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Dee: Topical T and libido

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the T helped me with my libido. I also took B vitimins!

The only birth control that works for me is non latex condoms. There is no way I would ever use any type of hormonal birth control again. I told my boyfriend that if he wants to have sex, its condoms or a vasectomy!

BlueeberriGet trade secrets for amazing burgers. Watch "Cooking with Tyler Florence" on AOL Food.

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Hi Dee,

Hope you had a lovely long weekend!

I've had to discontinue the dhea and am wondering about topical testosterone for

decreased

libido due to the Mirena IUD. Would T simply help clitoral response or sex drive

as a whole?

Dr. Metzger says another option is to see if my insurance-affiliated gyn would

agree to

replacing my Mirena with one sans progesterone (apparently the hormones can be

removed).

If neither option works, I'll have to return to the Nuvaring. I don't want to

add low libido to

my list of reproductive challenges!

Hugs and thanks,

Glomer

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HI Glomer. :)

Nuvaring has two active components, a progestin called etonogestrel and an estrogen, called ethinyl estradiol, which is the most potent synthetic estrogen out there and is the estrogen that is used in birth control. (never for HRT replacement)

There are some big lawsuits out on that one already... but they are blaming the estrogen and unfortunately the tie in is 'NOT" with the E so much, (tho some lawyers are saying it's that even tho it is very potent) the problem is with the progestins in it.... *sigh*... it's the progestin that is in 'all' birth control pills, or IUD's that release it.

Its also the progestin in the PREMPRO (for HRT replacement) in that big study in '02 that had to be halted because of the bad side effects. The product Prempro has Premarin 'and' Provera, 'Combined'...it's another potent progestin. And they know (beyond a shadow of a doubt) it was the progestin content that caused the increased risk (up to 40%) in breast cancer and more, and it wasn't the estrogen (even tho it was Premarin)..

It's the progestins hon....and Mirina the IUD, is 'all' a progestin called Levonorgestrel with a slow release and no estrogen at all. So no matter what you use for birth control it 'must' have a progestin in it for it to work. And it's 'that' progestin no matter what name it is.. that blocks or hinders the estrogen and testosterone ''Receptors'' and it's the receptors that are the active part of a cell. (plus reduce libido and even can contribute to V pain)

There are some birth control pills out there though that do have a low progestin content and worth checking out if you must use one. (I think we have a list of various ones in our Home page, try checking there)

Adding the T topically probably would help the libido hon if you used it more than I would suggest for skin therapy and it 'might' go systemic for you and benefit that.

It's just that with one thing you're blocking the hormone receptors (the E & T ) w. the birth control) then trying to compensate for it by adding those back, (or at least the T) and I just don't know truthfully how that would work.

Believe me I sure feel for you younger gals and what to do about birth control, but I can only tell you that "I" wouldn't be on one and wish I did have an answer. The studies are out there about the negatives of them (some women may take up to 3 yrs to get back to normal once stopping them and the absolute worst is the Depo-Provera injection!!! I've sent many of those articles & studies on to the group but they never say what to use instead. *sigh* (I'll add just one below)

I myself fear more and more breast cancer increase too because of them, esp. knowing it's the progestin in the Prempro that increases that risk tremendously and birth control is mostly a progestin and look at the number of women on them.

Here's just one study about V pain and birth control...Good luck hon... I wish I had a better answer for you believe me I do. hugsDee

===============================

Use of Oral Contraceptive Pills and Vulvar Vestibulitis: A Case-Control Study

Céline Bouchard1, Jacques Brisson2, Michel Fortier1, Carol Morin3 and Caty Blanchette2

Vulvar vestibulitis is characterized by superficial pain during intercourse.

Exploratory studies have suggested that oral contraceptives (OCs) could be associated with occurrence of vulvar vestibulitis. This 1995–1998 case-control study in Québec, Canada, sought to reassess this association. Included were 138 women with vulvar vestibulitis whose symptoms had appeared in the previous 2 years and 309 age-matched controls who were consulting their physicians for reasons other than gynecologic problems or contraception. Cases and controls were interviewed to obtain a detailed history of OC use and information on potential confounding factors. Relative risks were estimated by using logistic regression. The authors found that 4 percent of cases had never used OCs compared with 17 percent of controls. The relative risk of vulvar vestibulitis was 6.6 (95 percent confidence interval: 2.5, 17.4) for ever users compared with never users. When OCs were first used before age 16 years, the relative risk of vulvar vestibulitis reached 9.3 (95 percent confidence interval: 3.2, 27.2) and increased with duration of OC use up to 2–4 years. The relative risk was higher when the pill used was of high progestogenic, high androgenic, and low estrogenic potency. The possibility that OC use may contribute to the occurrence of vulvar vestibulitis needs to be evaluated carefully. Am J Epidemiol 2002;156:254–61.

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Hi Dee :)

Wow--thanks for all this! Very scary... I actually have never had a problem with

hormonal

birth control before and the Nuvaring was great for me. It's just that my gyn

has been

trying to reduce my periods since I have endometriosis and want to (eventually)

conceive,

and continuous bc failed to suppress menstruation. Hmm...maybe the doctored,

i.e.,

hormone-free Mirena is the way to go.

Thanks again!

Glomer

>

> HI Glomer. :)

>

> Nuvaring has two active components, a progestin called etonogestrel and an

estrogen,

called ethinyl estradiol, which is the most potent synthetic estrogen out there

and is the

estrogen that is used in birth control. (never for HRT replacement)

>

> There are some big lawsuits out on that one already... but they are blaming

the estrogen

and unfortunately the tie in is 'NOT " with the E so much, (tho some lawyers are

saying it's

that even tho it is very potent) the problem is with the progestins in it....

