Enhancing Female Libido with Medication

What does finally receiving FDA approval for Addyi in post-menopausal women mean for women’s health?
6. Dehydroepiandrosterone (DHEA)
How Do Libido Pills Work?
5. Red clover
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Preventive Strategies for Maintaining a Healthy Libido

If you’re suffering from a form of female sexual dysfunction, like hypoactive sexual desire disorder (HSDD), Libido Lift Rx will not get to the root of the problem. According to experts, HSDD appears to be caused by an imbalance of certain neurotransmitters and hormones in the brain, which the ingredients in Libido Lift Rx won’t affect.18 Pivoting to the supplement, Hello Cake Drive For Her (previously called “Sex Drive For Her”) is a blend of various herbal ingredients and L-arginine intended to increase sexual desire. While there is some supportive research behind most of this supplement’s ingredients, the evidence isn’t quite as strong as it is for VitaFLUX’s nitric-oxide-boosting amino acids. But, if you can’t take a supplement with such a heavy focus on increasing nitric oxide — or if you simply prefer the idea of an herbal supplement and its potential benefits — then Drive For Her is an option worth considering. (As a side note, Drive For Her only requires you to take two capsules daily instead of VitaFLUX’s six.) In addition to Libido Lift Rx and the Drive For Her supplement, it’s worth mentioning that Cake also offers a topical arousal product similar to Wisp’s OMG Cream called “O-Cream Rx for Her.” Both creams include the same 1% concentration of sildenafil (the generic form of Viagra).

What does finally receiving FDA approval for Addyi in post-menopausal women mean for women’s health?

However, Cake’s prescription is more expensive than Wisp’s for fewer applications. But, unlike Wisp, Cake does offer an extra strength option containing 3% sildenafil, though that’s even pricier. At this time, we’d only recommend opting for Cake’s O-Cream Rx for Her if you’ve tried a 1% sildenafil topical, found it wasn’t strong enough for your needs, and would like to try the 3% sildenafil extra strength variety. That said, let’s examine the ingredients in Libido Lift Rx and Drive For Her.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	50mg	120 + 6 Pills	129.64€ 123.47€
Viagra Generic	25mg	10 Pills	25.19€ 23.99€
Cialis Professional	40mg	90 + 2 Pills	348.59€ 331.99€
Levitra Generic	60mg	20 Pills	81.30€ 77.43€
Super Kamagra	160 mg	8 Pills	69.23€ 65.93€
Kamagra Effervescent Tablets	100 mg	63 + 7 Pills	171.99€ 163.80€
Kamagra Polo	100mg	12 Pills	60.21€ 57.34€
Cialis Super Active	20mg	90 + 10 Pills	314.14€ 299.18€
Levitra Generic	60mg	270 + 10 Pills	714.53€ 680.50€
Viagra Generic	50mg	90 + 6 Pills	107.37€ 102.26€
Kamagra Soft Tabs	100 mg	60 + 4 Pills	180.59€ 171.99€
Cialis Generic	5mg	90 + 6 Pills	115.91€ 110.39€
Viagra Generic	25mg	360 + 10 Pills	213.68€ 203.50€
Kamagra Effervescent Tablets	100 mg	28 Pills	90.83€ 86.50€
Cialis Generic	40mg	60 + 6 Pills	130.98€ 124.74€
Kamagra Gold	100 mg	360 + 6 Pills	839.95€ 799.95€
Apcalis SX Oral Jelly	20mg	30 + 5 Sachets	141.84€ 135.09€

Libido Lift Rx has a fairly small list of ingredients, containing only L-citrulline, oxytocin, and tadalafil. Let’s cover how this prescription’s inclusions work. The research on tadalafil for women is pretty sparse, but the results that exist are promising.

Medication Type	Possible Interaction	Risk Level
Nitroglycerin	Severe hypotension when combined with vasodilators	High
Antidepressants	May reduce effectiveness; some ingredients may cause serotonin syndrome	Moderate to high
Blood thinners	Increased risk of bleeding with certain herbal components	Moderate
Hormonal medications	Possible interference with hormonal balance	Varies

As noted in a 2017 review on phosphodiesterase type 5 (PDE5) inhibitors for FSD in older women,70 research has mainly focused on tadalafil for women with FSD due to antidepressants or diabetes.71 72 Both studies (using 5-20mg tadalafil) led to positive outcomes — all patients experienced improvement — but were limited by small sample sizes and lack of placebo control. As researchers continue to investigate the effects of PDE5 inhibitors in women, we’ll update this guide accordingly.

Some women use lubricant-enhancing products.
Topical vazeal dilators are experimental options.
Mental attraction is as important as physical.
Sensory play can increase arousal.
Body confidence influences sexual desire.
Mindfulness practices can improve intimacy.
Pelvic floor therapy benefits sexual function.
Consuming dark chocolate can stimulate endorphins.
Maintaining a healthy sex drive involves holistic health.
Supplements alone may not resolve issues.
Education on sexual response enhances satisfaction.
Support groups can provide emotional relief.

