150. Meds for Low Desire and Clitoral Phimosis with Dr. Rubin

How sexual function is biopsychosocial and the meds that affect the “bio” part of this

There are two FDA approved meds for women with low desire. They work in 50-60%of people that take them. They work by boosting dopamine.

Addyi - filbanserin - came out in 2015. It is an oral nightly medication. Side effects are sleepiness and may include weight loss.
It is safe to use if you are on antidepressants.

Vyleesi – bremelanotide – an on demand injection – likely works by increasing dopamine.

Do we fix hormones first or use these meds first?

How to navigate prescribing these meds as a provider?

Dr. Rubin talks about her work changing national guidelines.

23% of women have clitoral adhesions

Clitoral phimosis - workup and meds versus surgery – Dr. Rubin’s pilot study

How do we prevent recurrence?

Resources discussed today

https://www.instagram.com/drrachelrubin

https://www.rachelrubinmd.com/

https://www.facebook.com/DrRachelRubin/

ISSWSH Find a provider: https://app.v1.statusplus.net/membership/provider/index?society=isswsh

NAMS find a provider: https://portal.menopause.org/

SMSNA find a provider: https://app.v1.statusplus.net/membership/provider/index?society=smsna

Our podcast sponsor is Bonafide

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