thop
Registered: 04/22/08
Posts: 2
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Reply with quote | #1 |
Hello Dr.Rabin,
I have a question and I was wondering if you could lead me in the right direction. I am 38 yrs. old, and am taking no medications, and don't take any birth control. I have been having issues that I assumed were hormonal issues for about 3 1/2 to 4 yrs. I went to see my gyn last year thinking that she would find that I needed testosterone or something and I would be on my merry way. Well, all the blood work came back "normal" and I was told that I was no where near perimenopause, it was just stress, try to relax. Needless to say I was devastated. My symptoms started with what I thought was low/non exist. sex drive. Now I realize that it is more of an issue with arousal. The mind and heart are willing but the body doesn't seem to have any signal to the brain. There is no pheromone activity, no musky scent, no tingles of any kind. Is there a specific hormone that you could check that would fit the bill? My chiropractor actually recommended that I look up a Dr. that uses the bio identical hormones. So, I found your name and this web site. If you could help me I would forever be in your debt, and I am looking for a new Dr. Thank you so much in advance.
T.
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srabin
Registered: 09/13/07
Posts: 33
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Reply with quote | #2 |
I'd be happy to review your labs, your symptoms and provide some options for you to feel more like yourself again. Many times, the result are within the lab's "normal range" but you may be in the lowest range of "normal" and may benefit from a trial supplementation. What about Sex Hormone Binding Globulin? Too much of that will bind up all of your testosterone... Did they calculate or measure the free-testosterone level? Is the vulva well estrogenized? Did she suggest anything to improve sensation or responsiveness? Are you using any other medications that interfere with sexual arousal and responsiveness?
I think you deserve to have some real options and suggestions that are more substantial than pat on the back and told to relax.
Our office number is 404-252-3898
Dr. R.
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Steven A. Rabin, MD, FACOG |
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thop
Registered: 04/22/08
Posts: 2
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Reply with quote | #3 |
Dr. Rabin,
No other medications, other than an ibuprofen every couple of weeks. My husband had a vasectomy seven years ago, and it has been probably 12-13 years since I was on the pill.
We have tried products such as Zestra and different warming gels, but didn't like them. They made me feel a sensation, but not exactly what I expected. How can you tell when the vulva is estrogenized?
The only answer to those tests that I can figure out is the T3 Free-it came back 2.8 w/range of 2.4-6.8 being marked as normal. My testosterone came back as 64 w/ range of 15-70 as normal. The FSH was 4.6 . Most all of the other test results were on the low/middle side of normal.
When you gather information for these tests does the day of the monthly cycle make a real difference, because she just told me to make the lab appt. for when I could get it. I was wondering if that would affect the out come in a way that was misleading.
Thank you so much for your help.
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srabin
Registered: 09/13/07
Posts: 33
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Reply with quote | #4 |
I'd love to help, I really can't give you specific answers and review your labs on-line. There are various approaches both hormonal and non hormonal to improve sexual satisfaction, desire, arousal, etc. We evaluate which aspect is most problematic (Desire, Arousal, Orgasm or Pain) and then move towards some solutions.
Thanks for writing. To schedule an appointment, please call my office number; 404-252-3898. We are in Atlanta near Northside Hospital.
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Steven A. Rabin, MD, FACOG |
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