Libido in the menopausal woman

Warning: filemtime(): stat failed for sites/default/files/php/twig/.CgpGxumukdq2Ov9Ra28-ll1onhg in Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->getUncachedMTime() (line 214 of core/lib/Drupal/Component/PhpStorage/MTimeProtectedFastFileStorage.php).

Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->getUncachedMTime('sites/default/files/php/twig/.CgpGxumukdq2Ov9Ra28-ll1onhg') (Line: 79)
Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save('6767b0f8770b5_field--node--title.html.t_-LUoVXTZnNMVt_-dNsvBTKM9f', '&lt;?php

use Twig\Environment;
use Twig\Error\LoaderError;
use Twig\Error\RuntimeError;
use Twig\Extension\SandboxExtension;
use Twig\Markup;
use Twig\Sandbox\SecurityError;
use Twig\Sandbox\SecurityNotAllowedTagError;
use Twig\Sandbox\SecurityNotAllowedFilterError;
use Twig\Sandbox\SecurityNotAllowedFunctionError;
use Twig\Source;
use Twig\Template;

/* core/modules/node/templates/field--node--title.html.twig */
class __TwigTemplate_1dfad0b437c1187aa7945444ba85bbeb extends \Twig\Template
{
    private $source;
    private $macros = [];

    public function __construct(Environment $env)
    {
        parent::__construct($env);

        $this-&gt;source = $this-&gt;getSourceContext();

        $this-&gt;parent = false;

        $this-&gt;blocks = [
        ];
        $this-&gt;sandbox = $this-&gt;env-&gt;getExtension('\Twig\Extension\SandboxExtension');
        $this-&gt;checkSecurity();
    }

    protected function doDisplay(array $context, array $blocks = [])
    {
        $macros = $this-&gt;macros;
        // line 30
        echo "
";
        // line 31
        if ( !($context["is_inline"] ?? null)) {
            // line 32
            echo "  ";
            $this-&gt;loadTemplate("field.html.twig", "core/modules/node/templates/field--node--title.html.twig", 32)-&gt;display($context);
        } else {
            // line 34
            echo "extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(($context["attributes"] ?? null), 34, $this-&gt;source), "html", null, true);
            echo "&gt;";
            // line 35
            $context['_parent'] = $context;
            $context['_seq'] = twig_ensure_traversable(($context["items"] ?? null));
            foreach ($context['_seq'] as $context["_key"] =&gt; $context["item"]) {
                // line 36
                echo $this-&gt;extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(twig_get_attribute($this-&gt;env, $this-&gt;source, $context["item"], "content", [], "any", false, false, true, 36), 36, $this-&gt;source), "html", null, true);
            }
            $_parent = $context['_parent'];
            unset($context['_seq'], $context['_iterated'], $context['_key'], $context['item'], $context['_parent'], $context['loop']);
            $context = array_intersect_key($context, $_parent) + $_parent;
            // line 38
            echo "
";
        }
    }

    public function getTemplateName()
    {
        return "core/modules/node/templates/field--node--title.html.twig";
    }

    public function isTraitable()
    {
        return false;
    }

    public function getDebugInfo()
    {
        return array (  62 =&gt; 38,  56 =&gt; 36,  52 =&gt; 35,  48 =&gt; 34,  44 =&gt; 32,  42 =&gt; 31,  39 =&gt; 30,);
    }

    public function getSourceContext()
    {
        return new Source("", "core/modules/node/templates/field--node--title.html.twig", "/srv/www/web/core/modules/node/templates/field--node--title.html.twig");
    }
    
    public function checkSecurity()
    {
        static $tags = array("if" =&gt; 31, "include" =&gt; 32, "for" =&gt; 35);
        static $filters = array("escape" =&gt; 34);
        static $functions = array();

        try {
            $this-&gt;sandbox-&gt;checkSecurity(
                ['if', 'include', 'for'],
                ['escape'],
                []
            );
        } catch (SecurityError $e) {
            $e-&gt;setSourceContext($this-&gt;source);

            if ($e instanceof SecurityNotAllowedTagError &amp;&amp; isset($tags[$e-&gt;getTagName()])) {
                $e-&gt;setTemplateLine($tags[$e-&gt;getTagName()]);
            } elseif ($e instanceof SecurityNotAllowedFilterError &amp;&amp; isset($filters[$e-&gt;getFilterName()])) {
                $e-&gt;setTemplateLine($filters[$e-&gt;getFilterName()]);
            } elseif ($e instanceof SecurityNotAllowedFunctionError &amp;&amp; isset($functions[$e-&gt;getFunctionName()])) {
                $e-&gt;setTemplateLine($functions[$e-&gt;getFunctionName()]);
            }

