Female & Male Sex Enhancement Protocol
Female sex enhancement protocol – pharmaceutical intervention
- Estriol vaginal cream if dryness or painful intercourse is involved. We have had great luck with 0.5mg intravaginally nightly for 14 days then 2 or 3 times weekly to maintain.
Lowers vaginal pH to decrease infections, increases vaginal fluids, increases integrity of vaginal wall.
- Natural Testosterone to labia daily for 30 days then to inner wrist to maintain.
Dosage range 2 to 6mg daily. Should be in absorption enhancement cream.
- Balanced Bio-Identical Hormone Replacement Therapy
In addition to testosterone, estrogen and progesterone need to be in balance.
Male sex enhancement protocol – pharmaceutical intervention
- Restore Testosterone to more youthful levels to promote libido, enthusiasm, confidence, and sense of well being. Topical doses ranging from 25mg to 100mg (or more) usually twice daily.
- Oral Medications to facilitate erection Viagra, Cialis, Levitra or sublingual lozenge made from Viagra
- Penile Injections to facilitate erection Combinations of papaverine, phentolamine and/or prostaglandin E1. Also known as Alprostidil, Bi-Mix, Tri-Mix and Quad-Mix
Elimination of or alternative choices for SSRI type medications. Also consider blood pressure medications- especially beta blockers.
Yeast infections that won’t fully go away
Recurrent candidiasis is defined as 3 or more yeast infections in 12 months. In cases caused by Candida albicans, patients should follow their initial treatment with maintenance therapy (since resistance to antifungal therapy is rare). This is usually done with fluconazole (Diflucan) 150 mg orally for 6 months. Other options include ketoconazole (Nizoral) 100 mg daily and itraconazole (Sporanox) 100 mg daily.
Flucytosine
Flucytosine is an oral antifungal agent that is used with amphotericin B for serious Candida and Cryptococcus infections. It works by penetrating fungal cells and interfering with fungal RNA and protein synthesis. However, it is generally used second-line and its use is limited by its toxicities. Flucytosine should be used with extreme caution in patients with kidney dysfunction and dose adjustments are required. It should also be used with caution in patients with bone marrow depression, hematologic disease, or who have been treated with radiation or drugs that suppress the bone marrow.
Unfortunately, most of the antifungals used for Candida albicans are not effective against other types of Candida, which are often the culprits of recurrent infections. In other words, since the common antifungals do not work against resistant fungi, the infection will never be fully eradicated. Candida glabrata is particularly common in recurrent episodes and should be treated with one of the following, as they have been used successfully:
- Flucytosine 100 mg/kg daily given in 4 divided doses every 6 hours for 14 days
- Amphotericin B 50 mg vaginal suppositories for 14 days
- Berberine (as Berberine HCI) 400 mg
- Caprylic Acid (as Caprylic Oil) 300 mg
- Olive (Olea europaea) Leaf Extract 333 mg
- Grapefruit (Citrus paradisi) Seed Extract 250 mg
- Garlic (Allium sativum) Bulb 250 mg
- Neem Leaf Powder 200 mg
- Thyme (Thymus vulgaris) Aerial Extract 100 mg
- Oregano (Origanum vulgare) Aerial Extract 100 mg
Take each dose with a full glass (8 ounces) of water.
Flucytosine may cause nausea and vomiting. If you take more than one capsule per dose, swallow one capsule at a time over a 15-minute period to help prevent nausea and vomiting.
