Libido Recharge Part III

Written by Dr. Dana Price DOM, Dipl. O.M., L.Ac.

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For part three of our Libido Recharge blog series I would like to explore a far too common reason for low libido- “I’m too tired for sex”, which in Chinese medicine translates as Yang deficiency. This is the common pattern of living a lifestyle on the go, working too much and not getting enough rest and downtime, and then when sex does cross your mind, you just don’t have it in you.

With Yang deficiency, women can feel like their metabolism has slowed, they are gaining weight easier, they tend to be tired and low energy, and often feel cold easily. Yang is the warmth, active, moving, extroverted energy that we all have. So when we deplete our Yang through taking on too much, overwork, lack of exercise, stress and excessive adrenaline, or chronic illness we don’t have much energy left for sex.

So what can you do to rebuild your Yang deficient low libido?:

Diet: Non-wheat complex carbs with a small amount of high-quality protein (vegetable) is best as well as cutting out dairy, fruit juices, and fried or fatty foods.

Foods that rebuild the Yang are: Carrots, mushrooms, onions, leeks, sweet potatoes, ginger, cherries, apples, bananas, quinoa, lentils, black beans, cauliflower, kale, brussels sprouts, walnuts, and cabbage.

Exercise: Don’t exercise when you are tired and get at least 30 minutes of moderate exercise 5 times a week.

Avoid Caffeine: Caffeine gives a “false” energy and can make you feel more run down when it wears off.

Cut Down on Alcohol: No more than one drink per night and 3 drinks in a week.

Avoid Excess Salt: Salt in a small amount boosts the Yang but in large amounts depletes it. Check your labels and avoid processed foods which are high in sodium.

Acupuncture and Chinese herbs also work great to boost the Yang

Libido Recharge Part II

Written by: Dr. Dana Price DOM, Dipl O.M, L.Ac. 

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In the first of this three part series, I brought to attention the #metoo movement and asked the reader to visualize what a completely unhindered expression of female sexuality would look like. I hope you had the opportunity to explore this. If not please spend some time with this. It is my belief that if we have the vision, we can direct our actions to support and become it. 

I also brought up the three most common types of Yin/Yang imbalance and patterns that arise with low libido. I presented the “stressed” type. In this blog we will explore the “not feeling sexy enough for sex”, or as we translate it in Chinese medicine,Yin deficiency.

This pattern of Yin deficiency can manifest as low libido with difficulty becoming aroused, painful intercourse and lack of lubrication. In general Yin deficiency can include a general dryness of skin and hair, the lack of self nurturing, and potential negative self image. This pattern can also manifest as rushing through sex, and restlessness during sex, stubbornness and inflexibility in relationships, easy to get anxious, irritable and being scattered, vivid dreams, constipation, feeling warm, and light and short menstrual cycles. Here are some things you can do to rebuild your Yin:

Exercise: yoga (not hot), tai chi, qi gong, swimming or hiking. Limit aerobic workouts to 30 minutes three times a week. 

Nutrition: Whole foods diet that emphasizes vegetables, fruits, whole grains, with small amounts of protein and healthy fats. Avoid red meat and eat more vegetarian sources of protein than meat. Food that increase the Yin energy are: seaweed, beets, flaxseeds, spinach, chard, string beans, grapes, blackberries lettuce, nuts, millet and whole wheat to name a few.

Hydration: Here in Arizona it is already hot, sunny and dry which by nature depletes our Yin. It is very important to drink between 100-120oz of fluids per day. Alcohol and caffeine are dehydrating so it should be avoided. With that said avoid becoming overheated saunas, steam rooms, hot baths and hot yoga are not good choices.

Sleep: Getting at least 8 hours of sleep per night is imperative to rebuild Yin. If you remember from the first in the series, rest and night time is Yin. So you need more.

Meditation: Begin a daily meditation routine and do what you can to reduce stress levels. 

Vitamins: Potassium (bananas are good), Calcium, Magnesium and Vitamin E are helpful.

Chinese Medicine: Acupuncture and Chinese herbal formulas are very potent to increase Yin and rebalance your Qi

Lets Talk About Vaginal Tissue Health

By Leigh Lewis, ND, L.Ac.

Many women experience changes to their libido and sexual function due to changes in hormones that occur throughout life. Post-partum and perimenopause are frequent times when hormones plummet and this can causes lower desire and changes to the vaginal tissue that can cause discomfort with intercourse.  Other hormonal, like thyroid, or nutritional, like iron, deficiencies can contribute to this issue as well and should be screened for.

Medications can be a cause of sexual function issues, notably birth control and antidepressants, and there may be alternatives that have less impact. Alcohol and marijuana use can have negative impacts as well. Finally, it is important to consider relationship factors that may be playing a role; a couple of sessions with a qualified therapist can greatly help investigate & address this area. If discomfort is deep in the pelvic area, a specialized physical therapist may be able to assist you.

There are several ways you can address these issues on your own before consulting a physician:
For vaginal dryness or pain with intercourse: RepHresh or Replens, both available OTC at many pharmacies. These products are not lubricants, but actually restore vaginal tissue health without hormones. Try for twice a week for one month and see if the improvements decrease your symptoms.
For low libido: Maca (Femenessence) is a Peruvian herb that has been used traditionally to improve libido. Try 1000mg per day for a month to see if you notice an effect.

If these do not help, consider making an appointment here at ilumina to discuss pharmaceutical options. After ruling out any contributing factors, we can discuss possible hormonal therapies like bio-identical estrogen, testosterone or DHEA. These hormones have all been shown to be helpful for improving libido, orgasm and/or decreasing vaginal discomfort by improving tissue integrity. There are topical and oral forms available and some options are covered by insurance.  If vaginal tissue atrophy is the main concern, I have been very successful using both hormonal & non-hormonal compounded combinations.  Finally, a brief word about safety: most low dose topical hormone formulations used to treat local vaginal issues are not absorbed systemically and therefore are not considered to carry the same risks as menopausal hormone replacement therapy, even for breast cancer survivors.

Another pharmaceutical option is Addyi (flibanserin), a daily medication that has been shown to improve sexual desire. The side effects are generally minimal and it should not be taken with alcohol, but it may be good options for those women for whom none of the above has been helpful.

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Most importantly, seek help:

though this is a sensitive topic, we are here to help you with all facets of your health and that includes sexual health & wellbeing.