Since L-citrulline gets converted in the body to L-arginine and nitric oxide, supplementing with this amino acid may lead to increased nitric oxide production.10 There really isn’t any research on oral L-citrulline supplementation alone for female sexual dysfunction or libido support, but some research on men found that 1,500mg could help treat mild to moderate erectile dysfunction.20 However, that’s nearly eight times the amount in Libido Lift Rx. But, to be fair, the L-citrulline in this prescription appears to play more of a supporting role than a main one.

6. Dehydroepiandrosterone (DHEA)

As you can see, Cake’s prescription products can’t be purchased on a one-time basis. This means that you’ll have to sign up for a recurring subscription if you’re interested in either of those. Drive For Her, on the other hand, can be purchased either way, and it’s covered under the company’s 30-day satisfaction guarantee.

Reducing Stress And Enhancing Mood

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There’s very little research on oxytocin as a treatment for sexual dysfunction. One small study from 2015 found that long-term (eight weeks) intranasal oxytocin (32UI) self-administered by women 50 minutes before sexual intercourse improved both sexual function and symptoms of depression.68 And a 2023 study in men receiving testosterone treatment for erectile dysfunction found that oxytocin cenforce tablets troches (50-100UI) may be a helpful adjunctive treatment, with 56% of patients (14 out of 26) considered responders to the intervention.69 In contrast to the short ingredient list of Libido Lift Rx, Drive For Her contains seven herbal ingredients and one amino acid. Here’s how their potential benefits for female sexual health break down. A 2015 study evaluated how Libifem affected sex hormones and sexual function in 80 healthy, menstruating women with self-reported low libido. Participants in the treatment group (600mg per day for eight weeks) experienced a “significant increase” in free testosterone and estradiol, as well as sexual arousal and desire versus the placebo group.73 Other, unrelated research on fenugreek extract found similar results. A 2021 study gave 48 healthy, menstruating women either 250mg of fenugreek extract twice a day or a placebo. Those who took the extract had fewer sexual problems and reduced irritability, along with increased estradiol, free testosterone, and total testosterone.74 The evidence on reishi mushrooms for female sexual dysfunction or libido support is pretty slim, with only a couple of animal studies available at this time.

Region	Status of Women's Sex Pills	Notes
United States	Generally available as supplements, regulated by FDA as dietary supplements	No specific approval required
European Union	Classified as Food Supplements; regulated by EFSA	Must comply with health safety standards
Australia	Permitted as supplements, regulated by TGA	Quality standards enforced
Canada	Similar to US; sold as natural health products	Requires ingredient listing

In a 2018 study, male Wistar rats were either given one of two reishi extracts (150mg/kg and 300mg/kg) or one of two placebos (sildenafil and distilled water) to evaluate the mushroom’s aphrodisiac potential. Results showed that the lower dose of 150mg/kg was more effective, but, in general, the reishi extract increased the rats’ interest in females and led to increased mounting behavior and mating performance.75 A similar male rat study from 2022 found that reishi mushroom polysaccharides may be able to treat diabetes mellitus-induced erectile dysfunction (DMED), in part by enhancing “the mRNA expression of” nitric oxide synthase (the enzyme that turns L-arginine to L-citrulline and nitric oxide).76 77 This ingredient has the least amount of scientific support.

How Do Libido Pills Work?

5. Red clover

Is it safe?

Does it work?

Let’s cover how this prescription’s inclusions work. The research on tadalafil for women is pretty sparse, but the results that exist are promising. As noted in a 2017 review on phosphodiesterase type 5 (PDE5) inhibitors for FSD in older women,70 research has mainly focused on tadalafil for women with FSD due to antidepressants or diabetes.71 72 Both studies (using 5-20mg tadalafil) led to positive outcomes — all patients experienced improvement — but were limited by small sample sizes and lack of placebo control. As researchers continue to investigate the effects of PDE5 inhibitors in women, we’ll update this guide accordingly. Since L-citrulline gets converted in the body to L-arginine and nitric oxide, supplementing with this amino acid may lead to increased nitric oxide production.10 There really isn’t any research on oral L-citrulline supplementation alone for female sexual dysfunction or libido support, but some research on men found that 1,500mg could help treat mild to moderate erectile dysfunction.20 However, that’s nearly eight times the amount in Libido Lift Rx. In the end, the saffron group experienced “significantly more improvement” in arousal, lubrication, and pain, but not in desire, satisfaction, or orgasm.83 A couple of studies suggest Tribulus terrestris extract may be a potentially effective treatment for sexual dysfunction in women. For example, a 2014 study found that 7.5mg daily for four weeks increased desire, arousal, lubrication, satisfaction, and pain.84 However, a 2020 systematic review explains that, while the vardenafil cost data appears positive for FSD, “the certainty of the evidence was very low” and more research is needed.85 But a more recent, unrelated 2021 review investigating T. terrestris for the female reproductive system found that the plant’s positive effects are due to its saponin content (a bitter-tasting compound found in many plants).86 And Drive For Her’s T.

