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New Guidance Says Doctors Should Discuss Vaping as One Option to Help Adults Quit Smoking

Quitting smoking is one of the best things a person can do for their health—but it's also one of the hardest habits to break. Many smokers make several attempts before they successfully quit, even when using medications or nicotine replacement products. Now, a panel of tobacco treatment experts is encouraging healthcare providers to expand the conversation about smoking cessation by discussing nicotine e-cigarettes as one possible option for adults who smoke cigarettes. The recommendations, published in JAMA , were developed by the Harm Reduction Work Group of the Society for Research on Nicotine and Tobacco’s Treatment Research Network. Rather than promoting vaping, the group says clinicians should focus on helping patients choose the quit-smoking method that best fits their individual circumstances. A Personalized Approach to Quitting Smoking cessation isn't the same for everyone. What works well for one person may not work for another, which is why the authors recommend mo...

Testosterone Spray for Increased Libido in Women - Study Reveals it's All in the Mind


The proof is now in the pudding. The female libido really must be complex. According to a new study, testosterone spray works as well as using nothing for the treatment of sexual dissatisfaction in premenopausal women. Testosterone seems to help women who are postmenopausal, but the effect before menopause has not been established.

Susan Davis, MD, of Monash University in Victoria, Australia, studied the response of 261 women aged 35 to 46 who reported sexual dissatisfaction and had low testosterone levels. They all received either one of three different doses of testosterone sprayed on the abdomen, or a spray that contained nothing (placebo). All of the women reported an increase in sexual satisfaction. In an accompanying editorial regarding the outcome, Rosemary Basson, MD, of the University of British Columbia, suggests that hormone replacement with testosterone may not be the best choice of therapy for women who want to boost their sex drive. She suggests that doctors explore mental health and relationship issues to address reports of sexual dissatisfaction.

Testosterone peaks in women at age 20, and then begins to decline. It is an important hormone for women as well as men. Past studies have shown that combination estrogen/testosterone replacement improves both the psychological and physiologic well being of women who have had their ovaries and uterus removed, and has been taken by many women who were postmenopausal.

The conclusion is that there is no reason to support the use of testosterone in women prior to menopause.

Hormonal balance is best maintained in women who are physically active and eat foods rich in magnesium, potassium and other minerals. Consider adding soy to your diet. Fresh fruits and vegetables should also be consumed throughout the day. The combination of good health and professional counseling appear to be the best solution to sexual health - at least until we know more.


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