Cervical Cancer Screenings
Cervical cancer - screenings include a pap smear to detect cervical cell changes/precancerous cells
What is the difference between a pap smear versus a pelvic exam?
Pelvic exam involves the health care provider checking the vulva, vagina, cervix, ovaries, uterus, rectum and pelvis.
This is NOT a Pap smear test. Pelvic exam = physical exam Pap smear test= lab test
The National Cancer Institute offers the latest guidelines and detailed information on their website: https://www.cancer.gov/types/cervical/screening
Low Sex Drive? How Do You Know It’s Time to Talk to Someone
It's perfectly normal for our sex drives to ebb and flow throughout our lives, but what happens when you notice a consistent decrease in your desire for intimacy? It can be a frustrating and isolating experience, leaving you feeling disconnected from your partner and questioning your self-worth.
If you're unsure whether you should open up to someone about your low sex drive, read on. We'll discuss the signs that it's time to have that conversation and offer guidance on who to talk to and how to approach the topic.
How Do You Know It's Time?
1. Consistent Lack of Desire
While it's normal for our sex drives to fluctuate, a consistent lack of desire for sex is something to take note of. If you find yourself regularly avoiding or disinterested in sexual activities, it may be time to discuss your concerns with someone.
2. Negative Impact on Your Relationship
A low sex drive can lead to disconnect or frustration between you and your partner. If you notice that your lack of desire is causing tension or unhappiness in your relationship, addressing the issue before it becomes more significant is essential.
3. Physical or Emotional Discomfort
If you're experiencing physical or emotional discomfort during sex, it may contribute to a lower sex drive. Pain, anxiety, or other negative feelings surrounding sex should be discussed with a professional to determine the root cause and possible solutions.
4. Changes in Your Overall Well-Being
A decrease in sex drive might be a symptom of an underlying issue, such as hormonal imbalances, stress, or depression. If you've noticed other changes in your overall well-being, it's essential to seek advice from a professional to address the root cause.
Who to Talk To and How to Approach the Topic
1. Your Partner
Open communication is key in any relationship, and discussing your low sex drive with your partner is an important step. Be honest about your feelings and concerns, and emphasize that you seek their support as you work together to find a solution. Remember to be patient and understanding, as this may be an emotional conversation for both of you.
2. A Medical Professional
If you suspect your low sex drive is related to a physical or mental health issue, consult with your primary care physician or a mental health professional. They can help you identify potential causes and recommend appropriate treatments.
3. A Sex Therapist
A sex therapist specializes in addressing sexual concerns and can help you work through any emotional or psychological barriers contributing to your low sex drive. They can also provide guidance on improving communication with your partner and enhancing your overall sexual experience.
4. Support Groups or Online Forums
Sometimes, it's helpful to connect with others experiencing similar challenges. Look for local support groups or online forums where you can discuss your experiences and learn from others in a safe, non-judgmental environment.
Conclusion
Experiencing a low sex drive can be a distressing and isolating experience, but it's important to remember that you're not alone.
Recognizing the signs that it's time to talk about it and seeking support, you're taking a significant step toward understanding and addressing the issue. Remember, open communication and professional guidance can improve your sexual health and overall well-being.
Dr. Nadia Archambault is a certified sex therapist providing coaching services for couples and individuals. The goal is to help people gain clarity on their sex lives, overcome barriers, and boost self-confidence. If you’re experiencing a low sex drive and want to consult with a certified sex therapist, we can help you. Contact us today to learn more and get started!
Understanding and Treating Female Sexual Dysfunction
Female sexual dysfunction (FSD) is a common yet often overlooked issue that affects women's health and quality of life. FSD encompasses various sexual issues such as low libido, difficulty achieving arousal or orgasm, and pain during intercourse. Despite its prevalence, many women feel embarrassed to discuss their sexual concerns with healthcare professionals. This blog aims to shed light on the diagnosis and treatment of FSD and to encourage women to seek help for this sensitive issue.
Diagnosis of Female Sexual Dysfunction
The first step in diagnosing FSD is to have an open and honest conversation with your healthcare provider about your sexual concerns. This may seem daunting, but it is important to remember that healthcare professionals are trained to deal with such issues and maintain confidentiality.
During the consultation, your healthcare provider may ask about your sexual history, relationship dynamics, and any medical conditions or medications that may be contributing to your sexual difficulties. They may also conduct a physical examination to rule out any anatomical abnormalities or infections.
Your healthcare provider may use certain diagnostic criteria to identify the type of FSD you may be experiencing. These criteria, as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), include:
1. Female Sexual Interest/Arousal Disorder
A persistent or recurrent low libido or difficulty becoming sexually aroused.
2. Female Orgasmic Disorder
Persistent or recurrent difficulty in achieving an orgasm or significantly reducing the intensity of orgasms.
3. Genito-Pelvic Pain/Penetration Disorder
Persistent or recurrent pain during intercourse or difficulty in allowing vaginal penetration.
It is crucial to determine the underlying causes of FSD, which can be classified as:
● Physical: Medical conditions (e.g., diabetes, hormonal imbalances), medications, or anatomical abnormalities.
● Psychological: Mental health issues (e.g., depression, anxiety), negative body image, or past trauma.
● Relational: Relationship problems, lack of trust, or poor communication with a partner.
Treatment Options for Female Sexual Dysfunction
Once the type and cause of FSD have been identified, your healthcare provider will recommend a tailored treatment plan. This may involve one or more of the following approaches:
1. Medical Interventions
If a medical condition or medication causes FSD, your healthcare provider may adjust your treatment plan accordingly. For instance, they may prescribe hormone therapy for women with low estrogen levels or suggest alternative medications that do not impact sexual function.
