HRT Rx - Libido
Come Again?
From estriol to flibanserin... your one-stop guide to restoring female desire with HRT.
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Why this course?
Libido should be simple.
It is not.
Estradiol 路 Estriol 路 Testosterone 路 DHEA 路 Ferritin 路 SSRIs 路 Lube
Your patients are on estrogen and progesterone and still feel nothing, and every option comes with a different dose, a different guideline and a different opinion.
This course puts the entire clinical picture together: who to work up, which labs actually matter, how to dose vaginal estrogen properly, when testosterone is worth a referral, and what to try when hormones aren't enough.
No more handing her another hormone and hoping.
Your Instructors
Dr. Madison Isenor, ND
aND
Dr. Bobby Parmar, ND
Together, they turn hormone pharmacology, competing guidelines and real patient cases into prescriptions you can write, defend and refer on with confidence.
What's Included
- Technical Summary + Rx Cheat Sheet
- Plug & Play JaneApp template
- Whole-course chapter book PDF
- 10-question certification quiz
- CE certificate [confirm]
Course Curriculum
Seven chapters, one video
A peek at the slides inside each chapter.
1The Hite Report
Trace the conversation from Shere Hite's 1976 report to your exam room, and learn how common sexual dysfunction really is in midlife women.
2Phys 101: Let's Talk About Sex, Baby
The four domains of desire, the full clitoral complex, and what estrogen loss does to glycogen, Lactobacillus and vaginal pH.
3Case #1: Ravenous and Righteous
Escalating EstroGel and OMP, adding vaginal estriol, testosterone candidacy, and the application-site rule that stopped her bleeding.
"I was ravenous in bed every morning."
RAVENOUS RUBY (49YOF)
4Vaginal E2: Is It Enough?
Estradiol vs estriol vs estrone, REJOICE's 4 vs 10 vs 25 mcg data, Estring vs Femring, excipients, placement, and the "Special Sauce" double prescription.
5TRT & Her: Desire, Dopamine & Drive
The candidacy algorithm, a 35-trial Cochrane review and a 36-trial meta-analysis of 8,480 women, 300 mcg/day Goldilocks dosing, and why NDs in Canada can't prescribe it.
6The Extras: Put Some Pep in Her Step
DHEA vs prasterone, progesterone, flibanserin, bupropion, bremelanotide, ferritin under 50 碌g/L, libido-blocking medications and the lube audit.
7Plug & Play: All the Rxs You'll Need
The JaneApp template, so what you learned is exactly what the pharmacy receives.
Built for Clinical Practice
Ravenous Ruby (49yoF)
COULDN'T HOLD BACK
Mirena, OMP and EstroGel, and still no libido. The escalation that made her "ravenous in bed every morning," and why vaginal testosterone made her bleed.
Dyspareunia Petunia (26yoF)
NOT IN THE MOOD, EVER.
Pain for 2 hours after sex and a marriage under strain. Ferritin 17, TSH 4.06, and proof vaginal estrogen isn't only for menopause.
Bursting Betsy (56yoF)
ENGORGED & ENHANCED
IM testosterone gave her the clearest days of her life, a serum T of 10 nmol/L, and a ruptured Achilles in HIIT class. The Goldilocks dosing lesson.
You do the math
Pays for itself in under one patient hour
Based on an ND billing $250/hour and a course price of $145 CAD.
We've done [#] libido consults at Gravity Health. You do the math.
Find them. Help them. It won't take long to see the return on your education investment.
Part of HRT Rx
Libido is bigger than one hormone.
Estrogen, progesterone, testosterone, iron, thyroid, mood and medications are part of the same clinical picture. HRT and Libido: Come Again? is a complete standalone course from The Doctor's Guide to Perimenopause.
Course FAQs
I already prescribe MHT. Is this course still for me?
Yes. Most of it starts where MHT leaves off: the patient whose hot flashes are gone but whose desire never came back.
Is this useful if I can't prescribe testosterone?
Absolutely. The workup, the candidacy algorithm, the baseline labs and an evidence-backed referral are all yours to own.
Will this change how I prescribe vaginal estrogen?
Very likely. Dose, placement, estriol pairing and excipients all get a fresh look.
Does the course cover non-hormonal options?
Yes: flibanserin, bupropion, bremelanotide, prasterone, iron, medication review, hyaluronic acid and lubricants.
Will I be able to use this in practice right away?
That's the point. The Rx cheat sheet and JaneApp template mean you can prescribe from it the same day.
What Clinicians Say
[Real participant testimonial]
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[Real participant testimonial]
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Ask the question.
Your patients' libido needs you.
Don't leave them stranded with "it's just your age."
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