Restoring Sexual Function and Response

Are sex hormones important to sexual function in women?

Of course, they are. That is why they are called sex hormones.

If sexual function was lost with menopause (advanced hypogonadism) can it be restored?

Yes, if the reason was the loss of the ovarian hormones (peri-menopause or menopause). Restoring of all of the ovarian hormones to normal levels of an adult woman can largely restore sexual response and function.

What if it has been a very long time since menopause (advanced hypogonadism) began?

Your body never forgets how to use its hormones. You can start replacement of all of the ovarian hormones at the low end of normal and increase to a comfortable level.

Isn’t it unhealthy to take hormones after menopause?

This depends on what you take. Hormone replacement when done with bio-identical hormones for humans and monitored to maintain normal levels has always been healthy. Anyone who tells you otherwise does not understand human physiology.

If you are treating a hormone deficient illness like advanced hypogonadism (menopause) then you would be treating this illness and restoring your sexual function.

So what should be taken to treat advanced hypogonadism?

Advanced or profound hypogonadism is the name of the illness that is created when all of the ovarian hormone levels are below normal. The ovarian hormones include Progesterone, testosterone, DHEA and estradiol. Restore ovarian hormone levels to normal and profound hypogonadism is reversed. Not only can sexual function be vastly improved but osteoporosis can be reversed and breast health is significantly increased.

Is it really that easy?

Yes. What is not easy to understand is why the menopause industry has convinced everyone that treatment is difficult and unhealthy.

Would a regimen be different if a woman does not have a uterus?

No, there is no reason for a different regimen. The entire body uses all of the sex hormones that are produced by the ovaries. Anyone who tells you that only partial replacement is necessary does not understand human physiology. Progesterone, testosterone, DHEA and estradiol have used in every organ system in the body. To exclude any of them means a woman would still have hypogonadism. Replace all of them to normal levels and a woman no longer has hypogonadism.

Men and women have the same level of progesterone for two weeks a month. Obviously, a man does not have a uterus. Progesterone is an important hormone to human’s body, uterus or not.

It’s Women First When It Comes to Hypogonadism

Extending and improving fertility is possible

We are all taught that there is little or nothing that can be done to extend the fertile years for a woman. This is incorrect. A woman’s fertility can be improved and extended. The key to understanding how to extend and improve the window of fertility in women is to understand that the ovaries, like all other endocrine organs, work in a feedback loop with the brain. In this feedback loop the brain senses if there are normal levels of ovarian hormones, if the levels are too low stronger signals are sent to the ovaries to increase production and if levels are too high weaker signals are sent out to the ovaries to turn down production.

The main sources of the sex hormones are the eggs in the ovaries and the adrenal glands. Around age 30 the level of sex hormones coming from the adrenal glands starts going down. The brain senses the drop and sends out stronger signals to the ovaries to kick up production to bring sex levels ups to normal. Since the ovaries have a limited supply of eggs there is only one way to make more sex hormones – to use extra eggs. If a woman could supplement her sex hormones with medication (healthy HRT) instead of getting the extra hormones needed from the ovaries then the egg supply should last decades longer.

Here is a graph that shows accelerated usage of eggs starting about age 37 years for all women. The red line shows how eggs are currently used to try to keep hormone levels normal. The blue line is how much longer the ovaries should last if the extra needed hormones came from medications instead of from extra eggs from the ovaries.


Too little hormones causes reduced fertility and causes the ovaries to fail decades too soon

With recognition that lower than normal hormone levels of any of the ovarian hormones causes illness, it is easier to understand the name for this illness, hypogonadism (pronounced hi-PO-go-nad-ism).

While both men and women begin to experience hypogonadism at about age 30, women have the unfortunate experience of an accelerated version. Unlike men who will have a slow, gradual decline of hormones over 30-40 years, women have a steady and swift decline over 10-20 years.

Left untreated hypogonadism will continue to advance in both women and men to a more severe illness called profound or advanced hypogonadism also known as menopause. Left untreated hypogonadism will take a toll on your health and fertility. Like high blood pressure it will harm your health whether you feel it or not.

Why does hypogonadism advance more quickly in women than men?

