Female with no labido. Hormone panel.

[jamhint]

I am posting this for my wife. We have been maried for 17 years. She has never had any labido nor desire for sex,oral,vibrators, etc,etc. We have tried everything and still just no desire. I talked her into getting bloodwork to chk hormones. This is just a shot in the dark, but its worth a try. I know there have been studies on testosterone and labido in femles with success, other than that not sure. She has appointment with family DR. That probably want go well since they know nothing about hormones. HRT is too expensive. Any advice or links to educational articles on testosterone for females or hrt for females with no labida. Thanks in advance. This bloodwork was drawn 3 days before the start of her cycle.

Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 6.5 3.4-10.8 x10E3/uL BN
RBC 4.31 3.77-5.28 x10E6/uL BN
Hemoglobin 12.6 11.1-15.9 g/dL BN
Hematocrit 38.7 34.0-46.6 % BN
MCV 90 79-97 fL BN
MCH 29.2 26.6-33.0 pg BN
MCHC 32.6 31.5-35.7 g/dL BN
RDW 13.1 12.3-15.4 % BN
Platelets 254 155-379 x10E3/uL BN
Neutrophils 71 40-74 % BN
Lymphs 20 14-46 % BN
Monocytes 8 4-12 % BN
Eos 1 0-5 % BN
Basos 0 0-3 % BN
Neutrophils (Absolute) 4.6 1.4-7.0 x10E3/uL BN
Lymphs (Absolute) 1.3 0.7-3.1 x10E3/uL BN
Monocytes(Absolute) 0.5 0.1-0.9 x10E3/uL BN
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL BN
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL BN
Immature Granulocytes 0 0-2 % BN
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL BN
Comp. Metabolic Panel (14)
Glucose, Serum 95 65-99 mg/dL BN
BUN 11 6-20 mg/dL BN
Creatinine, Serum 0.73 0.57-1.00 mg/dL BN
eGFR If NonAfricn Am 104 >59 mL/min/1.73 BN
eGFR If Africn Am 120 >59 mL/min/1.73 BN
BUN/Creatinine Ratio 15 8-20 BN
Sodium, Serum 141 134-144 mmol/L BN
Potassium, Serum 4.7 3.5-5.2 mmol/L BN
Chloride, Serum 103 97-108 mmol/L BN
Carbon Dioxide, Total 25 19-28 mmol/L BN
Calcium, Serum 9.5 8.7-10.2 mg/dL BN
Protein, Total, Serum 6.7 6.0-8.5 g/dL BN
Albumin, Serum 4.3 3.5-5.5 g/dL BN
Globulin, Total 2.4 1.5-4.5 g/dL BN
A/G Ratio 1.8 1.1-2.5 BN
Bilirubin, Total 0.5 0.0-1.2 mg/dL BN
Alkaline Phosphatase, S 53 39-117 IU/L BN
AST (SGOT) 23 0-40 IU/L BN
ALT (SGPT) 22 0-32 IU/L BN

Testosterone, Serum
Testosterone, Serum 17 8-48 ng/dL BN

Luteinizing Hormone(LH), S
LH 2.6 mIU/mL BN
Follicular phase 2.4 - 12.6
Ovulation phase 14.0 - 95.6
Luteal phase 1.0 - 11.4
Postmenopausal 7.7 - 58.5
FSH, Serum
1 of 2

FSH 2.5 mIU/mL BN
Follicular phase 3.5 - 12.5
Ovulation phase 4.7 - 21.5
Luteal phase 1.7 - 7.7
Postmenopausal 25.8 - 134.8

Estradiol
Estradiol 156.4 pg/mL BN
Adult Female:
Follicular phase 12.5 - 166.0
Ovulation phase 85.8 - 498.0
Luteal phase 43.8 - 211.0
Postmenopausal <6.0 - 54.7
Pregnancy
1st trimester 215.0 - >4300.0
Girls (1-10 years) 6.0 - 27.0
Roche ECLIA methodology

Performing Laboratory Information:
BN: LabCorp Burlington, 1447 York Court, Burlington NC, phone: 800-762-4344
Medical Director: MD William F Hancock
2

 

[Megatron28]

How old is your wife?

When you say three days before the start of her cycle, do you mean three days before beginning to menstruate? If not, which phase was she in?

Her Total Testosterone level is low. Anecdotally, women have seen libido and energy increases from taking testosterone. But all the ones I know had a libido to begin with. They took about 30-40mg per week. You have to be weary of vitalization however, so start slow. Anavar may be another option for her. Good starting point would be 5mg/day and could work up to 10-20mg/day if tolerated well.

I think it is worth a try, but you have to remember that it doesn't kick in over night. You have to give it time to work.

Hase she checked her thyroid?

