Is there anything that can be considered the female Viagra?
"The Naked Maja" - F. Goya - 1800First, to remove a misunderstanding, I have to say that there is NOT a "female" Viagra as if there were a formulation or a different presentation: we are speaking of the same drug (citrate sildenafil ) than in males is extremely effective in treatment for impotence .
Different studies were performed (and there are others in development) on its effect on women, given the similarities in structure and biochemistry of the tissues of the penis and clitoris (which is not only displayed but has a body side and two "arms" that become engorged with blood during excitation step), or whether the mechanism of action of sildenafil would be similar within the penis and the clitoris.
Does Viagra has substances that increase the libido of women?
Viagra is not a substance that increases libido and acting in the erection phase of sexual response (we also know that the clitoris has erectile capacity) and requires the presence of desire, sexual foreplay and stimulation to act . Now when a dysfunctional man, who has been suffering for years and avoiding meetings not to fail, which can be seen and give satisfaction to your partner obviously increases self-esteem and sexual desire by indirect means, it was not the drug produced that result but what he achieved: the recovery of erectile response and a better quality of life.
In women acts not increasing the phase of desire but the turgidity and clitoral sensitivity.
In which cases could be used?
We might think that, sildenafil, increasing vascular congestion and perhaps lubrication in pre- and postmenopausal with such problems women could improve lubrication and vaginal dilation, avoiding pain penetration with less pleasure than this difficulty brought him to this woman. In these cases I usually indicate gels intimate lubricants (such as KEMIAL ) which do not alter the vaginal environment and open the pores of prophylactic and of course, when indicated, hormone replacement therapy (HRT).
By increasing the clitoral turgor Viagra could improve perhaps the orgasmic response, which would be a complement in the sexological treatment in women with anorgasmias . At the Congress of American psychiatry at Chicago 2000 where we presented a paper on "Effects of Viagra in men with and without risk factors," there was other work that spoke of use (with good response) in women with sexual problems because of side effects of antidepressants.
Other works detect improvements in lubrication to 63% of women vs 0% of placebo and orgasmic response improved by 56% compared with 6% of placebo. A study of 22 women with hysterectomy (removal of the uterus) and sexual dysfunction showed that sildenafil may improve sensitivity, the ability orgasmic and decreased pain during intercourse. But never, nor in men, we can focus all treatment in a single resource: think that in a sexual encounter come into play multiple coordinates (socio-cultural, ideological, situational, illness, stress , psychological conflicts and relational effects negative medicated on sexual function, etc.) so that a single approach can not account for all variables.
What percentage of queries are made by women?
In our Centre for Sexology and Psychiatry approximately 40% are women with ages ranging from 18 to 70 years. The reasons for consultation are often varied:
Obsessive disorders , phobias (agoraphobia, claustrophobia, social phobias), panic attacks , sexual phobias (fear of contact, penetration, see the genitals), psychosis ( schizophrenia , bipolar , neurosis, depression (in these cases in greater proportion than boys).
Anorgasmias total
Anorgasmias partial intercourse (penetration not succeed but in other ways)
Inhibited sexual desire ("lack of desire")
Dyspareunia (painful intercourse and problems with lubrication )
Vaginismus
Sexual problems in menopause
Mal sexual coupling with your partner
Their partners sexual dysfunction (erectile dysfunction, premature ejaculation , inhibition of desire, ejaculatory delay, phobias to penetrate)
Unconsummated marriages
Disorders of sexual identity
Women who were sexually abused as children
Do women often go alone to the consultation?
Overall come singly, sometimes are cited in the treatment of their partners but we also see that sometimes, they are the ones that drive men to consult with the sexologist (may even be the Call to order shift) which indicates a change in position and progress. It is noteworthy that many men refuse to accompany them, as if they believe they have nothing to do with the symptom or at least with the link of that couple system.
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