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The 13th day is generally the day with the highest testosterone levels. According to her, testosterone levels rise gradually from about the 24th day of a woman's menstrual cycle until ovulation on about the 14th day of the next cycle, and during this period the woman's desire for sex increases consistently. The American Medical Association has estimated that several million US women suffer from a female sexual arousal disorder , though arousal is not at all synonymous with desire, so this finding is of limited relevance to the discussion of libido.
However relationship problems, depression, previous mental or physical trauma, tiredness or hormone disorders can also be factors, according to the NHS. A study of 28 males aged 21—45 found that all but one of them had a peak
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