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For men, phys­i­cal arousal and the de­sire to have sex are closely con­nected, but women can be ‘phys­i­cally aroused’ (with in­creased blood flow­ing to the re­pro­duc­tive or­gans) but still not in­ter­ested in hav­ing sex. For a woman, de­sire is also psy­cho­log­i­cal and may be de­pen­dent on the state of her re­la­tion­ship, the tim­ing, her mood, what else is go­ing on in her life – it is not a sim­ple phys­i­cal state to be fixed with a pill. The first drug to treat low sex­ual de­sire in women – Ad­dyi – has not been suc­cess­ful in the USA. Un­like Vi­a­gra, it needs to be taken daily and com­mon side ef­fects in­clude sleepi­ness, dizzi­ness, faint­ing, nau­sea and anx­i­ety. Tri­als showed women’s over­all feel­ing of im­prove­ment was slow to none – a 0.5 in­crease com­pared to placebo in the num­ber of times they had ‘sat­is­fy­ing sex­ual events’.

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