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Q. I am a woman with over-the-top libido. My doctor says I may have PSAS--persistent sexual arousal syndrome. I’ve been dealing with this problem for a year, ever since I turned 40. The anti-depressant Pristiq has helped immensely, but I wonder if there is a more natural approach to this condition.
A. Persistent sexual arousal syndrome can be a serious problem. In this situation, a woman experiences frequent intrusive genital arousal—tingling or other sensations—without sexual desire. The arousal is not always relieved by orgasm.
No single treatment works for everyone, but antidepressants are sometimes helpful. Pristiq (desvenlafaxine) is a relatively new antidepressant that is related to Effexor (venlafaxine). Side effects may include high blood pressure and withdrawal symptoms upon stopping as well as insomnia, nausea, dizziness, excessive sweating and sexual difficulties.
We are glad Pristiq is working for you. Because PSAS is a relatively rare diagnosis, there is very little research to suggest natural approaches might be effective.
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If arousal began at 40 it is probably hormonal. I called it the horney forties. A lot of woman experience it.
Especially women who have had children. Could it be the body is trying to make one more baby before the apparatus goes kaput? So many woman have had surprise after-forty pregnancies. It disappears with menopause. Solution? Get tubes tied and get a lover. This too shall pass. (I miss it)