Addressing Low Libido: Medical vs. Natural Solutions

So to call this female Viagra is way wrong. Interviewer: Because Viagra solves a mechanical problem. Dr.

Real clinical results - backed by neuroscience, not guesswork.

Once approved, your medication is filled by our partner pharmacy and discreetly delivered straight to your home. You’ll have continuous access to licensed clinicians who can answer questions and adjust your care through virtual visits. Libida™ is an on-demand, neuroscience-based libido treatment combining bremelanotide + oxytocin-two compounds that activate the brain’s desire and bonding pathways. It’s non-hormonal, non-blood flow, and designed specifically for female neurobiology. Bremelanotide increases dopamine (motivation, fantasies, responsiveness)Oxytocin enhances connection (bonding, calm, emotional openness) Most options on the market focus on blood flow or hormones.

What Research Shows

Libida™ is different – it targets the brain’s desire pathways, activating dopamine and oxytocin to naturally enhance interest, arousal, and satisfaction. Libida™ contains no estrogen, progesterone, or testosterone-ideal for women who want a non-hormonal, on-demand option. Most women feel effects within 30–60 minutes:Increased interest, arousal, and connectionEffects can last 24–72 hours Fill out a quick sexual wellness assessment Women who didn’t respond fully to hormone therapyOur clinicians personalize treatment based on your unique biology. Yes – and it’s often ideal.Oestra™ supports hormonal balance Libida™ reactivates brain-based desire pathwaysTogether, they help restore the full experience of female libido. Dissolve 1 sublingual tablet under the tongue 30-60 minutes before intimacy.

What you can do

Do not take more than one tablet in a 72 hour period. Yes-when used as prescribed.Common, temporary side effects (often only with first dose): Oxytocin is low-dose and well-tolerated. Those with uncontrolled blood pressure, untreated heart disease, or during pregnancy should not take Libida. Your intake will be reviewed by a licensed medical practitioner to ensure Libida is safe and appropriate for you. If approved, your prescription will be filled and shipped directly to you. Jones: Exactly, and in women it's an internal desire problem. So they had this drug and they did a randomized trial where women were given placebo versus this drug at different doses and lo and behold, there was a little difference. Now I want to talk about, if I were going to counsel a patient, what kind of difference was there with flibanserin? It turns out about 10% of women respond.

So if you give this drug to 100 women, and you give placebo to 100 women, 34 out of 100 of women with placebo will get better, they'll have more interest in sex and they'll have more sexually satisfying sexual activity. So out of 100 people, about 10 will actually be responding because of the drug, and we don't know when I'm sitting in the office, which 10% those are.

Choosing The Right Libido Enhancer

My husband is a little tweaked about it, but fine," or, "This has really destroyed our relationship. My husband is looking forward to the kind of closeness we had early in our relationship, the intimacy, frequency, and now, it's not there." So although not having desire is normal for women, if it was a change in desire and if it causes distress, should we medicate that? My feeling for a patient who comes to me with this complaint, and about 10% of women have this condition, where they have a decrease in their desire and it causes them distress. Those are the two things you have to have. And for women for whom it causes distress, we have not had anything that works. It's a drug that you have to take every day and it has side effects.

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How would you decide whether or not you would recommend it or not recommend it to a patient? There are benefits, there are drawbacks, the FDA didn't approve it twice and now they've approved it, just a lot of questions. So first of all what is this pill and what does it do? Some years ago a drug company in Europe was looking for a new, better anti-anxiety and anti-depressant drug that wouldn't have sexual side effects. A lot of the drugs in the SSRI group can cause problems with libido.

Ingredients Matter

So they have this drug called flibanserin and they rolled it out, looking at it as an anti-depressant and they found that in men it didn't change their libido one way or the other and it didn't work that great as an anti-depressant. But in women it wasn't that great as an anti-depressant, but it actually had a little boost in sexual interest. So they then went on to say, "We'll take this drug which works on the neurotransmitters in the brain," so this works on dopamine, it increases dopamine, the reward center. It increases norepinephrine, another rewards center and it decreases serotonin. So they decided they'd work on it and see how it really worked in women who complained of hypoactive sexual desire disorder.

Clinical Applications

Is this a disease or do women, when they get to a certain part of life, is not having much of a sex drive perfectly normal and the answer is it's so common, that yes, it's normal. It's been suggested that as many of 40% of women at some time in their life have a period of time of two weeks when they're not interested in sex. So if I ask women, "Has there been a time in the last year for longer than two weeks when you weren't interested in sex?" Most women are going to respond, "Oh shoot yeah. Not being interested in sex isn't a disease. But then the question you ask is, "How much does this distress you?" and you say, "Well I don't care, it's fine by me. But what can you expect if you are one of those 10%, what can you expect to see in terms of difference? Well the other reason the FDA was not excited was the fact that the average number of satisfying sexual activities was 2.8 in the study group and when they took placebo it went to 3.7 per month, 2.7 happy times in bed per month.

And then with placebo, it went to 3.7. So about one extra happy time when you just took placebo, and it went from 2.8 on flibanserin before they started, to 4.5 on flibanserin. So that was about two extra happy times a month. So that's one over placebo, per month.

