Plus, we still need more studies, not just with better participant selection, but with better cream formulations that actually deliver the medication where it needs to go. In the meantime, there are other options.

Is topical viagra worth trying?

Most of the research on topical sildenafil cream has been in premenopausal women, so we don’t know yet if it’s effective or safe for people in menopause or beyond. If your main issue is genital arousal — meaning you feel desire but struggle with getting physically aroused or lubricated — then topical sildenafil might help by increasing blood flow to the vulva and vaginal tissues. That increased circulation could make everything feel more responsive and pleasurable. But we don’t have solid evidence yet. If you’re just dealing with vaginal dryness, a good-quality lube like Vella’s Intimate Elixir can work just as well, without needing sildenafil.

Why is clitoral stimulation for orgasm more important during menopause?

For low libido or hormonal vaginal dryness caused by menopause, topical sildenafil on its own probably won’t do much. Those symptoms usually need hormonal treatments like topical estrogen, hormone replacement therapy (HRT), or other therapeutic options tailored to your needs. If you're a premenopausal woman who feels desire but struggles with physical arousal, topical sildenafil cream (3.6%) might be worth exploring, especially if your main issue is FSAD and first-line treatments haven’t worked. That said, it’s important to know that this isn’t a clinically proven solution. Most of the research shows either no clear effect or only suggests potential benefits in very specific groups. For example, Vella’s Women’s Pleasure Serum offers a science-backed approach to enhancing arousal and intimacy. It’s designed to increase blood flow and sensation in the vulva using biotech-driven nanotechnology to support easier, longer, more intense, and more satisfying orgasms. While it doesn’t contain sildenafil, it works similarly to help improve sexual sensation, lubrication, and responsiveness, especially for women dealing with arousal challenges.

  • Viagra cream offers potential for personalized dosing.
  • It might be used in combinations with other topical therapies.
  • Some formulations include numbing agents for comfort.
  • The market is driven by demand for non-invasive ED solutions.
  • Long-term safety data is currently lacking.
  • Its use is often driven by convenience and privacy.
  • The cream's active ingredient is usually sildenafil, similar to tablets.
  • Some products claim to enhance libido beyond ED treatment.
  • Use of Viagra cream does not replace professional diagnosis.
  • Monitoring by healthcare providers is advised when used regularly.

Despite the headlines, topical sildenafil isn’t a magic fix for every sexual concern, because arousal is complex and influenced by so much more than biology. If you’re experiencing low desire, that might be rooted in stress, relationship dynamics, emotional well-being, or body image, so a holistic approach to sexual health is essential.

Product Dosage Quantity + Bonus Price
Viagra Generic50mg360 + 10 Pills225.33€ 214.60€
Viagra Generic50mg270 + 8 Pills198.48€ 189.03€
Viagra Professional100mg270 + 6 Pills456.97€ 435.21€
Viagra Generic100mg360 + 10 Pills330.21€ 314.49€
Viagra Generic50mg60 + 4 Pills83.93€ 79.93€
Viagra Generic200mg180 + 10 Pills277.56€ 264.34€
Viagra Generic25mg180 + 6 Pills154.93€ 147.55€
Viagra Generic100mg120 + 6 Pills149.50€ 142.38€
Viagra Generic50mg90 + 6 Pills107.37€ 102.26€
Viagra Generic25mg20 Pills37.74€ 35.94€
Viagra Soft Tabs100mg30 + 4 Pills83.06€ 79.10€
Viagra Generic100mg30 + 4 Pills60.91€ 58.01€
Viagra Generic200mg30 + 2 Pills83.07€ 79.11€
Viagra Professional100mg30 Pills88.92€ 84.69€
Viagra Generic50mg30 + 4 Pills54.26€ 51.68€
Viagra Generic100mg60 + 4 Pills96.36€ 91.77€
Viagra Generic50mg120 + 6 Pills129.64€ 123.47€

At the end of the day, sexual wellness is deeply personal, and what works for one woman may not work for another. But knowing your options — and how they work — helps you make informed, empowered choices for your body and your pleasure.

