Spice up your life with a personalized approach based on your unique needs


Topical Hormones


Testosterone cream (low-dose)

Estradiol and/or progesterone

DHEA (vaginal or oral)

  • PT-141 (Bremelanotide) — FDA-approved, boosts desire by activating brain centers
  • Flibanserin (Addyi) — FDA-approved for premenopausal women with HSDD


Sexual Wellness


Clinically-proven ingredients


No office visit required


Prescription form:  tablets, injectables, or creams
 

PT - 141


PT-141 is a peptide therapy that addresses sexual wellness, enhancing libido and improving sexual function for both men and women.

  • Enhanced Libido: Boosts sexual desire in both men and women.
  • Improved Sexual Function: Addresses sexual dysfunction for better intimacy.
  • Non-Hormonal Solution: A safe, hormone-free option for sexual wellness.

 
Testosterone Topical cream
 DHEA topical Cream



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 Low Libido in Women

Low libido is multifactorial—driven by physical, hormonal, neurological, emotional, and psychosocial elements.

 Hormonal Factors

  • Testosterone deficiency – Even in females, low T can reduce sexual desire, sensitivity, and fantasies.
  • Low estrogen (E2) – Leads to vaginal dryness, thinning tissue, reduced blood flow, and discomfort with intimacy.
  • Low progesterone – Impacts mood, anxiety, sleep, and GABA tone, indirectly affecting desire.
  • High Sex hormone binding globulin – Binds free sex hormones, lowering availability.
  • Thyroid imbalance (hypo/hyper) – Fatigue, weight gain, depression, or anxiety can reduce libido.
  • High prolactin – Suppresses gonadotropins and can blunt sexual desire.
  • Menopause & perimenopause – Rapid hormone shifts and resulting vaginal atrophy, insomnia, and hot flashes.

 Neurological / Brain-Based Factors

  • Dopamine deficiency – Dopamine drives desire, reward, and motivation.
  • Low catecholamines (NE/Epi) – Reduce energy, arousal, and pleasure.
  • Chronic brain inflammation – Linked to neuroinflammation, affecting mood and sexual drive.
  • Low melatonin – Impairs circadian rhythm and suppresses sex hormones at night.

  Psychosocial and Emotional Factors

  • Stress and cortisol dysregulation – Chronic stress suppresses HPG axis.
  • History of trauma or abuse
  • Anxiety or depression
  • Body image insecurity
  • Shy or inhibited personality
  • Relationship dissatisfaction or conflict
  • Lack of emotional intimacy or foreplay
  • Parental fatigue, caregiving burnout

  Medical and Lifestyle Factors

  • Vaginal dryness or pain (dyspareunia) – Due to low estrogen, Sjögren’s syndrome, or pelvic floor dysfunction.
  • Chronic illness – Autoimmune disease, diabetes, obesity, anemia, or cardiovascular disease.
  • Medications – SSRIs, oral contraceptives, antihypertensives, antipsychotics, opioids.
  • Nutrient deficiencies – Iron, B12, zinc, magnesium, vitamin D, omega-3s.
  • Insomnia or poor sleep hygiene
  • Substance use – Alcohol, cannabis, or nicotine

  Management and Treatment Strategies

1. Comprehensive Evaluation

2. Hormonal Support

  • Testosterone replacement (topical, vaginal, or injecgtions)
  • Topical estradiol (vaginal ring/cream for tissue regeneration)
  • Oral or transdermal estrogen (systemic E2 to support mood and energy)
  • Micronized progesterone (improves sleep & mood)
  • DHEA vaginal suppositories – Restore moisture, elasticity, and local testosterone

3. Peptides and Medications

  • Bremelanotide (Vyleesi, PT-141) –boosts arousal within 45 min; FDA-approved
  • Flibanserin (Addyi) – Acts on serotonin/dopamine; taken daily at bedtime
  • Oxytocin (nasal spray or sublingual) – Enhances bonding, trust, and arousal
  • Melatonin – Supports circadian rhythm and hormone balance (1–3 mg nightly)
  • Selank/Semax – Neurorestorative peptides (experimental, not FDA-approved)

4. Nutritional & Lifestyle Support

  • Correct deficiencies: Zinc, magnesium, B6/B12, vitamin D, omega-3s
  • Adaptogenic herbs: Maca, ashwagandha, rhodiola, damiana
  • Mediterranean or anti-inflammatory diet
  • Weight optimization – Visceral fat reduces testosterone and raises estrogen
  • Exercise – Especially strength training, which boosts testosterone and dopamine
  • Sleep hygiene – Prioritize 7–9 hours of restorative sleep

5. Emotional, Psychosocial, and Integrative Therapies

  • Sex therapy or somatic therapy
  • Trauma-informed therapy (EMDR, IFS, or psychodynamic)
  • Couples counseling or family therapy
  • Mindfulness and body-awareness practices
  • Neurofeedback or vagal tone stimulation (if stress-related inhibition is high)

6. Alternative and Adjunctive Approaches

  • PRP (O-Shot) – Platelet-rich plasma for clitoral/vaginal rejuvenation
  • Red light therapy (LLLT) – May improve circulation and tissue quality
  • Vaginal lasers (e.g., MonaLisa Touch) – Improve vaginal elasticity and lubrication