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Sexual Health

Sexual health therapies in this hub are organized around desire, arousal, and central nervous system signaling. These compounds belong here because the clinical and mechanistic literature links melanocortin or oxytocin pathways to sexual desire, arousal, bonding, or aspects of sexual function, although the quality and consistency of evidence differ across products and populations.

Available Medications

Each medication below is grouped here because its mechanism, clinical use, or published literature helps explain why it fits this therapy category.

PT-141 / Bremelanotide

MC4R agonist in the central nervous system associated with sexual desire and arousal, with clinical data in HSDD and earlier work in erectile dysfunction.

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Oxytocin

Studied for effects on desire, arousal, lubrication, bonding, and sexual satisfaction, though findings are mixed across settings.

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More Medications Available

This is not a comprehensive list of our available medications. We have what you need.

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Estradiol Vaginal Cream 0.03%
Localized estradiol support for GSM symptoms, tissue comfort, and dyspareunia-related care.
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Estradiol Vaginal Tablets / Suppository
Low-dose local estradiol support for vaginal tissue health and comfort.
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Injectable Testosterone Cypionate
Individualized testosterone protocols used with careful monitoring in selected sexual health plans.
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Transdermal Testosterone Cream
Daily transdermal testosterone support used selectively with monitoring in sexual health care.
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Studies, data, and supporting evidence

These references support the positioning statements used on this therapy hub. They are intended as educational source material for patients and prescribers, not as a substitute for individualized medical judgment.

Bremelanotide for the Treatment of Hypoactive Sexual Desire Disorder
Kingsberg · Obstet Gynecol · 2019

The phase 3 RECONNECT trials showed bremelanotide improved sexual desire and reduced related distress in premenopausal women with HSDD.

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The 2020 Genitourinary Syndrome of Menopause Position Statement of The North American Menopause Society
NAMS Editorial Panel · Menopause · 2020

NAMS supports low-dose vaginal estrogen as an effective option for moderate to severe GSM, including dyspareunia and vaginal dryness, when nonprescription measures are insufficient.

PubMed →
The REJOICE Trial: Vaginal Estradiol Soft-gel Capsule for Symptomatic Vulvar and Vaginal Atrophy
Constantine · Menopause · 2017

This phase 3 trial found vaginal estradiol improved dyspareunia, vaginal pH, and epithelial markers, supporting local estradiol therapy for GSM-related sexual discomfort.

PubMed →
Global Consensus Position Statement on the Use of Testosterone Therapy for Women
Davis · J Clin Endocrinol Metab · 2019

The consensus concludes that the only evidence-based indication for testosterone in women is HSDD, which supports careful sexual-health positioning while avoiding broader unsupported claims.

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ISSWSH Clinical Practice Guideline for the Use of Systemic Testosterone for HSDD in Women
Parish · J Womens Health · 2021

ISSWSH offers detailed clinical guidance for systemic testosterone therapy in women with HSDD, including monitoring and use within physiologic ranges.

PubMed →