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This video gives an overview of the sexual dysfunctions, according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), before delving into the specifics behind two FDA-approved medications for the treatment of "Female Sexual Interest/Arousal Disorder": Addyi (flibanserin) and Vyleesi (bremelanotide). In my practice, I prefer raising dopamine levels directly, in order to enhance or reawaken the libido; it works better, and can be applied to virtually any case of sexual anhedonia, without regard to sex, gender, age, or diagnostic specifiers, all of which limit the (on-label) application of these lackluster FDA-approved medications. 00:00 Introduction 00:38 The Sexual Dysfunctions (DSM-5) 02:35 Exclusion Criterion 03:17 Gender Diversity 05:00 Female Disorders 05:13 Dyspareunia (Genito-Pelvic Pain/Penetration Disorder) 05:53 Diagnostic Criteria: Female Sexual Interest/Arousal Disorder 07:54 Specifiers 09:16 "Desire Discrepancy" caveat 09:53 Diagnostic Criteria: Male Hypoactive Sexual Desire Disorder 11:00 Prevalence (women) 11:44 Prevalence (men) 13:17 Addyi (2015) 14:18 Mechanism of Action, Addyi 15:48 Dosing, Addyi 15:55 Side effects, Addyi 16:32 Major Contraindication: Addyi + Alcohol (REMS program) 17:41 Vyleesi (2019) 18:06 Mechanism of Action, Vyleesi 19:26 Dosing, Vyleesi 20:10 Side effects, Vyleesi 22:44 Do They Work?? 24:56 Increasing Dopamine Directly 27:45 Why Not Men? 29:02 Combo strategy (Addyi + Vyleesi)?