Discussing Sexual Health with Your Healthcare Provider

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Most people take probiotics to support gut health. But they may also help support sexual health.

Why the FDA rejected Addyi twice

Yes, there’s evidence that red clover can support vaginal health in menopausal women, and reduce vaginal dryness and pain during sex. In a small study of women over age 40, taking red clover helped with vaginal dryness, low libido, and pain during sex. Red clover may also help with hot flashes, high cholesterol, and osteoporosis. But the evidence to support these claims hasn’t been consistent. According to the NIH, people have taken red clover for up to 3 years in research studies without any safety concerns.

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But you shouldn’t take it during pregnancy or while nursing. Yes — especially if you’re in your 40s or older. Red clover may help with vaginal health, libido, and sexual function. Dehydroepiandrosterone (DHEA) is a hormone that your body naturally makes. It’s used to make other hormones that are important to your sex life, like testosterone and estrogen. Some research suggests that probiotic supplements may improve sexual function in women — especially those taking antidepressants. In one small study, women who took probiotics for 8 weeks reported less depression and better sexual function compared to those who didn’t. There’s some evidence that gut bacteria can affect hormone levels, which may influence sexual desire. But it’s not clear which probiotic strains work best — or what dose is most helpful. For most healthy people, probiotics are considered safe.

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Mild side effects can include gas or bloating. People with weakened immune systems should talk with a tadalista super active 20 healthcare professional before using probiotics. Possibly, especially if low mood or antidepressant use is part of the picture. Probiotics are low risk and may have other health benefits as well. There are many other supplements that claim to help your sex life.

Dose information

It’s traditionally used to help with infertility, boost libido, and balance hormone levels. Researchers don’t know exactly how it works. It may have mild estrogen-like effects in the body. And it may be an “adaptogen” (an herb that helps your body respond to stress). Maca can be prepared as a food, either baked or roasted.

Is there an equivalent of Viagra for women?

It’s also available as a powder that can be mixed into smoothies or other recipes. In some cultures, maca is prepared as a fermented drink. But most of the published research on maca has been on its effects in men. Only a few studies have looked at maca and women’s sexual health. So far, there’s some evidence that maca might be helpful for sexual function during menopause. But most have little to no evidence to support them. And some can be harmful or toxic. A 2015 literature review of about 50 scientific articles suggests products to avoid, including: When it comes to these supplements, the risks seem to outweigh the benefits. Many supplements are safe to use and have minimal side effects.

The Goods Inside

Your DHEA levels are highest when you’re a young adult, then they slowly decrease as you age. Yes, especially in perimenopausal and postmenopausal women. In a 2017 literature review, DHEA seemed to help increase libido and arousal in women. It also made sex less painful and more pleasurable. DHEA also seemed to be linked to more frequent sexual activity and orgasms.

Increased genital blood flow

DHEA can interfere with many common medications, especially psychiatric medications. At high doses, it’s linked to an increased risk of breast cancer and ovarian cancer. DHEA seems to be helpful for women before, during, and after menopause. But check with a healthcare professional to make sure DHEA is a safe option for you. Ashwagandha is an herb that’s used frequently in Ayurvedic medicine. But just because a treatment is “natural” doesn’t mean it’s free of risk.

Method Compatibility Benefits Risks Recommendations
Lubricants Highly compatible Enhances comfort No significant risks Use water-based or silicone-based
Foreplay Complementary Increases arousal and satisfaction None Include before or during use
Pelvic exercises (Kegels) Complementary Improves blood flow and tone None Regular practice recommended
Other supplements Caution needed Potential additive effects or interactions Possible adverse reactions Consult healthcare provider
Alcohol Not recommended Impairs arousal and effectiveness Reduced effectiveness, side effects Limit or avoid during use

In fact, many OTC treatments can have powerful effects in your body — but not always in the way you intend. If you decide to try an herb or supplement for sexual wellness, talk with a healthcare professional first. This is especially important if you have other health conditions, take prescription medications, or are pregnant or breastfeeding. The FDA doesn’t regulate supplements, so their contents (and safety) aren’t guaranteed. Many commercial products have multiple ingredients, which can make it hard to know exactly what and how much you’re taking. If you do decide to try an herbal preparation or other supplement, make sure you choose a brand that uses independent third-party testing. This ensures that the supplement contains no contaminants and has an accurate ingredient label. Certain foods may help improve your libido by boosting testosterone, nitric oxide, or antioxidants. Foods that increase dopamine or nitric oxide levels may also increase libido.

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But it’s important to note that many studies on libido have been done on animals. Examples of foods that may increase libido include: Nuts, such as walnuts, almonds, and peanuts Nuts, such as walnuts, almonds, and peanuts Watermelon juice may be worth trying for its possible effect on female libido. But it’s important to know that most studies on watermelon and sexual health have been conducted on animals, not humans. So more research is needed to prove this link in humans. Green tea also has the potential to help with female libido since its catechins help support healthy blood flow. Alcohol is linked to low sex drive and problems with sexual functioning. But moderate intake of red wine may be an exception. This is because it can boost nitric oxide levels. Yes, exercise may increase female libido and improve sexual function by: Yes, but it’s not the same as Viagra for men. There are two medications used to treat low sex drive in women. These are sometimes called “female Viagra” medications.

