A study published in the New England Journal of Medicine shows that a testosterone patch, marketed by Proctor & Gamble Pharmaceuticals under the name Intrinsa, can enhance the sex drives of postmenopausal women. The patch is placed on the abdomen like the birth control patch and changed twice a week.

Participants in the study wore a patch that released either 300 micrograms of testosterone a day, a patch that released 150 micrograms, or a placebo patch. Women wearing the 300 microgram patch reported an average increase in their “satisfying sexual experiences” of 2.1 times every four weeks. Researchers called the improvement “modest but significant.”

The study was funded by the manufacturer of the patch, following the FDA’s denial of approval for use of the patch in the U.S. in 2004. The FDA cited a lack of long-term safety data as the reason for denial, and the results of the study indicate that further research is still required.

While one of the minor side effects of the hormone therapy—unwanted hair growth—did not bother any of the test subjects enough for them to discontinue use of the patch, a potential, if tenuous, link to breast cancer is more disturbing.

During the study, four out of 814 women receiving either 150 microgram or 300 microgram doses of the hormone were diagnosed with breast cancer, compared to no women in the placebo group. In an article posted on Health.com, Lead Researcher Susan R. Davis, MD, PhD, of Monash University in Australia, called it a “chance finding” that four women in the treatment groups were diagnosed with breast cancer, noting that four breast cancer diagnoses among 814 women during a two-year period is “not unexpected.”

Nevertheless, it seems like a dangerous chance to take for a drug that yields only modest improvements to a woman’s libido.

Not to minimize the impact that menopause and a lack of estrogen can have on a woman’s sex drive, but I’d urge women to investigate more natural methods to boost their libido first, keeping in mind that the most powerful sex organ is the brain. This may be even more true for women than for men; fantasy alone can be a powerful aphrodisiac, as can sexy lingerie, the right mood, and (of course) the right lover’s touch.  Lack of lubrication is a true physical symptom in postmenopausal women, but there are plenty of safe lubricants available to solve that stumbling block.

Even if Intrinsa does become available as a “viagra for women,” satisfactory long-term safety trials could mean five years or more before the patch finds its way to a drugstore near you. And if the drug alone yields a marginal improvement in the sex lives of postmenopausal women, combining it with natural mood enhancers should raise the bar for amazing sex well into a woman’s golden years.

From rhinoceros horns to Spanish Fly, even oysters and chocolate-covered strawberries, mankind has relied on natural foods and herbs to boost his libido. But do they work?

According to an FDA report published in 2006, probably not.

But you don’t have to believe the FDA. Even renowned sex expert Dr. Ruth Westheimer has been quoted as saying, “There’s no such thing as a true aphrodisiac.”

It’s more likely that an aphrodisiac’s power lies in a person’s belief that it works… the old placebo effect. The mind is our most powerful sex organ, so if we believe a food will make us sexy, sensual and desirable, it will.

A food’s desire-boosting abilities may also have more to do with the environment in which it is eaten than the food itself. Sucking down oysters during a candlelight dinner, soft music playing, champagne sparkling in fine crystal flutes… Who wouldn’t begin to feel amorous?

The placebo effect is definitely powerful. That’s why certain foods, due to their nutritional value, the physiological effects they have on your body, and centuries of folklore, are considered highly effective aphrodisiacs.

Amy Reiley, author of Fork Me, Spoon Me: The Sensual Cookbook likes ginger, because it makes your tongue tingle and swells your lips, turning them red and kissable, and also raises your body temperature slightly.

You won’t get these effects from a can of Canada Dry, though. Try some fresh ginger in a crisp veggie stir fry or make your own homemade ginger ale to really experience the powerful herb.

Discovery Health recommends asparagus, chili peppers and chocolate for their stimulating powers. Asparagus is rich in Vitamin E, thought to stimulate production of sex hormones. Chili peppers release capsaicin, a chemical that stimulates our nerve endings and also releases endorphins. And dark chocolate—in addition to its creamy, sweet taste and sensual texture—contains phenylethylamine, which gives us a natural high. Recent studies show that dark chocolate not only makes us feel good, it’s good for the heart, too.

Even if the aphrodisiac effect in these foods is purely psychological, nutritionists and sex experts agree that healthy foods are more likely to have long-term positive effects on your sex drive by giving you more energy and helping you look and feel better.

But there’s one aphrodisiac that won’t even count toward your daily caloric intake: regular exercise. The release of testosterone during workouts, along with feel-good endorphins and adrenaline, has been shown to boost the sex drives of both men and women.

A friend of mine says he’s started having sex three times a day since he began working out. I know an hour of bicycle-riding on the weekend always puts me in the mood. Besides, regular exercise will help you look better, feel better about yourself, and give you more energy. What’s not to love about that?