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Libida™ Frequently Asked Questions

Where hormones end, Libida™ begins. Desire, restored - through science and synergy.

Is Libida™ hormonal?

No. Libida™ is non-hormonal and works through brain-based neurochemical pathways. It can be used with or without hormone therapy.

Can I use Libida™ with Oestra®?

Yes. Libida™ is designed to complement Oestra®, not replace it. Oestra® provides the hormonal foundation; Libida™ adds the neurological and emotional spark.

Is Libida™ FDA-approved?

Libida™ contains the same active ingredient used in an FDA-approved injectable treatment for desire, which is approved for premenopausal women. Libida™ itself is a compounded medication used off-label under clinician supervision.

How often can I use Libida™?

Most women use Libida™ only when they desire intimacy. Libida™ is NOT designed for daily use.
​
​Do NOT use more than one dose in 72 hours, and don’t exceed 10 doses per month.


​Follow your clinician’s guidance.

What Are the Ingredients in Libida™?


Libida™ contains carefully selected pharmaceutical-grade ingredients designed to support female sexual wellness and arousal.

Active Ingredients

  • Bremelanotide 1mg

  • Oxytocin 20IU

Inactive Ingredients

  • Natural flavoring (Wild Berry & Marshmellow)

  • Silica

  • Mannitol

All ingredients used are pharmaceutical-grade, and compounding pharmacies follow strict regulatory and quality standards for sourcing and preparation.

If you have any allergies or sensitivities you’re concerned about, please let our team know. We’re always happy to review ingredients further with the pharmacy and clinical team so you can feel fully comfortable and informed.

What Happens if I Accidentally Swallow a dose of Libida™?

If you accidentally swallow a dose of Libida™, there is generally no need to panic.
Libida™ is designed to absorb through the oral tissues for optimal effectiveness. Swallowing some or all of the dose may reduce how well it works because less medication is absorbed through the intended route.

What You May Notice

If swallowed:

  • The dose may feel less effective

  • Onset may be delayed

  • You may not experience the full intended benefits

Should I Take Another Dose?

Do not immediately repeat the dose unless specifically instructed by your provider.
Taking extra medication too close together could increase the likelihood of side effects such as:

  • Nausea

  • Flushing

  • Headache

  • Dizziness

If this happens often or you’re unsure whether you received a full dose, our team is happy to help guide you.

Will it work if testosterone didn’t help me?

Yes. Libida™ does not rely on testosterone pathways and is often effective for women who did not respond to testosterone-based approaches.

Is Libida™ for all life stages?

Libida™ may be appropriate for premenopausal, perimenopausal, postmenopausal, and surgically menopausal women, depending on clinical evaluation.

Can I use Libida™ while Breastfeeding

Libida™ is not recommended while breastfeeding.

Because there are no clinical studies evaluating the safety of Libida™ during breastfeeding, we cannot determine whether the medication could pass into breast milk or affect a nursing infant.

For this reason, our providers follow a precautionary safety approach and recommend waiting until breastfeeding has ended before starting Libida™.

What is the difference between Libida™ and Viagra

Viagra (sildenafil) is primarily blood-flow based.


Viagra is best known for treating erectile dysfunction (ED). It works mainly in the body (not the brain) by supporting a normal erection response when sexual stimulation is already present.

Libida™ - desire + connection (brain pathways)

Female desire is not driven by blood flow alone - it is primarily a neurological and emotional process. Libida™ is designed to support desire through two complementary brain pathways:

Bremelanotide → Desire & Motivation

  • Activates the melanocortin (MC4R) pathway

  • Increases dopamine-driven sexual motivation

  • Supports desire, arousal, fantasies, and satisfaction

  • Backed by randomized controlled trial data in its FDA-approved injectable form (bremelanotide is the active ingredient in Vyleesi for HSDD in premenopausal women).

Oxytocin → Connection & Emotional Readiness

  • Enhances bonding and emotional safety

  • Supports openness, trust, and intimacy

  • Helps align desire with connection — a key driver of female arousal

Together: Motivation + connection = arousal.

One-line takeaway

  • Viagra: supports physical blood-flow response (primarily for ED).

  • Libida™: supports brain-based desire + emotional readiness (motivation + connection)

Does Insurance Cover Libida™?


At this time, insurance is unlikely to cover Libida™.
Insurance companies typically do not cover preventative, wellness-based, or optimization therapies - especially treatments designed to support vitality, intimacy, energy, and overall quality of life.

Because Libida™ is a compounded therapy focused on wellness and sexual health optimization, most insurance plans do not provide reimbursement coverage.

Why Compounded Therapies Are Often Not Covered

Many insurance companies only cover:

  • FDA-manufactured medications

  • Treatments considered “medically necessary”

  • Limited standardized dosing options

Compounded therapies are personalized and customized for individual patient needs, which often places them outside standard insurance formularies.

Can I Use HSA or FSA Funds?

Some clients may be able to use HSA or FSA funds depending on their individual plan. We recommend checking directly with your benefits provider for eligibility details.

Can I use Libida™ if I have a history of Breast Cancer?

This is an important question, and we strongly encourage anyone with a personal history of breast cancer to discuss Libida™ with both their oncology team and our clinical providers before starting treatment.

Libida™ does not contain estrogen or traditional hormone replacement therapy ingredients. Its active ingredients - Bremelanotide and Oxytocin - work differently than estrogen-based therapies.

However, because every breast cancer history is unique, factors such as:

  • Cancer type

  • Hormone receptor status

  • Current medications

  • Ongoing treatment plans

  • Recurrence risk

all matter when determining whether Libida™ is appropriate for you.

Our Approach

Safety always comes first. Our clinical team carefully reviews medical history to help determine whether Libida™ is a good fit for your individual situation.
If you have concerns, we encourage you to reach out before starting so we can help guide you thoughtfully and safely.

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