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Tune-Up Your Low Sex Drive Dealing with Sexual Dysfunction, Low Libido, Reduced Sex Drive, and Thyroid Disease / Hypothyroidism According to a Journal of the American Medical Association (JAMA) study reported on in February 1999, about 43 percent of women and 31 percent of men suffer sexual “difficulties” for one reason or another. The reasons cited included low desire, performance anxiety, premature ejaculation and/or pain during intercourse. Interestingly, this is thought to actually underestimate the real level of sexual dysfunction in the U.S. While the study didn't look at the specific physical causes of sexual dysfunction, the research indicated that many of the sexual concerns were likely treatable, as they are due to physical and health issues. These health concerns can include common hormonal imbalances such as hypothyroidism. How many people with sexual dysfunction may actually have underlying thyroid disease that has not been diagnosed? It's not a question that has been thoroughly researched, but it's certain that some of the people having a problem could solve their sexual dysfunction problem in the first place by having their thyroid function evaluated and treated. How many people with low sex drive or sexual dysfunction also diagnosed as being hypothyroid? Again, there are no specific statistics, but low libido is a common -- but not often talked about -- symptom of hypothyroidism. It is also a symptom that for everyone, unfortunately, does NOT disappear, despite what doctors deem adequate treatment with levothyroxine into the normal range. Many people -- women in particular -- still complain of a lack of sexual desire even after their doctors consider the thyroid problem sufficiently treated. Low libido is just one of many symptoms that are not resolved for many people, despite treatment. If you suffer from sexual dysfunction, first, you need to be sure that your thyroid is being fully treated, which means: 1. Make Sure Your Thyroid Drug Treatment is Optimal Some people do not find their symptoms -- including sexual dysfunction -resolved in a levothyroxine/T4 only drug like Synthroid. Some people find that their libido returns when their doctors switch them to a drug that contains T3, like Thyrolar, or a natural thyroid drug like Armour that includes natural forms of T4 and T3. Others do well with the addition of Cytomel (synthetic T3) or time released T3 to levothyroxine The use of T3 with T4 replacement was not commonplace in the mainstream medical community until research published in February of 1999. The New England Journal of Medicine reported on a study that showed that many patients feel better on a combination of T4 and T3, not T4 (i.e., Synthroid) alone. The addition of T3 helped relieve depression, brain fog, fatigue and other symptoms. This information about T3 was groundbreaking and had major implications for people who didn't feel well on their traditional thyroid therapies! 2. Make Sure Your TSH Level is the Best For Your Health Many doctors believe that a TSH of around 1 - 2 is optimal for most people to feel well and a void having hypothyroid or hyperthyroid symptoms. There is other research that supports the idea that mid and high-normal levels may not be normal for some people, finding that values above TSH of 2 may actually represent abnormal thyroid function. See the British Medical Journal. (NOTE: this TSH is usually kept even lower than 1-2 for thyroid cancer survivors to help prevent recurrence.) 3. Check Your Hormones Men should consider having testosterone, DHEA and other androgen levels checked whenever there is any reduction in sex drive. Women should consider having a full hormonal profile evaluated, including estrogen levels, testosterone, and progesterone, plus DHEA. In women, adrenal function should also be checked, particularly if the testosterone levels turn out to be low. 4. Have a Thorough Physical Low sex drive may be a result of other non-thyroid health conditions. Diabetes and hypertension/high blood pressure can cause low sex drive in both women and men. You should also ask your doctor to discuss the diagnosable symptoms of depression with you, so you can assess whether or not you are depressed. You should also discuss other prescription and over the counter medications as well as any street drugs you are taking, because some antidepressants, tranquilizers, and antihypertensives, as well as many drugs such as cocaine and marijuana -- can reduce sex drive. 5. Get Testosterone Supplementation if Needed For some men and women, testoste rone can be a tremendous aid in restoring lost libido. Testosterone may be replaced in one of 2 ways: 1) indirectly by using oral DHEA supplements that your body will transform into testosterone, or 2) by direct replacement with the hormone itself. Testosterone is available as a pill form, as a transdermal patch, (Testoderm, Androderm), by injection, by specially compounded testosterone creams or gels, and sometimes as transdermal pellets implanted under the skin. 6. For Women, Supplement Estrogen/Progesterone if Needed Imbalances in estrogen and progesterone -- having either too much or too little -can cause loss of libido, so it's important to evaluate these levels as well. If supplementation is needed, ask your doctor about estradiol gel or patches, a nd natural progesterone supplements, rather than conjugated estrogens. A word of caution about soy-based supplements and food products that are supposed to act "like" estrogen to deal with menopausal symptoms. Many of these products contain levels of soy isoflavones that can worsen hypothyroidism in some women. 7. Consider Supplements Note: Supplements can have various and sometimes serious side effects, so be cautious with self-treatment...talk to your doctor regarding supplementation. Arginine An amino acid, for both men and women. Ashwaganda Indian ayurvedic herb, typically recommended for men. Asian Ginseng (Panax) Asian ginseng -- also called panax -- can help increase sexual energy. DHEA (dehydroepiandrosterone) As noted above, DHEA is a precursor hormone that converts to testosterone by your body. Ginkgo Biloba Ginkgo biloba is an herb that can improve sexual function in men. Yohimbe Yohimbe, an African herb, can be a very potent sex enhancer for men. Zinc Low levels of zinc have been associated with low sex drive in women and men. 8. Lose Weight Losing weight is easier said than done, of course, but excess weight can affect self-image -- and make you feel less sexy and less interested in sex. And, medically, being overweight can reduce both fertility and libido. For men, losing as little as 10 pounds can have a dramatic effect on sex drive, while it takes about a 20 pound loss in women. By eating five or six meals a day composed of nearly equal portions of protein and low glycemic carbohydrates, you can stimulate your rate of oxygen consumption or metabolism. As your balance of body fat reduces, the amount of sex hormone binding globulin drops and that leaves more free circulating estrogen and testosterone to fuel your sexual fires." 9. Exercise Exercise improves blood flow to all body parts. Research has found that people who exercise regularly have higher levels of desire, greater sexual confidence and frequency, and an enhanced ability to be aroused and achieve orgasm--no matter what their age. The best type of exercise is aerobic exercise, because it can trigger the release of endorphins, chemicals in the brain that create a feeling of well-being. 10. Consider Counseling When there are other psychological and self-esteem issues preventing healthy sexual desire, counseling or hypnotherapy can sometimes help.