Sexual Dysfunction Complex Case Discussion (Men & Women)

Neal Rouzier, M.D.

Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA

A 60 y/o male presents for evaluation of hormone replacement that he has been receiving from a physician colleague. His chief complaint is loss of libido, erectile dysfunction, and weight gain. He also notes worsening of weight and body fat after being placed on anastrozole (Arimidex) for high estrogen levels that resulted from testosterone injections. Since then, he c/o increased fat and sexual dysfunction that he did not have before. Although he is on HRT, he wonders if you can offer something else as his friend who you treat does not complain of any of the side effects or problems that he is experiencing. A case of a woman with anorgasmia will be reviewed. What approach was taken and what else should be explored will be debated. Can every aspect of the orgasmic system be evaluated and treated?