Menopause Health Center
This article is from the WebMD News Archive
Sex Boost From Late Hormone Therapy
Sept. 24, 2007 -- Hormone therapy begun years after menopause doesn't improve mental function, but it does boost sexual interest, researchers find.
Forgetfulness is more of a problem for women during and after menopause than it is before menopause. Does this mean the hormonal changes of menopause cause a decline in mental function? And if so, can hormone therapy help?
Studies suggest that hormone therapy begun during menopause can preserve mental function. Might later hormone therapy do the same?
In a study funded by Wyeth, the maker of the hormone products Prempro (estrogen plus progesterone) and Premarin (estrogen only), 180 healthy women began taking either Prempro or inactive placebo pills one to three years after menopause.
After four months of treatment, researchers Pauline Maki, PhD, of the University of Illinois at Chicago and colleagues gave the women a battery of mental-function tests. Among other measures, they also gave the women a test that evaluated their sexuality, including sexual thoughts and interest in sex.
Hormone therapy did not help the women's memory.
"These results are similar to previous studies suggesting hormone therapy has minimal effect on a woman's memory when taken many years after menopause," Maki says in a news release.
But when it came to sexuality, it was a different story.
"The level of sexual interest reported by women on hormone therapy increased 44%," Maki says. "And their number of sexual thoughts increased 32% compared to the placebo group."
The Maki study had just begun when the results of the Women's Health Initiative showed that hormone therapy begun after menopause increases a woman's risk of breast cancer without decreasing risk of heart disease. The Maki study thus came to an abrupt end before it could enroll as many women as planned. This means the results have to be taken with a grain of salt.
The study appears in the Sept. 25 issue of the journal Neurology.
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.