The answer is in the math. Quite simply, women have a set number of eggs to provide hormones and fertility. Starting at about age 30, as hormone levels begin to drop, the pituitary, the master gland in the brain, notices the drop and increases signals to the ovaries to produce more hormones. This stronger signal from the brain causes the ovaries to turn up the production so more hormones are made.

Ovarian eggs are the source of ovarian hormones so producing more hormones means using more eggs.


Since there are only so many eggs in the ovaries and new ones aren’t made, eventually the eggs all get used. The ovary empties and literally runs out of eggs and can no longer provide the hormones necessary to keep a woman healthy. Peri-menopause is the time the ovary accelerates it use of eggs and menopause is when the ovary has run out of eggs.

If a woman supplemented her low hormones rather than the ovary providing extra hormones by using extra eggs, her ovaries wouldn’t empty as fast and would potentially postpone running out of eggs for many years. Continued hormonal production means the elimination or significant reduction of menopausal illnesses like osteoporosis, breast cancer and dramatic loss of sexual function and response.

Are women being denied full use of their ovaries?

Supplementing testosterone started around age 30 years could help a woman’s hormone levels decline at a slower rate meaning her ovaries could last her into her 70’s or more. Interestingly, it is about the same time men’s gonads start to significantly reduce production of hormones.

Unsupplemented hormone levels

Supplemented hormone levels

Ovaries work 24/7, all day and every day, not just once a month

Ovaries are working all day long, every single day of the year. Like the beating of the heart, the ovaries never take time off. Ovaries work to provide their hormones so every organ in your body can work better. Ovaries work until the day they run out of eggs.

Treatment for hypogonadism will improve health and may extend fertility

The best thing a woman can do to preserve her health and fertility is to maintain normal levels of her gonadal (ovarian) hormones for her entire life. So instead of the ovaries recruiting extra eggs every month to keep levels up in the normal range she can use hormone supplements to provide the extra ovarian hormones her body needs and conserve her eggs for later use. Working together with her ovaries, instead of her ovaries doing all of the work alone, may help the ovary use its eggs with normal recruitment instead of accelerated recruitment, perhaps helping them last decades longer.

Supplementing ovarian function theoretically should be able to extend the life of ovaries and fertility until the mid 40-50’s. There are charts that you can use to confirm that your ovaries are using their eggs at a slow, steady pace instead of an accelerated pace. To monitor your success you will need to obtain an ultrasound to measure the dimensions of the ovaries. Once you have the dimensions of your ovaries you can compare their size to a chart that can predict when the ovaries will run out of eggs.

What you have the power to do

The reality is that hypogonadism is a real and treatable illness. It should be your choice to seek treatment or not.

Menopause Happens to Men Too!

Menopause happens to men too! Blog posted on by Beth Rosenshein

Menopause is a word that is usually reserved for women, so we think it only happens to women. Not true! If we look at how menopause occurs in a woman we can easily see how it can occur in a man as well. What may surprise you is that when menopause occurs in a man he will suffer the exact same symptoms as a woman. He will have hot flashes, sleep disruption, loss of sexual function, loss of stamina, depression, and fuzzy thinking, all the things that women suffer.

So what causes menopause? Menopause is caused by organ failure. For women this is ovarian failure and for men it is testicular failure. Another way to see the similarities between men and women is to realize that both the ovaries and the testes are called gonads. The function of the gonads are the same in women and men so if the gonads fail, whether it is in a woman or a man, the same symptoms and ill health will occur.

This raises an interesting question. Why don’t we see men having hot flashes? Would we joke about it if we saw it? What effect would all of these symptoms have on a man’s career?

Here is something to ponder. Say you know a man who is having hot flashes, can no longer engage in meaningful sex, wakes up every 2-3 hours at night and is having trouble remembering things. What effect would it have on his marriage, his parenting, and his job? Would you discourage him from seeking treatment or would you advise him to seek treatment and reverse his ill health because it serves no one to accept illness when an effective treatment is available?

Knowing all that you know now, what advice do you have for a woman in the same situation?

Select Your Menopause Doctor While Still in Your 20’s

Why start so early? You need to start early because it will take time to find a doctor that knows the difference between a horse from a human.

