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Since its release over a decade ago, Viagra has been boosting the sex lives of men from coast to coast. Which has left many women asking, What about me? Now, one of the first studies to look at the effect of the drug in women suggests that the little blue pill might make a big difference for those who developed sexual problems after hysterectomy, and maybe for other women as well.

The study comes out of the Women’s Sexual Health Clinic at Boston University, run by sex therapist Laura Berman and urologist Jennifer Berman (her sister), who are among the few researchers to study in depth the physiology of female sexuality. They and their colleagues gave Viagra to 35 women who had enjoyed satisfying sex lives before hysterectomy, only to experience a disappointing lack of sensation and an inability to reach orgasm since the operation. After taking the pill twice a week for a month and a half, the women reported big improvements: About 85 percent of them were having orgasms.

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Research on women’s sexuality has been scandalously spotty, Laura Berman says–so much so that doctors aren’t sure of all the nerves involved in female sexual response. While surgeons are aware of the need to cut gingerly when they remove a man’s prostate gland in order to protect his sex life, they’re working with a fuzzier road map when they take out a woman’s uterus. In some cases, the result may be impaired blood flow to the genital area, which is just the sort of thing that could put a crimp in sexual feeling. It’s also just the sort of thing circulation-stimulating Viagra could help reverse.

Participants in the study knew they were taking Viagra, therapist Berman cautions, so a placebo effect could be responsible for the new pizzazz in their sex lives. Still, the Bermans are prescribing the drug to women who’d had no problems with sex before a physical change–hysterectomy, a pelvic injury, or even just menopause–put the brakes on.

Women need to approach Viagra with the same caution as men do. It’s out of bounds if they’re on the heart drug nitroglycerin, for instance, because the combo can send blood pressure plummeting. But drugs may not be the only answer. In May, the Food and Drug Administration approved the EROS-CTD, essentially a battery-powered suction cup designed to increase blood flow to the clitoris.

“Viagra enhances what would occur naturally,” says Laura Berman says. “But you could be watching a documentary on snails while using the EROS, and you’d still get the physiological change. Basically, we’ve seen amazing responses with both treatments. It’s just like when older men take Viagra: Whoa!”

Because the diminished activity of different genes may underlie impotence, Bivalacqua expects that gene combos delivered via a longer-lasting virus are the way to go. The best-case scenario, he says would be something you’d need to inject just once or twice a year. But we’re nowhere near that.

John Rogers

I have been working in General Practice since 2006.