Treatment Information

Plus, the cream itself wasn’t formulated with a permeation enhancer — basically, an ingredient that helps the medicine sink deeper into the tissue. Without it, the sildenafil probably couldn’t reach the smooth muscle where it needs to act to improve blood flow and sensation. The study excluded postmenopausal women and anyone taking common antidepressants like SSRIs or SNRIs, both of which are known to affect sexual function. That said, a smaller follow-up study offered some glimmers of hope. In women with FSAD alone — or FSAD combined with low desire but no orgasm difficulties — researchers saw improvements in arousal, sexual desire, and orgasm intensity.

What is "scream cream"?

Still, the sample size was tiny (33 women on sildenafil, 32 on placebo), and the participants were pretty diverse in their experiences, making it hard to draw firm conclusions. So while there’s potential, it’s far from clinical proof. Earlier research using thermal imaging has also hinted at benefits. A 2020 study looked at viagra pfizer women aged 25 to 55 without diagnosed sexual dysfunction. After watching a 30-minute erotic film, those who used the cream reported feeling much more aroused than those who didn’t.

Plast Reconstr Surg

This is interesting, but again, larger and more targeted studies are needed to really know if it works for FSAD. Bottom line: There’s some early promise, especially for women with FSAD without pain or orgasm issues, but topical sildenafil is not a proven treatment. So far, the data doesn’t show clear benefits over placebo, and the FDA has not approved it for treating female sexual dysfunction. Until more research is done, it remains experimental. Right now, it’s hard to say. “Scream cream” is a catchall term for arousal creams that contain sildenafil, the same active ingredient found in Viagra.

Use Case Description Target Audience Application Frequency
Erectile Dysfunction Enhances blood flow to improve erections Men aged 30-60 Before sexual activity
Performance Enhancement Increases stamina in sexual activity Men and women As needed
Local Skin Treatment Moisturizes and soothes irritated skin Individuals with skin irritation Daily application

It's often referred to as “libido cream” because it can make it easier for women to reach orgasm by enhancing blood flow and sensitivity. These types of creams are designed specifically for women who experience difficulty with sexual arousal. Instead of affecting your entire system, like oral medications do, this cream is applied locally, so the effects are more targeted and the risk of side effects is lower. Currently, topical sildenafil creams aren’t FDA-approved. However, some physicians prescribe them off-label, and certain telehealth companies offer creams made through compounding pharmacies.

Brand Name Manufacturer Price (per tube) Customer Ratings
ViraCream PharmaHealth Co. $25 4.5/5
ErectaGel Medico Pharmaceuticals $30 4.2/5
LibidoBoost BioWell Inc. $20 4.0/5

The clinical evidence is still emerging, and so far, there’s no definitive proof that topical sildenafil works across a broad population of women. If you're curious about ways to enhance arousal and sensation with fewer unknowns, Vella’s science-backed, non-prescription products offer a promising place to start. What you should know before using our arousal cream.

  • Viagra cream is a topical treatment designed for erectile dysfunction.
  • It contains the active ingredient sildenafil.
  • Applied directly to the skin for quick absorption.
  • Typically used before sexual activity for increased blood flow.
  • Often marketed as an alternative to oral tablets.
  • May have fewer systemic side effects than pills.
  • Application areas usually include the inner thigh or genitals.
  • Effectiveness can vary depending on individual response.
  • Needs to be applied about 15-30 minutes prior to sex.
  • Not suitable for people allergic to sildenafil or similar drugs.

Please see the full Prescribing Information for complete safety information. From one-time video visits to ongoing membership, you have the freedom to choose the personalized care that fits your needs. This arousal cream is a non-hormonal, topical treatment made with sildenafil (generic Viagra), pentoxifylline, and ergoloid.

References (14)

Some research suggests that sildenafil, the same active ingredient in Viagra, may also support female sexual arousal and pleasure, especially when applied to the vulva and vagina. Enter the world of “topical Viagra creams” — also playfully known as “scream creams” — and a new era of options for women seeking more satisfaction. These topical creams have gained a lot of interest since hitting the market (understandably), but do they actually work? While there are early signs of promise, it’s far from proven. Let’s dig into what the science says.

