Libido support

In stock

CompoundedScream CreamTopical blend for arousal

From$99/mo^*

Get Started

* Cream, in 3, 6 or 12 month plans. Prices may vary.

Compounded in the USAFSA and HSA eligiblePay over time with Klarna

A topical blend that supports arousal
Same-day doctor visits and prescriptions
Free expedited shipping, all 50 states
No hidden fees, no surprise charges

A topical cream applied to the clitoral area that increases local blood flow to heighten sensitivity and arousal, working within minutes right where it is applied.

Who it's for: Women who want faster, stronger arousal and sensation, applied just before intimacy.

Sildenafil, increases local blood flow to the tissue
Pentoxifylline, improves microcirculation
L-arginine, supports nitric oxide for sensitivity

A 24/7 care team, day or night
Physician visits and follow-ups
Dose adjusted as you progress
Help with side effects
Medication from a US pharmacy
Free expedited shipping, all 50 states

You can cancel your treatment plan anytime from your online patient portal. There are no cancellation fees.

Note that canceling in the portal does not cancel any active orders already sent to the pharmacy. If your order is pending, contact us at [email protected] and we will help.

The statements on this page have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. The FDA does not review or approve any compounded medications for safety or effectiveness.

Important Safety Information (opens in a new tab)

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What would you like to feel?

Tap a goal to see the treatments built for it.

Matches your goal

Compounded

PT-141From $175/mo

Works onDesire, in the brain

TakenAbout 45 min before

FormInjection

Get started

Matches your goal

Compounded

Scream CreamFrom $99/mo

Works onArousal, where applied

TakenA few minutes before

FormCream

Get started

Matches your goal

Compounded

OxytocinFrom $109/mo

Works onCloseness

TakenMelts under the tongue, daily

FormDissolving tablet

Get started

Matches your goal

Compounded

DHEAFrom $65/mo

Works onLibido and energy

TakenOne capsule each morning

FormCapsule

Get started

Matches your goal

Compounded

PregnenoloneFrom $79/mo

Works onMood and energy

TakenOne capsule a day

FormCapsule

Get started

Personalized medicine,
in three simple steps

Get started See treatments

Submit your application
and meet with a doctor

Step1

Complete a quick form and meet a licensed provider 100% online. They'll see if a treatment plan is right for you.

Choosing what you are interested in on the Sipra intake

Get your medication
delivered at home

Step2

Once approved, your prescription ships directly to your door, fast and free.

Receive 24/7 support
and ongoing care

Step3

Regular check-ins and on-demand medical support to keep you on track.

Start here · one question

How long have you been experiencing menopause symptoms?

Tap an answer to start your hormone therapy intake. You can change it there.

More than a prescription

Most online programs ship a box. Sipra stays with you.

Sipra compared with a typical online program
		Typical online programs
No membership fee	No fee	Often a monthly fee
The Sipra PromisePay only if a physician approves.	$0 today	Often charged at checkout
Leave anytimeCancel online. No call, no form.	Anytime	Steps may vary
One price, shipping includedVisits and support too.	Included	Fees may vary
US-licensed pharmaciesURAC, ACHC and LegitScript accredited	Accredited	May vary
Tested before it shipsPotency, plus sterility for injections	Yes	Testing may vary
Dosing set by your physician	Included	Follow-up may be limited
Side effect support	Included	May vary
Care team messaging, day or night	Anytime	Hours may be limited

Start my visit

Nothing is charged until a physician approvesFSA and HSA eligible

Three places desire lives

Wanting, feeling and energy start in different places. That is why one treatment rarely fits everyone.

Desire, in the brainBrain

PT-141 acts on the brain’s desire signals. Oxytocin supports closeness.

Energy, from the adrenalsAdrenals

DHEA and pregnenolone are building blocks your body turns into hormones.

Arousal, where you feel itPelvis

A topical cream works on blood flow and sensation, right where it is applied.

Heard from our members

Real members, in their own words, on what changed after their first visit.

I stopped calling it a character flaw.

My relationship was good, but I didn’t feel like myself when it came to intimacy. I kept wondering what was wrong with me. Answering privately helped me say what I’d struggled to say out loud. The doctor took it seriously as a health concern. I didn’t feel judged, and I left feeling much less alone.

Nicole P. · FloridaTreated with Oxytocin

Verified member

Desire was a real health question.

I thought I was supposed to just accept it. The doctor asked about sleep, stress, my cycle and my relationship, and treated low desire as something worth looking into.

