Arousal Cream

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Not only did the cream improve objective sexual function, it also seemed to change how participants felt about their own bodies.

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With women, it has been viewed as more complicated … but it’s not,” says Johnson. “It’s really not that much more complicated. There’s desire [and] there’s arousal, just like in men.” Johnson, who has worked in women’s health innovation for over two decades, hopes this product not only serves women’s sexual health but also normalizes it as an integral pillar of their whole health. In the meantime, DARE to PLAY joins a sparse field of prescription arousal products for women. Sprout Pharmaceuticals’ Addyi, a pill to treat hypoactive sexual desire disorder in premenopausal women, faced an uphill battle before receiving FDA approval in 2015.

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As Dr. Sadaf Lodhi, a sex counselor and board-certified OB-GYN, told Flow Space, women have long felt obligated to normalize low libido and painful sex. Ten years ago, no one viagra online generic was talking about libido as much. [Women] don’t need to settle for sex being painful or a decreased libido if it’s bothering them,” she says. “To want sex is to have sex worth wanting. Women reported increased genital awareness, less self-consciousness during intimacy, and greater initiation of sexual activity (journals.lww.com). These outcomes suggest that sildenafil may do more than modulate vasculature, it may influence how women experience themselves during sex.

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This article discusses how effective arousal treatments for women can be framed in ways that avoid reductionism and reinforce dignity.

All your sexual health questions answered

"With women, it has been viewed as more complicated .. but it's not." Today, doctors can begin pink viagra prescribing a first-of-its-kind arousal cream for women. Daré Bioscience, a biotech company focused solely on women’s health innovations, launched DARE to PLAY™, a cream to improve women’s sexual health and desire. The product, which is now available in some states through prescription, is made with the same active ingredient as Viagra: sildenafil. Viagra was FDA-approved in 1998 to treat erectile dysfunction in men, and nearly thirty years later, momentum to create similar products for women has lagged far behind.

Is topical sildenafil cream FDA-approved for women?

At least one in five women will experience low libido or struggle with arousal during sex; for women in midlife, low libido is more common amid hormonal fluctuations. “We knew from existing research that the same active ingredient in Viagra could have similar benefits for women, but when taken as a pill, it caused unwanted side effects,” CEO of Daré Bioscience Sabrina Johnson tells Flow Space. “So, we asked a simple question: what if we could deliver it differently?” The topical cream formulation works by increasing blood flow before a sexual activity by opening and relaxing blood vessels in the clitoris and vulva, where the cream is applied. Johnson hopes this launch marks a shift toward closing the gender desire gap. “Men were very loud about the fact that it was so critical to their sexual function and sexual activity to be able to have an erection. The 2024 data offer a biochemical mechanism, but they also reopen questions about what arousal means, what sexual healing looks like, and why gender-inclusive models of care are not optional they are overdue.

Interested, but not quite ready?

“We believe DARE to PLAY represents a long overdue correction, giving women an option to reconnect with their own bodies, their pleasure, and their confidence, using science that finally recognizes their needs.”1 As the company continues the process to seek FDA approval of the sildenafil cream formulation, it is making the cream available in the form of a Section 503B compounded product. Although the sildenafil cream is manufactured “in an outsourcing facility subject to FDA inspection and under current Good Manufacturing Practice regulations,” Daré Bioscience noted that compounded drugs are not FDA approved or evaluated by the agency for “safety, effectiveness, or quality.”1 DARE to PLAY is currently available for prescription for pre-order in Connecticut, Florida, Indiana, Missouri, New Jersey, Oregon, Pennsylvania, Rhode Island, and Utah. Daré Bioscience said the sildenafil cream’s availability will expand to other states throughout December 2025 and early 2026.1 DARE to PLAY has been evaluated in several studies, including a phase 2b randomized controlled trial (NCT04948151), the results of which were published in Obstetrics & Gynecology. In that study, 200 women with female sexual arousal disorder (FSAD) were randomly assigned to receive the sildenafil cream or placebo cream. The co-primary efficacy end points included change from baseline to week 12 in the Arousal Sensation domain of the Sexual Function Questionnaire (SFQ28), as well as question 14 of the Female Sexual Distress Scale—Desire, Arousal, Orgasm (FSDS-DAO).2 Greater improvement in SFQ28 Arousal Sensation domain scores was observed in patients receiving sildenafil cream, although “there were no statistically significant differences between sildenafil and placebo cream users in the coprimary and secondary efficacy end points,” wrote the authors.

