The time has come. This is your opportunity to discuss your concerns and to share your thoughts on the need for treatment with the United States Food and Drug Administration (FDA). There have been many products brought to market over the last 15 years for male sexual dysfunction, but we still have nothing for women.
The most common female sexual dysfunction is female sexual interest/arousal disorder, often referred to as “low desire” or “low libido.” The FDA wants to hear from women who have this condition. How does it affect your life? What is the most distressing aspect of it? Has anything helped?
On October 27, 2014, the FDA is holding a Patient-Focused Drug Development public meeting on Female Sexual Dysfunction in Silver Springs, Maryland. You can apply to appear in person or submit your comments online. Webcast participants will also have an opportunity to provide input through webcast comments. A panel of patients and patient advocates will present comments to start the dialogue, followed by a facilitated discussion with all patients and patient representatives in the audience. I will be there in person in the audience to hear your comments, and I will also be participating on the scientific panel the following day.
All parts of the event are free but you must register online and by October 20, 2014. For event details and to learn more visit Eventbrite: Patient-Focused Drug Development Public Meeting and Scientific Workshop on Female Sexual Dysfunction event page.
For more information, refer to the FDA meeting website.
The North American Menopause Society maintains a search feature on this Web site for those women in the United States or Canada who are searching for physicians and other healthcare providers interested in helping them manage their health through menopause and beyond. Those who have passed a competency examination leading to the prestigious credential of NAMS Menopause Practitioner are noted in the displayed results.
►Find a Menopause Clinician now
Some medical societies are calling into question the annual pelvic exam, at least for those women who have no symptoms and are not pregnant. As you might expect, this topic is being hotly debated.
Those in favor of annual screening pelvic exams argue that sometimes there are abnormalities found in women who have no symptoms. Those opposed to the yearly exam counter that the pelvic exam is not helpful in detecting ovarian cancer or bacterial vaginosis, and was not associated with improved health outcomes or reduction of ovarian cancer mortality rates. They further point out that women can now screen themselves for the common sexually transmitted infections like chlamydia and gonorrhea in the privacy of their own homes.
Harms of testing included false positives, unnecessary surgical procedures, fear, anxiety, embarrassment, pain, and discomfort – particularly for women with a history of sexual violence and/or post-traumatic stress disorder.
Pelvic exams should be tailored to what is in the best interest of each individual woman. Most women do not need a pelvic exam every year but should be sure to see a healthcare provider if they have a new problem or concern. It is important to remember that screening for cervical cancer (with a pap smear, cervical cytology or high risk human papilloma virus test) is still recommended. That is a separate and important issue. The timing interval for cervical cancer screening depends on your age and the findings on your last pap smear.
Diet and exercise can keep prediabetes from turning into diabetes, but it also does much more for women. It also prevents heart disease and reduces deaths. These were findings of a very long (23 years!) study in Da Qing, China, of people who had prediabetes. A group of them went through a 6-year program of diet and exercise. For those who were overweight or obese, the diet was designed for weight loss, and those who were normal weight just reduced their simple carb and alcohol consumption. In the group that went through the program, only 73% had diabetes develop compared with 90% of those who just had standard medical care. The rates of diabetic eye disease were also significantly lower in those who participated in the intensive lifestyle change program. In addition, the number of deaths from heart disease and deaths overall were also lower—for women. After menopause, women with prediabetes are more prone to developing type 2 diabetes, but this study shows that women can stave it off and reap huge benefits as a result. Not only will they stave off diabetes but also heart disease, eye disease, and other killers. Women around the world can take advantage of this good news!
It may not be menopause that’s making you bark at your spouse. You may be getting angry just because you’re hungry. Researchers at Ohio State University measured couples’ blood sugar in the morning and at night and found low nighttime levels predicted who would lash out at a spouse that evening. Measuring just how angry took a creative approach. All the participants got a voodoo doll representing their spouse and 51 pins and were told to stick in pins each night in a way that showed their level of anger. The researchers found that the number of pins tracked with the blood sugar levels. In addition, with low blood sugar, the participants were also more likely to blast their spouse with loud sounds when they beat them at a competitive game. Eating something sweet can raise blood sugar quickly, so a little desert after dinner may not be a bad thing. But if that shot of sugar calms you down, avoid the blood sugar highs and lows by eating small, healthy snacks through the day, and keep fruit on hand, which can raise your blood sugar and give you some healthy fiber as well.
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