Safety and efficacy of sildenafil citrate for the treatment of female sexual arousal disorder: a double-blind, placebo controlled study.

Abstract

PURPOSE:

We evaluated the efficacy and safety of sildenafil citrate in spontaneously or surgically postmenopausal women with female sexual arousal disorder (FSAD).

MATERIALS AND METHODS:

Sildenafil (a 50 mg dose adjustable to 100 or 25 mg) was evaluated in a 12-week, double-blind, placebo controlled study in 202 postmenopausal women with FSAD who had protocol specified estradiol and free testosterone concentrations, and/or were receiving estrogen and/or androgen replacement therapy. Patients were excluded if emotional, relationship or historical abuse issues contributed significantly to sexual dysfunction. Primary end points were questions 2 (increased genital sensation during intercourse or stimulation) and 4 (increased satisfaction with intercourse and/or foreplay) from the Female Intervention Efficacy Index (FIEI). Secondary end points were the remaining questions from this index, the Sexual Function Questionnaire and sexual activity event log questions.

RESULTS:

Significant improvements in FIEI questions 2 (p = 0.017) and 4 (p = 0.015) were noted with sildenafil compared with placebo. For women with FSAD without concomitant hypoactive sexual desire disorder (HSDD) sildenafil was associated with significantly greater improvement in 5 of 6 FIEI items compared with placebo (p <0.02). No significant improvements were shown for women with concomitant HSDD. Most adverse events were mild to moderate with headache, flushing, rhinitis, nausea and visual symptoms reported most frequently.

CONCLUSIONS:

Sildenafil was effective and well tolerated in postmenopausal women with FSAD without concomitant HSDD or contributory emotional, relationship or historical abuse issues. All patients had protocol specified estradiol and free testosterone concentrations or were receiving estrogen and/or androgen replacement therapy.

• Authors: Jennifer R Berman, Laura A Berman, Steven M Toler, Jennifer Gill, Scott Haughie, Sildenafil Study Group
• Journal: The Journal of urology (J Urol) Vol. 170 Issue 6 Pt 1 Pg. 2333-8 (Dec 2003) ISSN: 0022-5347 [Print] United States
• PMID: 14634409 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Chemical References

• Phosphodiesterase Inhibitors
• Piperazines
• Purines
• Sulfones
• Testosterone
• Estradiol
• Sildenafil Citrate

Topics

• Adult
• Aged
• Double-Blind Method
• Estradiol (blood)
• Female
• Humans
• Middle Aged
• Phosphodiesterase Inhibitors (adverse effects, therapeutic use)
• Piperazines (adverse effects, therapeutic use)
• Postmenopause
• Purines
• Sexual Behavior
• Sexual Dysfunctions, Psychological (blood, drug therapy)
• Sildenafil Citrate
• Sulfones
• Testosterone (blood)