Frequently Asked Questions


Question - is there a common age for women to experience loss of sexual desire?

ANSWER - According to a recent survey, 43% of women report sexual dysfunction and more specifically, 30% of women report low or no sexual desire. Although many women report a decrease in overall libido following menopause due to changes in circulating hormones, many younger women also complain of the same symptoms. Women of childbearing years may also report low sexual desire due to medications such as birth control pills, pain with intercourse, unhealthy sexual relationships, lack of knowledge about their own bodies, pregnancy, breastfeeding, stress and illness, just to name a few.


QUESTION - I had a hysterectomy and went through menopause at the age of 45. I have been taking oral Premarin which helps my hot flashes but my libido has continued to decrease. Is there hope?

ANSWER - Many women in your situation complain of similar symptoms. Although there is no clear link between hormone levels in women and libido, there is ongoing research to learn more. The main hormones in women during childbearing years are estrogen and progesterone. Although more of a male hormone, testosterone is also present at lower levels. It is suspected that testosterone may play a role in libido in some women although there is currently no approved testosterone replacement specifically for libido. While all three of these hormones decrease following menopause, Premarin replenishes only estrogen. This may explain why your hot flashes are improved but other symptoms remain. You may need to speak with your prescribing provider regarding a more tailored approach to treating your libido.


QUESTION - Is there a Viagra for women?

ANSWER - Since medications became available to treat low libido, much of the focus on sexual dysfunction has been on male sexual health. But countless women also experience sexual health problems. When you watch this video, you’ll hear from 2 nurse practitioners at the Women’s Institute for Sexual Health (WISH), a division of Urology Associates, P.C.

These ladies explain that almost half of all women in the U.S. experience some type of sexual dysfunction, such as pain during intercourse, vaginal dryness, or low libido. Now, there is finally an FDA-approved medication available to improve sexual health in women. 


QUESTION - I just had a baby 5 months ago. Although my doctor released me to have sex 6 weeks after her birth, I haven’t been able to tolerate it due to pain. I was told I had a third degree tear during the delivery. Is it possible that this has not completely healed?

ANSWER - This is certainly a possibility, but most likely your gynecologist would have detected a problem at your 6 week checkup. More than likely, you may have some vaginal dryness or hypersensitivity at the site of the tear. Breastfeeding can suppress circulating hormones and result in vaginal dryness resulting in too much friction during intercourse and sometimes pain. I would speak with your gynecologist about your current symptoms. You will need a physical examination to identify the exact issue. In the meantime, use a glycerin-free lubricant such as “Slippery Stuff” with any sexual activity. You also need to make sure you partake in at least 10 to 20 minutes of foreplay before attempting intercourse. This will allow the tissue to soften and lubricate, and the vagina to open, allowing for comfortable penetration.

The Women's Institute is a division of Urology Associates, P.C. We are committed to the innovation and the integration of advanced technology and advanced therapeutics in our treatment offerings.

We are the first practice to open a center solely dedicated to female urology in Nashville, and we strive to provide the best care possible to our patients.

The WISH clinic was founded on the principles of compassionate, high quality care and continues to serve that mission.