Pills sitting on pink counter surrounded by caution tape.

Actress Gwyneth Paltrow, founder of the wellness and lifestyle brand goop®, recently launched a new “sexual health supplement” marketed under the name DTF. According to advertisements, this product is intended to “support women’s sexual desire, arousal, and mood.” We believe this claim to be an example of a misleading campaign marketed to consumers that is unsupported by scientific evidence. 

Pills sitting on pink counter surrounded by caution tape.

As a member of the International Society for the Study of Women’s Sexual Health (ISSWSH), which is comprised of leading academics, researchers, clinicians, and educators in female sexuality, IntimMedicine supports and agrees with ISSWSH’s concern around frequent, unsubstantiated claims made about many over-the-counter (OTC) products marketed to women for sexual enhancement. goop®’s latest product, DTF, is one of these products that concerns us.

While we applaud the attempt to investigate herbal ingredients which are in use by consumers, the statement by goop® that the ingredients in DTF are “clinically studied to support female sexual health and function” is egregiously misleading. Here’s why:

According to their own website, DTF “hasn’t been evaluated by the FDA” and “is not intended to diagnose, treat, cure, or prevent.”

According to the goop® website, DTF contains three main ingredients: Libifem®, a fenugreek seed extract, shatavari root extract, and saffron stigma extract. While one small study published in Phytotherapy Research in 2017 appears to support some potential benefit of one ingredient in DTF specifically to women with the vasomotor symptoms of “hot flushes, night sweats and other associated symptoms,” which are typically associated with the menopause, we were unable to find any data to demonstrate safety, efficacy or tolerability of the combination of active ingredients in DTF for women of any age to whom goop® makes these claims on female desire, arousal and mood.

As experts in the sexual health field committed to the highest standards of scientific research and medical care of women’s sexual health, we are not only concerned about the lack of proven benefit from such supplements, but also the potential harm to individuals who choose to take these products.

43% of U.S. women report some type of sexual problem for a multitude of bio-psycho-social reasons.  Lumping all sexual problems together is unlikely to lead to an appropriate treatment and improvement, which is why qualified healthcare providers, like IntimMedicine staff, diagnose a sexual problem before recommending a relevant treatment.

Hypoactive sexual desire disorder (HSDD) is a diagnosable and treatable medical condition experienced by upwards of 10% of U.S. women.  In 2018, ISSWSH published an HSDD process-of-care to assist healthcare providers in the diagnosis and management of pre- and post-menopausal women with HSDD. This open access article is freely available online.

In order to properly address low libido and HSDD, women should avoid self-treating with OTC products, like DTF, without the guidance of a licensed healthcare provider. 

There are two FDA-approved treatment options (flibanserin and bremelanotide) available in the U.S. for pre-menopausal women with acquired, generalized HSDD with extensive safety and efficacy data. Flibanserin is also approved in Canada for pre-menopausal women and naturally post-menopausal women ≤60 years of age.

As a practice that is focused on the advancement of women’s sexual health, it is our mission, alongside ISSWSH, to promote the dissemination of evidence-based information. Women should know that the medical community has treatments approved by regulatory agencies and processes of care to guide their healthcare providers in the delivery of evidence-based medicine.

References

  1. O’Malley, K. Gwyneth Gwyneth Paltrow’s Goop just launched a supplement to boost female libido.
  2. Reilly, K. Do Gwyneth Paltrow’s new ‘DTF’ libido supplements really work? Doctors weigh in.
  3. Sydora BC, Fast H, Campbell S, Yuksel N, Lewis JE, Ross S. Use of the Menopause-Specific Quality of Life (MENQOL) questionnaire in research and clinical practice: a comprehensive scoping review. Menopause 2016;23:1038-1051.
  4. Steels E, Steele ML, Harold M, Coulson S. Efficacy of a proprietary Trigonella foenum‐graecum L. de‐husked seed extract in reducing menopausal symptoms in otherwise healthy women: a double‐blind, randomized, placebo‐controlled study. Phytotherapy Research 2017;31:1316-1322.
  5. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999;281:537-544.
  6. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstetrics & Gynecology. 2008;112:970-978.
  7. Brotto LA. The DSM diagnostic criteria for hypoactive sexual desire disorder in women. Archives of Sexual Behavior 2010;39:221-239.
  8. Clayton AH, Goldstein I, Kim NN, Althof SE, Faubion SS, Faught BM, Parish SJ, Simon JA, Vignozzi L, Christiansen K, Davis SR. The International Society for the Study of Women’s Sexual Health process of care for management of hypoactive sexual desire disorder in women. Mayo Clinic Proceedings 2018;93:467-487.

Adapted from ISSWSH’s official statement.

Congratulations to the New ISSWSH President

The International Society for the Study of Women’s Sexual Health (ISSWSH.org), the preeminent organization focusing on the biopsychosocial aspects of women’s sexuality, welcomes Dr. James A. Simon, M.D., Clinical Professor of Obstetrics and Gynecology at The George Washington University School of Medicine in Washington D.C., as its new president.

Dr. Simon’s goals for his two-year term presidency include doubling the ISSWSH membership by expanding the knowledge of physicians (gynecologists, urologists, internists, and other primary care givers), advanced practice nurses (nurse practitioners, midwives, etc.), physician assistants, mental health providers (e.g., psychiatrists, psychologists, psychiatric social workers, certified sexual health counselors and educators), and pelvic floor physical therapists in the oft-neglected field of sexual medicine, a discipline with similar quality of life impact as arthritis, chronic obstructive pulmonary disease, asthma, and irritable bowel syndrome. Further, Dr. Simon vows to pressure the FDA into removing sexually discriminatory barriers to the development of new medications focused on improving women’s sexual health.

Dr. Simon served most recently as the president-elect of ISSWSH. He is also a past president of the North American Menopause Society, and The Washington Gynecological Society.

Dr. Simon is a prolific clinical researcher, holding distinctions for his involvement in reproductive endocrinology and infertility, the earliest advancements of in vitro fertilization, menopause, osteoporosis, and sexual medicine. Dr. Simon’s research has been supported by more than 360 research grants and scholarships from a wide range of sponsors, including the National Institutes of Health, The American Heart Association, The Heinz Foundation and the pharmaceutical industry. He is an author or a co-author of more than 550 peer-reviewed articles, chapters, textbooks, abstracts, and other publications, including several prize-winning papers. Dr. Simon is coauthor of the paperback book “Restore Yourself: A Woman’s Guide to Reviving Her Sexual Desire and Passion for Life.” A short list of his other honors and achievements includes being selected to “Top Washington Physicians,” “America’s Top Obstetricians and Gynecologists,” and “The Best Doctors in America.” Dr. Simon and his care team continue to treat patients from all around the world in his private practice in Washington, D.C.

Have questions regarding medical or women’s sexual health issues? Contact his office at (202) 293-1000.


 
 

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