2. Pelvic Floor Therapy
Women experiencing pain during intercourse or difficulty with penetration may benefit from pelvic floor therapy. This involves working with a specialized physical therapist to strengthen and relax the pelvic floor muscles, which can improve sexual function and reduce pain.
3. Psychotherapy
For women with psychological or relational factors contributing to FSD, therapy with a licensed mental health professional can be helpful. Cognitive-behavioral therapy (CBT) and sex therapy are two common approaches that can address negative body image, performance anxiety, and communication with a partner.
4. Couples Counseling
In some cases, FSD may be related to relationship issues. Couples counseling can help partners work together to improve communication, trust, and intimacy, which can, in turn, enhance sexual satisfaction.
5. Lifestyle Modifications
Simple lifestyle changes such as regular exercise, stress management, and a healthy diet can improve overall wellness and may lead to improved sexual function.
Conclusion
Female sexual dysfunction is a complex issue that can significantly impact a woman's health and well-being. If you are experiencing low libido or any sexual concerns, discussing them with your healthcare provider to determine the most appropriate treatment plan is essential. With the right support and intervention, many women can reclaim their sexual health and enjoy a fulfilling sex life.
If you're struggling with low libido, don't suffer in silence. Dr. Nadia Archambault is a certified sex therapist, sexual health coach, and licensed pharmacist with a primary focus on women's health. She offers coaching for individuals and couples, with the goal of providing clarity on your sex life, overcoming barriers, and improving self-confidence. Take the first step towards a fulfilling sex life and schedule a consultation with us today!
Hormone Therapy: Should You Use It During Menopause
Menopause is a natural process that marks the end of a woman's reproductive years. It is characterized by several physical and emotional changes that can be uncomfortable and difficult to manage. Hormone therapy has been a popular treatment option for menopausal symptoms, but it has also been the subject of controversy due to potential health risks.
This has left many women wondering whether or not they should use hormone therapy during menopause. In this article, we will examine the pros and cons of hormone therapy to help you make an informed decision about your health.
Benefits
1. Relief from Hot Flashes and Night Sweats
Hormone therapy can help reduce the frequency and severity of hot flashes and night sweats, which are common symptoms of menopause.
2. Improved Mood
Menopause can cause mood swings and irritability. Hormone therapy can help alleviate these symptoms and improve overall mood.
3. Increased Bone Density
Menopause can lead to a decrease in bone density, which can increase the risk of osteoporosis. Hormone therapy can help maintain or increase bone density and reduce the risk of fractures.
4. Improved Vaginal Health
Menopause can cause vaginal dryness and discomfort during sex. Hormone therapy can help improve vaginal lubrication and reduce discomfort.
When MHT Is Not an Option
There are certain situations where hormone therapy may not be a suitable option for women. These include:
1. History of Breast Cancer
Women who have been diagnosed with breast cancer should not take hormone therapy, as it can increase the risk of cancer recurrence.
2. History of Blood Clots
Women who have a history of blood clots or certain blood clotting disorders should not take hormone therapy, as it can increase the risk of blood clots.
3. Certain Medical Conditions
Women with certain medical conditions, such as liver disease, kidney disease, or uncontrolled high blood pressure, may not be able to take hormone therapy.
4. Personal Choice
Some women may choose not to take hormone therapy due to personal beliefs or preferences
In these cases, alternative treatments may be recommended, such as lifestyle changes, non-hormonal medications, or complementary therapies. It is important to discuss all available options with a healthcare provider to determine the best course of treatment for each individual.
Questions to Ask
1. How bad are your symptoms?
Symptoms vary from one woman to another. Some experience very light symptoms to incredibly intolerable ones. Take note of how much your symptoms are affecting you when you speak to your healthcare adviser.
2. What is your family history?
It's important to know if there is any family history of hormonal imbalances or Menopause-related conditions, as this can increase your risk of developing them.
3. Have you noticed any changes in your menstrual cycle?
Changes in menstrual cycles, such as irregularity or heavy bleeding, can signal hormonal changes or Menopause onset.
4. Are you experiencing any vaginal dryness, itching, or discomfort?
These symptoms can be indicative of hormonal changes and may require medical attention.
5. Have you considered Hormone Replacement Therapy (HRT)?
HRT is a common treatment option for Menopause symptoms, but it's important to discuss the risks and benefits with your healthcare adviser to determine if it's the right option for you.
Conclusion
The decision to use hormone therapy during menopause is a complex one that should be made after careful consideration and consultation with a healthcare provider. Hormone therapy can be an effective treatment for symptoms such as hot flashes and vaginal dryness, but it also carries potential risks such as an increased risk of breast cancer and blood clots. Women who have a history of certain medical conditions or who are at high risk for breast cancer may not be good candidates for hormone therapy.
Ultimately, the decision to use hormone therapy should be based on an individual's unique medical history, symptoms, and personal preferences. Women should discuss the potential benefits and risks of hormone therapy with their healthcare provider to make an informed decision about the best course of treatment for them.
If you are considering hormone replacement therapy, contact Dr. Nadia Archambault. She offers coaching for individuals and couples, intending to provide clarity on your sex life, overcome barriers, and improving self-confidence.
Sex Therapy: A Comprehensive Guide to Sexual Wellness
Sex is a natural part of life and plays a significant role in our overall well-being. However, it can also be a source of anxiety, stress, and even relationship problems for many people.
If you're experiencing sexual difficulties or looking to improve your sexual experiences, sex therapy might be a helpful resource for you. In this post, we'll explore what sex therapy is, who it's for, and how it works, so you can decide whether it's right for you.
