. You put on the back of the calf every day and see if they improve. There's also some medications that we have available.

So the testosterone for women should be about one tenth of a male amount of testosterone. And so we check the testosterone level. And if it's low, then we can supplement it with topical testosterone, a very small amount of topical testosterone. You put on the back of the calf every day and see if they improve. There's also some medications that we have available.

Those are technically FDA-approved for premenopausal women, but they're also available to use off-label for women postmenopausal for low libido that are called flubanserin and bremelanotide, which are medications that work centrally on different receptors in the brain to help with desire. Because as I said, desire is very complex.

Those are technically FDA-approved for premenopausal women, but they're also available to use off-label for women postmenopausal for low libido that are called flubanserin and bremelanotide, which are medications that work centrally on different receptors in the brain to help with desire. Because as I said, desire is very complex.

Those are technically FDA-approved for premenopausal women, but they're also available to use off-label for women postmenopausal for low libido that are called flubanserin and bremelanotide, which are medications that work centrally on different receptors in the brain to help with desire. Because as I said, desire is very complex.

It's that you have some receptors that are up-regulated, some are down-regulated. And so there's inhibitors and there's promoters of desire. And so we're trying to kind of balance, make the promoters higher and the inhibitors lower with these types of medications.

It's that you have some receptors that are up-regulated, some are down-regulated. And so there's inhibitors and there's promoters of desire. And so we're trying to kind of balance, make the promoters higher and the inhibitors lower with these types of medications.

It's that you have some receptors that are up-regulated, some are down-regulated. And so there's inhibitors and there's promoters of desire. And so we're trying to kind of balance, make the promoters higher and the inhibitors lower with these types of medications.

So 12% of women experience pain with sex, at least, and it can vary, but that's sort of the average number we say. That's not a small number, consistent pain with sex. Now, people can have pain with sex for a variety of different reasons, and sometimes some studies will say it's as high as 40%, but it's very common. Now, pain with sex is never normal.

So 12% of women experience pain with sex, at least, and it can vary, but that's sort of the average number we say. That's not a small number, consistent pain with sex. Now, people can have pain with sex for a variety of different reasons, and sometimes some studies will say it's as high as 40%, but it's very common. Now, pain with sex is never normal.

So 12% of women experience pain with sex, at least, and it can vary, but that's sort of the average number we say. That's not a small number, consistent pain with sex. Now, people can have pain with sex for a variety of different reasons, and sometimes some studies will say it's as high as 40%, but it's very common. Now, pain with sex is never normal.

So people say, oh, you know, it's okay, drink a glass of wine, you'll be fine. No, no, it's not okay. Like you should never experience pain with sex. So it's about determining where that pain is and what's causing that pain. Is it pain on initial penetration, deep penetration, after sex, and then kind of parsing out what's causing that.

So people say, oh, you know, it's okay, drink a glass of wine, you'll be fine. No, no, it's not okay. Like you should never experience pain with sex. So it's about determining where that pain is and what's causing that pain. Is it pain on initial penetration, deep penetration, after sex, and then kind of parsing out what's causing that.

So people say, oh, you know, it's okay, drink a glass of wine, you'll be fine. No, no, it's not okay. Like you should never experience pain with sex. So it's about determining where that pain is and what's causing that pain. Is it pain on initial penetration, deep penetration, after sex, and then kind of parsing out what's causing that.

So I'll go through some of the things that cause pain with sex.

So I'll go through some of the things that cause pain with sex.

So I'll go through some of the things that cause pain with sex.

one is inadequate lubrication so i don't know why but in society in general we feel like we shouldn't be using lubrication but lubrication is great it makes things slippery it makes things fun and it's relatively affordable and it helps so a lot of times what what happens is women need a significant amount of time to develop adequate lubrication they need a significant amount of foreplay