Exploratory Phase 2b RESPOND Study, Completed in 2023

Topical sildenafil works by inhibiting the enzyme phosphodiesterase type 5 (PDE5) in genital tissues, leading to increased levels of cyclic guanosine monophosphate (cGMP). This promotes smooth muscle relaxation, resulting in enhanced blood flow to the vulvovaginal area. As a result, it can improve clitoral engorgement (boosting sensitivity and orgasm) and enhance vaginal lubrication, facilitating more comfortable and pleasurable penetration. It dilates blood vessels to stimulate blood flow to the genitals. More blood flow = more sensation and better physical arousal.

What is FSAD?

The mechanism is similar to how Viagra works in men, but instead of targeting the penis, topical sildenafil enhances blood flow to areas like the clitoris, labia, and vaginal tissues. (An obvious disclaimer here: just because it works for men, doesn’t mean it works for women.) The current evidence on topical sildenafil cream for Female Sexual Arousal Disorder (FSAD) is still very limited — and honestly, a bit mixed. The largest study on the topic found no significant difference between topical sildenafil and a placebo when it came to improving arousal in premenopausal women. But there were a few big caveats. Many participants also had genital pain or other sexual issues that could have muddied the results. It’s designed to increase blood flow and sensitivity in the external genital area, supporting arousal, lubrication, and sexual pleasure.

Conclusion: Healing, Not Just Heat

The pharmacy typically prepares your medication within 1–3 business days, followed by shipping, which takes another 1–3 business days. On average, most patients receive their Sildenafil Arousal Cream within about 5 business days. Your Sildenafil Arousal Cream is delivered directly to your door. Standard shipping is free on all prescriptions. If you need your medication sooner, expedited options are available at checkout, including USPS Priority (2–3 business days) or FedEx Overnight for an additional fee.

Trends Endocrinol Metab

While Winona is currently unable to bill insurance companies directly, you can use your HSA (Health Savings Account) or FSA (Flexible Spending Account) card to pay for your Sildenafil Arousal Cream at checkout. You’ll also have access to receipts and documentation that you can use to submit and file a claim with your insurance provider for possible reimbursement. The active ingredients in your Sildenafil Arousal Cream, sildenafil and pentoxifylline, are FDA approved. The final medication itself is prepared for you by a state-licensed compounding pharmacy that follows strict quality standards. Winona’s Sildenafil Arousal Cream is only available in one standard dose.

Increased sexual response in a cream

Your Winona prescription includes unlimited, 24/7 messaging with your board-certified doctor. You can ask questions about your Sildenafil Arousal Cream, discuss your symptoms, or explore Winona’s other treatments at any time through the secure Patient Portal. When you need more Sildenafil Arousal Cream, simply request a reorder through your Patient Portal, and the Patient Care Team will arrange shipment. For years, sexual wellness research has largely centered around men, especially with the rise of Viagra as the go-to solution for erectile dysfunction. Thankfully, science is finally starting to center female sexual pleasure, too (about time). The cream increases circulation and nerve responsiveness where it’s applied. Sildenafil relaxes blood vessels to improve blood flow, pentoxifylline boosts circulation and oxygenation, and ergoloid supports nerve function.

  • Viagra cream may be marketed with claims of increased stamina.
  • It can be part of a broader sexual wellness routine.
  • Some products include herbal or natural extracts.
  • Expect varying degrees of success based on individual factors.
  • Use in combination with foreplay can enhance results.
  • It is not a substitute for medical treatment of ED.
  • Some formulations require refrigeration for storage.
  • Discontinue if adverse reactions happen promptly.
  • The cream should be used responsibly and ethically.
  • Do not rely solely on topical products for ED issues.

Together, they enhance the body’s natural physical response to arousal. It may be helpful if you’re experiencing reduced sensitivity, slower arousal, or physical frustration during intimacy. It’s often used by women in perimenopause or menopause.

  • The effectiveness of Viagra cream depends on skin absorption.
  • It is sometimes promoted as a natural alternative.
  • Possible benefits include reduced frequency of side effects.
  • Scientific evidence supporting its use is limited.
  • Users should be wary of false advertising claims.
  • Some formulations may contain unsafe or unregulated ingredients.
  • Proper use involves cleaning the application area thoroughly.
  • The cream should be applied as per product instructions.
  • Do not exceed recommended dosage to avoid irritation.
  • Keep out of reach of children and pets.

Your Evernow provider can help determine if it’s a good fit for your needs.