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The investigators also conducted an exploratory post hoc analysis evaluating a subset of the intention-to-treat population who had a diagnosis of FSDD with or without concomitant decreased desire. In this subset, significant increases in SFQ28 Arousal Sensation domain score were seen vs the placebo group. These patients also had a higher mean improvement in SFQ28 Desire and Orgasm domain scores, as well as significantly decreased sexual distress and interpersonal difficulties as assessed by FSDS-DAO questions 3, 5, and 10.2 “As more women speak openly about their sexual health, the need for research-backed solutions has never been greater,” said Irwin Goldstein, MD, director of San Diego Sexual Medicine in California and a founder of the International Society for the Study of Women’s Sexual Health in the news release. “Daré’s commitment to both clinical integrity and timely access ensures women who need it don’t have to wait to benefit from this innovation.”1 DARE to PLAY sildenafil cream now available for pre-order by prescription: First evidence-based topical arousal cream for women begins commercial rollout in select states via 503B outsourcing facility. Preliminary efficacy of topical sildenafil cream for the treatment of female sexual arousal disorder: A randomized controlled trial. Sexual arousal in women is a physiologic process rooted in blood flow, but shaped by far more than that.

Step Action Details Tips
1 Clean the skin surface Use mild soap and water Dry thoroughly before application
2 Apply a thin layer Use a pea-sized amount Avoid excess use
3 Massage gently into skin Ensure even distribution Wait 10 minutes before activity
4 Wash hands afterward To prevent accidental transfer Use gloves if sensitive skin

Clitoral and vaginal engorgement depend on nitric oxide release, like in the penis, but the architecture is subtler, the timeline more variable, and the interplay with touch and context far more sensitive.

  • Viagra cream can provide localized effects on erectile tissue.
  • It might offer quicker results than oral medications.
  • Some products claim longer-lasting erections with topical use.
  • Topical application reduces the risk of some systemic adverse effects.
  • Efficacy reports are anecdotal; clinical trials are limited.
  • Proper application involves a gentle massage into the skin.
  • Dosage instructions are essential for safety and effectiveness.
  • Not recommended for use by women or children.
  • Some products may contain unverified or unsafe ingredients.
  • Always verify the legitimacy of the product before purchase.

Unlike oral formulations, previously trialed with limited success due to inconsistent systemic absorption, this transvaginal approach delivers sildenafil directly to target tissues, with minimal systemic side effects.

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While male sexual health became a pharmaceutical frontier with the approval of Viagra in 1998, female arousal disorders remained in a therapeutic vacuum. Until recently, much of what passed for treatment was indirect: hormone replacement, psychotherapy, lubricants. What was missing was not only efficacy, but attention. In 2024, a multicenter pilot trial viagra tablet sex of topical sildenafil 3.6% cream in women with Female Sexual Arousal Disorder (FSAD) (PMC) reported statistically significant improvements in subjective arousal, genital engorgement, and—perhaps most strikingly, body-image confidence. The findings were most pronounced in women who began the study with high levels of sexual distress.

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It was measurable, meaningful, and deeply suggestive. This is of great importance, because FSAD is more than a vascular issue. It is where biology and psychology meet: where impaired genital responsiveness collides with internalized shame, fear of touch, or simply the loss of ease within one’s own skin. For many women, the inability to feel arousal is not just about friction or blood flow. It’s about invisibility clinical, relational, and even personal. The onset is more localized, and importantly, it circumvents the need for whole-body exposure.

  • Viagra cream's popularity is growing among alternative therapies.
  • It is often advertised online without regulatory approval.
  • Users should research product ingredients before use.
  • Topical application may reduce some systemic side effects.
  • Temporary side effects include flushing and headache.
  • Proper technique in application influences effectiveness.
  • Avoid applying to mucous membranes or broken skin.
  • Expect some changes in sensation in the applied area.
  • Do not share or reuse leftover cream.
  • Discuss potential interactions with healthcare providers.

In the pilot research, women reported not only increased genital sensation, but a faster transition from desire to readiness to intimacy.

OUR PRE-FULFILLMENT PRESCRIPTION PERIOD HAS BEGUN.

I always say to my patients, ‘if you’re not experiencing pleasure with intimacy, then you’re not going to want it.’” Johnson says that successfully creating the formulation, ensuring it could work in 10 minutes, was integral to getting the cream to market to serve women’s needs. “Decades of underfunding and underdevelopment have also led many women to deprioritize their sexual health or, worse, turn to risky, unregulated treatments that, more and more, are being advertised as safe and effective,” says Johnson. “I think we’ll start to see women put more pressure on companies to deliver real, science-backed solutions.” While Daré Bioscience’s cream is not currently FDA-approved, Johnson has her sights on approval in the future. For now, the product is available as a compounded topical through Section 503B of the Federal Food, Drug, and Cosmetic Act (FDCA), meaning it is produced at an FDA-registered outsourcing facility. The cream underwent toxicology testing; a randomized, placebo-controlled study; and was manufactured under cGMP requirements.

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“What we’re hoping we’re doing is a correction to the system,” Johnson says. It’s not niche for half the population. I feel like these are billion-dollar opportunities hiding in plain sight.” Explore your whole life health with expert interviews, stories from real people, health innovations, research, products, and fun recommendations. Explore your whole life health with expert interviews, stories from real people, health innovations, research, products, and fun recommendations. Sexual dysfunction in women has long hovered at the edge of clinical conversations, recognized but under-investigated, named but rarely prioritized.