Kim explains how Dr. Goldstein decided to treat her hypoactive sexual desire disorder.
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Being Treated for HSDD - Kim's Story Dr. Goldstein took a step back and explained to me that the disorder or the diagnosis for my condition is called, it’s a mouthful, hypoactive, as opposed to hyperactive, hypoactive sexual desire disorder. So, that would indicate that the idea that you not have any kind of sexual interest or arousal is in fact a disorder and what we choose to do about that or how we acknowledge that and determine whether we want to take action I think is up to each and every one of us. What it does say though is that there are a series of treatments that are available to all of us to deal with this, and in my particular case there was physical therapy involved and trying to deal with my vaginal trigger points, which were very painful, there were a series of issues that resulted from my blood work that demonstrated to Dr. Goldstein that I did not have enough estrogen, I did not have enough testosterone, and that there was a combination of hormones in our bodies that affect something called, and again it’s another mouthful but it’s important to know, it’s important for your doctor to know about your sexual globulin binding hormone, and it’s a blood level that no one had ever measured before or discussed before until Dr. Goldstein. As a result of this, he also recommended that I use testosterone. I was very concerned about hair growth, bad skin, weight gain, all of the things that you think you know about testosterone but in a practice like this one, or any practice you would go to, where sexual medicine is understood, your blood levels are monitored very closely. This is not something that gets out of hand, it’s very iterative process with the doctor, and in my case I was using a topical form of testosterone and actually applying it to my leg. But I have to be honest, like many people, I am busy; I am lazy; I forget and I wasn’t getting the proper dosage and so Dr. Goldstein actually recommended to me the placement of a testosterone pellet in my ass, and I thought that was pretty strange and I searched on the Internet because now we can do that and I found some data that said this was a prevalent practice outside the United States and was an accepted way to ensure that the absorption was better. And I tried it and within 24 hours of getting this testosterone pellet in my butt I felt fabulous. I have more energy. I don’t know whether it’s because of the energy, but I am very optimistic. Everything enthuses and interests me and I was in kind of a depressed state when I first presented to Dr. Goldstein. I am not saying that testosterone pellet is the panacea for all of you, I just want you to know that it’s something that’s available for you to ask your doctor about and see if it makes sense for you. And when I think about it, I also take DHEA, which is over-the-counter, but Dr. Goldstein’s prescribed the dose and he checks my blood level. So again, this has to be a give and take. It has to be iterative with the doctor and it has to be done in a responsible way so you are not self-medicating and trying to figure all these things out so you get the perfect balance.

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