What Is Sex Therapy?
Sex therapy is a specialized form of psychotherapy that focuses on addressing and resolving sexual issues and concerns. It involves talking about your sexual experiences, thoughts, and feelings with a trained professional who can help you understand the causes of your difficulties, develop coping strategies, and improve your sexual well-being.
Certified sex therapists are mental health professionals, such as psychologists, psychiatrists, or social workers, who have completed additional training in human sexuality and sex therapy techniques.
How Long Does Sex Therapy Take?
The length of sex therapy varies depending on the individual and the complexity of the issues being addressed. Some people may see improvement in just a few sessions, while others may require more long-term treatment.
On average, sex therapy sessions last for about 50 minutes and occur on a weekly or bi-weekly basis. Your therapist will work with you to determine the appropriate duration and frequency of sessions based on your needs and progress.
How Does Sex Therapy Work?
Sex therapy typically begins with an initial assessment, during which the therapist gathers information about the client's sexual history, relationship status, and specific concerns. The therapist may also inquire about any medical conditions or medications that could be contributing to the client's sexual issues.
During sex therapy sessions, you'll work with your therapist to explore the underlying causes of your sexual difficulties, including emotional, cognitive, or relational factors. The therapist will also work with the client to develop a tailored treatment plan.
This may involve a combination of talk therapy, education about sexual health, communication exercises, and behavioral techniques. In some cases, the therapist may recommend involving the client's partner in the therapy sessions. It is important to note that sex therapy does not include any form of physical touch or sexual activity between the therapist and the client.
The therapy sessions are conducted in a professional and confidential setting where clients can feel safe and comfortable discussing their concerns. In some cases, though, the therapist may assign homework or exercises for you to practice at home, either alone or with your partner, to reinforce the skills and concepts discussed in therapy.
Who Can Benefit from Sex Therapy?
People of all ages, genders, and sexual orientations can benefit from sex therapy. It addresses a wide range of sexual concerns, including, but not limited to:
● Low sexual desire
● Erectile dysfunction
● Premature or delayed ejaculation
● Pain during sex
● Difficulty reaching orgasm
● Sexual addiction or compulsive sexual behaviors
● Sexual trauma or abuse
● Concerns related to sexual orientation or gender identity
● Relationship issues pertaining to sex and intimacy
● Sexual difficulties due to medical conditions or medications
If you're noticing any of these issues or simply want to enhance your sexual experiences and deepen your connection with your partner, sex therapy might be a good fit.
Qualifications of Sex Therapists
Sex therapists are licensed mental health professionals who have received specialized training in human sexuality and sex therapy. They may hold a degree in psychology, social work, marriage and family therapy, or another related field. Many sex therapists also have certifications from professional organizations, such as the American Association of Sexuality Educators, Counselors, and Therapists (AASECT).
When seeking sex therapy, finding a qualified and experienced professional who can address your specific needs and concerns is crucial. Look for a therapist with a proven track record of success in treating clients with similar issues and always prioritizes your comfort and trust in the therapeutic relationship.
Final Thoughts
Sex therapy can be a powerful tool for addressing sexual concerns and enhancing your overall well-being.
By working with a qualified professional, you can gain insight into the root causes of your difficulties, learn new skills and strategies for improving your sexual experiences, and ultimately, enjoy a more satisfying and fulfilling sex life. If you're considering sex therapy, don't hesitate to reach out to a trained professional to discuss your concerns and begin your journey to sexual health and happiness.
Dr. Nadia Archambault is a certified sex therapist, sexual wellness mentor, and authorized pharmacist specializing in women's health. She offers coaching assistance to both individuals and couples to give them a deeper understanding of their sexual experiences, assisting them in overcoming challenges and enhancing their self-confidence. Schedule a free consultation today.
What You Can Expect From Sex After Giving Birth
Giving birth is one of the most transformative experiences a woman can undergo. It changes her body, mind, and spirit in profound and lasting ways. And when it comes to sex after giving birth, there are a lot of questions and concerns that can arise.
For many women, having sex after giving birth can be daunting. There are physical changes that happen, emotional adjustments to be made, and practical considerations to take into account. However, with some understanding and preparation, it is possible to have a fulfilling and enjoyable sex life postpartum.
Here, our certified sex therapist shares what to expect from sex after giving birth, including changes to your body, emotional adjustments, and practical tips for making it work:
Body Changes
One of the most significant changes after giving birth is the physical transformation of your body. Your vagina, in particular, will undergo many changes during and after childbirth. Here are some of the most common changes you can expect:
Vaginal Dryness
After giving birth, your body's estrogen levels drop dramatically. This can lead to vaginal dryness, making sex uncomfortable or even painful. Using a water-based lubricant can help alleviate this problem.
Vaginal Looseness
During childbirth, your vaginal muscles stretch to accommodate the baby's head. This can lead to a feeling of looseness or "slackness" in the vagina. While this can be disconcerting, it's usually temporary, and Kegel exercises can help you regain your muscle tone.
Perineal Tears
If you had a vaginal birth, you might have experienced perineal tearing. This is when the skin between your vagina and anus tears during childbirth. While most tears heal on their own, some require stitches. If you have a tear, it's essential to give yourself time to heal before resuming sexual activity.
Hemorrhoids
Hemorrhoids are a common side effect of childbirth. They can be uncomfortable or even painful, making sex difficult. Using a sitz bath or applying a cold compress to the area can help alleviate the discomfort.
