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Speaker 1: Brought to you by the reinvented two thousand twelve Camray.

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Speaker 1: It's ready. Are you welcome to stuff mom never told you?

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Speaker 1: From House Towards dot com. Hey, welcome to the podcast.

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Speaker 1: This is Fallin and I'm Kristen and Kristin Night. Today

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Speaker 1: I thought we'd start with Lester her email we got

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Speaker 1: back in March after our podcast on whether you need

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Speaker 1: a period every month, we got an email from Ginger

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Speaker 1: who said that she was surprised that we didn't mention

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Speaker 1: more of the negative side effects that someone experienced on

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Speaker 1: birth control. Um, you know when Ginger was on birth control.

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Speaker 1: I hope she doesn't. Iight me mentioning this, but we're

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Speaker 1: not saying her last name. She suffered from horrible migraine headaches.

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Speaker 1: She knows other women who experienced the same thing. Uh,

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Speaker 1: she's you know, there are a lot of emotional side effects.

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Speaker 1: She described it as an emotional roller coaster. She had

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Speaker 1: a friend who had to go off the pill because

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Speaker 1: she was having panic attacks, and another friend whose husband

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Speaker 1: almost loved her because her mood was so affected by

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Speaker 1: birth control that she was a different person. Oh my goodness,

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Speaker 1: it sounds terrible. Yeah, but you know the one thing

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Speaker 1: she didn't mention is a very common side effect of

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Speaker 1: the birth control pill. You often hear about lowered libido. Yeah,

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Speaker 1: especially with the birth control pill, as you mentioned, as

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Speaker 1: opposed to other types of female birth control methods, A

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Speaker 1: lot more women seem to be voicing concerns over yeah,

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Speaker 1: a diminished sex drive after after being on the pill

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Speaker 1: for a while. But if you if you look at

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Speaker 1: um the common commonly listened side effects on birth control packaging,

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Speaker 1: the most common side effect you'll probably see it's breakthrough

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Speaker 1: bleeding or spotting UM. And then other side effects include nausea, headaches,

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Speaker 1: breast soreness, acne, depression, moodiness, weight gain. And some doctors

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Speaker 1: are concerned that women are not being informed before they

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Speaker 1: get on the pill about the possibility of the lowered libido. Right,

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Speaker 1: And then other doctors will say, we probably shouldn't tell

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Speaker 1: women because then I'll spect is it a mind of

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Speaker 1: a matter thing? I mean, basically, when you take a

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Speaker 1: birth control pill and if you have, you know, an

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Speaker 1: off week, immediately blame the pill for a lower sex drive.

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Speaker 1: And it's not the best marketing tagline either, Hey, take

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Speaker 1: this pill related to sex. You won't want to have

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Speaker 1: sex anymore, but at least you won't get pregnant. That's

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Speaker 1: how birth control. So let's talk a little bit about

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Speaker 1: this murky territory of oral contraceptives and sex drive, because,

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Speaker 1: as you and I have found out through our research,

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Speaker 1: there's not a lot of conclusive evidence one way or

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Speaker 1: the other. So let's talk about why that's true. Murky

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Speaker 1: is the key word, because they weren't even studying sexual

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Speaker 1: dysfunction in womenal very recently, I think as early as

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Speaker 1: like n I mean it was the first huge, like

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Speaker 1: nationwide study on female sexual dysfunction in the United States,

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Speaker 1: which I found to be pretty astounding. But there's my

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Speaker 1: anecdotal evidence for you know, many decades, as the New

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Speaker 1: York Times points out, and an article by Mary doing

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Speaker 1: Wall that you know, women know might whisper to each other, Hey,

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Speaker 1: if you're not in the mood, it might be a

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Speaker 1: birth control pillm um. And there was a study that

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Speaker 1: came out in the Journal of Sexual Medicine that this

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Speaker 1: article in the New York Times talks about, uh that

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Speaker 1: relates this potential diminished sex drive to the level of

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Speaker 1: a certain protein in a woman's body that is caused

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Speaker 1: by oral birth control. Right, Basically it all goes back

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Speaker 1: to good old testosterone, the sex hormone. But here's how