What does a horse have to do with menopause?

Believe it or not, all of menopausal medicine is based on research that used hormones obtained from horses. Of course, horse hormones aren’t healthy for humans. That’s a no brainer. Just like horse blood isn’t good for humans and neither are horse organs. If someone said to you that kidney transplants would no longer be allowed because horse kidneys had been transplanted into people and then those people got very sick would you think that was the end of the story? Just abandon all kidney transplants because horse kidneys fail in humans? Would you question why human kidneys weren’t being used? Would you listen to this and not question it?

Well, that’s what has happened with the treatment of menopause. Because horse hormones make women sick the vast majority of the medical profession has chosen to abandon treatment for menopause instead of using the logical treatment option of bio-identical hormones made for humans in a laboratory.

With so many doctors saying no to treatment your mothers, grandmothers, aunts and older women friends are denied treatment of an easily treated illness, low ovarian hormones. Most women don’t realize that treatment is being denied for no good reason. Most women are forced to accept a reality that is harsh, bitter, and very unhealthy.

This does not have to happen to you.

Now you know why women are denied treatment. It’s because their doctor can’t tell a horse from a human or they don’t care.

Either way, you know better. You can have a better future. You can recognize that the treatment for menopause should start in your early 30’s because the earlier you start the more likely you can improve and extend your fertility, maintain your health and sex drive and prevent major illnesses in the future. It also means potentially postponing menopause for years or perhaps decades. Click here for more information on extending fertility.

Now it’s up to you. You mother’s reality does not have to be your reality.

Understanding Why Menopause Hormone Trials Fail

Menopause hormone trials are designed to fail

How can a hormone clinical trial predictably fail?

Only on purpose. Scientifically based hormone replacement clinical trials are easy, cheap, and eventually always successful. It is only a matter of adjusting dosages and measuring hormone levels to find success. Done right a hormone replacement clinical trial is guaranteed success because our body never loses it need for its hormones.

How are failed menopause hormone trials different from successful hormone trials?

Successful hormone trials measure hormone levels and make dosage adjustments to make sure normal hormone levels are achieved.
Unsuccessful menopause hormone trials do not measure sex hormone levels and no dosage adjustments are made. A hormone trial can only succeed if the hormones are in the normal range. It is very important to achieve normal hormone levels because by definition higher or lower than the normal levels for hormones will cause ill health.

Therefore, all menopause hormone trials that have failed must have had hormone levels outside of the normal range. An effective way for the public not to find out that hormone levels are outside of the normal range would be to not measure any hormone levels. The FDA has based all of its recommendations for treatment on hormone trials that did not measure any hormone levels.

What could be the goal of the failed Women’s Health Initiative which cost more than 600 billion dollars when other successful clinical hormone trials cost 100 times less?

The stated goal of the Women’s Health Initiative was to use hormone replacement therapy to improve the health of menopausal women. The WHI chose to use hormones from another species which is guaranteed not to work in humans and ensures the failure of the WHI. Following the failure of the WHI, millions of women around the world have been turned away for treatment for advanced hypogonadism.

It would appear that the goal of the Women’s Health Initiative is to persuade women that advanced hypogonadism is untreatable and not to pursue any type of hormonal treatment.

What would the Women’s Health Initiative cost if it were designed to succeed?

If the WHI were designed to succeed it would last 2 years instead of 14 years, it would use 4 bio-identical hormones meant for humans, not 150 hormones meant for horses, recruit 4000-5000 post-menopausal women, and it would identify normal ranges of hormones and adjust dosage based on measured hormone levels throughout the study.

If the Women’s Health Initiative were designed to succeed it would likely cost less than 6 million dollars which is 100 times less than the Women’s Health Initiative.

What happens when an illness like advanced hypogonadism goes untreated?

Predictable bad health. For menopause the cost of taking care of broken bones and breast cancer is in the billions to doctors, hospitals, nursing homes and pharmaceutical companies. Treating an illness is far more profitable than preventing it with inexpensive bio-identical hormone medications.

The Women’s Health Initiative created a win-win for the pharmaceutical industry. Get sick from taking horse hormones or get sick from not getting any treatment at all.