Emotional Adjustments
The emotional adjustments that come with becoming a new mother can be just as challenging as the physical ones. Here are some common emotional changes you may experience after giving birth:
● Fatigue - Newborns require a lot of attention, and it can be challenging to find time and energy for sex. It's essential to be patient with yourself and your partner and to communicate openly about your needs and limitations.
● Body Image Issues - It's common for new mothers to feel self-conscious about their bodies after giving birth. You may feel like your body is no longer your own or that it's changed in ways that make you feel less attractive. Remember that your body has done something incredible, and it's okay to take time to adjust to your new normal.
● Hormonal Changes - Fluctuations in hormones can affect your mood and libido after giving birth. You may find that you're less interested in sex than you were before or that your desire is heightened. Either way, it's important to communicate with your partner and be patient with yourself as your body adjusts.
Practical Tips That Can Help You
Here are some practical tips for making sex work postpartum:
Be Patient
Giving yourself time to heal and adjust after giving birth is essential. Don't rush yourself into sex before you're ready, and be patient with yourself as you navigate the changes in your body and emotions.
Communicate With Your Partner
Open communication is essential when it comes to sex after giving birth. Be honest with your partner about how you're feeling, what you need, and what you're comfortable with. It's okay to set boundaries and take things slow.
Try Different Positions
Experiment with different positions to find what works best for you and your partner. Some positions may be more comfortable than others, depending on your body's changes.
Use Lubrication
If you're experiencing vaginal dryness, using a water-based lubricant can make sex more comfortable and enjoyable.
Conclusion
Sex after giving birth can be challenging, but it's also an opportunity to deepen your connection with your partner and explore new aspects of your sexuality. Remember to be patient with yourself, communicate openly with your partner, and prioritize your physical and emotional well-being. With time and effort, you can have a fulfilling and enjoyable sex life postpartum. Of course, you can always seek a certified sex therapist whenever you need professional help.
Dr. Nadia Archambault is a certified sex therapist, sexual health coach, and licensed pharmacist whose primary focus lies in women's health. She provides coaching services for individuals and couples, aiming to offer insight into their sexual lives, help them overcome obstacles, and boost self-esteem.
From Causes to Cures: Understanding Female Orgasmic Disorder
Sexual pleasure is an essential aspect of human life, but not all women experience orgasm during sexual activity. Female Orgasmic Disorder (FOD) is a condition that affects a significant number of women, making it difficult or impossible for them to achieve orgasm during sexual activity. In this article, we will discuss what FOD is, its symptoms, causes, types, and treatment options.
What Is Female Orgasmic Disorder?
Female Orgasmic Disorder is when a woman has difficulty achieving orgasm, even with adequate sexual stimulation. It is also known as anorgasmia or orgasmic dysfunction. It is a common sexual dysfunction that can affect women of all ages, but it is more common in women over 50.
Symptoms of Female Orgasmic Disorder
The most common symptom of FOD is the inability to achieve orgasm, but there are other symptoms that women may experience. These symptoms can vary in severity and may include:
1. Delayed Orgasm: This is when a woman takes longer than usual to achieve orgasm, even after adequate sexual stimulation. This delay can cause frustration and anxiety and affect a woman's sexual satisfaction.
2. Infrequent Orgasm: This is when a woman only experiences orgasm occasionally, leading to a lack of sexual desire and may affect a woman's sexual relationship.
3. Reduced Intensity of Orgasm: This is when a woman experiences a weaker orgasm than usual, causing disappointment and frustration.
4. Lack of Pleasure During Sexual Activity: This is when a woman does not feel any pleasure during sexual activity. This can be a sign of a more severe form of FOD and may require medical attention.
It is essential to note that not all women experience these symptoms, and some may experience multiple symptoms simultaneously.
Causes of Female Orgasmic Disorder
There are various causes of Female Orgasmic Disorder, including:
1. Psychological Factors: Anxiety, depression, stress, and past traumatic experiences can affect a woman's ability to achieve orgasm. These factors can cause a woman to feel anxious, nervous, or distracted during sexual activity, making it challenging to achieve orgasm.
2. Medical Conditions: Medical conditions like diabetes, multiple sclerosis, and hormonal imbalances can also cause FOD. These conditions can affect a woman's sexual function by altering the body's physiological responses to sexual stimulation.
3. Medications: Certain medications, such as antidepressants, antihistamines, and blood pressure medications, can affect a woman's ability to achieve orgasm. These medications can alter the body's hormonal balance, affecting sexual function.
4. Relationship Issues: Poor communication, lack of intimacy, and conflicts can also affect a woman's ability to achieve orgasm. These issues can cause anxiety, stress, and tension, making it difficult to relax and enjoy sexual activity.
Identifying the underlying cause of FOD is essential to develop an effective treatment plan. Women who experience symptoms of FOD should seek the advice of a healthcare professional to identify the cause and develop an appropriate treatment plan.
Treating Female Orgasmic Disorder
The treatment of FOD depends on the underlying cause. Here are some treatment options for FOD:
1. Counseling: Cognitive-behavioral therapy can help women with FOD identify and address any psychological factors affecting their ability to achieve orgasm.
2. Medications: Certain medications, such as testosterone, can help improve sexual desire and function in women.
3. Sex Therapy: Sex therapy can help women with FOD learn new techniques to enhance their sexual pleasure and improve their ability to achieve orgasm.
4. Hormone Therapy: Hormone therapy can help women with hormonal imbalances to regulate their hormones and improve their sexual function.
5. Self-Help Techniques: Women with FOD can try self-help techniques such as masturbation and exploring their bodies to learn what feels pleasurable.
