You Are Not Broken

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


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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

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off: NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/X8BGyS

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You Are Not BrokenBy Kelly Casperson, MD

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