Female Desire Pill, interview with Ellen Barnard

2/27/15 update: I interviewed Ellen Barnard about the female desire pill on 2/2/14. I’m bringing this post to the top because of the attention that “Nothing Is Wrong With Your Sex Drive” (published today in the New York Times) is getting. 


I plan to write more about this myself, and there’s a good section already in The Ultimate Guide to Sex After 50: How to Maintain – or Regain! – a Spicy, Satisfying Sex Life which I hope you’ll want to read. — Joan 





Desire in a pill?
(originally published 2/2/14)
 
Researchers are working on drugs to treat low desire in
women. Could a desire pill really work? Do we even want it? 
 
To learn more, I
interviewed 
one of the top sex educators, Ellen Barnard, co-owner of A Woman’s Touch Sexuality Resource Center.

 

JP: What’s the state of current research into a female
desire drug?
EB: A variety of drugs are being investigated in clinical
trials, most in phase 2 trials. No drug has been approved for the treatment of
low desire for women, also known as Hypoactive Sexual Desire Disorder (HSDD).
JP: How are these drugs supposed to
work?
 
EB: Some of these drugs work on brain chemicals; some are sex hormone-based (testosterone); others primarily work to increase physical arousal through an increase in blood to the clitoris. Most of the
medications that are being investigated are designed to either overcome
inhibition or lack of motivation, or flood the person with such strong physical
sensations that she cannot ignore them easily. Or they manipulate the reward
system of the brain in ways that increase
the drive toward that sexual jackpot.
The question is whether a drug that pushes a woman into
being more interested in sex is safe, healthy, or would even be effective over
the long term. Many of the drugs being investigated have a variety of side
effects, and some are quite undesirable. Testosterone can cause excess hair
growth, acne, lowering of the voice, and a decrease in good cholesterol, for
example. Other drugs show the potential for abuse, either by the woman herself or
by a partner who hopes to have a more willing lover.
JP:  Why is sexual desire so complicated for women and
seemingly so easy for men?
EB: It isn’t, actually. Men have troubles with desire too,
and their issues have many of the same origins as women’s do. However, we live
in a culture that reinforces men for a high interest in sex, and generally does
not see a high interest in sex to be a positive thing in women, unless a woman
is less interested in sex than her partner, and that lower interest causes
tension between them or distress in her. But even with culture condoning high
desire for men, approximately 20% experience low desire. For more info, here isa good overview.
JP: How does female desire work?
EB: Desire is the cognitive recognition of sexual
interest. So it’s an idea, not a physiologic process, though it results in a combination
of brain and body responses. Desire may be first recognized as a thought, or it
may be a thought in response to a physical feeling. Many women believe that we
should feel something first, that sex starts with a twinge in the vulva or
elsewhere in the body, that she interprets as sexual interest and then allows
to blossom into more sexual interest and then maybe into sexual activity. If physiologic
signal is not as obvious because of aging, health, or stress, she may no longer
get the signal, and so she does not notice the thought.
Women who have experienced sex as painful have a feedback
loop that tells them that sex will hurt, and so they shut off any thought of
sex to avoid the pain. If a woman is able to get rid of the pain, she will
still have to convince her subconscious that sex is safe. Once she does that,
her thoughts of sexual interest often become more frequent.
The same would be true of relationship health. For a woman
in a healthy, rewarding relationship, the thought of sex is a safe thought and
is likely to mean that she will experience pleasure if she acts on that
thought, so she pursues sexual activity. Sex requires the feeling of safety. When
there is tension, distrust, fear, anger, etc., the mind does not perceive sex as
safe or pleasurable, so will not express desire.
When you think about how complicated desire is for women
(and men as well), you can see that it’s pretty complicated to consider a
medication to address the root causes of most of these issues.
JP: What’s the
bottom line?
 
EB: The bottom line
is that drugs do best when there is a single, knowable cause for a symptom and
the drug directly addresses that cause by reducing or removing it. Sexual
desire is complicated, varies a lot from person to person, and has many moving
parts. The idea that a drug could be developed to change desire is pretty
far-fetched once you understand it that way, and one of our biggest fears is
that you end up with a drug that has pretty wide effects and some nasty,
unintended side effects.
 
We would prefer to
address desire issues in ways that give individuals more control and more
understanding of their mind and body connections so that they can do their own
problem-solving and not be reliant on a pill or a doctor.
Most people
can increase their experience of desire through a combination of getting
healthy, having a good body image, having a safe and trusting intimate
relationship, getting enough sleep, lowering stress and distractions, reducing
pain, and learning how to have pleasurable sexual experiences on a regular
basis.

Satisfying Senior Sex for Women, Too!

Older people, especially healthy ones, and especially men, are enjoying sex, finds a study published in the British Medical Journal, March 9, 2010. Ellen Barnard, MSSW — sex educator extraordinaire and co-owner of A Woman’s Touch sexuality resource center — explains why women have been left behind and what they can do about it.

Satisfying Senior Sex for Women, Too!
by Ellen Barnard, MSSW

Older women stop having and enjoying sex sooner in their lives than men do, a study in the British Medical Journal found. That’s because the medical community has no idea how to help women maintain their sexual health and pleasure after menopause without the use of potentially dangerous hormones. Women don’t have any “little blue pill” to make things work better when their bodies have given up.

But the truth is, there are simple answers:

1. Live a “Good Sex Lifestyle” which includes daily exercise, a healthy diet full of fruits, veggies, nuts, whole grains and healthy fats and free of white sugars and flours, low-to-moderate alcohol intake, and daily doses of chocolate, Omega-3 oils and lots of Vitamin D. Healthy women enjoy good sex much longer than those in poor health.

2. At menopause and later, care for your vagina. Moisturize her daily or more with a good moisturizing lubricant (no glycerin), and massage her inner walls two to four times per week for five to ten minutes, with either a well-made vibrator or a partner’s fingers or penis. For more details, see our Vaginal Renewal™ program.

3. Have at least one orgasm per week, with yourself or a partner, it doesn’t matter. Keep those nerves functioning properly and remind them what pleasure feels like. If it’s hard to have orgasms, use a vibrator. Men use tools all the time, why shouldn’t you?

4. Get enough sleep, keep your stress under control, and keep a positive outlook. Your body will thank you for it, and your mind will be able to think sexy thoughts without distraction.

5. Think sexy thoughts, often. Fantasize, reminisce, create erotic stories in your head (or on paper), talk about sex, plan for sex, and make it a priority. Nurture your sex life, and it will love you back for many years to come.

– Ellen Barnard, MSSW is a sex educator and co-owner of A Woman’s Touch Sexuality Resource Center, which offers education and products to support healthy sexuality for everyone, with a focus on older adults and those living with cancer. She can be found at http://www.sexualityresources.com/.

I think Ellen’s information is vital, and I hope you’ll pass this link to your friends, colleagues, lovers, wives, and mothers. If more mid-life and older-age women knew these self-help strategies for enhancing their sexuality, there would be more satisfied smiles on their faces! — Joan Price