Conclusion
Female orgasmic disorder is a common sexual dysfunction that affects many women. Various factors, including psychological factors, medical conditions, medications, and relationship issues, can cause it. Treatment options for FOD depend on the underlying cause and may include counseling, medication, sex therapy, hormone therapy, and self-help techniques. Women who experience FOD should seek help from a healthcare professional to address the condition and improve their sexual function.
Dr. Nadia Archambault is a certified sex therapist, sexual health coach, and licensed pharmacist specializing in women’s sexual health. She provides coaching for individuals and couples with the goal of helping clients gain clarity on their sex lives, overcome barriers, and improve self-confidence. Feel free to reach out for support.
Low Libido in Women: Exploring The Factors
Low libido in women is a common issue that affects millions of women worldwide. It is a condition in which a woman experiences a decrease in sexual desire or interest that can cause significant distress and affect their overall quality of life. There are many factors that can contribute to low libido in women, and it is essential to understand these causes to address the issue effectively.
Psychological Causes of Low Libido in Women
Psychological factors can play a significant role in low libido in women. Stress, anxiety, depression, and other mental health issues can affect a woman's sexual desire and make it challenging to enjoy sexual activities. Relationship issues, such as communication problems, trust issues, and conflicts, can also impact a woman's libido. Trauma, such as sexual abuse or assault, can also lead to a decrease in sexual desire.
Physical Causes of Low Libido in Women
Physical factors can also contribute to low libido in women. Hormonal changes, such as those that occur during menopause, pregnancy, or breastfeeding, can affect a woman's sex drive. Medical conditions, such as diabetes, high blood pressure, and thyroid disorders, can also cause low libido. Certain medications, such as antidepressants and birth control pills, can also impact a woman's sexual desire.
Lifestyle Factors That Affect Libido in Women
1. Poor Sleep Quality
Women who do not get enough sleep or have poor sleep quality may experience a decrease in sexual desire.
2. Unhealthy Diet
A diet lacking in nutrients can lead to a decrease in sex drive. Additionally, consuming too much sugar, caffeine, or alcohol can negatively affect libido.
3. Sedentary Lifestyle
Lack of exercise can cause a decrease in blood flow to the sexual organs, impairing sexual arousal and response.
4. Alcohol and Drug Use
Excessive consumption of alcohol or drug use can impact sexual function and decrease libido in women.
5. Smoking
Smoking can cause a decrease in blood flow to the sexual organs, leading to a decrease in sexual desire and function.
Treatment Options for Low Libido in Women
In addition to psychological and physical factors, lifestyle factors can also play a role in low libido in women. Poor sleep quality, unhealthy diets, and sedentary lifestyles can all contribute to a decrease in sexual desire. Alcohol and drug use can also have negative effects on sexual function. Smoking can cause a decrease in blood flow to the sexual organs, impairing sexual arousal and response. Addressing these lifestyle factors can help improve overall sexual health and well-being in women.
Takeaway
Low libido in women is a common issue that can significantly affect a woman's quality of life. It is essential to understand the many factors that can contribute to this issue to address it effectively. Psychological factors, physical factors, and lifestyle factors can all impact a woman's libido. Treatment options depend on the underlying cause of the issue and may include therapy, medication, lifestyle changes, or couples therapy. By understanding the many causes of low libido in women, women can take steps to improve their sexual desire and enjoy a more fulfilling sex life.
Dr. Nadia Archambault provides coaching services for individuals and couples. My goal is to help clients gain clarity on their sex lives, overcome barriers, and improve self-confidence. If you are struggling with low libido and want to learn effective coping strategies, feel free to reach out for support.
Dealing with Menopause: The Benefits of Hormonal Therapy
Menopause is a natural biological process that marks the end of a woman's reproductive years. It often brings about symptoms such as hot flashes, night sweats, mood swings, vaginal dryness, and decreased sex drive.
Hormonal Replacement Therapy (HRT) is a treatment option for menopause that involves replacing the hormones that the ovaries no longer produce. This article will explore how HRT can help alleviate symptoms of menopause.
Types of Hormonal Replacement Therapy
There are two types of HRT: estrogen-only therapy and combination therapy. Estrogen-only therapy is recommended for women who have had a hysterectomy. Combination therapy is recommended for women who have not had a hysterectomy. Combination therapy includes both estrogen and progesterone. Progesterone is added to help reduce the risk of endometrial cancer.
The Benefits of Hormonal Replacement Therapy
HRT has been a lifesaver for many, providing relief from a range of symptoms and improving the overall quality of life. In recent years, research and developments in the field have led to a better understanding of HRT and its benefits.
1. Relief from Menopause Symptoms
One of the primary benefits of HRT is that it helps alleviate the discomfort and inconvenience caused by menopause symptoms. These symptoms may include hot flashes, night sweats, mood swing, and sleep disturbances.
2. Improved Bone Health
Estrogen plays a vital role in maintaining bone density and strength. As estrogen levels decline during menopause, women become more susceptible to bone loss and osteoporosis. HRT can help maintain bone density and reduce the risk of fractures and other complications related to weakened bones.
3. Cardiovascular Health
HRT has been shown to have a positive effect on cardiovascular health. The use of estrogen replacement therapy, in particular, has been associated with a reduced risk of heart disease in postmenopausal women. It is believed that estrogen helps to maintain healthy blood vessels and can lower LDL (bad cholesterol) levels while increasing HDL (good cholesterol) levels, contributing to better overall heart health.
4. Cognitive Function and Mood
Hormonal imbalances can lead to changes in mood and cognitive function. HRT has been shown to help stabilize mood and improve cognitive function in some individuals, particularly in memory, concentration, and problem-solving.
