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Study summary · research use only

Medical Treatment of Female Sexual Dysfunction

Review · human · The Urologic clinics of North America · 2022 · DOI 10.1016/j.ucl.2022.02.001 · PMID 35428435

Plain-language summary

Paraphrased from the published abstract below — not a verdict on whether anything works.

This narrative review discusses medical treatment approaches for female sexual dysfunction (FSD) in humans, describing it as comprising multiple overlapping sexual disorders with causes spanning biological, psychological, and social factors. The authors describe a multidisciplinary therapeutic approach including pharmacologic and nonpharmacologic management, and note that flibanserin and bremelanotide are psychoactive agents indicated for generalized acquired hypoactive sexual desire disorder (HSDD) in premenopausal women, transdermal testosterone is used for HSDD in postmenopausal women, and menopause hormone therapy (systemic and local) is used for individualized management of women at midlife.

Abstract

Female sexual dysfunction (FSD) comprises multiple overlapping sexual disorders with a multifaceted cause within the frame of the biopsychosocial model. Health care providers can screen for FSD according to their level of expertise and deliver at least basic counseling before eventually referring to sexual medicine specialists for specific care. The therapeutic algorithm comprises a multidisciplinary approach, including pharmacologic and nonpharmacologic management. Flibanserin and bremelanotide are psychoactive agents indicated for the treatment of generalized acquired hypoactive sexual desire disorder (HSDD) in premenopausal women, whereas transdermal testosterone is effective on HSDD in postmenopausal women. Menopause hormone therapy (systemic and local) is the mainstay for individualized management of women at midlife.

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