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terrestris content is standardized to 45% saponins, which is promising. This ingredient isn’t added for sexual health; rather, it’s included to potentially improve the bioavailability of the other herbal ingredients.

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For example, a 2014 study found that 7.5mg daily for four weeks increased desire, arousal, lubrication, satisfaction, and pain.84 However, a 2020 systematic review explains that, while the vardenafil cost data appears positive for FSD, “the certainty of the evidence was very low” and more research is needed.85 But a more recent, unrelated 2021 review investigating T. terrestris for the female reproductive system found that the plant’s positive effects are due to its saponin content (a bitter-tasting compound found in many plants).86 And Drive For Her’s T. terrestris content is standardized to 45% saponins, which is promising. This ingredient isn’t added for sexual health; rather, it’s included to potentially improve the bioavailability of the other herbal ingredients. The piperine content in black pepper has been found to increase the bioavailability of various substances by 30-200%.

ASHWAGANDHA EXTRACT

However, it’s currently unknown how well it works on all ingredients, and the effect may be inconsistent on some.87 As with most supplements and medications, there are some safety risks to keep in mind. For Libido Lift Rx and Drive For Her, they include: Both products (and O-Cream Rx) are unsafe for individuals who are pregnant or nursing. Tadalafil can lead to headaches, indigestion, back pain, nasal congestion, hypotension, skin flushing, limb pain, nausea, dizziness, vision changes, hearing loss, and rashes.64 Tadalafil may interact with alcohol, alpha-blockers, antihypertensives, and other medications.64 Fenugreek (Libifem) may be unsafe for those with thyroid or hormone-sensitive concerns.88 89 Reishi may interact with medications for diabetes, blood pressure, and blood clotting.90 Saffron shouldn’t be taken by those with diabetes, hypoglycemia, low blood pressure, or bipolar disorder. It may also interact with sedatives, antidepressants, and more.91 Of course, the list above isn’t comprehensive, so you should always speak with your doctor before adding a new supplement or prescription to your routine. It’s worth mentioning that Cake Meds For Her can’t be shipped to Alabama, California, South Carolina, Guam, or Puerto Rico due to restrictions.

Addyi (filbanserin)

This means that those territories can’t get Libido Lift Rx or O-Cream Rx, but they can still get the Drive For Her supplement. In contrast, Wisp is able to prescribe medications in all 50 U.S. states, so you can get OMG! Cream no matter where you are in the country. The chart below breaks down the pricing details for Libido Lift Rx, Drive For Her, and O-Cream Rx (regular and extra strength). The piperine content in black pepper has been found to increase the bioavailability of various substances by 30-200%. However, it’s currently unknown how well it works on all ingredients, and the effect may be inconsistent on some.87 As with most supplements and medications, there are some safety risks to keep in mind. For Libido Lift Rx and Drive For Her, they include: Both products (and O-Cream Rx) are unsafe for individuals who are pregnant or nursing. Tadalafil can lead to headaches, indigestion, back pain, nasal congestion, hypotension, skin flushing, limb pain, nausea, dizziness, vision changes, hearing loss, and rashes.64 Tadalafil may interact with alcohol, alpha-blockers, antihypertensives, and other medications.64 Fenugreek (Libifem) may be unsafe for those with thyroid or hormone-sensitive concerns.88 89 Reishi may interact with medications for diabetes, blood pressure, and blood clotting.90 Saffron shouldn’t be taken by those with diabetes, hypoglycemia, low blood pressure, or bipolar disorder.

Some natural pills contain maca, ginseng, or yohimbine.
Supplement stacks may be more effective together.
Quality assurance is vital for supplement safety.
Certain pills claim to increase orgasm intensity.
Herbal formulations are often plant-based.
Natural remedies tend to have a slower onset.
Supplements may require combination with other treatments.
Be aware of possible allergic reactions.
Monitor changes in libido over time.
Consider personalized advice from health professionals.
Keep a journal of effects and side effects.
Focus on overall wellness for best results.

It may also interact with sedatives, antidepressants, and more.91 Of course, the list above isn’t comprehensive, so you should always speak with your doctor before adding a new supplement or prescription to your routine. It’s worth mentioning that Cake Meds For Her can’t be shipped to Alabama, California, South Carolina, Guam, or Puerto Rico due to restrictions.