5. Improved Sexual Health
A decline in hormonal levels can lead to various sexual health issues, such as vaginal dryness, decreased libido, and painful intercourse. HRT can help address these issues by restoring hormonal balance, improving sexual desire, and reducing discomfort during sex.
Risks of Hormonal Replacement Therapy
There are some risks associated with Hormonal Replacement Therapy. HRT can increase the risk of breast cancer, stroke, and blood clots. Women with a history of breast cancer, blood clots, or stroke should not take HRT. Women who smoke or have a history of heart disease should also avoid HRT.
How to Take Hormonal Replacement Therapy
HRT can be administered in several ways, each with advantages and disadvantages. Your healthcare provider will help you determine the best method for your needs. The most common methods of HRT administration include:
1. Oral Medications
Pills are taken daily and are widely available. However, they may cause gastrointestinal side effects in some individuals and may carry a higher risk of blood clots.
2. Transdermal Patches
Patches are applied to the skin and release hormones consistently over several days. They are less likely to cause gastrointestinal side effects and may carry a lower risk of blood clots.
3. Topical Gels or Creams
Gels or creams are applied to the skin daily, allowing for consistent hormone release. They are less likely to cause gastrointestinal side effects but may be less convenient than other methods.
4. Vaginal Preparations
These include creams, tablets, and rings that release hormones directly into the vagina. They are particularly useful for treating local symptoms such as vaginal dryness and discomfort.
Conclusion
Hormonal Replacement Therapy (HRT) is a viable treatment option for women experiencing menopause. However, women need to discuss their options with their healthcare provider to determine the best course of treatment for their individual needs, considering any risks associated with HRT. Ultimately, HRT can significantly relieve women experiencing menopausal symptoms, improving their quality of life and overall well-being.
Don't let concerns about your sexual health hold you back. Book a session with me, Dr. Nadia Archambault, a Certified Sex Therapist, Sexual Health Coach, and Licensed Pharmacist. With my personalized approach and unique perspective, I can help you overcome barriers, improve self-confidence, and achieve your sexual wellness goals.
Somatic Therapy
We have all experienced some type of trauma in our lives. Somatic Therapy with a mental health professional can help with trauma, chronic stress and PTSD. Also called “Somatic Experiencing” it is a body-centric approach that focuses on bodily (somatic) responses rather than the thoughts or emotions associated with a traumatic event.
Below is an article with some at-home techniques that may help.
https://psychcentral.com/lib/somatic-therapy-exercises-for-trauma
Sleep and Your Health
Sleep is SO important! I recommend this to patients also as it has an impact on sexual health. First, Tty wearing a smartwatch to track your sleep patterns as a baseline and to track progress. Remember it is not only about the quantity but the QUALITY of your sleep. I suggest doing a bedtime meditation - this can even just be a breathing exercise. I am posting a link below to my favorite Therapist who has some good ones to try. I am a HUGE Peloton junkie and love their guided meditations on the app- there are many other apps you can use in general also.
Happy New Year
Why do we make New Years resolutions? I recently read that, based on social scientific research, happiness is about 40 percent genetic, 10 percent situational, and 50 percent habits and mindset. (Dr Amen “You, Happier”).
With that being said, we have more control over being happy. I hope that more people stop making “2023 resolutions” that will fade away and start incorporating their goals on a consistent daily basis contributing to one's overall life journey.
It is also important to reflect on the previous year and focus on the good things rather than what went wrong and how you will “fix” that for 2023. It’s all about putting your energy towards the things you can control, rather than the things you cannot.
And remember, always be willing to change your mind.
~~Peace and Love ~~ Dr A
Low Libido Medication for Women
FDA Approved Treatment:
Antidepressants - SSRI’s Fluoxetine (Prozac®) and Paroxetine (Paxil®)
**However these can also lower sex drive
Fibanserin (Addyi®)
-Taken once daily at bedtime
-Side effects: Hypotension (low blood pressure), dizziness, nausea, fatigue
-Avoid: Alcohol; Fluzonaczle (Diflucan)
Bremelaontide (Vyleesi®)
Injection given prior to sexual activity
Side effects: Nausea (usually occurs more with the first injection), vomiting, flushing, headache, injection site reaction
*Addyi® and Vyleesi® are NOT FDA-approved for use in postmenopausal women
Hormone-Replacement Therapy (HRT)
Estrogen- pills, patches, sprays, gels, vaginal creams, suppositories (pellets), rings
**Estrogen does NOT help improve hypoactive sexual desire disorder
Estrogen
Pills, Brand names: Cenestin®, Estinyl®, Estrace®, Menest®, Ogen®, Premarin®, Femtrace®.
Creams, Brand names: Estrace®, Ogen®, Premarin®.
Vaginal ring, Brand names: Estring®, Femring® (treats vaginal symptoms and hot flashes).
Vaginal tablet, Brand names: Vagifem®. Imvexxy®
Patch, Brand names: Alora®, Climara®, Minivelle®, Estraderm®, Vivelle®, Vivelle-Dot®, Menostar®.
Spray, Brand name: Evamist®.
Side Effects:
bloating
breast tenderness or swelling
swelling in other parts of the body
feeling sick
leg cramps
headaches
indigestion
vaginal bleeding
Estrogen/Progesterone/Progestin HRT
Combination of Estrogen and Progesterone
Progestin- Synthetic form of progesterone
Side effects of taking estrogen without progesterone Can increase risk for endometrial (uterine) cancer
**If you no longer have your uterus (hysterectomy)- You typically will not need to take progesterone
Pills, Brand names: Activella®, FemHRT®, Premphase®, Prempro®, Angeliq®, Bijuva®.