Where did the ‘R’ go? Turning HRT into HT

In 2007 the National Institutes of Health acknowledged that Premarin™, the drug on which all menopause treatment recommendations are based, was in fact not capable of replacing any hormones and dropped the ‘R’, renaming it HT or hormone therapy. Premarin™, the hormone drug that the FDA bases all of its menopausal hormone recommendations on, is made from horse excrement.

Dropping the ‘R’ for replacement verified that Premarin™ is a drug that does not provide replacement. This means the failure of every clinical trial that used Premarin™ was the failure of Premarin™, not healthy HRT. Instead of informing the public, the National Institutes of Health quietly changed all of their stationary and websites and information packets from HRT to HT. No public statement has ever been made about why this change was made.

Calling Premarin™ estrogen makes it sound like it should work for women because women need estrogen to be healthy. Premarin™ is more than just estrogen, it is estrogen made for a horse. A horse goes into heat, a human woman doesn’t, a horse weighs 10 times more than a human woman, a horse has hormones special to its species. That is why a horse has different hormones than a human, because it has a different metabolism to support. It is unethical to intentionally confuse estrogen from a horse with estrogen from a human. Anyone who does this does not understand mammalian physiology.

A woman has a right to say no to non-HRT

Women around the world should be able to say yes to real HRT and no to Premarin™ (made of horse hormones) which is non-HRT. Women have a right to know that the recommendations against the treatment of menopause are based on a non-HRT drug, not a real HRT drug.
Women can’t say no to non-HRT unless they know what real HRT is and what isn’t. Women can only do this if unhealthy estrogen meant for horses is not confused with healthy estrogen for human women.

If no replacement was given then what was in the “HRT” for the Women’s Health Initiative?

The drug chosen, Premarin™, contains over 150 hormones for a horse. Horses are a different species from humans and have their own special hormones. Horse hormones support horse metabolism and have to be much stronger than human hormones to support an animal that weighs about 10 more than a human female. Human hormones support human metabolism. Intentionally giving horse hormones to a human woman when bio-identical human hormones are readily available and cost a fraction of the cost of using horse hormones is scientifically unsound and unethical.

In menopause trials there is no question that extensive scientific misconduct has and continues to occur. For instance, the FDA currently bases its recommendations on a massively expensive failed clinical trial called the Women’s Health Initiative or WHI. Design documents don’t include even one paper that identifies normal hormone levels. Knowing this helps to understand why hormone levels were never measured because healthy hormone replacement was not a goal of the WHI $600,000,000 clinical trial.

Only in menopause clinical trials are trans-species hormones from another mammal used on human women. The public and medical communities are largely unaware of this because the FDA allows drug companies to call any hormone product HRT, or hormone replacement therapy, whether it contains replacement hormones or is therapeutic. So when a non-replacement, non-therapeutic drug fails a clinical trial it sounds like healthy hormone replacement failed because both regimens, healthy and unhealthy are allowed to be called the same thing, HRT.

For a menopause clinical trial to succeed it needs to be designed to succeed

The bottom line is that hormone deficiencies are easy illnesses to treat when using pure, bio-identical hormones meant for human women and men.

A Different View of Menopause

Originally posted to October 31, 2007 by Beth Rosenshein, Founder, DRF

I have a different view of menopause than most. I see it not as a transition to be embraced but as a medical problem that causes a lot of ill health, and I see medical treatment as the solution to that problem. I am not talking about the Hormone Replacement Therapy (HRT) that was given to women in the Women’s Health Initiative, because, from a scientific standpoint it wasn’t HRT. Premarin is neither hormone replacement nor hormone therapy and calling it HRT is simply misleading.

Unfortunately, the failure of the Women’s Health Initiative has meant that millions of women worldwide are not given the appropriate treatment that would significantly improve their health and well being.

Menopause is a medical problem because it is caused by organ failure. Menopause occurs when the ovaries fail and are no longer producing ovarian hormones. Without ovarian hormones the entire body begins to suffer because ovarian hormones help the entire body stay healthy.

