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In terms of estrogen, recent studies have revealed minimal effect with estradiol in augmentation of sexual desire. However, in women who have had their ovaries surgically removed supplementation with testosterone has shown a demonstrable increase in the levels of sexual desire, arousal and fantasies. Some herbs have received attention as well. Herbs with steroidal saponins, including Tribulus terrestris, wild yam, and false unicorn are effective in estrogen modulation, possibly by interacting with hypothalmic estrogen receptors, allaying effects of estrogen withdrawal and encouraging better production from the ovaries. In one study of 202 women, consisting of approximately equal numbers of premenopausal and postmenopausal females, 65% noted improvement in satisfaction with sex life with a South American herb, Muira puama (Ptychopetalum olacoides), (175 mg) and Ginkgo biloba (16 mg). Tribulus terrestris, as previously mentioned also impacts libido. Demulcents such as a comfrey root sitz bath or plantain ointment applied externally eases vaginal dryness. Internally, vaginal lubrication can be increased with Motherwort tincture or freshly ground flax seeds. |