Hypoactive Sexual Desire Disorder ( HSDD ) is very common in postmenopausal women due to a reduction in circulating androgen levels. The aim of this study is to evaluate the effects of Tribulus Terrestris in premenopausal women with HSDD.

Hypoactive Sexual Desire Disorder ( HSDD ) is the most prevalent female sexual dysfunction in society mainly in postmenopausal women, and is strongly linked to the quality of life of women . The androgen hormones decline over age in the premenopausal period, more sharply after menopause. Tribulus terrestris is a plant native to India , recommended in the treatment of infertility , low libido and impotence . Its main active ingredient is the protodioscin , which has been attributed to an increase in testosterone levels and improved sexual function . The aim of this study is to evaluate the effects of Tribulus Terrestris in premenopausal women with HSDD .

Inclusion Criteria:

• at least one year after last menstrual period
• with no use of hormonal replacement therapy within the last 3 months
• without any medication, drugs or alcohol.
• Healthy patients without systemic or psychiatric disease

Exclusion Criteria:

• Patient smoker (10 cigarettes per day).
• Patients with blood pressure > 160/90 mm Hg.
• Patient with breast or endometrial carcinoma.
• Patients with a history of myocardial infarction.
• Patient with Diabetes.
• Patient with vaginal bleeding from any source.
• Patients with hepatic injury.
• Patients with active thrombophlebitis or thromboembolic disorders recent
• Patients with interpersonal relationship problems with your relationship or partner
• Patients with sexual problems from your partner