            throw $e;
        }

    }
}
') (Line: 112)
Drupal\Core\Template\TwigPhpStorageCache->write('6767b0f8770b5_field--node--title.html.t_-LUoVXTZnNMVt_-dNsvBTKM9f', '&lt;?php

use Twig\Environment;
use Twig\Error\LoaderError;
use Twig\Error\RuntimeError;
use Twig\Extension\SandboxExtension;
use Twig\Markup;
use Twig\Sandbox\SecurityError;
use Twig\Sandbox\SecurityNotAllowedTagError;
use Twig\Sandbox\SecurityNotAllowedFilterError;
use Twig\Sandbox\SecurityNotAllowedFunctionError;
use Twig\Source;
use Twig\Template;

/* core/modules/node/templates/field--node--title.html.twig */
class __TwigTemplate_1dfad0b437c1187aa7945444ba85bbeb extends \Twig\Template
{
    private $source;
    private $macros = [];

    public function __construct(Environment $env)
    {
        parent::__construct($env);

        $this-&gt;source = $this-&gt;getSourceContext();

        $this-&gt;parent = false;

        $this-&gt;blocks = [
        ];
        $this-&gt;sandbox = $this-&gt;env-&gt;getExtension('\Twig\Extension\SandboxExtension');
        $this-&gt;checkSecurity();
    }

    protected function doDisplay(array $context, array $blocks = [])
    {
        $macros = $this-&gt;macros;
        // line 30
        echo "
";
        // line 31
        if ( !($context["is_inline"] ?? null)) {
            // line 32
            echo "  ";
            $this-&gt;loadTemplate("field.html.twig", "core/modules/node/templates/field--node--title.html.twig", 32)-&gt;display($context);
        } else {
            // line 34
            echo "extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(($context["attributes"] ?? null), 34, $this-&gt;source), "html", null, true);
            echo "&gt;";
            // line 35
            $context['_parent'] = $context;
            $context['_seq'] = twig_ensure_traversable(($context["items"] ?? null));
            foreach ($context['_seq'] as $context["_key"] =&gt; $context["item"]) {
                // line 36
                echo $this-&gt;extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(twig_get_attribute($this-&gt;env, $this-&gt;source, $context["item"], "content", [], "any", false, false, true, 36), 36, $this-&gt;source), "html", null, true);
            }
            $_parent = $context['_parent'];
            unset($context['_seq'], $context['_iterated'], $context['_key'], $context['item'], $context['_parent'], $context['loop']);
            $context = array_intersect_key($context, $_parent) + $_parent;
            // line 38
            echo "
";
        }
    }

    public function getTemplateName()
    {
        return "core/modules/node/templates/field--node--title.html.twig";
    }

    public function isTraitable()
    {
        return false;
    }

    public function getDebugInfo()
    {
        return array (  62 =&gt; 38,  56 =&gt; 36,  52 =&gt; 35,  48 =&gt; 34,  44 =&gt; 32,  42 =&gt; 31,  39 =&gt; 30,);
    }

    public function getSourceContext()
    {
        return new Source("", "core/modules/node/templates/field--node--title.html.twig", "/srv/www/web/core/modules/node/templates/field--node--title.html.twig");
    }
    
    public function checkSecurity()
    {
        static $tags = array("if" =&gt; 31, "include" =&gt; 32, "for" =&gt; 35);
        static $filters = array("escape" =&gt; 34);
        static $functions = array();

        try {
            $this-&gt;sandbox-&gt;checkSecurity(
                ['if', 'include', 'for'],
                ['escape'],
                []
            );
        } catch (SecurityError $e) {
            $e-&gt;setSourceContext($this-&gt;source);

            if ($e instanceof SecurityNotAllowedTagError &amp;&amp; isset($tags[$e-&gt;getTagName()])) {
                $e-&gt;setTemplateLine($tags[$e-&gt;getTagName()]);
            } elseif ($e instanceof SecurityNotAllowedFilterError &amp;&amp; isset($filters[$e-&gt;getFilterName()])) {
                $e-&gt;setTemplateLine($filters[$e-&gt;getFilterName()]);
            } elseif ($e instanceof SecurityNotAllowedFunctionError &amp;&amp; isset($functions[$e-&gt;getFunctionName()])) {
                $e-&gt;setTemplateLine($functions[$e-&gt;getFunctionName()]);
            }