*sigh*... it's the

progestin that is in 'all' birth control pills, or IUD's that release it.

>

> Its also the progestin in the PREMPRO (for HRT replacement) in that big study

in '02 that

had to be halted because of the bad side effects. The product Prempro has

Premarin 'and'

Provera, 'Combined'...it's another potent progestin. And they know (beyond a

shadow of a

doubt) it was the progestin content that caused the increased risk (up to 40%)

in breast

cancer and more, and it wasn't the estrogen (even tho it was Premarin)..

>

> It's the progestins hon....and Mirina the IUD, is 'all' a progestin called

Levonorgestrel

with a slow release and no estrogen at all. So no matter what you use for birth

control it

'must' have a progestin in it for it to work. And it's 'that' progestin no

matter what name

it is.. that blocks or hinders the estrogen and testosterone ''Receptors'' and

it's the

receptors that are the active part of a cell. (plus reduce libido and even can

contribute to V

pain)

>

> There are some birth control pills out there though that do have a low

progestin content

and worth checking out if you must use one. (I think we have a list of various

ones in our

Home page, try checking there)

>

> Adding the T topically probably would help the libido hon if you used it more

than I

would suggest for skin therapy and it 'might' go systemic for you and benefit

that.

> It's just that with one thing you're blocking the hormone receptors (the E &T

) w. the

birth control) then trying to compensate for it by adding those back, (or at

least the T) and

I just don't know truthfully how that would work.

>

> Believe me I sure feel for you younger gals and what to do about birth

control, but I can

only tell you that " I " wouldn't be on one and wish I did have an answer. The

studies are out

there about the negatives of them (some women may take up to 3 yrs to get back

to

normal once stopping them and the absolute worst is the Depo-Provera

injection!!! I've

sent many of those articles & studies on to the group but they never say what to

use

instead. *sigh* (I'll add just one below)

>

> I myself fear more and more breast cancer increase too because of them, esp.

knowing

it's the progestin in the Prempro that increases that risk tremendously and

birth control is

mostly a progestin and look at the number of women on them.

>

> Here's just one study about V pain and birth control...Good luck hon... I wish

I had a

better answer for you believe me I do.

> hugs

> Dee

> ===============================

>

> Use of Oral Contraceptive Pills and Vulvar Vestibulitis: A Case-Control Study

>

> Céline Bouchard1, Jacques Brisson2, Michel Fortier1, Carol Morin3 and Caty

Blanchette2

>

> Vulvar vestibulitis is characterized by superficial pain during intercourse.

> Exploratory studies have suggested that oral contraceptives (OCs) could be

associated

with occurrence of vulvar vestibulitis. This 1995-1998 case-control study in

Québec,

Canada, sought to reassess this association.

>

> Included were 138 women with vulvar vestibulitis whose symptoms had appeared

in the

previous 2 years and 309 age-matched controls who were consulting their

physicians for

reasons other than gynecologic problems or contraception. Cases and controls

were

interviewed to obtain a detailed history of OC use and information on potential

confounding factors.

>

> Relative risks were estimated by using logistic regression. The authors found

that 4

percent of cases had never used OCs compared with 17 percent of controls.

>

> The relative risk of vulvar vestibulitis was 6.6 (95 percent confidence

interval: 2.5, 17.4)

for ever users compared with never users. When OCs were first used before age

16 years,

the relative risk of vulvar vestibulitis reached 9.3 (95 percent confidence

interval: 3.2,

27.2) and increased with duration of OC use up to 2-4 years.

>

> The relative risk was higher when the pill used was of high progestogenic,

high

androgenic, and low estrogenic potency.

>

> The possibility that OC use may contribute to the occurrence of vulvar

vestibulitis needs

to be evaluated carefully. Am J Epidemiol 2002;156:254-61.

>

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Thanks, Bluberri

>

> the T helped me with my libido. I also took B vitimins!

> The only birth control that works for me is non latex condoms. There is no

> way I would ever use any type of hormonal birth control again. I told my

> boyfriend that if he wants to have sex, its condoms or a vasectomy!

>

> Blueeberri

>

>

>

> **************Get trade secrets for amazing burgers. Watch " Cooking with

> Tyler Florence " on AOL Food.

> (http://food.aol.com/tyler-florence?video=4&?NCID=aolfod00030000000002)

>

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HI Glomer...:)

You said : <Hmm...maybe the doctored, i.e., hormone-free Mirena is the way to go.>

I can't for the life of me figure how it can be hormone free... No way hon...it's 100% progestin so I've no idea of what the doctor may have said or maybe it was just a misunderstanding.? For BC to work to prevent pregnancy it has to have a progestin in it, (which is a hormone.)

UNLESS.. Ummmmmm maybe he's not using it for Birth control, but somehow for your endo? Ahhh that would make some sense hon with you mentioning the endo here, though on the other hand wouldn't make sense to remove the P either, then what is it doing for you? I can't imagine anything doing anything for you if a hormone isn't involved and P is a hormone. Guess I'm confused hon. :)

I am so sorry you have endo... that's gotta be tough because if it's really bad you just might have to be on a progestin... YOY what a dilemna eh? But I hope in the future that you can get that straightened out hon and eventually conceive too. But as far as the T cream... yes I'd give it a try hon to help with that libido. *grin* worth a try. hugsDee

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