Ladies: 5 ways to feel sexy again

Does the story adequately discuss the costs of the intervention?

Not Satisfactory

No information about costs here — significant considering that the therapies discussed have very little evidence to show that they work and will be paid for out of pocket.

Does the story adequately quantify the benefits of the treatment/test/product/procedure?

Not Satisfactory

We can understand why this story was a bit short on data showing the benefits of these treatments, since there really aren’t any. But that’s no excuse to fill the void with rosy anecdotes from patients and alternative medicine providers. The story could have earned a satisfactory by seeking out a skeptical perspective and spending a bit more time on the potential downsides of these approaches. Unfortunately, it didn’t.   

Does the story adequately explain/quantify the harms of the intervention?

Not Satisfactory

There is growing recognition that many alternative treatments, despite being "natural," can produce serious side effects. But this story doesn’t even nod in the direction of harms, despite discussing approaches, including vaguely described "herbal combinations," that may carry unknown risks. Notably, the FDA has repeatedly warned consumers against herbal dietary supplements marketed for sexual dysfunction, as these have been shown to contain Viagra or similar substances that can cause harm in some patients and can interact uNPRedictably with other medications.

Does the story seem to grasp the quality of the evidence?

Not Satisfactory

While it’s hard to argue with the libido-boosting approach described by one source in this piece (she sat "quietly in a chair massaging her lower abdomen" for six minutes every day, the story tells us, in all apparent seriousness), we think anecdotes such as this should never be the only evidence cited in support of a health claim. The story does note that there are "no large-scale studies" saying whether the alternative therapies discussed work or not, but it relies almost exclusively on  the perspective of patients and alt med practitioners to inform us about these treatments. When it does reference studies from well regarded medical institutions, it does so with throwaway lines that convey very little useful information about the research. (Example:  We learn that a study about the herb ginkgo biloba showed it was "useful in helping women who had sexual dysfunction brought on by antidepressants" — but that’s the full extent of the discussion.)

Does the story commit disease-mongering?

Not Satisfactory

The article passes along a claim that has been repeated ad nauseum in the run-up to the FDA’s decision about flibanserin: "nearly 40 percent" of women say they have sexual problems, usually a lack of desire. However, the story neglected to mention some important details about this statistic:

• A much smaller number of women — only 12% in the survey discussed here — report feeling significant personal distress about their sexual problems. So only about a quarter of this "40%" meet the threshold for a medical problem that warrants treatment; the rest are arguably just experiencing a normal ebb and flow of sexual desire, or perhaps decreased libido in response to an external factor (relationship problems, stress, etc.) that doesn’t qualify as "sexual dysfunction."
• The survey which reported these results was funded by Boehringer Ingelheim, maker of flibanserin, which has an obvious interest in making female sexual dysfunction seem more prevalent than it really is.

Exaggerating the prevalence of a disorder and pathologizing minor or transient changes in function are the hallmarks of disease-mongering.

Does the story use independent sources and identify conflicts of interest?

Not Satisfactory

When there are two sides to an issue, it’s not enough to source a story with three views from the same side, as this story did. While it is undeniable that many patients find great comfort and benefit from alternative medicine approaches such as those discussed in this article, it is equally clear that many of these treatments have very little evidence to support their use, and have the potential to cause harm. Of course, the same is true for many "conventional" medical practices, which is why we always think it’s a good idea to include at least one truly independent source to comment on claims made in a health story.  

Does the story compare the new approach with existing alternatives?

Not Satisfactory

Before rushing out to try maca root supplements or herbal combinations, women might want to explore whether there’s an alternate explanation for their symptoms, whether it’s a relationship problem, a physical health issue (e.g. thyroid disorder, depression, sleep deprivation), or perhaps the side effect from a medication. This story didn’t mention any of these possibilities or how they might be treated.