Preventive Strategies for Maintaining a Healthy Libido

But, to be fair, the L-citrulline in this prescription appears to play more of a supporting role than a main one. There’s very little research on oxytocin as a treatment for sexual dysfunction. One small study from 2015 found that long-term (eight weeks) intranasal oxytocin (32UI) self-administered by women 50 minutes before sexual intercourse improved both sexual function and symptoms of depression.68 And a 2023 study in men receiving testosterone treatment for erectile dysfunction found that oxytocin cenforce tablets troches (50-100UI) may be a helpful adjunctive treatment, with 56% of patients (14 out of 26) considered responders to the intervention.69 In contrast to the short ingredient list of Libido Lift Rx, Drive For Her contains seven herbal ingredients and one amino acid. Here’s how their potential benefits for female sexual health break down. A 2015 study evaluated how Libifem affected sex hormones and sexual function in 80 healthy, menstruating women with self-reported low libido.

Biological And Hormonal Influences

Participants in the treatment group (600mg per day for eight weeks) experienced a “significant increase” in free testosterone and estradiol, as well as sexual arousal and desire versus the placebo group.73 Other, unrelated research on fenugreek extract found similar results. A 2021 study gave 48 healthy, menstruating women either 250mg of fenugreek extract twice a day or a placebo. Those who took the extract had fewer sexual problems and reduced irritability, along with increased estradiol, free testosterone, and total testosterone.74 The evidence on reishi mushrooms for female sexual dysfunction or libido support is pretty slim, with only a couple of animal studies available at this time. In a 2018 study, male Wistar rats were either given one of two reishi extracts (150mg/kg and 300mg/kg) or one of two placebos (sildenafil and distilled water) to evaluate the mushroom’s aphrodisiac potential. Results showed that the lower dose of 150mg/kg was more effective, but, in general, the reishi extract increased the rats’ interest in females and led to increased mounting behavior and mating performance.75 A similar male rat study from 2022 found that reishi mushroom polysaccharides may be able to treat diabetes mellitus-induced erectile dysfunction (DMED), in part by enhancing “the mRNA expression of” nitric oxide synthase (the enzyme that turns L-arginine to L-citrulline and nitric oxide).76 77 This ingredient has the least amount of scientific support.

Hormone Replacement Therapy

In a 2007 overview of guarana’s history and prospects, researchers state that this plant “has been distorted by market forces into an aphrodisiac and energy booster.”78 This is supported by the findings of a few small studies. A 2009 study gave breast cancer patients 75mg daily for 28 days and found that there were no effects on radiation-induced fatigue or depression.79 And an older study that gave 45 elderly volunteers 1g of guarana found no significant sleep quality, cognitive, or sexual improvements.80 While there isn’t much research on caffeine for female sexual health, the results of a 2023 study showed that, compared to a placebo, acute administration of 300mg of caffeine (around six times the amount in this supplement) increased genital arousal in women experiencing sexual dysfunction due to antidepressants.81 There are a few positive studies that suggest saffron supplementation may be beneficial for sexual dysfunction. A 2022 placebo-controlled study on married women suffering from severe sexual dysfunction found that 15mg of saffron twice daily (30mg total) resulted in a 62% score improvement from baseline after six weeks. Improvements from saffron over placebo were particularly strong in desire, lubrication, and satisfaction.82 A similar 2012 study on saffron for antidepressant-induced sexual dysfunction gave 38 women either 30mg of saffron or placebo daily for four weeks. In the end, the saffron group experienced “significantly more improvement” in arousal, lubrication, and pain, but not in desire, satisfaction, or orgasm.83 A couple of studies suggest Tribulus terrestris extract may be a potentially effective treatment for sexual dysfunction in women. This means that those territories can’t get Libido Lift Rx or O-Cream Rx, but they can still get the Drive For Her supplement. In contrast, Wisp is able to prescribe medications in all 50 U.S. states, so you can get OMG! Cream no matter where you are in the country. The chart below breaks down the pricing details for Libido Lift Rx, Drive For Her, and O-Cream Rx (regular and extra strength). As you can see, Cake’s prescription products can’t be purchased on a one-time basis. This means that you’ll have to sign up for a recurring subscription if you’re interested in either of those. Drive For Her, on the other hand, can be purchased either way, and it’s covered under the company’s 30-day satisfaction guarantee.

Some pills aim to improve overall sexual satisfaction.
Custom formulations target specific needs.
Continuous use may provide more stable results.
Combining natural and medical approaches can work.
Be cautious with supplements not tested scientifically.
Recognize individual differences in response.
Keep track of side effects and improvements.
Long-term safety data is limited for some products.
Consider psychological therapy for underlying issues.
Educate yourself about sexual health options.
Nutritional support can address underlying deficiencies.
Support from a partner increases effectiveness.