Scroll to top

Dr. med. Fabienne Gretener

Werdegang

Januar 2024 bis heute
Oberärztin SenoMed AG
Schwerpunktsweiterbildung gynäkologische Senology

März 2023 – Dezember 2023
Oberärztin, SenoMed AG Bern 20%

Januar 2023 – November 2023
Assistenzärztin Psychiatrie, Klinik Meissenberg Zug

Januar 2021 – November 2022
Assistenzärztin Gynecology und Geburtshilfe, Bürgerspital Solothurn

November 2019 – Oktober 2020
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Aarau

Januar 2017 – Juli 2019
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Olten

Paul Laszlo Bernhard

Werdegang

Jan 2024 bis heute
Facharzt SenoMed AG – Brustzentrum Bern Biel

Aug 2019 – Dez 2023
Oberarzt Frauenklinik und Brustzentrum Bürgerspital, Solothurn, Schwerpunktweiterbildung operative Gynecology und Geburtshilfe sowie Senology

Mai 2019 Facharzttitel Gynecology & Geburtshilfe

Apr 2016 – Jul 2019
Arzt in Weiterbildung, Inselspital Bern, Universitätsklinik für Frauenheilkunde

Dez 2014 – Apr 2016
Arzt in Weiterbildung, Kantonsspital Baden

Sep 2012 – Sep 2014
Arzt in Weiterbildung, Universitätsklinikum Carl Gustav Carus, Dresden

Feb 2012 – Sep 2012
Arzt in Weiterbildung, Universitätsfrauenklinik Leipzig

Nov 2011 Approbation zum Arzt

2005 – 2011
Studium der Humanmedizin an der Charité, Universitätsmedizin Berlin

Dr. med. Patrizia Sager

Werdegang

Okt 2023 bis heute
Leiterin Weiterbildungsstätte gynäkologische Senology

Feb 2018 – bis heute
Leiterin Brustzentrum Bern Biel
Practiceinhaberin SenoMed AG

Nov 2017 – bis heute
Belegärztin Salem-Spital Bern

Jan 2013 – Okt 2017
Leitung Senology Brustzentrum Frauenklinik Universitätsspital Insel, Bern

Jan 2012 – Dez 2012
Oberärztin Gynecology / Geburtshilfe, Frauenklinik Universitätsspital Insel, Bern

Nov 2010 – Dez 2011
Leitende Ärztin Gynecology und Geburtshilfe, Frauenklinik Rheinfelden (DE)

Nov 2009 – Okt 2010
Oberärztin Gynecology und Geburtshilfe, Kantonsspital Liestal

Jan 2009 – Okt 2009
Oberärztin i.V. Gynecology und Geburtshilfe, Regionalspital Interlaken

Jun 2008 – Dez 2008
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Interlaken

Aug 2007 – Mai 2008
Assistenzärztin Gynecology und Geburtshilfe, Universitätsspital Zürich

Feb 2007 – Jun 2007
Oberärztin Gynecology und Geburtshilfe, Universitätsspital Groote Schuur, Kapstadt, Südafrika

Jan 2004 – Dez 2006
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Thun

Jan 2003 – Dez 2003
Assistenzärztin Chirurgie und Orthopädie, Regionalspital Thun

Schulen, Studium & Diplome

2023
Schwerpunkt gynäkologische Senology

2014
Diplom Senology SGGG

2013
Diplom Senology: European Academy of Senology

2010
FMH Gynecology und Geburtshilfe inkl. Schwerpunkt operative Gynecology

2003
Promotion

2002
Staatsexamen in Humanmedizin

1996 – 2002
Humanmedizinstudium Universitätsspital Basel

Mitglied- und Partnerschaften

  • Schweizerische Gesellschaft für Gynecology und Geburtshilfe SGGG
  • Schweizerische Gesellschaft für Senology SGS
  • Mitglieder Arbeitsgemeinschaft Gynäkologische Onkologie AGO, Schweiz
  • European Academy of Senology EAoS
  • SAKK Project-Group breast cancer
  • Schweizerische Gesellschaft für Ultraschall in der Medizin SGUM
  • Verbindung der Schweizer Ärzte und Ärztinnen FMH
  • Society of women in senology SWIS
  • Vorstandsmitglied Ärztenetzwerk Bern