Patch, Brand names: CombiPatch®, Climara-Pro®.
Vaginal dehydroepiandrosterone (DHEA)
Vaginal insert, Brand name: Intrarosa®
Testosterone-
-Low doses for women
-Side effects: acne, excess body hair, mood changes
**Is not FDA approved for sexual dysfunction in women so is prescribed off-label
Prasterone (Intrarose®)
-Dehydroepiandosterone (DHEA) vaginal insert .
-Used nightly to help with pain during intercouse related to vaginal dryness from Genitourinary syndrome of menopause (GSM)
Ospemifene (Osphena®)
-Once daily pill. Helps with painful sex related to moderate to sever GSM
**Not approved for women who have had or at high risk for breast cancer
References:
Mayo Foundation for Medical Education and Research 1998-2022
https://clevelandclinic.org
Accessed 9/28/22
Summer Reading
I wanted to share with you some of my top picks for summer reading.
“Quantum Love "by Dr Laura Berman
“Falling in love is a thrilling, transcendent experience . . . but what about staying in love? Once the intense excitement of a new relationship starts to fade, you may think your only options are to somehow recapture that early magic or settle for a less than fulfilling love life. Now love, sex, and relationship expert Laura Berman, Ph.D., taps the latest scientific and metaphysical research to offer an inspiring alternative: a higher level of love beckoning you to move forward, not backward. Using the essential truth we’ve learned from the study of quantum physics—the fact that at our molecular core, each of us is simply a vessel of energy—Dr. Berman explains how you can use what’s happening in your inner world to create a level of passion, connection, and bliss in your relationship that you’ve never imagined possible.”
“Sexually Speaking: What Every Woman Needs to Know About Sexual Health” by Dr Ruth
The ultimate women's guide to sexual health—new from Dr. Ruth
In this down-to-earth guide, celebrated sex expert and bestselling author Dr. Ruth Westheimer teams up with prominent gynecologist at Cornell and New York Presbyterian Medical Centers, Dr. Amos Grunebaum, to address the most pressing health issues women face today. Written in Dr. Ruth's refreshingly candid and lively style, it gives you everything you need to take charge of your health—from finding a gynecologist to having a happy sex life to planning or avoiding a pregnancy. With practical advice and information for every age and stage of a woman's life, Sexually Speaking is an invaluable reference you will turn to again and again.”
https://www.amazon.com/Sexually-Speaking-Every-Sexual-Health/dp/0470643358
“Men are from Mars, Women are from Venus”- by John Gray
“In his classic guide to understanding the opposite sex, Dr. John Gray, provides a practical and proven way for men and women to improve their communication and relationships by acknowledging the differences between them.”
https://marsvenus.com/product/men-are-from-mars-women-are-from-venus-hardcover/
“Mating in Captivity”- Esther Perel
“One of the world’s most respected voices on erotic intelligence, Esther Perel offers a bold, provocative new take on intimacy and sex. Mating in Captivity invites us to explore the paradoxical union of domesticity and sexual desire, and explains what it takes to bring lust home.
Drawing on more than twenty years of experience as a couples therapist, Perel examines the complexities of sustaining desire. Through case studies and lively discussion, Perel demonstrates how more exciting, playful, and even poetic sex is possible in long-term relationships. Wise, witty, and as revelatory as it is straightforward, Mating in Captivity is a sensational book that will transform the way you live and love.”
New YouTube Channel and Podcast!
I am so excited to announce I have now started a YouTube Channel and Podcast, “The Ask Dr A Show”. Please like, subscribe, and share! I would love to hear your feedback and questions to present on the show as well.
Click here to visit my YouTube Channel
Personal Lubricants- Do’s and Don’ts
It can be very confusing when trying to decide on a lubricant with all of the options out there. While lubricants with scents or warming options can be fun to try, they can also cause vaginal infections. Others may contain harmful chemicals that can even cause cancer. I usually advise patients to use a water-based lubricant that is free from silicone, parabens, glycerin or preservatives.
Below is a link to the Athena’s Home Novelty water-based lubricant brand I recommend:
https://www.athenashn.com/productdetail/perfectly-pure-intimate-moisturizer?u=14109
If you are looking for an alternative lubricant that offers a little more, I recommend Ananda Professional’s Bliss- the first-and-only cannabis-infused intimate oil formulated by a female reproductive medicine specialist and cannabis clinician. “The proprietary blend of full-spectrum hemp extract provides relaxation and the ability to focus on personal pleasure. All-natural ingredients intentionally selected to stimulate, soothe and equalize the sexual experience.” All the ingredients are plant-based, pH balanced and tested for any harmful preservatives.
Below is the link to the Ananda website for more information:
https://anandaprofessional.com/products/bliss-intimate-oil-retail
Bacterial Vaginosis-What you should know
I want to get to the bottom of this! So many women suffer from Bacterial Vaginosis (BV) and a listed way to prevent it is “not having sex”?! That’s not an answer. I wonder if this were a problem occurring with males the answers would be different. BV is caused by a change in the vaginal pH. It is not “recommended” to treat both partners however I am wondering if there should be a treatment option for males to prevent spread back and forth.
Some BV risk factors include:
Genetics
New or multiple sex partners
Unprotected sex
Shared sex toys
Douching
You DO NOT necessarily get BV from being sexually active. Use of douching, scented baths and fragrances can also be causes.
Treatment options may include:
Metronidazole (Flagyl, Metro-Gel, among some brand names)- oral or vaginal gel/cream
Clindamycin (Cleocin, Clindesse)- vaginal cream
Tinadazole (Tindamax)- oral
Right now I am looking into vaginal pH balancing products. One specifically is Ananda Professional’s CBD infused gel. I am including the link below to view more information. They also carry an “Endo-Relief cream” for Endometriosis pain affiliated with endometriosis- more to come on that!
