Tag-Archive for ◊ Human sexual behavior ◊

Author:
• Thursday, June 17th, 2010

Its promise to lift flagging libidos raised hopes among women around the world. But flibanserin, the first ‘female Viagra’, may turn out to be a bit of a flop.

Health regulators deciding whether to give the ‘pink Viagra’ the green light have given it a lukewarm reception. Drug reviewers at the U.S.’s Food and Drug Administration, said that it had failed to make the grade in two studies designed to gauge its effectiveness.

Rather than making a ‘significant’ impact on libido, flibanserin only made sexual encounters ‘slightly’ more satisfying.

The aphrodisiac is also far from side-effect free.  Problems with the range from the unfortunate, such as drowsiness, to the unpleasant, including depression, fainting and dizziness.

Tolerability of the drug is ‘moderate’, the FDA staff  said, adding, ‘it is not clear if labelling alone will be sufficient to alert women to the numerous drug interactions that exist with flibanserin’.

It also takes several weeks for the drug’s effect to build up, meaning it cannot simply be ‘popped’ on demand.

An FDA advisory committee of outside experts will meet on Friday to consider whether to recommend approval for flibanserin.

The agency is not required to follow the advice, but often does.  Presented with the same data, European regulators may come to a similar decision.

Failure to give it a licence would be a bitter disappointment to its German manufacturers, Boehringer Ingelheim, who were predicted to make more than £2billion a year in worldwide sales, as well as the millions of women whose sex life has lots its sizzle.

Even if it is approved for use in Europe,  it is unlikely to be widely prescribed by a Health Service struggling to find cash to fund treatment of life-threatening illnesses.

NHS prescriptions for Viagra are mainly limited to men with pre-existing medical conditions such as diabetes and prostate cancer.

Since the launch of Viagra in 1998, drug companies have tried to create a host of pills, potions and patches designed to satisfy women’s needs but none have been a success.

Some doctors are also sceptical about the need for pills to boost female sex drive and have accused drug companies of creating a market for new medications.

They point out that a pill is not going to fix a broken relationship or help ease the burden of childcare or housework.

Dr Elizabeth Kavaler, a urologist at Lenox Hill Hospital in New York, said: ‘It’s a fairly complicated area, unlike in men’s sexual dysfunction where there’s a major mechanical concern.

‘In women there’s no mechanical concern, so if she’s not having a successful sex life, where is the problem?’

Author:
• Saturday, May 29th, 2010

Surviving a heart attack can kill your sex life. But it doesn’t have to, and a new study shows doctors play a key role in whether it does.

Patients were less likely to resume having sex if their doctors did not talk about when it was safe, the study found.

Many heart attack survivors fear that a tryst could land them back in the hospital – or even in the graveyard. But the chance of that is extremely small, doctors say.

“People perceive it might kill them. And it’s not just the person with the heart attack, but also their partner,” said Dr. Stacy Tessler Lindau, a gynecologist and sexuality researcher at the University of Chicago.

“If you can walk up two flights of stairs or do moderate exercise, then it’s OK to have sex,” she said.

Lindau led the study, the largest ever on this topic, and was to present results Friday at an American Heart Association conference in Washington.

It involved 1,184 male and 576 female heart attack survivors taking part in a bigger nationwide study, funded by the federal government. The average age was 60.

Less than half the men and only about a third of the women said advice about resuming sex was part of the instructions they got when leaving the hospital. Even fewer had that talk with their doctors over the next year.

One year after their heart attacks, more than two-thirds of the men and 40 percent of the women reported some sexual activity. They were 30 percent to 40 percent more likely to be having sex if they had talked with a doctor about it.

Men were more likely to be sexually active and married before the heart attack, and to maintain their sex life after it.

Some people actually reported more sex after their heart attacks, but this was the exception rather than the rule, Lindau said.

A heart attack should not keep people from enjoying sex, said Dr. Edward Havranek, a cardiologist at Denver Health Medical Center and leader of the Heart Association conference.

“The risk of having a heart attack during sex is really, really low,” he said. “The amount of actual physical exertion people have during sex is actually lower than one might think. It’s not as demanding as shoveling snow.”

Doctors say it is safe to resume sex as soon as the patient feels better and can handle moderate exercise. Chest pain during sex means you should stop and consult a doctor, Lindau said.

Depression and mood swings are common after a heart attack and can dampen interest in sex, but this usually goes away within three months, says advice from the Heart Association.

It has these tips for resuming sex:

-Prepare by improving your physical condition and personal hygiene.

-Choose a time when you’re rested, relaxed and free from daily stress.

-Wait one to three hours after eating a full meal.

-Pick a familiar, peaceful setting that’s free from interruptions.

VU88THA4ZCE7