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Q: If hormone problems can lower a woman's libido, would they also increase it significantly? My Dr. thinks that I may have a hormonal imbalance. Recently I have been experiencing an overwhelming sexual appetite. I am constantly excited and can thinking of nothing other than sex.

A: It used to be thought that elevated testosterone levels could cause increased sex drive in women. In my experience, this is most unusual -- over the past 20 years I have seen hundreds of women with high testosterone and very few complain of increased sex drive and some complain of a decrease -- though the decrease is not caused by testosterone.

An increase in libido is not necessarily something wrong. However if it is uncomfortable or leads to inappropriate choice of partners or other behavior which might be harmful, then treatment should be considered. This can be counseling from a psychologist or psychiatrist specializing in sexual problems or antidepressants such as Prozac, Paxil and others which often decrease desire.

As to which is right for you, it is best to consult a knowledgeable health professional.

Hope this is helpful.


Geoffrey Redmond, MD

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