1. Compounded Scream Creams
“Scream cream” is the industry term for a prescription compounded medication made by compounding pharmacies that aim to enhance the female sexual experience.
This doesn’t necessarily treat your libido, but if find you aren’t in the mood as much because of blood flow issues or lack of sensitivity and stimulation, this may help you out.
These creams normally contain a mixture of ingredients known to help enhance blood flow or sensitivity when applied to the clitoral area such as: Sildenafil (the active ingredient in Viagra), Arginine, Pentoxifylline, Isosorbide dinitrate, or sometimes Testosterone.
We call our scream cream Strut O Cream, and you can have an Online Visit with our doctors to see if our scream cream is a good option for your sex life goals.
If you are a good candidate for treatment, your prescription can be shipped quickly and discreetly to your front door.
How to use: Rub a pea-sized amount of the cream into the clitoral and vaginal area about 30 minutes before sexual activity.
Side effects: Side effects are rare as the medication stays mainly around the applied area. The most common side effects include local skin irritation and redness at the applied area.
Pros: Usually little to no side effects, Only use as needed 30 minutes before sexual activity, Increases blood flow and sensitivity in most users.
Cons: Some may not like applying a cream to the vaginal area.
2. Vyleesi (Bremelanotide)
Vyleesi is the latest FDA approved medication for the treatment of low sexual desire in women, medically classified as hypoactive sexual desire disorder (HSDD).
The mechanism behind how Vyleesi works is not fully known, but it activates Melanocortin receptors.
Vylessi is an injectable medication that women can use about 45 minutes before sexual activity, but not more than once in 24 hours, or more than 8 times a month.
In the clinical trials for Vyleesi, 25% of the female participants reported an increase of at least 1.2 (in a range of 1.2-6) in their sexual desire score, and 35% reported less distress from low sexual desire.
How to use: Inject 1 dose under the skin at least 45 minutes before you think you will begin sexual activity. Do not use more than 1 dose in 24 hours, or more than 8 doses in a month.
Side effects: The most common side effects of Vyleesi include: flushing, injection site reactions, headache, vomiting, cough, fatigue, hot flush, tingling, dizziness, and nasal congestion. More severe side effects may include: Temporary increase in blood pressure and a decrease in heart rate, darkening of the skin on certain parts of the body (face, gums, breasts), nausea.
Pros: Only need to use as needed before sexual activity, FDA approved.
Cons: Side effects, having to inject the medication, limitations on how often you can use.
3. Addyi (Flibanserin)
Addyi is an FDA approved medication for women who have not yet gone through menopause that are experiencing low sexual desire, or hypoactive sexual desire disorder (HSDD).
Addyi is an oral tablet, that is meant to be taken by mouth once daily at bedtime.
Addyi works on the serotonin receptors, but its exact mechanism to increase sexual desire is unknown.
This medication has a risk of a severe interaction with alcohol that can produce very low blood pressure and fainting, alcohol must not be used while using Addyi.
According to the clinical trials, women taking Addyi report having 0.5-1 more satisfying sexual events a month, as compared to the placebo group.
How to use: Take 1 tablet by mouth every night.
Side effects: The most common side effects include: dizziness, sleepiness, nausea, fatigue, insomnia, and dry mouth.
Pros: Easy to take tablet form, FDA approved.
Cons: Strong interaction with alcohol, must take medication every night, only approved for pre-menopausal women.
Tribulus Terrestris is a plant that has long been used in eastern medicine for its proposed health benefits.
You can find Tribulus in supplement form in many health food and vitamin stores.
One double-blind study from 2016 had 67 women randomly assigned to take either a Tribulus supplement, or a placebo daily for 4 weeks. At the end of the trial, the women in the Tribulus group reported improved desire, arousal, lubrication, satisfaction, and reduced pain.
Maca powder comes from the root of the Peruvian Maca plant.
The Maca plant is cruciferous, meaning that it is related to other cruciferous veggies like broccoli, kale, cauliflower, or cabbage.
Maca has recently become a big health trend, and you can find maca in health food stores, or even as an add-in ingredient at juice bars or smoothie shops.
Maca is an ancient remedy, which has been cultivated for over 2,000 years.
The purported benefits of Maca include: Nutrient support, enhanced libido, improved semen quality, menopausal symptom relief, mood improvement, athletic performance improvements, UV protection, improved brain function, and prostate gland reduction.
A 2010 review study looked at 4 trials to evaluate if Maca provided sexual desire benefits in men and women. The review concluded that 2 of the trials showed a significant positive effect on the participant’s sexual dysfunction or sexual desire when taking Maca.
How to use: Take the dose recommended on the product label once daily, or as directed. In studies, doses of 1.5g-3g daily for 12 weeks have been used.
Side effects: Most studies report no adverse effects. There may be gastrointestinal discomfort if the fresh raw root is consumed.
Prescription-only?: No, it is a dietary supplement.
Pros: Little to no side effects in most, plant-derived supplement, easy oral dosage form, no prescription required, may have other health benefits.
Cons: May need to take every day for effects, more studies are needed to prove libido effects.