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Is there a Viagra for women?

Is there a Viagra for women?

The short answer here is: no, there is no Viagra for women. However, mention of the phrase ‘female Viagra’ usually refers to treatment for sexual problems for women. But it can be quite a broad term. Whilst we’ve all heard of the ‘little blue pill’ and how it treats erectile dysfunction in men, what about Viagra for women? Does it even exist? 

The short of it is that several medications have perhaps inadvertently adopted the moniker, because they treat some form of female sexual dysfunction (FSD). There are two medications licensed to treat FSD in the US: Addyi and Vyleesi. However, these aren’t available in Australia. 

But let’s find out a bit more about these medications and if they work in the same way Viagra does.

Daniel Atkinson
Medically reviewed by
Daniel Atkinson, GP Clinical Lead
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Medically reviewed by
Dr Daniel Atkinson
GP Clinical Lead
on October 25, 2022.
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What does female Viagra do?

The FDA-approved Addyi was quickly nicknamed ‘female Viagra’. But unlike Viagra, Addyi (flibanserin) works to treat low libido in women. An actual female Viagra pill would be trying to make it more physically comfortable for women to have sex. And it’s been pointed out that there’s already a pretty simple solution for this – lube. 

Addyi was originally developed as an antidepressant. It targets neurotransmitters in the brain. Here it increases the release of dopamine and norepinephrine, which are linked to arousal, and lowers the release of serotonin, which is connected to inhibition. So although Addyi might be referred to as “female Viagra,” it doesn’t work like male Viagra at all.

Can women just take regular Viagra?

No. Viagra is only licensed for use in men and is not approved as a treatment for women. 

Because Viagra increases blood flow to the genitals, there have been theories that it could increase pleasure during sex for women. However, studies analyzing the impact of Viagra on female sexual dysfunction have not produced consistent, promising results.

Who is female Viagra for?

There are two prescriptions that are commonly referred to as “female Viagra” that are used in the US: Addyi (flibanserin) and Vyleesi (bremelanotide). These medications, however, are fundamentally different from actual Viagra. 

Here’s how. When a man is prescribed Viagra, he still has a normal libido — meaning, he still wants to have sex. It’s just that the actual, physical mechanics of sex need a little help. Female Viagra, in contrast, is a treatment for low libido. That means it’s intended to boost desire, rather than make sex physically possible. 

You might be looking into treatment if you’ve been diagnosed with female sexual disorder, or low libido. The specific type of low libido that Addyi and Vyleesi address is called Hypoactive Sexual Desire Disorder, or HSDD. Both Addyi and Vyleesi are only approved to treat HSDD in pre-menopausal women.

Addyi vs Vyleesi: What’s the difference?

Because Addyi was approved first, it’s usually what people thinkopen-mide.svg of when they hear the term “female Viagra.” However, there is now a second treatment available in America called Vyleesi, which also treats HSDD in women. 

Neither Addyi nor Vyleesi do the equivalent of what Viagra does for men — make sex physically possible. Instead, they work on neurotransmitters in the brain to help make women feel more aroused. Addyi comes in a pill form, and Vyleesi is an injection. 

  • More about Addyi (flibanserin)

  • More about the Vyleesi injection (bremelanotide)

Addyi is a non-hormonal drug used to treat Hypoactive Sexual Desire Disorder, or HSDD, in women in the USA. It’s a pink pill that’s taken every day. 

Addyi works on the chemicals in your brain. It turns down the ones responsible for inhibition, and cranks up the ones responsible for arousal. 

Addyi has a number of side effects, like dizziness, faintness, and a drop in blood pressure. The risk of side effects increases if you take hormonal birth control or drink alcohol, so women who are prescribed Addyi are asked to abstain from alcohol and certain medications. 

Vyleesi is the only FDA-approved treatment in the US for HSDD which can be taken right before sex. It’s different from Addyi in this way. Drinking alcohol while taking Vyleesi is allowed. This makes it more convenient, but since it’s not intended to be taken daily, there are limits to how often someone can take it. It’s injected at least 45 minutes before sex — however, this should be no more than once every 24 hours, up to a maximum of 8 times a month. 

According to the manufacturer of Vylessi's website, "The exact way that Vylessi works isn't fully known." Like Addyi, it targets chemicals in your brain to stimulate sexual desire.  

Vyleesi can also cause serious side effects, like an increase in blood pressure or decrease in heart rate. More common side effects include nausea, reactions at the injection site, headaches and vomiting. 

Do I have any other options?

If you’re looking for “female Viagra” home remedies, your best bet is to pinpoint the cause of low desire before trying to treat it. While there are a number of herbal products you might be able to get that claim to increase female sexual function, these are not licensed or authorised treatments.  

Can you increase your sex drive?

Sex drive is incredibly complex, as you can tell by the media attention around “fixing” it. The best way to increase your sex drive, or stop it from being low, is by taking care of your health and wellness. Easier said than done, right?

“I agree with the view that our perception of our own bodies plays a significant role in sexual desire,” says Dr. Laura Castaneda, formerly a doctor for Treated Germany. “This idea is supported by many studies showing that becoming more aware and mindful of the body, and viewing our bodies non-judgmentally, can be a way to really tune into arousal. So, ultimately, while a pill might help get our neurotransmitters going, the rest is up to us!”

Like your mood, your sex drive responds to your general wellbeing. Unhealthy habits like smoking and heavy drinking can reduce your interest in sex, so try cutting back on the weekend mimosas and keep to a mostly-healthy diet with treats in moderation. 

Stress and depression can also cause a lower sex drive. While stressful situations are not always under our control, do what you can to reduce stress in your life, get a good night’s sleep, enjoy the outdoors when possible and make exercise a daily habit, even if it’s just fifteen minutes of stretching or a walk around your neighborhood. If you think you’re experiencing depression, talk to your doctor. They might have suggestions for treatment, possibly including medication. 

Some medications can also change your desire for sex. Many women find that some types of birth control lower their sex drive, in which case it might be worth trying a different prescription.

Birth control and low libido

In some cases it can be true — the pill you take to keep you protected against pregnancy might be making you want to have less sex. And while that’s certainly one way to keep from becoming pregnant, it’s probably not what you had in mind. 

Because there are so many different types of birth control, and they each impact the hormones already in your body, the way you react to one might be completely different from how you react to another. They’ll all be equally effective at preventing pregnancy, but different pills can cause or treat acne, increase or decrease your appetite, stabilize or worsen your moods and, yes, change your sex drive. 

If you're taking hormonal birth control and think it might be negatively affecting your sex drive, it's time to find another pill (or patch, or ring)

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