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Microsoft word - m&fsexchangehandout08.doc

MALE AND FEMALE SEXUALITY CHANGES
DURING MIDLIFE:
TRADITIONAL & ALTERNATIVE APPROACHES
Beverly Whipple, PhD, RN, FAAN
Professor Emerita, Rutgers University
Past-Vice President and Secretary General, World Association for Sexual Health
Past-Director, International Society for the Study of Women’s Sexual Health
Past-President, Society for the Scientific Study of Sexuality
Past-President, American Association of Sexuality
Educators, Counselors and Therapists
87 Matlack Drive,
Voorhees, NJ 08043
phone and fax 856-309-1510
e-mail bwhipple@pics.com
Outline:
His and Hers Midlife Changes

Age of onset
Major symptoms
Treatments

Male symptoms

Erectile dysfunction
Vascular problems
Nerve damage
Prescription drugs
Testosterone levels
Treatments
Medications
Vacuum devices
Surgical implants
Penile injections
Supplements and herbal medications

Female sexual changes
Types of menopause

Premature
Artificial

Suggestions for sexual changes
Hormone therapy

Estrogen
Progesterone

Other therapies and herbs
Testosterone
Effects of medications

FDA-approved hormones for menopausal symptoms
Type/Source
Brand Name(s)
Preparations Bioidentical?
Estrogens
Synthetic conjugated estrogens/plants Cenestin, Enjuvia Progestins, micronized progesterone
Combined hormones
acetate 17 beta-estradiol and norethindrone *Particlees are made smaller for better absorption. **Biioidentical estradiol until ingested and converted in the liver to estrone. +For vaginal symptoms only. ++The estradiol is bioidentical but not the progestin. Harvard Women's Health Watch August 2006 Books and Websites on Menopause

Barbach, Lonnie (1993, 2000). The Pause: Positive Approaches to Menopause. Dutton
Easy to read. Good coverage. Incorporates many therapies. Not much depth on hormone therapy. Cutler, Winnifred B. and Garcia, Celso-Ramon (1992). Menopause: A guide for Women and the Men Who Love Them. W. W. Norton & Co. (Revised from 1983) Heavy emphasis on biology and research. Strongly for hormone therapy. Most topics covered in depth. Gates, R., & Whipple, B. (2000). Smart Women, Strong Bones. Oswego, OR: Lifestyles 4Heart Press. Gates, R., & Whipple, B. (2003). Outwitting Osteoporosis: Oregon: Beyond Words Publisher. Greer, Germaine (1992). The Change: Women, Aging and the Menopause. Alfred A. Knopf Makes readers think. Thoroughly reviews medical literature and has a good grasp of science, but makes some errors in interpreting results. Jacobowitz, Ruth (1993). 150 Most-Asked Question about menopause. Hearst Books Very cautious about HRT. No literature review on sexuality. Kiss, KL., & Whipple, B. (1998). Ease into Menopause naturally. Nutrition Science News, 3(8), 406-412. Lee, J.R. (1996). What your doctor may not tell you about menopause. Herst Books Murray, M.T. (1994). Menopause: How you can benefit from diet, vitamins, minerals, herbs, exercise and other natural methods. Rocklin CA: Prima Publishing Natural solutions presented with some research Northrup, Christine (2001, 2003). The Wisdom of Menopause. Bantam Nachtigall, Lila (1991). The Complete Guide to Reversing the Effects of Menopause Using Hormone Replacement Therapy. Harper Collins Comprehensive guide by a respected doctor in the menopause field. Perry, Susan and O'Hanlon, Katherine (1992). Natural Menopause. Addison-Wesley A general book that emphasizes non-hormonal approaches to treating menopause. Sachs, Judith (1991). What Women Should Know About Menopause. Dell. Simple book, but covers major issues. Gives good resource directory for obtaining help. Sheehy, Gail (1992). Menopause, The Silent Passage. Random House A quick reading book, (was on best-seller list) could have referred to more of the research conducted Utian, Wulf and Jacobowitz, Ruth (1990). Managing Your Menopause. Simon and Shuster Well balanced, up-to-date and correct by a respected doctor in the menopause field. Weed, Susun. (1992). Menopausal Years: The Wise Woman Way. Ash Tree Pub. Alternative approaches, especially herbs. Against hormone therapy. Wright, J.V., & Moren, T. (1997). Natural hormone replacement for women over 45. Petulma CA: Smart Publications. Against HRT and supports NHR Only presents one side http://www.nlm.nih.gov/medlineplus/menopause.html http://www.menopause.org http://www.mayoclinic.com/health/menopause Compiled by: Beverly Whipple, PhD, RN, FAAN, 87 Matlack Drive, Voorhees, NJ 08043, phone and fax 856-309-1510, email -

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