Menopause is a medical problem and has a medical name, hypogonadism. The reason it is called hypogonadism (hypo – meaning less than and gonadism – meaning related to the gonads), is because the ovaries are gonads which produce sex hormones. Generally we think of men having gonads, but women have them too and in women they are the ovaries. Hypogonadism means that a person, woman or man, has lower than normal levels of sex hormones. From that you can see that hypogonadism is not unique to women. In fact, men with hypogonadism have all the same symptoms as women, hot flashes, loss of sexual function, sleep disruption, etc.

Here is something to ponder. Menopause is often described as normal and women are told that treatment is not necessary, yet there is no medical authority that will say that hypogonadism should go untreated. If menopause and hypogonadism are the same thing, how can one be normal and not need treatment and the other not normal and require treatment?

How I heard about Beth Rosenshein, by a 24 year old

In 2012 I spent some time in Australia with my boyfriend at the time. One evening the conversation shifted to a different topic than the usual ones; Having children and at what age. “Well, I can have them at any point in my life, so I do not have to worry about that.” my boyfriend stated without hesitation. At that point I came to realize something that before I had never even once thought about. Immediately I took my computer and started searching for the keywords female fertility and menopause age. What I found really scared me because at that very moment I started to understand what the term biological clock really meant and what consequences I could have to live with if I was not to be organized with my life plans. Yet, something else caught my attention even more. A lot of forums where filled with women speaking out about how miserable they felt once they had hit menopause. Every single one of them seemed to more or less describe the same kind of symptoms but in return there were only little solutions offered to them. And most of the time,at least one of them finished the discussion by saying that it just needed to be that way and that women had to accept it. I did not understand this dynamic at all so I began to ask my mothers female friends and other woman at menopause age questions about how they felt and what had changed in their lives after they hit menopause. To my very surprise a lot of them were terribly rude and tried to avoid the subject entirely. However, a few of them just repeated what I had already read on the net in a dozen forums. The majority of women just repeated set phrases such as: ‘Menopause is just how nature wanted it’, or , ‘You will get through it’.

A few months before what I had read in Australia I did not spend a single thought on Menopause. And suddenly I found myself in a bowl of anxiety about this restriction that had suddenly hit my life plans. Not only did I start worrying about not being able to have children later in life but I also feared to, at some point, feel the way all these women described it on the internet. Within a few days and weeks several more thoughts came up in my head at every single hour in the day. All of them more or less circled around menopause or could be somehow traced back to menopause. The questions I had put together carefully in my head reached from ‘what choices do women really have?’ to ‘are menopausal women discriminated?’ The latter came to me when doing further research on the status of menopausal women in society. It appeared to me that socially women at a certain age were very much discriminated, whether it was in the context of partnership and sexuality or even employment. Also, often the menopause phenomenon was used to portray women in a very certain way – old age, grumpy, spiteful, asexual, unattractive, clumsy, forgetful, hysterical and above all unhappy. Hence, what I was not able to grasp was why there was no attempt of a solution to this obvious drawback. Obviously the majority of women had a rather negative attitude to this particular time of their lives or in my case the prospect of being there at some point in the future. In addition, menopause appeared to be responsible for a great deal of health problems that were displayed on the internet and a lot of books that I read on the topic. Osteoporosis and breast cancer, only to name a few. Where was the medical approach to this? Then finally a thought came up in my head: ‘Perhaps Menopause was outdated and we did not need it in the 21th century’. On the same day I started researching how it could be made possible to prevent menopause. A very simple thought and yet it introduced me to Beth Rosenshein’s work for the first time. Beth’s book ‘Preventing Menopause’ addressed all my thoughts and questions concerning menopause and how to look at it. There was obviously a lack of medical research on the topic and a great deal of ignorance towards this delicate subject. Yet, above all there seemed to be a huge conflict of interest in this matter. Unfortunately, the type of interest that seemed most represented did not work in favour of women’s’ health but was rather concerned with finance and economy. This is why, in a way, the book also very much outraged me. Because after reading it I suddenly was able to comprehend and see a lot of things that before I was oblivious to. I could see through certain female behaviour and trace back social development to biological circumstances and how those affected women in the 21th century. But most of all I felt like offering help because there weren’t many options for women to receive proper treatment.