            throw $e;
        }

    }
}
') (Line: 409)
Twig\Environment->loadClass('__TwigTemplate_1dfad0b437c1187aa7945444ba85bbeb', 'core/modules/node/templates/field--node--title.html.twig', NULL) (Line: 381)
Twig\Environment->loadTemplate('core/modules/node/templates/field--node--title.html.twig') (Line: 55)
twig_render_template('core/modules/node/templates/field--node--title.html.twig', Array) (Line: 384)
Drupal\Core\Theme\ThemeManager->render('field', Array) (Line: 433)
Drupal\Core\Render\Renderer->doRender(Array, ) (Line: 204)
Drupal\Core\Render\Renderer->render(Array) (Line: 110)
Drupal\Core\Entity\Controller\EntityViewController->buildTitle(Array)
call_user_func_array(Array, Array) (Line: 101)
Drupal\Core\Render\Renderer->doTrustedCallback(Array, Array, 'Render #pre_render callbacks must be methods of a class that implements \Drupal\Core\Security\TrustedCallbackInterface or be an anonymous function. The callback was %s. See https://www.drupal.org/node/2966725', 'exception', 'Drupal\Core\Render\Element\RenderCallbackInterface') (Line: 788)
Drupal\Core\Render\Renderer->doCallback('#pre_render', Array, Array) (Line: 374)
Drupal\Core\Render\Renderer->doRender(Array, ) (Line: 204)
Drupal\Core\Render\Renderer->render(Array, ) (Line: 242)
Drupal\Core\Render\MainContent\HtmlRenderer->Drupal\Core\Render\MainContent\{closure}() (Line: 580)
Drupal\Core\Render\Renderer->executeInRenderContext(Object, Object) (Line: 243)
Drupal\Core\Render\MainContent\HtmlRenderer->prepare(Array, Object, Object) (Line: 132)
Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse(Array, Object, Object) (Line: 90)
Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray(Object, 'kernel.view', Object)
call_user_func(Array, Object, 'kernel.view', Object) (Line: 142)
Drupal\Component\EventDispatcher\ContainerAwareEventDispatcher->dispatch(Object, 'kernel.view') (Line: 174)
Symfony\Component\HttpKernel\HttpKernel->handleRaw(Object, 1) (Line: 81)
Symfony\Component\HttpKernel\HttpKernel->handle(Object, 1, 1) (Line: 58)
Drupal\Core\StackMiddleware\Session->handle(Object, 1, 1) (Line: 48)
Drupal\Core\StackMiddleware\KernelPreHandle->handle(Object, 1, 1) (Line: 191)
Drupal\page_cache\StackMiddleware\PageCache->fetch(Object, 1, 1) (Line: 128)
Drupal\page_cache\StackMiddleware\PageCache->lookup(Object, 1, 1) (Line: 82)
Drupal\page_cache\StackMiddleware\PageCache->handle(Object, 1, 1) (Line: 48)
Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle(Object, 1, 1) (Line: 51)
Drupal\Core\StackMiddleware\NegotiationMiddleware->handle(Object, 1, 1) (Line: 23)
Stack\StackedHttpKernel->handle(Object, 1, 1) (Line: 718)
Drupal\Core\DrupalKernel->handle(Object) (Line: 19)

Warning: rename(sites/default/files/php/twig/.CgpGxumukdq2Ov9Ra28-ll1onhg,sites/default/files/php/twig/6767b0f8770b5_field--node--title.html.t_-LUoVXTZnNMVt_-dNsvBTKM9f/qj9rCPZE9qgA3-pCjRdMKPXECO8t0gyTzUCiOyg_SQQ.php): No such file or directory in Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (line 88 of core/lib/Drupal/Component/PhpStorage/MTimeProtectedFastFileStorage.php).

Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save('6767b0f8770b5_field--node--title.html.t_-LUoVXTZnNMVt_-dNsvBTKM9f', '&lt;?php

use Twig\Environment;
use Twig\Error\LoaderError;
use Twig\Error\RuntimeError;
use Twig\Extension\SandboxExtension;
use Twig\Markup;
use Twig\Sandbox\SecurityError;
use Twig\Sandbox\SecurityNotAllowedTagError;
use Twig\Sandbox\SecurityNotAllowedFilterError;
use Twig\Sandbox\SecurityNotAllowedFunctionError;
use Twig\Source;
use Twig\Template;

/* core/modules/node/templates/field--node--title.html.twig */
class __TwigTemplate_1dfad0b437c1187aa7945444ba85bbeb extends \Twig\Template
{
    private $source;
    private $macros = [];

    public function __construct(Environment $env)
    {
        parent::__construct($env);

        $this-&gt;source = $this-&gt;getSourceContext();

        $this-&gt;parent = false;

        $this-&gt;blocks = [
        ];
        $this-&gt;sandbox = $this-&gt;env-&gt;getExtension('\Twig\Extension\SandboxExtension');
        $this-&gt;checkSecurity();
    }

    protected function doDisplay(array $context, array $blocks = [])
    {
        $macros = $this-&gt;macros;
        // line 30
        echo "
";
        // line 31
        if ( !($context["is_inline"] ?? null)) {
            // line 32
            echo "  ";
            $this-&gt;loadTemplate("field.html.twig", "core/modules/node/templates/field--node--title.html.twig", 32)-&gt;display($context);
        } else {
            // line 34
            echo "extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(($context["attributes"] ?? null), 34, $this-&gt;source), "html", null, true);
            echo "&gt;";
            // line 35
            $context['_parent'] = $context;
            $context['_seq'] = twig_ensure_traversable(($context["items"] ?? null));
            foreach ($context['_seq'] as $context["_key"] =&gt; $context["item"]) {
                // line 36
                echo $this-&gt;extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(twig_get_attribute($this-&gt;env, $this-&gt;source, $context["item"], "content", [], "any", false, false, true, 36), 36, $this-&gt;source), "html", null, true);
            }
            $_parent = $context['_parent'];
            unset($context['_seq'], $context['_iterated'], $context['_key'], $context['item'], $context['_parent'], $context['loop']);
            $context = array_intersect_key($context, $_parent) + $_parent;
            // line 38
            echo "
";
        }
    }

    public function getTemplateName()
    {
        return "core/modules/node/templates/field--node--title.html.twig";
    }

    public function isTraitable()
    {
        return false;
    }

    public function getDebugInfo()
    {
        return array (  62 =&gt; 38,  56 =&gt; 36,  52 =&gt; 35,  48 =&gt; 34,  44 =&gt; 32,  42 =&gt; 31,  39 =&gt; 30,);
    }

    public function getSourceContext()
    {
        return new Source("", "core/modules/node/templates/field--node--title.html.twig", "/srv/www/web/core/modules/node/templates/field--node--title.html.twig");
    }
    
    public function checkSecurity()
    {
        static $tags = array("if" =&gt; 31, "include" =&gt; 32, "for" =&gt; 35);
        static $filters = array("escape" =&gt; 34);
        static $functions = array();

        try {
            $this-&gt;sandbox-&gt;checkSecurity(
                ['if', 'include', 'for'],
                ['escape'],
                []
            );
        } catch (SecurityError $e) {
            $e-&gt;setSourceContext($this-&gt;source);

            if ($e instanceof SecurityNotAllowedTagError &amp;&amp; isset($tags[$e-&gt;getTagName()])) {
                $e-&gt;setTemplateLine($tags[$e-&gt;getTagName()]);
            } elseif ($e instanceof SecurityNotAllowedFilterError &amp;&amp; isset($filters[$e-&gt;getFilterName()])) {
                $e-&gt;setTemplateLine($filters[$e-&gt;getFilterName()]);
            } elseif ($e instanceof SecurityNotAllowedFunctionError &amp;&amp; isset($functions[$e-&gt;getFunctionName()])) {
                $e-&gt;setTemplateLine($functions[$e-&gt;getFunctionName()]);
            }

            throw $e;
        }

    }
}
') (Line: 112)
Drupal\Core\Template\TwigPhpStorageCache->write('6767b0f8770b5_field--node--title.html.t_-LUoVXTZnNMVt_-dNsvBTKM9f', '&lt;?php

use Twig\Environment;
use Twig\Error\LoaderError;
use Twig\Error\RuntimeError;
use Twig\Extension\SandboxExtension;
use Twig\Markup;
use Twig\Sandbox\SecurityError;
use Twig\Sandbox\SecurityNotAllowedTagError;
use Twig\Sandbox\SecurityNotAllowedFilterError;
use Twig\Sandbox\SecurityNotAllowedFunctionError;
use Twig\Source;
use Twig\Template;

