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Based on DSM-5 criteria, HSDD can be diagnosed when women notice a decrease in three or more of the following and are distressed by these symptoms: Sexual or erotic fantasies or thoughts Interest or arousal in response to erotic stimuli, whether internal or external Interest in sexual activity Pleasure or excitement during sexual activity (3/4 of the time) Genital or non-genital sensations (3/4 of the time) Initiating sexual activity or responding when a partner initiates sexual activity Before using PT-141, women should meet with a healthcare professional potential to discuss any concerns they have regarding side effects, interactions with other medications, and impact on any pre-existing health conditions that may be impacted by its use

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The sermorelin pills vs injections question resolves itself when you have both sets of lab results side by side