Herbal Solution To HIgh Male Hormone Levels in Women on Mirena IUD?

Now that there is a new libido medication for women, Addyi, we are going to renew the discussion on what improves libido, and more specifically, what factors reduce libido in women. One reader that wrote that she has a high sex drive and has not noticed a decrease with her Mirena states she’s worried about high androgen, or male hormone, levels and wants to take diindolmethane to control this. Again, we have to start each discussion with a caution, that you cannot manage your medical care through a blog, and that in general, even if we felt herbal or other OTC products might work it's very difficult to know the dose and efficacy of a particular brand as they are not regulated. In general, there have not been any studies to back up a “preventative way to hold onto one’s sexual function,” when you embark on medications that might reduce sex drive. In general, if you are not having a problem with sexuality, any hormonal or herbal way that might change your function could very well decrease your function. Women who have excess hair, low voice, acne, or enlargement of the clitoris may have these medical signs of high androgen, but your gyno would not diagnose high androgen levels without doing some testing first. Then if testing reveals a treatable condition, we could look specifically at what levels are abnormal and need treatment. Most women with a Mirena will have a normal, not high, range of male hormone levels or androgen levels, so specifically most Mirena patients would not need anti-androgen treatment of any kind. Diindolmethane, also called DIM,  is an herbal plant derivative that is not regulated here in the USA so we cannot know what our patients are really getting. It is a product that is derived from broccoli and has been reported to be anti-androgenic. Most women with significant elevations in androgens would need more potent treatment. But in an individual case this may be warranted. Once you are on a treatment to decrease your androgen levels, you probably still want to work closely with your gyno. Herbal medications are usually process by the liver and it is important to be monitored for liver toxicity if you are on medications for a long time, in addition cases of withdrawal symptoms from hormone treatments have been described.


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