/* core/modules/node/templates/field--node--title.html.twig */
class __TwigTemplate_1dfad0b437c1187aa7945444ba85bbeb extends \Twig\Template
{
    private $source;
    private $macros = [];

    public function __construct(Environment $env)
    {
        parent::__construct($env);

        $this-&gt;source = $this-&gt;getSourceContext();

        $this-&gt;parent = false;

        $this-&gt;blocks = [
        ];
        $this-&gt;sandbox = $this-&gt;env-&gt;getExtension('\Twig\Extension\SandboxExtension');
        $this-&gt;checkSecurity();
    }

    protected function doDisplay(array $context, array $blocks = [])
    {
        $macros = $this-&gt;macros;
        // line 30
        echo "
";
        // line 31
        if ( !($context["is_inline"] ?? null)) {
            // line 32
            echo "  ";
            $this-&gt;loadTemplate("field.html.twig", "core/modules/node/templates/field--node--title.html.twig", 32)-&gt;display($context);
        } else {
            // line 34
            echo "extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(($context["attributes"] ?? null), 34, $this-&gt;source), "html", null, true);
            echo "&gt;";
            // line 35
            $context['_parent'] = $context;
            $context['_seq'] = twig_ensure_traversable(($context["items"] ?? null));
            foreach ($context['_seq'] as $context["_key"] =&gt; $context["item"]) {
                // line 36
                echo $this-&gt;extensions['Drupal\Core\Template\TwigExtension']-&gt;escapeFilter($this-&gt;env, $this-&gt;sandbox-&gt;ensureToStringAllowed(twig_get_attribute($this-&gt;env, $this-&gt;source, $context["item"], "content", [], "any", false, false, true, 36), 36, $this-&gt;source), "html", null, true);
            }
            $_parent = $context['_parent'];
            unset($context['_seq'], $context['_iterated'], $context['_key'], $context['item'], $context['_parent'], $context['loop']);
            $context = array_intersect_key($context, $_parent) + $_parent;
            // line 38
            echo "
";
        }
    }

    public function getTemplateName()
    {
        return "core/modules/node/templates/field--node--title.html.twig";
    }

    public function isTraitable()
    {
        return false;
    }

    public function getDebugInfo()
    {
        return array (  62 =&gt; 38,  56 =&gt; 36,  52 =&gt; 35,  48 =&gt; 34,  44 =&gt; 32,  42 =&gt; 31,  39 =&gt; 30,);
    }

    public function getSourceContext()
    {
        return new Source("", "core/modules/node/templates/field--node--title.html.twig", "/srv/www/web/core/modules/node/templates/field--node--title.html.twig");
    }
    
    public function checkSecurity()
    {
        static $tags = array("if" =&gt; 31, "include" =&gt; 32, "for" =&gt; 35);
        static $filters = array("escape" =&gt; 34);
        static $functions = array();

        try {
            $this-&gt;sandbox-&gt;checkSecurity(
                ['if', 'include', 'for'],
                ['escape'],
                []
            );
        } catch (SecurityError $e) {
            $e-&gt;setSourceContext($this-&gt;source);

            if ($e instanceof SecurityNotAllowedTagError &amp;&amp; isset($tags[$e-&gt;getTagName()])) {
                $e-&gt;setTemplateLine($tags[$e-&gt;getTagName()]);
            } elseif ($e instanceof SecurityNotAllowedFilterError &amp;&amp; isset($filters[$e-&gt;getFilterName()])) {
                $e-&gt;setTemplateLine($filters[$e-&gt;getFilterName()]);
            } elseif ($e instanceof SecurityNotAllowedFunctionError &amp;&amp; isset($functions[$e-&gt;getFunctionName()])) {
                $e-&gt;setTemplateLine($functions[$e-&gt;getFunctionName()]);
            }