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Speaker 1: your pill might affect it. An oral contraceptive blocks testosterone

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Speaker 1: production the ovaries, but at the same time, it's increasing

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Speaker 1: the production in the liver of a sex hormone binding

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Speaker 1: mechanism called globulin. And basically what the globulin does is

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Speaker 1: it attaches to all the free testosterone in your blood,

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Speaker 1: which makes it inactive. Basically, without any active testosterone, you

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Speaker 1: can't get in the mood. Yeah, and um, what what

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Speaker 1: scientists also found when they were looking at the levels

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Speaker 1: of globulin in a woman's body who had been taking

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Speaker 1: oral contracept is, even after some women stopped taking birth

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Speaker 1: control pills, the levels of globulin and their body were

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Speaker 1: still much higher than It took a long time to

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Speaker 1: for it to even work its way kind of out

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Speaker 1: of the body and for those levels to to at

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Speaker 1: least return back to slightly normal levels. Right, So it

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Speaker 1: was sort of a disappointing conclusion that even if you're

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Speaker 1: getting off the pill because you have this lord libido,

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Speaker 1: you may not see effects for several months. We should

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Speaker 1: probably know that this study came out and not everyone

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Speaker 1: bought into it. No, this has been a pretty contentious

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Speaker 1: study because a lot of scientists are still kind of

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Speaker 1: hesitant to say that this single sexual side effect is

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Speaker 1: really no caused by oral birth control pills. Right. They

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Speaker 1: don't want to say just a single protein like globulin

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Speaker 1: is responsible for all of this. But then when they

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Speaker 1: try and pin the blame on something, it kind of

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Speaker 1: this is again where it gets murky. They're willing to

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Speaker 1: blame everything. Yeah, if you look at just general information

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Speaker 1: about female sexual dysfunction, it just it runs the gamut.

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Speaker 1: They basically say, well, you know, it could be anything.

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Speaker 1: Could just be stressed out, you could have bad hormone levels,

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Speaker 1: you could be in a stressful relationship, etcetera, etcetera. It's

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Speaker 1: just kind of like, well, if you have a problem,

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Speaker 1: go see your doctor, because we can't really tell you

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Speaker 1: what the problem is. Yeah, and if you go see

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Speaker 1: your doctor, basically what you would really need, uh is

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Speaker 1: an hour to tell him everything that's going on with

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Speaker 1: your life. But I don't think any doctor has an

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Speaker 1: hour besides a psychologist, and that's just you know, a

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Speaker 1: fifteen minute hour. But even though there have been some

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Speaker 1: divisions among among experts about whether or not oral birth

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Speaker 1: control really does finish sex drive. There has been a

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Speaker 1: few studies that do say yes, this is a problem

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Speaker 1: for women, and research conducted by the Kinsey Institute, it

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Speaker 1: found that at least one in four users of oral

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Speaker 1: contraceptives suffered from diminished sex drive. And there was one

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Speaker 1: specific study that I found that looked at women who

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Speaker 1: were on birth control for three, six and twelve months

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Speaker 1: and looked at the reasons why some of the women

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Speaker 1: stopped taking oral contraceptive and it found that of the

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Speaker 1: forty seven percent of women who discontinued oral birth control pills,

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Speaker 1: the emotional side effects and decreased frequency of sexual thoughts

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Speaker 1: and psychosocial arousability categorized eight of the cases like of

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Speaker 1: the reasons why they stopped taking oral birth control. So

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Speaker 1: it seems like from the Skins Institute study, this is

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Speaker 1: having a pretty big effect on women ditching the pill. Yeah,

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Speaker 1: an anecdote evidence that you know, every single article on

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Speaker 1: this will pick up the fact that you know, the

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Speaker 1: woman quit taking the birth control pill, life became better,

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Speaker 1: the love life picked up, but then all of a sudden,

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Speaker 1: you know, when your love life picks up, you need

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Speaker 1: the pill. It's sort of a vicious cycle. Um. But

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Speaker 1: then on top of this Kins Institute study, we have

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Speaker 1: another study published in the American Journal of Obstetrics and

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Speaker 1: Gynecology that says, well, all, you know what, side effects

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Speaker 1: aren't really a big factor for women quitting oral contraceptives.