Amanda C. · GeorgiaTreated with PT-141

Verified member

She asked what I wanted, not what I should want.

I didn’t want someone deciding what normal is for me. The doctor started by asking what I hoped would feel different, and we built from there.

Jessica W. · IllinoisTreated with Scream Cream

Verified member

Menopause changed things. Someone noticed.

I had no words for how intimacy had changed after menopause. The questions named things I hadn’t said out loud, and the doctor explained how hormones play into it.

Diane K. · FloridaTreated with DHEA

Verified member

I could be honest at home.

Typing my answers privately made it easier to tell the truth. In a room, I would have said everything was fine.

Sofia R. · ArizonaTreated with Oxytocin

Verified member

The how and when were explained.

I had questions about timing and what to expect the first time. The doctor walked me through it step by step and said to message if anything felt off.

Brittany L. · OhioTreated with Scream Cream

Verified member

No one made it weird.

I was ready to feel embarrassed. Instead the whole thing felt calm and clinical in the best way. The doctor was warm and straightforward.

Megan T. · TennesseeTreated with PT-141

Verified member

We looked at the whole picture.

I mentioned my antidepressant almost as an afterthought. The doctor took it seriously and explained how it might be connected. That changed the conversation completely.

Rachel G. · VirginiaTreated with Pregnenolone

Verified member

My questions didn’t feel silly.

I had a long list. The doctor answered every one, including the ones I almost deleted before sending.

Christine P. · WisconsinTreated with Oxytocin

Verified member

I knew who to ask afterward.

Having a place to send questions between visits made me feel looked after. The replies were quick and personal.

Natalie H. · ColoradoTreated with DHEA

Verified member

The pharmacy behind your treatment

Get started See treatments

Licensed 503A pharmacy

Your treatment ships to all 50 states

Compounded in the USA

Made for you, never mass-produced

Tested before it ships

Sterility, endotoxin, and potency, under USP 795 and 797

Independently accredited

URAC, ACHC, and LegitScript

From your visit to your door

Exactly what happens after your visit, who handles it, and when you pay. Nothing is charged until a physician approves.

Start my visit

01Online visit
A few questions, no charge
02Physician review
A licensed US physician
03Approval
Charged only if approved
04Pharmacy
Prepared in the US
05Delivery
Expedited shipping included
06Ongoing care
Check-ins and dose changes

Start my visit

Sipra Medical Reviewer

“Desire and arousal are health topics, not personal failings. What matters is naming what feels different to you, then choosing care that matches it.”

Dr. Jillian Foglesong StabileMD, FAAFP, DABOM

Board-certified family physician and Diplomate of the American Board of Obesity Medicine.

American Board of Family Medicine

American Board of Obesity Medicine

Wake Forest University School of Medicine

Sexual wellness questions, answered

It covers low desire, trouble with arousal, and changes in sensation that can come with hormones, stress, or life stage. A licensed US physician reviews your online intake and recommends options that fit your history. It is not one pill for everyone.

PT-141, also called bremelanotide, acts on pathways in the brain tied to sexual desire. It is taken as needed rather than every day. It is compounded, which means it is not FDA-approved, and your physician decides if it is right for you.

Oxytocin is a hormone linked to bonding and arousal. DHEA and pregnenolone are hormones your body makes, and their levels tend to fall with age. Scream Cream is a topical blend applied to the area to support sensation. Your physician decides which, if any, fit you.

It depends on the option. Topicals and as-needed medications may act within a short window, while hormone support can take weeks. Individual results vary.

PT-141 can cause nausea, flushing, headache, and a short rise in blood pressure. DHEA can cause acne, oily skin, or unwanted hair growth. Topicals can cause local irritation, so tell your care team about anything new.

PT-141 is not for women with uncontrolled high blood pressure or heart disease. Hormone-based options may not suit women with certain cancers or who are pregnant or breastfeeding. Your physician reviews your full history first.

A compounded medication is prepared by a licensed pharmacy for a specific patient. Compounded medications are not FDA-approved, and they are not the same as any brand-name product. Your plan shows what you receive, and it ships from a licensed US 503A pharmacy that tests it first.

No office visit is needed. A licensed US physician reviews your online intake, and may suggest labs if hormones could be part of the picture. Your care team helps you through that step.

Plans are billed per plan term, and the price does not change with your dose. Shipping is included, and you pay nothing unless a physician approves your treatment. It is cash pay with no insurance needed, and FSA and HSA funds can be used.

Yes. You can cancel online at any time, with no phone call and no form. If something is not working, message your care team and your physician can adjust your plan.