            throw $e;
        }

    }
}
') (Line: 409)
Twig\Environment->loadClass('__TwigTemplate_1dfad0b437c1187aa7945444ba85bbeb', 'core/modules/node/templates/field--node--title.html.twig', NULL) (Line: 381)
Twig\Environment->loadTemplate('core/modules/node/templates/field--node--title.html.twig') (Line: 55)
twig_render_template('core/modules/node/templates/field--node--title.html.twig', Array) (Line: 384)
Drupal\Core\Theme\ThemeManager->render('field', Array) (Line: 433)
Drupal\Core\Render\Renderer->doRender(Array, ) (Line: 204)
Drupal\Core\Render\Renderer->render(Array) (Line: 110)
Drupal\Core\Entity\Controller\EntityViewController->buildTitle(Array)
call_user_func_array(Array, Array) (Line: 101)
Drupal\Core\Render\Renderer->doTrustedCallback(Array, Array, 'Render #pre_render callbacks must be methods of a class that implements \Drupal\Core\Security\TrustedCallbackInterface or be an anonymous function. The callback was %s. See https://www.drupal.org/node/2966725', 'exception', 'Drupal\Core\Render\Element\RenderCallbackInterface') (Line: 788)
Drupal\Core\Render\Renderer->doCallback('#pre_render', Array, Array) (Line: 374)
Drupal\Core\Render\Renderer->doRender(Array, ) (Line: 204)
Drupal\Core\Render\Renderer->render(Array, ) (Line: 242)
Drupal\Core\Render\MainContent\HtmlRenderer->Drupal\Core\Render\MainContent\{closure}() (Line: 580)
Drupal\Core\Render\Renderer->executeInRenderContext(Object, Object) (Line: 243)
Drupal\Core\Render\MainContent\HtmlRenderer->prepare(Array, Object, Object) (Line: 132)
Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse(Array, Object, Object) (Line: 90)
Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray(Object, 'kernel.view', Object)
call_user_func(Array, Object, 'kernel.view', Object) (Line: 142)
Drupal\Component\EventDispatcher\ContainerAwareEventDispatcher->dispatch(Object, 'kernel.view') (Line: 174)
Symfony\Component\HttpKernel\HttpKernel->handleRaw(Object, 1) (Line: 81)
Symfony\Component\HttpKernel\HttpKernel->handle(Object, 1, 1) (Line: 58)
Drupal\Core\StackMiddleware\Session->handle(Object, 1, 1) (Line: 48)
Drupal\Core\StackMiddleware\KernelPreHandle->handle(Object, 1, 1) (Line: 191)
Drupal\page_cache\StackMiddleware\PageCache->fetch(Object, 1, 1) (Line: 128)
Drupal\page_cache\StackMiddleware\PageCache->lookup(Object, 1, 1) (Line: 82)
Drupal\page_cache\StackMiddleware\PageCache->handle(Object, 1, 1) (Line: 48)
Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle(Object, 1, 1) (Line: 51)
Drupal\Core\StackMiddleware\NegotiationMiddleware->handle(Object, 1, 1) (Line: 23)
Stack\StackedHttpKernel->handle(Object, 1, 1) (Line: 718)
Drupal\Core\DrupalKernel->handle(Object) (Line: 19)

Megan Ogilvie discusses women's libido including menopausal hormone treatment, and testosterone supplementation.

Topics

Intro
Play now
Changes to libido over lifespan.
Play now
Changes to Testosterone over lifespan
Play now
Consensus statement for testosterone supplementation
Play now
Indications for testosterone supplementation
Play now
What is a loss of libido?
Play now
How to ask these personal questions.
Play now
Investigations Do we measure testosterone?
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Do we think about lipids?
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Stepped approach to management
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How is AndroFem used?
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Monitoring
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Is it subsidised?
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Why is prescribing low?
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Any side effects?
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Is there ever a place for compounding testosterone?
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Should we be screening these women for breast cancer?
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More information
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Take home messages
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Take home messages

Think about libido first.
Libido is not just about testosterone.
If women have lost their ovarian function, then testosterone is a reasonable trial of treatment.
Use an appropriate product.
Monitor and follow up.

Resources

Testosterone and Women Australasian Menopause Society
Webinar: What’s new - The use of testosterone in women AMS (2021)
Effects of testosterone therapy for women: a systematic review and meta-analysis protocol Syst Rev. (2019)
The Safety of Testosterone Therapy in Women JOGC (2012)
Global Consensus Position Statement on the Use of Testosterone Therapy for Women The Journal of Clinical Endocrinology & Metabolism (2019)
Menopause resources Health Navigator NZ

Patient Resources

Presenter

Megan Ogilvie

Endocrinologist

Megan graduated from University of Auckland and completed specialist endocrine training in Auckland. She undertook postgraduate training at St Bartholomew’s Hospital and subsequently at Middlesex Hospital in London. Megan joined Fertility Associates in 2004 working in the areas of both general and reproductive endocrinology with particular interests in polycystic ovarian syndrome (PCOS), amenorrhoea, menopause and gonadal dysgenesis.