Lack of sexual desire among women is not something new. Just
last week, a study by researchers from Massachusetts General Hospital found
that an estimated 40 percent of all women surveyed (31,500 American women 18
and older) said they had sexual issues, but only 12 percent of them were
worried about their sexual problems.
“Sexual problems are common in women, but problems
associated with personal distress, those which are truly bothersome and affect
a woman's quality of life, are much less frequent,” said study leader Dr. Jan
Shifren, of Massachusetts General's Obstetrics and Gynecology Service at the
time.
No drug treatment is specifically approved for this kind of
problem, but the situation is going to improve, as new research in the November
6 New England Journal of Medicine suggests that boosting levels of male sex
hormone testosterone can help postmenopausal women with low libido get back in
the mood.
The study was paid for by Proctor & Gamble
Pharmaceuticals, the manufacturer of the testosterone patch, Intrinsa.
The patch is already available in Europe
to treat lack of sexual desire in women, but the US Food and Drug
Administration turned down the manufacturer’s request for approval in December
2004, citing a lack of long-term safety data.
The new study involved women who
had undergone surgically induced menopause and women who had undergone
menopause naturally, all of whom were diagnosed with low sexual desire.
The 52-week study included 814
women experiencing troublesome low sexual desire or function. They were divided
in three groups: the first group wore patches delivering 300 micrograms of
testosterone per day, the second wore 150-microgram patches and the third wore
placebo patches with no testosterone.
Women in the study, who averaged
54 years old, were asked to keep a weekly diary of sexual episodes and note
which ones they considered “satisfying.”
The study found after 24 weeks,
women in the 300 microgram group of testosterone reported an average of 2.1
satisfying sexual episode during a four-week period, compared to 1.2 sexually
satisfying episodes for those on the lower dose and just 0.7 satisfying
episodes for women on the placebo.
“This is the first study to show that when used alone, testosterone
administered by a skin patch significantly improves sexual well-being in
postmenopausal women,” the lead author, Dr. Susan R. Davis of Monash University
in Prahran, Australia, said in a statement.
According to the study, both doses of testosterone were associated with an
increase in sexual desire. The increase in sexual desire though came with unwanted
face hair growth as the most significant side effect, but the women in the
study didn’t find it troubling enough to stop taking testosterone.
Four women in the 300-microgram patch group developed breast cancer during
the follow up period compared to no woman in the placebo group. However Davis
said two of the breast cancers appear to have been present, but missed, before
the beginning of the trial, while a third cancer occurred in a woman who had
taken estrogen hormone therapy for 27 years. Long-term estrogen treatment has
been linked to an increased risk of cardiovascular disease and breast cancer in
older women.
Given the results of the study, Davis
said the testosterone patch “is probably safe.”
A spokesman for Procter & Gamble did not want to comment whether the
company would seek FDA approval for the testosterone patch.