Owning Pink Bloggers

Be here now. Only this moment actually exists.

Will a Little Pink Pill Help Women With Decreased Libido?

Lissa Rankin's picture


Has your little lost sex drive gone into hiding? Have you forgotten what it feels like to be hot for your lover? Do you feel like you want to be sexual, but you’re just not, like a switch within you just flipped to the permanent OFF position? If you do, you’re one of the millions of women out there who feel this way.  Studies suggest that 10% of women suffer from hypoactive sexual desire disorder (HSDD), the unexplained loss or reduction of sexual thoughts, fantasies and desire.  The number is probably even higher if you look at women who are postpartum, depressed, overworked, or otherwise distracted from making sex a priority.


Lack of desire

My patient Gina told me that, after her baby was born, she honestly wished she never had to have sex again. She loves her husband and finds him sexy in an academic sort of way, and technically, he knows all the right moves to get her juices flowing. When she forces herself to be intimate with him, her body responds. She gets wet, her nipples become aroused, and she can achieve orgasm. She just doesn’t want to. And she’s afraid her marriage is in jeopardy.

As a gynecologist, I’m intimately in touch with how big an issue this is.  Many women force themselves to go through the motions of sex, even when they feel no desire. They fear that if they don’t, they will lose a partner to an affair- or divorce.  So they dread bedtime, when the issue of sex may arise.  Although their bodies may respond to sexual touch, their minds fail to catch up. Many say they “feel dead inside.” As a result, they lose their mojo, that connection with another and with Source that gives us that spring in our step, signaling how vital we feel.

Viagra’s not the answer

When Viagra came out, many anticipated that it might be the magic bullet women need to spice up their sexual desire. But it didn’t work. Turns out that you can bring blood flow to the clitoris and it still doesn’t help with the complex neural mechanisms that turn a woman on. Since then, drug companies have been clamoring to discover the drug that might serve the needs of women with decreased libido (anticipating a multi-billion dollar pay out, of course).

The Pink Viagra

Word on the street is that they may have found something. A new medication with the uber unsexy name of flibanserin may be the Viagra-for-women many have been seeking. Originally developed as an anti-depressant, it failed to prove effective at treating depression, but researchers noted an unanticipated side effect- a libido boost in women.

The company that created flibanserin sponsored studies that demonstrated that women taking this drug experienced an increase in satisfying sexual experiences- from 2.7 to 4.5/month. (Keep in mind that the placebo group felt sexier too- from 2.7 to 3.7 sexy events/month.

The FDA is set to consider putting this drug on the market in June, so stay tuned. Will this be the end-all be-all for women? No. Often, in my experience, decreased libido is a red flag waving to help you realize that your relationship needs work, you may be working too hard, you need to get more sleep, you need to focus on your health, or some other important facet of your life that you need to own. In these circumstances, a pill is just a band-aid on a deeper issue. But for those who have optimized the other facets of their lives, gotten their hormones balanced, and still find their libidos lacking, reflecting alterations in brain chemistry, this may be good news.

What are your thoughts?

Are you one of those women who has lost touch with her inner sexy vixen? Do you long to flip the switch back to ON? What works for you? How do you deal with the factors that threaten to damage not just your relationships, but your sense of self? Is a pill the answer for you? What would put you back in touch with your juiciness? What tips do you have that might help others? Let’s connect with each other and tap into our desiring, sexy, luscious selves.

Cheering for your sex life,

Dr. Lissa Rankin

This blog, and the book on which it is based, is a complement to - not a substitute for - professional advice and intervention, and is not intended to replace the advice of a gynecologist or medical professional, who should be consulted about any health care issues that may affect the individual reader. The information contained in this book is the product of observations made by the author in her practice, as well as her review of relevant literature in her field of expertise. The literature at times reflects conflicting opinions and conclusions. The views expressed herein are the personal views of the author and are not intended to reflect the views of any group or organization with whom the author is affiliated.

Comments

Kay's picture

Polyandry, is it a marriage?

I would want to agree on keeping the marriage (till death do us part) and relaxing the monogamous relationship standards to make both parties happy. This is especially so if partners in the marriage are sexually incompatible.

I am for a polyandrous relationship, where a woman having higher sexual drive than her men can make herself and her husbands happy emotionally, mentally and without exceptions.

What is your take on that?

Lissa Rankin's picture

AMEN!!!

AMEN!!!

Amanda's picture

I totally agree with your

I totally agree with your statement... "decreased libido is a red flag waving to help you realize that your relationship needs work, you may be working too hard, you need to get more sleep, you need to focus on your health, or some other important facet of your life that you need to own" I think sexuality is much more psychological than people think, it's not always a physical problem (although it can be in some cases).

sophie smith's picture

I believe tension and

I believe tension and resentment can be a cause of sexual difficulties but they can also be the result of sexual incompatibility. Who wants to tell their DH "not tonight dear" for the sixtieth night in a row? Who thinks that being rejected by their partner that consistently won't have a devastating effect on their sense of desirability? Both the denier and the denied suffer in this setup.