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Speaker 1: This was a similar type of study of women looking

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Speaker 1: at three, six, twelve months of taking the birth control pill.

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Speaker 1: And this study found that most subjects reported no changes

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Speaker 1: in headaches, wait, moodiness, or sexual satisfaction during the first

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Speaker 1: three months and concluded that side effects are a less

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Speaker 1: important reason for discontinuation than widely believed, right and anecdotal evidence.

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Speaker 1: And all these articles will pick up on that too.

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Speaker 1: You'll have doctors in these articles saying things like, well,

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Speaker 1: you're gonna start taking a birth control pill, and three

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Speaker 1: things are gonna happen. Your libbia is gonna go up,

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Speaker 1: or your libertia is gonna go down, or it's gonna

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Speaker 1: stay the same. And you know what, Molly, I think, Uh,

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Speaker 1: that's the same effect of oh, I don't know, eating

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Speaker 1: eating a sermon and mashed potatoes one night. Yeah, be

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Speaker 1: it'll put you in the mood. Maybe it won't and

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Speaker 1: go to Yeah, we could go to a play, the

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Speaker 1: same thing could happen. To go outside, the same thing

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Speaker 1: will happen. There's just no telling. It's kind of frustrating

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Speaker 1: to see how, you know, little people know about this.

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Speaker 1: And this was one of the biggest complaints from the

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Speaker 1: Kinsey Institute was that they were hearing all these anecdotes

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Speaker 1: of women who were on oral birth control and having

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Speaker 1: the diminished sexual side effects, but doctors, like you mentioned earlier,

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Speaker 1: doctors weren't talking about it to their patients. It wasn't

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Speaker 1: being mentioned very much in the literature surrounding oral birth control,

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Speaker 1: and they thought it was a pretty big problem. So

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Speaker 1: only this made me wonder a little bit about female

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Speaker 1: sexual dysfunction in general. Maybe this is just the symptom

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Speaker 1: of a wider problem, right, And it's very hard to

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Speaker 1: study sexual dysfunction. First of all, we should not know

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Speaker 1: because what is normal. You know, there is no normal,

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Speaker 1: like number of times you should have sex a week,

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Speaker 1: normal way to feel about sex. So it's very hard

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Speaker 1: to study this. For one thing, Well, Mollly, I was

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Speaker 1: so surprised to stumble on a University of Chicago study

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Speaker 1: on sexual dysfunction in Women that came out in nine

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Speaker 1: and it concluded that about forty of women and thirty

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Speaker 1: percent of men in the United States suffer from sexual dysfunction.

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Speaker 1: And I had no idea that the percentage would be

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Speaker 1: that high. But even more fascinating to me was the

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Speaker 1: finding that sexual dysfunction is the highest among younger women.

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Speaker 1: It was of the women in the study aged eighteen

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Speaker 1: to twenty nine reported physical pain with intercourse, reported experiencing

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Speaker 1: non pleasurable sex, and six reported sexual anxiety. Jeeves. Yeah,

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Speaker 1: and if you look at think about that age group

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Speaker 1: eighteen to twenty nine, culturally, that is the time when

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Speaker 1: you know, women are probably expected to have the most

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Speaker 1: sex during their life, right, But who's telling us that

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Speaker 1: popular culture? Popular culture? Yeah, I mean, I hate to

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Speaker 1: hate to go back to the age old reference, but

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Speaker 1: case in point, Sex in the City. Yeah, it's a

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Speaker 1: very popular show. These women are having sex all time, um,

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Speaker 1: you know, And so maybe things like that influence women

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Speaker 1: to think, well, if they're not having sex like five

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Speaker 1: times a week, then something's got to be wrong. But Molly,

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Speaker 1: as we found out from the Mayo Clinic, it might

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Speaker 1: not It might not be that, it might not be

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Speaker 1: that you know, besides those numbers you just threw out there, Kristen.