• Dietary zinc deficiency may reduce female libido.
• Regular exercise can naturally boost sexual desire.
• Adequate sleep is essential for healthy libido.
• Reduce stress with meditation to improve sexual arousal.
• Vitamin E supplements may support hormonal health.
• Omega-3 fatty acids help improve blood flow and desire.
• Avoid excessive alcohol which can diminish libido.
• Weight management can positively influence sexual health.
• Breaks from medications may sometimes restore desire.
• Consult a doctor before starting any herbal supplements.
• Psychological counseling can address underlying desire issues.

So the FDA didn't think that was very impressive. What happened was the drug company that originally started flibanserin gave up the drug, and another small start up company called Sprout Pharmaceuticals took it on and they actually started a media campaign called Even the Score. They went to the FDA and said, "Women have nothing.

Health Conditions That Affect Libido—and How to Treat Them

About 1% of users may see minor darkening of: This risk increases with high-frequency dosing. Studies show that pigmentation may occur in the gums or breasts in a very small percentage of patients (~1%). This typically occurred when those women exceeded the recommended dose, which is one tablet in 72 hours. It’s cosmetic only, not linked to skin cancer, and often fades when use is reduced. Melanocortin receptors in the hypothalamus (your brain’s desire center) Oxytocin circuits for emotional closeness and connection Because it works on brain signaling, not ovarian hormones, it’s effective even post-menopause.

Can I use Libida™ if I’m already on hormone therapy?

It can be used in conjunction with hormone replacement therapy or without. Many find that Libida™ restores desire, arousal, motivation, and bonding. Interviewer: The little pink pill that helps women's sex drive. We're going to ask Dr. Kirtly Parker Jones to tell us more about that next on The Scope.

Supporting Hormonal Balance

Announcer: Covering all aspects of women's health. This is the "Seven Domains of Women's Health" with Dr. Kirtly Jones, on The Scope. Interviewer: Dr. Jones, we've been reading much, as I would imagine our listeners have and seen the news coverage on the little pink pill, it's being called "the female Viagra" which is probably not accurate and we'll talk about that in a second as well. Men have all these things to help them, women have nothing. So the FDA originally didn't think that one extra happy time per month was adequate given the side effects, which I'll talk about in a second.

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"Take a couple of drinks and see how you feel." Or, we tried cenforce 200mg canada testosterone patches and that's a whole separate issue and that didn't make a big difference, so we really didn't have anything. Guys had a whole menu of things that could work on erectile dysfunction. Now, erectile dysfunction is not desire disorder. It means you've got desire and it doesn't work and the purple little, blue pill, Viagra, is one of a series of drugs which increase blood flow to the penis, and when you give those kinds of drugs to women, nothing happens. They get more blood flow down there but they're not excited. Then I think they got some pressure and they decided okay, we'll just put it out, and it's going to be available under the brand name Addyi, with a funny spelling A-D-D-Y-I, Addyi, on the middle of October. It should be available in drug stores.

• L-tyrosine may support dopamine levels and desire.
• Maintaining intimacy routines nurtures connection.
• Avoiding stressors blocks desire suppression.
• Practicing sensual massage stimulates arousal.
• Some women find yoga boosts body awareness.
• Wearing comfortable, attractive lingerie enhances confidence.
• Enriching your environment with scents may stimulate desire.
• Keeping a sexual health journal aids understanding.
• Regular checkups help monitor hormonal health.
• Herbal teas like chasteberry support hormones.
• Awareness of triggers and barriers improves sexual health.

You have to take it every day, you have to take it at bedtime and so different from the Viagra style drugs for men, they only take it when they think they're going to be interested in sex. Women have to take this every day, so they're taking a pill every day for an event that might happen three or four times a month.

• Some supplements combine multiple herbs for libido.
• Postmenopausal women might consider HRT options.
• Avoiding overly restrictive diets supports hormone balance.
• Lifestyle changes have a significant impact.
• Some studies show acupuncture improves desire.
• Adequate Vitamin B complex boosts energy.
• Engage in shared activities to increase intimacy.
• Consider therapy to address emotional blocks.
• Light exercise routines can boost endorphins.
• Seek support groups for sexual health issues.
• Respect personal preferences and boundaries always.

What are the side effects and why do you take it at bedtime? You take it at bedtime because the side effects include low blood pressure, hypotension, fainting, dizziness, headache and sleepiness. About 10% of women are going to have that effect. So 10% of women are going to have a benefit, 10% of women are going to have a side effect. We don't know if it's the same 10%. So they recommend taking it at bedtime so that you're less likely to be dizzy or to pass out, so I think that's the issue. I'm glad that women have something that might work for them, and like birth control methods, not all methods are right for everyone. They recommend that if a woman takes it for eight weeks and she doesn't notice a difference, remember that half the difference that she notices is going to be placebo effect.

• Vaginal moisturizers support comfort and desire.
• Essential fatty acids are vital for hormone synthesis.
• Some women find fantasy enhances arousal.
• Proper pelvic alignment can improve sensation.
• Avoid chemicals in personal care products.
• Healthy skin promotes sensitivity.
• Regular meditation can reduce performance anxiety.
• Maintain healthy relationships for emotional support.
• Focus on foreplay to enhance arousal.
• Keep a healthy weight for better hormone levels.
• Consider natural supplements under medical supervision.

So if she doesn't notice a difference then she shouldn't take it anymore.

It's going to be $30-$75 per month and we don't know whether insurance companies are going to cover it.