In a Clinical Crossroads article published in February 2007,1 Jennifer E. Potter, MD, discussed the impact of menopause on female sexuality, the pathophysiology of female sexual dysfunction, and the available treatment options. Ms B, a happily married 60-year-old postmenopausal woman, described the sexual relationship with her husband as an important part of her marriage. After reaching menopause at the age of 58 years, Ms B underwent bladder suspension surgery for incontinence and hysterectomy for uterine fibroids. Following these surgeries, she began experiencing vaginal dryness and noticed her desire for intimacy had decreased. She also found that it was more difficult for her to achieve an orgasm. At that time, Ms B was treated with esterified estrogen, 0.625 mg/d, and methyltestosterone, 1.25 mg/d. These hormones improved her symptoms but were discontinued because of concerns about adverse effects. She was later treated with an estradiol vaginal ring. While this helped her vaginal dryness, it did not increase her desire. Ms B wondered what she and her husband could do to revitalize their sexual relationship—whether there were medications she could take or lifestyle changes she could undergo to improve her sexual function.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 1
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.