HSDD causes strain in relationships that are otherwise healthy. It's not instantaneous, but over time resentment, anxiety, and stress will build and, like Gina and countless others have found, once solid relationships will develop fissures that threaten its existence. If you should see the warning signs early then all the better, but most therapists will tell you that couples often come in with too much resentment and hostility to repair the damage that has been done.

Bernita's picture

I think you are addressing

I think you are addressing other issues and maybe referencing Helen Fisher and the study of the brain, sexand relationships. Granted when there is tension or resentments between two people sex can be challenging if at all possible. That does effect our sex drive definitely.

I'm referring to when the relationship is not shaky or the border of ending and women in particular lose their sex drive. What things help jump start that.

And from my background and study of human sexuality our bodies are designed to experience pleasure. Physically, hormonally, and emotionally, I might have missed some.

There are positions that one can be in for the penis to stimulate the clitoris, but who on earth said it has to be just the penis to stimulate it, we have hands and mouths, use the imagination when it comes to that.

This is a huge topic and talked so little about. I hope others will add to this.

Lissa Rankin's picture

Wow- great thread here! Keep

Wow- great thread here! Keep it coming. This is stuff we don't often talk about but I hear about it all the time in my gynecology practice. We NEED to talk about it. It's a really big deal, especially for those couples who have varying levels of sexual desire that threaten to come between them.

sophie smith's picture

I'm not sure our bodies are

I'm not sure our bodies are designed for pleasure (who decided our clitoris should be located away from where the penis might easily stimulate it?), but our brains certainly were. There are a number of research articles about neurobiology and pair bonding, and the near unanimous consensus is that pair bonding is the result of vasopressin, dopamine, and oxytocin interaction in the reward centers of the brain.

Sex with your partner causes them to experience pleasure and to associate you with that pleasure, reinforcing a preference for you. I'm not saying that's all there is to picking and keeping a life partner but we ignore biology at our own peril.

Now think about what happens if the times you're closest together physically instead of feeling pleasure and calm, you're feeling stress and tension over your (lack of a) sexual relationship. Instead of going to bed at the same time, one of you goes to bed early or stays up late to make sure there's no chance you're both awake, undressed, and in the same bed. Lest your partner gets the wrong idea, you no longer touch them - or they you - in any way that might be suggestive of sexual feelings. That doesn't sound to me like it's working with biology at all, that sounds like a recipe for resentment and a surefire way to kill your relationship.

Bernita's picture

What Sophie said is spot on.

What Sophie said is spot on. We as a society like to think our partners should stay faithful if there is no sex in the relationship. It's just not true.

I have worked with so many people that seek outside their relationships for some sexual experience for many reasons. I've heard a lot of men say,"I was committed to my marriage until the sex stopped and now its a new ball game. I didn't sign up for celibacy." I'm sure there are women who feel the same way.

I believe speaking as a woman I have to make sure I'm taking care of myself emotionally, spiritually and sometimes self-pleasure to get my sexual desires flowing. I have to feel good about myself. Maybe it's time head over to the owning pink community and check out the feeling sexy group.

I understand there is not always a simple answer, but we are sexual beings and our bodies were designed for pleasure. Can you think of any other reasons for our clitoris?

Lissa Rankin's picture

Yes, Sophie, you're

Yes, Sophie, you're absolutely right about Gina's marriage. I just heard that Gina and her husband filed for divorce, and honestly- I'm not surprised.

As for using flibanserin for me, I honestly don't know! Stay tuned. More to come, I'm sure. Thanks for sharing your thoughts! xoxo

sophie smith's picture

Gina should feel like her

Gina should feel like her marriage is in jeopardy, because it probably is. Why do we insist on having it both ways? We want a monogamous relationship and then we think it's okay to not ever have sex. That's not monogamy, that's celibacy, and I doubt many partners are okay signing up for celibacy.

I believe in the importance of sexual compatibility. Any marriage where there is chronic sexual dissatisfaction in one partner is one that is in danger. If you know you have no libido and your partner does, you owe it to yourself and to your partner to either end the relationship or relax the monogamy standards a bit. I'd much rather have a happy husband getting something on the side from a casual partner than an unhappy one whose piece on the side becomes his emotional confidant.

Both men and women can find themselves married to someone who is sexually unavailable, although unfortunately all we hear about is the frigid wife (ugh!). Is there any indication that this pill might work for men too?

Heather Sobieralski's picture

Yes please share Pinkies! I

Yes please share Pinkies! I need help in this area!!!

When you comment on an Owning Pink blog post, we invite you to be authentic and loving, to say what you feel, to hold sacred space so others feel heard, and to refrain from using hurtful or offensive language. Differing opinions are welcomed, but if you cannot express yourself in a respectful, caring manner, your comments will be deleted by the Owning Pink staff.