All right, here, right? This is an article that that I wrote for Medscape regarding how the gist of it, and I'll put the you know, go ahead and put a link in the chat box in case you want to read it later. But the gist of it is that there's a lot more research out regarding men and their sexuality and how to treat it than there is for women, and that part of it is the women of productive age reproductive age are an orphan population in that it's hard to conduct clinical trials for fear of the complications that might happen should the woman become pregnant during your trial. So I talk about how we have now 30 ish or so, FDA approved drugs and devices to help men with sex, and we are up to, I think, three now, FDA approved drugs for women. Two of them are psych drugs, and one of them is DHEA cream, that I think is just a roundabout way to try to give testosterone. I know dhe DHEA has its own benefits, but it's it's nothing like what we have for men in the in both numbers and effectiveness. So you would think that's the gist of the article. So now let's look and see what physicians have written about this article. These are doctors. Okay, here's a doctor that says, I'm going to go out on the limb, the title and the opening observation of the Newsweek magazine article do not equate to a need for drugs for women. Now the Newsweek article they're referring to is in this article, I referenced the cover of Newsweek when about the time 50 Shades came out, and the title of the article was exploring the sexual revolution. And the gist of it was that women are now. They're demanding that we take care of them. They want to have sex, and they want to have it in a healthy way, even after they pass menopause and there and however, they want to celebrate it, and they want doctors who will take care of them. The revolution of the 60s was that because of the birth control pill, women became free to have sex without fearing pregnancy. But now the new revolution is they want to be able to have sex in a healthy, creative way, and they want us to take care of them. So let's, let's go back to the comment and let's so you can see this is a doctor doesn't say if he's an MD, but they're, they're all to be able to comment on this website, you have to register as can't be a lay person or to be able to comment. Anybody can read it, but you can't be a lay person to comment. So ironically, on Valentine's Day, this physician says that the opening title observation do not equate to a need for drugs for women. Women needs to access to drugs to give, to enjoy the sexual revolution. Give me a break as a foundation student and graduate of the New Castle University School of Medicine. Okay, it's a physician. I can say the only formal lecture theater training I received was graphic and video educational female sexual health. It was not a one on one on how girls and women need drugs to have a fulfilling sexual life? Okay, so let's just stop right there and think about it. So somehow that's incompatible. What about the drugs for men to have a sexual life? In other words, we're not going to treat it with medicines if there's a problem. And so doesn't equate to us doing everything we know to keep us healthy sexually. Why doesn't that not equate let's disregard the timelines of sexual development, work life, child, birth, mothering, and the myriad of other impacts and the needs, and focus on what this article suggests. Do some or many women need drugs to be sexually competent and happy? It's like asking whether men need a huge Johnson and the ability to satisfy to achieve their personal sexual goal in life. Well, no, it's not. You can have to have you can have Viagra, or you can have RP shot, or you can have a vacuum device, or you can have a penile implant because your wife wants to have sex, because she wants to have sex, and you want to have the intimacy of that. Do you see how uninformed and like did this person ever talk to a man who was trying, who had just got a divorce because he can't have sex with his wife because he's impotent or has premature ejaculation, and now she's married another man lives in another state, and he has to get on an airplane to go so his children, he's got nothing to do with the size of his penis. This is the most stupid, ignorant comment, and it's coming from a physician. If this doesn't make you want to go change the world and educate your colleagues, you should not do the O shot. This should make you angry. This is a physician. This isn't a sixth grader. This isn't a stupid college I. High school football coach talking about sex in the locker room. This is a physician. Seems medicine would like to feed and maybe profit from another exploitation of women. Have we harmed our real women enough lately? In other words, you don't want us to try to figure out how to help a postmenopausal woman go take your MD degree and put it through a shredder and get a job selling. I don't know what you need to sell. I don't know what you need to do, but this is a comment, and if you don't believe me, read them over and over and over again. Here's another one. Doctor I'm not convinced. I have to be careful about what I write next on Medscape, where they'll block my comment. I perceive a culture bias in this article that makes it unacceptable as a scientifically valid argument. Really just thought, is this not societal, and what is it to do with medicine? Well, it has everything to do with medicine. Women have two psych drugs for their brain. They have one little, wimpy DHA cream for their vagina, and it hurts to have sex, and they want to have sex after they have menopause, which often happens in their 30s, and now their husband, in his 30s, wants to have intimacy, and so does she? These are doctors saying this bullshit. These are doctors saying this bullshit. Okay, I'm sorry this makes me angry. But so back to this question, if you're not aware of that, and this is not the exception, this is the rule. It's not the rule in our group, because in our group, you're dealing with people who understand sexuality, the importance of it, and they have the courage to think about it, to offer treatments for it. But it's not the rule in medicine, not by any means, that attitude of wanting to help women. And is it any wonder that women can't have a conversation with their doctor? If your doctor has this attitude, does it surprise you that only one in two women ever have a conversation with their physician about sex, and then, even when they attempt it, the doctor changes the subject after the first question, when this is what your colleagues think? I don't know where this comes from. It just is shocking to me when I read these comments, and most of them are of that nature or something similar. So back to the question. You flip back over here and show you, because if you don't know this, think when you deal with your patients and your colleagues, you'll be blindsided the way I was. Let's see. Okay, so back to this question. The husband is calling to get information for his wife, but it might very well be that he truly loves his wife, that he adores his wife, and he's sad because she feels broken. I just traded a car that had one little scratch in the back fender, and it bothered me. I didn't lose sleep over it, but it bothered me. You can have a little something with your car that you don't even spend that much time in. You can have a but if you have a major something with your body, like one of your if your sexual organs are not working, then that can bother you in spite of the ignorant comments of your colleagues. So anyway, so she's 52 years old with ovarian failure. She's been trying every provider, from medical to acupuncture with no help. And is that a wonder? Because if she's talking to the doctors we just quoted, they're blowing her off. And if she finds a doctor who actually understands the medicines, if she prescribed, if they prescribe Flibanserin, it's on a good during the research, at average one extra sexual encounter per month. And does that mean she's going to have better orgasms? No, she's just going to want it one extra time per month, and the other is likely to cause, okay, it's a decent drug, but it's likely to cause nausea. And now she's got to take some Zofran or something to keep from vomiting when she's trying to be romantic, or she can take the DHEA cream, which is maybe helps with the dryness dysprunia A little bit, but that's going to be about it. So what's the doctor got to offer her if he's not or she's not doing what we know to do, and he's waiting for the tail to wag the dog, because this is what where we get to the second part of this question, they told her, since she did not start hormone replacement therapy soon after failure, that's not going to help her. And of course, anyone who's routinely offering testosterone to women. Know how stupid the uninformed, these are not stupid people people. They are just uninformed because the tail is wagging the dog. And what do I mean by that they're waiting for an FDA approved testosterone that's paid for by insurance and that they can write it on label for women, and it just won't happen. One study showed that 91%