Q: How do I implement “the recipe”?

You say you’ve spent some time reading about “the recipe for sexual health,” and are looking for the “how to implement” – and are struggling with HSDD (hypoactive sexual desire disorder). I’m sorry to say that there isn’t a single “how to” or formula for implementing the recipe, because solutions are likely to be as variable as each individual seeking information. The silver lining is that we are, each one of us, wonderfully made!

If your specific issue is centered on low libido, consider that we think of low desire as a biopsychosocial issue: It has to do with bio-hormones and neurotransmitters, psychology (your relationship, your emotional connection, your sexual history, culture, and norms), and social factors (other commitments, stressors, kids, aging parents, fatigue, work issues, and so on). 

You can enter “libido” or “desire” in the search bar on MiddlesexMD to find the abundance of discussion on the issue of low libido and understanding desire. I especially like to talk through the Basson model for female sexual response with women who have challenges with desire, because it exposes the complexities of addressing those challenges.


One over-the-counter product that comes to mind is Stronvivo, which has been shown in clinical trials to improve desire. Stronvivo is a nutritional supplement for cardiovascular health.

And sometimes the answer is further understanding of the condition, and then engaging in mindfulness and intention.




Dr. Barb DePree
Dr. Barb DePree MD


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