Let us know what the doc says.

 

[jamhint]

She is 39 years old. Blood was drawn 3 days before the start of menstruate. She is real weary of testosterone and hair growth and acne. I have tried to explain that as long as the dose is corect there will be no side or very little. Or if side begin that dose could be reduced. Also seems there would be estogen domance, the fact it was that high and still not menstrating, i gues that explains the panful cramps and pms she goes through.

 

[jamhint]

Oh yeah, she has never done any aas before.

 

[Megatron28]

So she was in the luteal phase. LH, FSH and Estradiol all look normal for that phase.

Explain to her that the average 20 year old woman has total Testosterone of about 70ng/dl. You would just be adding enough to get her back to where she was when she was younger. She would not be running a "blast".

 

[MBB]

She has never had any labido nor desire for sex,oral,vibrators, etc,etc.

Could be a long shot, but is she or has she been on any anti-depressants particularly SSRI's for an extended period of time?

 

[jamhint]

She was on lexapro for 2 years. She no longer takes it.

Could be a long shot, but is she or has she been on any anti-depressants particularly SSRI's for an extended period of time?

 

[Dreaded Pirate Roberts]

Try adding some zinc to your diet. Make sure you eat with it or it may make you comet.

 

[Bella1121]

Has she ever had any other health problems? It may be time to see a neurologist. The problem may be in her head. Literally. I was just restarted on a medication, not an anti-depressant those things are ridiculous, and it completely changed my libido. I"m in my 20's and always wondered why I didn't have this ridiculous "fuck everything that moves" attitude my friends did, though I'm grateful for not having it. But it completely changed everything. Have her find see a couple specialists, I'd recommend a neurologist and an endocrinologist. I understand her apprehension about doing any sort of testosterone therapy on her own, but if this problem has always existed, you can't pinpoint a specific time or event that occurred that triggered it, then there may be a medical problem that exists. A PCP won't know, but a neuro or endo might. They sound like they'd be able to give the best advice considering.

 

[jamhint]

We have changed her appointment to a obgyn. I will post the outcome or direction we are given. Thanks for all advice.

 

[MBB]

Has she ever had any other health problems? It may be time to see a neurologist. The problem may be in her head. Literally. I was just restarted on a medication, not an anti-depressant those things are ridiculous, and it completely changed my libido. I"m in my 20's and always wondered why I didn't have this ridiculous "fuck everything that moves" attitude my friends did, though I'm grateful for not having it. But it completely changed everything. Have her find see a couple specialists, I'd recommend a neurologist and an endocrinologist. I understand her apprehension about doing any sort of testosterone therapy on her own, but if this problem has always existed, you can't pinpoint a specific time or event that occurred that triggered it, then there may be a medical problem that exists. A PCP won't know, but a neuro or endo might. They sound like they'd be able to give the best advice considering.

What medication, if you don't mind me asking?

 

[jamhint]

Me and my wife Went to the ob/gyn today and she was put on 100mg of delatestrly (test enanthate) every 6 weeks. Which i think is crazy and is high risk for too many sides. I will split dose to 50mg every 3 weeks and see how that goes. I think sides will be much lesser if any. Any thoughts would be appreciated.

 

[Megatron28]

Me and my wife Went to the ob/gyn today and she was put on 100mg of delatestrly (test enanthate) every 6 weeks. Which i think is crazy and is high risk for too many sides. I will split dose to 50mg every 3 weeks and see how that goes. I think sides will be much lesser if any. Any thoughts would be appreciated.

I thought women generally kept test under 50mg/week. Test P might be a safer choice as well in case you get any signs of vitalization. You can put the breaks on faster.

 

[jamhint]

Ok, heres an update. I have been injecting my wife with 15-20mg of test enanthate weekly, per dr. After 4 weeks her sexual senses has increased and much more stimulated during sexual activity. Blood work shows her free test at .....0.5 pg/ml..... normal 0,0-2.2 and her total testosterone is....... 82ng/dl...... normal 8-48. Why is her free test that low and her total test is high?

 

[Megatron28]

Ok, heres an update. I have been injecting my wife with 15-20mg of test enanthate weekly, per dr. After 4 weeks her sexual senses has increased and much more stimulated during sexual activity. Blood work shows her free test at .....0.5 pg/ml..... normal 0,0-2.2 and her total testosterone is....... 82ng/dl...... normal 8-48. Why is her free test that low and her total test is high?

TT looks good. If I recall correctly, that is where 18 year old women come in at.

As for Free T, who knows. Women's hormones are much more complicated than men's. It probably depends on what stage of her ovulatory cycle she is in. The amount of estrogen circulating in her blood will affect how many sex hormones are bound to her SHBG. This in turn affects how much testosterone is bound.