Lupus and Low-Dose Naltrexone
Lupus is an autoimmune disease that often goes misdiagnosed in women due to varied symptoms such as fatigue, rash, fever and joint pain. There is no cure for lupus and current treatment options focus on controlling symptoms and flare-ups.
Naltrexone is a drug that was originally FDA approved for opioid addiction. However studies have been conducted with low doses of naltrexone also as a pain reliever and anti-inflammatory. In addition, it causes release of endorphins which can have positive effects on the immune response. It has specifically been used for treatment of autoimmune diseases such as Lupus. There are options for low-dose naltrexone to be compounded at a pharmacy with a prescription.
For more information about ongoing research of low-dose naltrexone and lupus please visit: https://www.lupusresearch.org/
Hysterectomies and Ovarian Cancer
I have often come across this question with female patients. Despite us coming a long way with modern medicine, there still has yet to be an effective screening test to detect ovarian cancer. This is so disappointing.
There are some myths behind hysterectomies and ovarian cancer prevention. So I wanted to share this information from the Mayo Clinic:
Partial hysterectomy or total hysterectomy. A partial hysterectomy removes your uterus, and a total hysterectomy removes your uterus and your cervix. Both procedures leave your ovaries intact, so you can still develop ovarian cancer.
Total hysterectomy with salpingo-oophorectomy. This procedure removes your cervix and uterus as well as both ovaries and fallopian tubes. This makes ovarian cancer less likely to occur, but it does not remove all risk.
You still have a small risk of what's called primary peritoneal cancer. The peritoneum is a covering that lines the abdominal organs, and is close to the ovaries. Since the peritoneum and ovaries arise from the same tissues during embryonic development, it's possible that cancer could result from the cells of the peritoneum.
(https://www.mayoclinic.org/diseases-conditions/ovarian-cancer/expert-answers/ovarian-cancer/faq-20057780)
There is currently HRD testing (homologous recombination deficiency) which is an important biomarker of advanced ovarian cancer. However, this is to test for advanced. By the time most women are diagnosed with Ovarian cancer, it is already in these advanced stages. There are options for transvaginal ultrasonography and testing for a serum tumor marker, cancer antigen (CA)–125 to detect ovarian cancer, however these are usually not routinely recommended or covered on health insurance.
We need to find a better solution.
I also want to share this from the HERS (Hysterectomy Educational and Resources )Foundation - https://www.hersfoundation.org/facts/
FACTS
FACT: Women report a loss of physical sexual sensation after hysterectomy.
FACT: A woman’s vagina is shortened, scarred and dislocated by hysterectomy.
FACT: Hysterectomy’s damage is life-long. Among its most common consequences, in addition to operative injuries are:
heart disease
loss of sexual desire, arousal, sensation and uterine orgasm
weight gain
osteoporosis
bone, joint and muscle pain and immobility
painful intercourse, vaginal damage
displacement of bladder, bowel, and other pelvic organs
urinary tract infections, frequency, incontinence
chronic constipation and digestive disorders
debilitating fatigue
loss of stamina
altered body odor
loss of short-term memory
blunting of emotions, personality changes, despondency, irritability, anger, reclusiveness and suicidal thinking
FACT: No drugs or other treatments can replace ovarian or uterine hormones or functions. The loss is permanent.
FACT: The medical term for the removal of the ovaries is castration. 73% of women are castrated during hysterectomy.
FACT: The uterus and ovaries function throughout life in women who have not been hysterectomized or castrated.
FACT: Armed with information, 98% of women HERS referred to board-certified gynecologists after being told they needed hysterectomies, discovered that, in fact, they did not need hysterectomies.
FACT: Gynecologists, hospitals and drug companies make more than $17B dollars a year from the business of hysterectomy and castration.
HERS is the only independent, international, 501c3 nonprofit organization dedicated to the issue of hysterectomy. HERS advocates for fully informed medical decisions by women.
It is up to us to take our health in our own hands and the first step is educating ourselves. Please send me your input/comments or any other medical information you would like to share regarding this topic.
Dr A
Welcome and Introduction
I am a licensed Pharmacist and graduated from University of Rhode Island in 2008. I became a Certified Sex Therapist through the Sex Therapy Institute of Florida in West Palm Beach in 2015.
I know that sounds like an odd combination!
I have always been passionate about sexual health and women’s wellness. When I was in pharmacy school, I wanted to make some extra money to offset my student debt. I ended up selling home novelty products, aka “sex toys” with a RI-based company called Athena’s Home Novelties. I did home parties and the women would want to talk more about their sex lives, relationships, and overall sexual health.
From there I felt like I was on to something. Why not help these women more? I was already offering a great way for them to practice “self-love” or enhance sexual experiences with their partners.
Fast forward- I finished pharmacy school and ended up working in compounding pharmacy for several years. I was the pharmacy manager for many facilities where the bulk of what we “made” or compounded was hormone replacement therapy and erectile dysfunction medicines. I consulted with many prescribers and clinics who specialized in bio-identical hormones. This gave me an even greater understanding of the clinical aspects behind sexual health.
I have been able to combine my pharmacy background and training with sex therapy to help patients with their overall sexual well-being.
Sometimes there may be a sexual roadblock due to a medication someone is taking. Other times it may be on a mental/emotional level. Maybe a sex toy can be the solution to spicing up a relationship in the bedroom.
I can help with all of that!
~Dr A