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Estrogen replacement therapy can fully restore adequate vaginal function. Localized perivaginal swelling and vaginal lubrication make up the first changes in this stage of sexual response. This is an area at the distal third of the vagina where blood becomes sequestered. In the female, dilation and engorgement of the blood vessles in the labia and the tissue surrounding the vagina produce what has been called the "orgasmic platform." This stimulation may lead to breast and genital vasodilation and clitoral engorgement. This stage is characterized by a subjective sense of sexual excitement and pleasure, secondary to both physical and emotional stimulation. The second stage of female sexual response is arousal. Therefore, it appears that in women, as we saw earlier in men, androgens (testosterone) are more important for sustaining sexual desire than for producing any specific physiologic response.

At the same time, vaginal muscle function studies have provided inconsistent evidence of testosterone effects on vasocongestive responses during sexual arousal. In fact, controlled hormone replacement studies demonstrated that adding androgen (testosterone) to an estrogen replacement regimen resulted in enhancement of sexual desire and enjoyment in post-menopausal women.

Sleep, like good health in general
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Hopefully, we will have the answer to these
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Cass suggests these herbal and supplemental
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