Does Spironolactone Lower Libido? A Dermatologist Explains
Dr Dray
28,902 views
If you take spironolactone for acne, hair loss, or unwanted facial hair, you may have wondered whether it can affect your sex drive. In this video, dermatologist Dr. Dray takes a closer look at what we actually know about spironolactone, antiandrogens, and libido in women, including what the research tells us and where the evidence is still limited.
Spironolactone is a commonly used antiandrogen in dermatology, particularly for adult female acne. While decreased libido is a recognized potential side effect, studies have not given us a reliable estimate of how frequently this occurs in women. Libido is also influenced by many factors beyond testosterone and androgen signaling, including stress, sleep, medications, relationships, pain, vaginal dryness, menopause, and overall health.
We also discuss newer research that examined sexual dysfunction diagnoses among hundreds of thousands of premenopausal women with acne. Interestingly, this observational study did not find an increased rate of coded sexual dysfunction among spironolactone users. However, this does not prove that spironolactone improves libido or that it cannot cause sexual side effects. The study relied on medical coding and highlights the need for prospective research using validated measures of sexual function.
This video also covers dose-related side effects of spironolactone, potassium and medication interactions, menstrual changes, breast tenderness, pregnancy considerations, finasteride, dutasteride, and testosterone therapy in postmenopausal women with hypoactive sexual desire disorder.
Most importantly, if you notice a meaningful change in libido after starting spironolactone or another antiandrogen, it is worth discussing with your doctor. You should not have to choose between treating your skin or hair concerns and maintaining your overall quality of life.
⏱️ TIMESTAMPS
0:00 Can spironolactone lower libido in women?
0:22 What exactly is spironolactone doing?
3:53 Why is spironolactone so useful for adult female acne?
4:59 Can spironolactone lower libido?
8:47 Libido is much more complicated than testosterone
9:34 What the new research tells us
10:32 Spironolactone and menopause
11:54 Newer data on spironolactone and sexual dysfunction
14:00 Does the dose matter?
14:51 Other spironolactone side effects
17:06 Spironolactone and birth control
18:24 What about finasteride and dutasteride?
19:51 What about testosterone therapy?
21:27 The bottom line
Important: This video is for educational purposes only and is not a substitute for individualized medical advice. Do not start, stop, or change the dose of a prescription medication without discussing it with your healthcare professional.
#spironolactone #acne #libido #womenshealth #antiandrogen #dermatology #hairloss #femaleacne #menopause #skincare
FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links.
💜Shop my Amazon store https://o.bttn.io/0BwiPWFIZLG
💜Follow me on liketoknowit https://www.liketoknow.it/drdrayzday
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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.
20 Comments
Does Spironolactone Lower Libido? A Dermatologist Explains
Dr Dray
28,902 views
If you take spironolactone for acne, hair loss, or unwanted facial hair, you may have wondered whether it can affect your sex drive. In this video, dermatologist Dr. Dray takes a closer look at what we actually know about spironolactone, antiandrogens, and libido in women, including what the research tells us and where the evidence is still limited.
Spironolactone is a commonly used antiandrogen in dermatology, particularly for adult female acne. While decreased libido is a recognized potential side effect, studies have not given us a reliable estimate of how frequently this occurs in women. Libido is also influenced by many factors beyond testosterone and androgen signaling, including stress, sleep, medications, relationships, pain, vaginal dryness, menopause, and overall health.
We also discuss newer research that examined sexual dysfunction diagnoses among hundreds of thousands of premenopausal women with acne. Interestingly, this observational study did not find an increased rate of coded sexual dysfunction among spironolactone users. However, this does not prove that spironolactone improves libido or that it cannot cause sexual side effects. The study relied on medical coding and highlights the need for prospective research using validated measures of sexual function.
This video also covers dose-related side effects of spironolactone, potassium and medication interactions, menstrual changes, breast tenderness, pregnancy considerations, finasteride, dutasteride, and testosterone therapy in postmenopausal women with hypoactive sexual desire disorder.
Most importantly, if you notice a meaningful change in libido after starting spironolactone or another antiandrogen, it is worth discussing with your doctor. You should not have to choose between treating your skin or hair concerns and maintaining your overall quality of life.
⏱️ TIMESTAMPS
0:00 Can spironolactone lower libido in women?
0:22 What exactly is spironolactone doing?
3:53 Why is spironolactone so useful for adult female acne?
4:59 Can spironolactone lower libido?
8:47 Libido is much more complicated than testosterone
9:34 What the new research tells us
10:32 Spironolactone and menopause
11:54 Newer data on spironolactone and sexual dysfunction
14:00 Does the dose matter?
14:51 Other spironolactone side effects
17:06 Spironolactone and birth control
18:24 What about finasteride and dutasteride?
19:51 What about testosterone therapy?
21:27 The bottom line
Important: This video is for educational purposes only and is not a substitute for individualized medical advice. Do not start, stop, or change the dose of a prescription medication without discussing it with your healthcare professional.
#spironolactone #acne #libido #womenshealth #antiandrogen #dermatology #hairloss #femaleacne #menopause #skincare
FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links.
💜Shop my Amazon store https://o.bttn.io/0BwiPWFIZLG
💜Follow me on liketoknowit https://www.liketoknow.it/drdrayzday
💜Social media
Instagram @drdrayzday
Pinterest Pinterest: drdrayzday
Facebook @DrDrayzDay
Twitter: @drdrayzday
Tiktok: @drdrayzday
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.