What to avoid

Puncturevine (Tribulus terrestris) is a plant traditionally used to improve sexual function in men. It may work by increasing blood levels of testosterone — a hormone that’s related to libido, arousal, and orgasm in both men and women. Overall, the evidence is too limited to say for sure whether puncturevine helps support sexual wellness in women — especially since there haven’t been many well-designed trials yet. In one small study of 60 women, taking puncturevine for a month improved: But in several other studies, it didn’t work better than placebo treatment. Puncturevine may have some risks, including unwanted hormonal changes.

More Information

It can also potentially interact with many medications and cause stomach upset. There hasn’t been a lot of research on puncturevine and sexual health. And in most of the research, puncturevine didn’t seem to work very well. Probiotics are live microorganisms — like bacteria and yeast — that may have health benefits when you eat them or take them as supplements. You can get them from fermented foods like yogurt and kimchi, or from supplements. Bremelanotide (Vyleesi) is a shot that can be injected 45 minutes before having sex. But these medications work differently than Viagra (sildenafil). And they aren’t recommended if your low libido is caused by medical conditions, relationship issues, or medications.

Age Group Average Response Rating Commonly Reported Effects Unique Considerations
20-30 4.2 Increased libido, energy Generally higher response
31-40 4.0 Improved arousal May need dosage adjustments
41-50 3.8 Slight improvements in desire Menopause effects may influence outcomes
51+ 3.5 Variable, often less responsive Discuss medications with doctor

That’s because after menopause women are more likely to experience vaginal dryness, pain with sex, lower sex drive, and decreased genital blood flow.

Find out if treatment is right for you.

It’s often used for reducing stress, anxiety, and inflammation. It can be taken as a pill supplement or added to food and tea. According to the Nutritional Medicine Institute, there’s not much evidence on whether ashwagandha helps with sexual problems in women. But in some small studies, ashwagandha did improve lubrication, sexual arousal, and sexual satisfaction. Ashwagandha is generally safe to use in food and tea.

Effects on sexual dysfunction

But keep in mind that it can interfere with other medications. And it can cause side effects like nausea, fatigue, and headache. There hasn’t been a lot of research on ashwagandha and sexual problems in women. But keep in mind: It does seem to help with stress and anxiety. So if these are affecting your sex life, ashwagandha could be a good choice for you. But a satisfying sex life is still possible. It helps to use lubrication, focus more on foreplay, and communicate with your partner.

Talking to Your Healthcare Provider

Maca may also help with the sexual side effects that antidepressant medications can cause. Maca seems to be safe when eaten as a food (up to 3 g daily). It may be slightly riskier if taken in larger quantities as a pill. Note that raw maca should be cooked before consuming. Try to avoid taking maca at night because it can disrupt sleep.

Serious Interactions

Possibly, especially if you’re going through menopause, or if an antidepressant causes you to have low libido. Keep in mind that it may be safer to add cooked maca to food, rather than taking it as a higher-dose capsule. Red clover (Trifolium pratense) is a plant rich in phytoestrogens, plant chemicals that act like estrogen in your body. Estrogen is a hormone that has many jobs, including keeping your vaginal tissues healthy. Estrogen also plays a role in libido and sexual arousal. Pelvic floor exercises and hormone therapy can also help. Female arousal can be triggered by a mix of emotional connection, mental state, and physical sensations. Emotional factors include feeling safe, trusting your partner, and feeling close or connected.

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Mental factors can include being relaxed, feeling playful, thinking about sexual fantasies, or reading erotic content. Physical sensations like kisses, hugs, massage, or clitoral stimulation can also spark arousal.

Country/Region Regulatory Body Regulation Level Requirements Notable Restrictions
USA FDA Strict Must be approved, safe ingredients Ban on unapproved claims
EU EMA, national agencies Moderately strict Clinical trials, labeling Ingredient restrictions
Australia TGA Strict Safety testing, registration Claims verification
China CNCA Varies Sometimes less regulated Quality standards adherence
Russia Rospotrebnadzor Moderate Certification required Ingredient testing mandated

Everyone is different, so what works for one person may not work for another. Many women will experience sexual problems at some point during their life. And there are many natural supplements that claim to help with everything from low libido and better orgasms to more pleasurable and frequent sex. But most products don’t have a lot of evidence to support their use. For some women, L-arginine, chasteberry, maca, probiotics, and DHEA may have some benefits. And, if you’re going through menopause, ginseng and red clover might be especially helpful. If you’re facing challenges in your sex life, talk with your healthcare team.