Comparison of Androgens in Women with Hypoactive Sexual Desire Disorder: Those on Combined Oral Contraceptives (COCs) vs. Those not on COCs

Journal of Sexual Medicine (Impact Factor: 3.15). 08/2006; 3(5):878 - 882. DOI: 10.1111/j.1743-6109.2006.00294.x


Introduction. Approximately one out of four sexually active women in the United States uses some form of hormonal contraceptive method because they provide the most effective reversible method of birth control available. However, little attention has been paid to possible adverse effects of combined oral contraceptives (COCs) on sexual functioning. Aims. The aim of this study was to examine the potential effects of COCs on women with hypoactive sexual desire disorder (HSDD). It was hypothesized that female patients with generalized, acquired HSDD on COCs have lower androgen levels than those not on COCs. Methods. The patients were healthy premenopausal women with HSDD, aged 22-50 years. Subjects had a history of adequate sexual desire, interest, and functioning. Participants were required to be in a stable, monogamous, heterosexual relationship and were screened for any medication or medical or psychiatric disorders that impact desire. The patients met operational criteria for global, acquired HSDD. The 106 patients were divided into two groups: those on COCs (N = 43) and those not on COCs (N = 63). A two-tailed t-test comparison was made between the two groups comparing free and total testosterone and sex hormone-binding globulin (SHBG). Main outcome measures. The main outcome measures are the differences between the two groups comparing free testosterone, total testosterone, and SHBG. Results. These patients with HSDD on COCs had significantly lower free and total testosterone levels compared with those who were not on COCs. The SHBG was significantly higher in the group on COCs compared with those who were not on COCs. Conclusion. The result of this study suggests that COCs in premenopausal women with HSDD are associated with lower androgen levels than those not on COCs. Further research is required to determine if low androgen levels secondary to COCs impact female sexual desire.

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    • "rilmifltir (Guay ve ark. 2004b). Oral kontraseptif alan ve almayan hipoaktif cinsel istek bozuklu¤u olan premenopozal kad›nlarda androjen düzeylerinin k›yasland›¤› bir çal›flmada, oral kontraseptif kullanan grupta serbest ve total T düzeylerinin oral kontraseptif almayan gruptan anlaml› olarak düflük, SHBG düzeyinin ise yüksek oldu¤u bulunmufltur (Warnock ve ark. 2006). Transdermal testosteron jel verilerek hipoaktif cinsel istek bozuklu¤u tedavi edilen premenopozal kad›nlarda plasebo grubundan anlaml› olarak daha fazla düzelme tesbit edilmifltir (Chudakov ve ark. 2007). Ancak , premenopozal kad›nlarda düflük androjen düzeyinin KC‹B ile iliflkisi henüz aç›k de¤ildir ve daha fazla araflt›rma yap›lmas›"
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    No preview · Article · Oct 2007 · Journal of Sexual Medicine
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