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Speaker 1: Some of the other things I found interesting were the

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Speaker 1: number of doctors who say that you shouldn't just immediately

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Speaker 1: change your your type of pill, because that's what I'd

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Speaker 1: always heard, that if you are having to with one

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Speaker 1: type of birth control pill, try another one so you

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Speaker 1: find one that works. But really they're saying what you

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Speaker 1: should look at is other things that might be going

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Speaker 1: into your system, like antidepressants. They can lower libido. Alcohol,

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Speaker 1: even though you might think that it gets you in

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Speaker 1: the mood, it ultimately dampens your sex drive. What else

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Speaker 1: is going on in your life, fatigue, stress, low self esteem,

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Speaker 1: relationship issues. Uh so it might just not be the

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Speaker 1: birth control pill. But they are saying that instead of

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Speaker 1: pill hopping, you might want to choose another method of

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Speaker 1: administering those hormones to your body. They're showing that um

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Speaker 1: method of the way the hormone is delivered makes a difference.

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Speaker 1: So if you're on something that's like the birth control

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Speaker 1: shot or the newb ring ways that which the hormones

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Speaker 1: are just going into your body differently than by mouth,

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Speaker 1: it might make a difference. Yeah, and UM kind of

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Speaker 1: going back to all of those reasons you were talking

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Speaker 1: about that that could be contributing to a diminished sex strap. Um.

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Speaker 1: One thing that I read from the Mayo Clinic that

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Speaker 1: a woman's desire for sex is based on complex interaction

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Speaker 1: of physical well being, emotional well being, experiences, beliefs, lifestyle,

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Speaker 1: and current relationships. So basically every major factor of your

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Speaker 1: life is contributing to your activity or lack of activity

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Speaker 1: in the bedroom. Yeah, it was sort of. It's a

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Speaker 1: little bit overwhelming to basically be told examine your entire life,

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Speaker 1: including all your beliefs, thoughts, ideas, relationships. But like you

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Speaker 1: said that that doesn't mean that you just have to

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Speaker 1: kick birth control. Um, since there's so many other other

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Speaker 1: methods out there right now. It might just be a

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Speaker 1: matter of talking to your doctor about what's going on

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Speaker 1: and seeing if if you might be able to changeing

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Speaker 1: stuff a little bit. Um. And the Mayo Clinic did

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Speaker 1: recommend some lifestyle changes that it says can make a

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Speaker 1: big difference in your desire for sex, and I think

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Speaker 1: these can go for making a big difference in your

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Speaker 1: quality of life in general, UM, such as regular exercise, UH,

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Speaker 1: coping better with stress, being happier because that's so simple

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Speaker 1: to do. And um, this one strengthening your pelvic muscles Eagles, Eagles,

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Speaker 1: that's always a good piece of advice. And the Mayo

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Speaker 1: Clinic also gives us such relationship tips as make time

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Speaker 1: for intimacy. Perhaps you're just not making enough time to

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Speaker 1: experience the rubbing up of your sex drive. Yeah. So

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Speaker 1: so thanks for that Mayo Clinic. And if you know what, Molly,

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Speaker 1: I think, beyond this, I don't think the way you

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Speaker 1: need to deliver much more sex advice for our listeners.

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Speaker 1: I don't think that that's really our realm of expertise.

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Speaker 1: So I would advise maybe, you know, going talking to

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Speaker 1: an expert if you have a problem, right, talk to

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Speaker 1: a doctor. Yeah, but just remember the thing I think, Molly,

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Speaker 1: from all of this, that I think you can take

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Speaker 1: the most comfort from is what you said about there's

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Speaker 1: no such thing as a normal amount of sex. True.

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Speaker 1: Not everyone is Carrie Bradshaw. True, and thank God for that.

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Speaker 1: I don't know i'd like her shoes. True. Well, we

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Speaker 1: want to hear from you, guys, So if you have

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Speaker 1: any questions or comments for mer Molley, or any suggestions

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Speaker 1: about things that you would like to hear us talk

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Speaker 1: about on stuff mom Never told You, feel free to

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Speaker 1: send us an email at mom stuff at how stuff

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Speaker 1: works dot com. And if you would like to learn

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Speaker 1: more about the birth control pill, contraceptives, and sexual health

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Speaker 1: in general, head on over to how stuff works dot

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Speaker 1: com for more on this and thousands of other topics.

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