A testosterone patch for women called Intrinsa has been approved in Europe but was rejected by the FDA due to concerns about long-term safety. But the drug has sparked a backlash from some medical and psychiatric professionals who question whether low sex drive in women should even be considered a condition best treated with drugs. They point to the results of a large survey in which about 40% of women reported some sort of sexual problem -- most commonly low sexual desire -- but only 12% said they felt distressed about it. With all the factors that go into the stew that piques sexual desire in women, some doctors say a drug should be the last ingredient to consider, rather than the first.
In the most common ACL reconstruction technique, bone tunnels are drilled into the tibia and the femur to place the ACL graft in almost the same position as the torn ACL. A long needle is then passed through the tunnel of the tibia, up through the femoral tunnel, and then out through the skin of the thigh. The sutures of the graft are placed through the eye of the needle and the graft is pulled into position up through the tibial tunnel and then up into the femoral tunnel. The graft is held under tension as it is fixed in place using interference screws, spiked washers, posts, or staples. The devices used to hold the graft in place are generally not removed.