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

<p>How sexual function is biopsychosocial and the meds that affect the “bio” part of this</p> <p>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.</p> <p>Addyi - filbanserin - came out in 2015. It is an oral nightly medication. Side effects are sleepiness and may include weight loss. <br> It is safe to use if you are on antidepressants.</p> <p>Vyleesi – bremelanotide – an on demand injection – likely works by increasing dopamine.</p> <p>Do we fix hormones first or use these meds first?</p> <p>How to navigate prescribing these meds as a provider?</p> <p>Dr. Rubin talks about her work changing national guidelines.</p> <p>23% of women have clitoral adhesions</p> <p>Clitoral phimosis - workup and meds versus surgery – Dr. Rubin’s pilot study</p> <p>How do we prevent recurrence?</p> <p>Resources discussed today</p> <p><a href="https://www.instagram.com/drrachelrubin">https://www.instagram.com/drrachelrubin</a></p> <p><a href="https://www.rachelrubinmd.com/">https://www.rachelrubinmd.com/</a></p> <p>https://www.facebook.com/DrRachelRubin/</p> <p>ISSWSH Find a provider: <a href="https://app.v1.statusplus.net/membership/provider/index?society=isswsh">https://app.v1.statusplus.net/membership/provider/index?society=isswsh</a></p> <p>NAMS find a provider: https://portal.menopause.org/</p> <p>SMSNA find a provider: https://app.v1.statusplus.net/membership/provider/index?society=smsna</p> <p><strong>Our podcast sponsor is Bonafide</strong></p> <p>Bonafide products help women embrace the natural changes that occur throughout all phases of life.</p> <p><strong>Discount code for 20% off:</strong> NOTBROKEN</p> <p><strong>Sales link: </strong><a href="https://hellobonafide.com/notbroken"><strong>https://hellobonafide.com/</strong>notbroken</a></p> <p><em>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: </em>https://earnc.me/X8BGyS</p> --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

You Are Not Broken