Treatments For Arousal

The carefully selected ingredients work together to support blood flow and nerve sensitivity, which may help improve comfort, confidence, and responsiveness during intimacy.

Many women report improved responsiveness and sensitivity when using this cream, particularly when changes are related to arousal or reduced local response rather than broader orgasmic difficulties. Individual results can vary depending on underlying factors.

This cream is formulated using a targeted combination of pharmaceutical-grade active ingredients, selected to support local circulation, sensitivity, and intimate tissue response. These may include:

Oxytocin – supports emotional connection and local tissue responsiveness

L-Arginine – an amino acid that supports blood flow and circulation

Sildenafil – used locally to support increased blood flow to intimate tissues

Low-dose Testosterone – supports tissue health and sensitivity where clinically appropriate

The exact formulation and strengths are individually selected based on clinical assessment and prescribing guidance to ensure the most appropriate and effective dose for each patient.

Apply a small, pea-sized amount to the external intimate area 30–60 minutes before intimacy, as needed.
Use no more than once daily. This cream is intended for occasional use and is not designed for daily, ongoing treatment.

Yes. This cream can be used alongside other prescribed hormone treatments, including Testosterone Cream and DHEA capsules, where clinically appropriate. It is intended for occasional use prior to intimacy and does not replace daily hormone therapy, which should be continued as prescribed.

Sildenafil is the active ingredient found in Viagra, but when used in a topical cream it works locally to support blood flow and tissue responsiveness, rather than acting throughout the body.

Ensure the area is clean and dry before application. Apply a small, thin layer to the external intimate area only, such as the clitoral hood and inner labial area, 30–60 minutes before intimacy. Apply only to the intended area and avoid spreading onto surrounding skin.

This cream should be used as needed, with a maximum of once daily. It is designed for targeted, occasional use and is not intended for continuous daily application.

Wash your hands before and after applying the cream.

This cream is developed by our clinical team and compounded by specialist pharmacists to meet your individual needs. Each prescription is prepared using high-quality, pharmaceutical-grade ingredients, with careful attention to safety, accuracy, and clinical suitability.

As this cream contains a customised hormone formulation, it is classed as an unlicensed (bespoke) medication. This means it is made specifically for you, based on clinical assessment and prescribing guidance, rather than mass-produced.

This cream may not be suitable for you if any of the following apply. Please read carefully and disclose all relevant information during your consultation.

You are not suitable if you:

• Are under 18 years of age

• Are pregnant or breastfeeding

• Have a history of herpes simplex virus (HSV-1 or HSV-2) or active genital herpes

• Have excessive hair growth (hirsutism) and/or severe acne

• Have liver or kidney disease

• Have a history of blood clots, clotting disorders, or intracerebral haemorrhage

• Have cardiovascular disease, including heart disease, angina, previous stroke, uncontrolled high blood pressure, arrhythmias, or previous heart attack

• Have been diagnosed with breast disease or cancer, genital cancer, or liver cancer

• Have porphyria

• Have diabetes

• Experience active migraines or Raynaud’s phenomenon

• Have peptic ulcer disease

• Have broken, inflamed, or irritated skin at the intended site of application

• Have undiagnosed vaginal bleeding or a chronic vaginal infection

• Have been advised by your doctor not to engage in sexual activity

You should not use this cream if you:

• Are allergic to sildenafil, L-arginine, oxytocin, testosterone, soy, yam, or any other ingredients in the formulation

• Are taking nitrate medications for chest pain (angina)

• Are taking riociguat, nitric-oxide donors, or similar medications

• Are taking medicines that significantly lower blood pressure or interact with sildenafil

• Are taking warfarin or other medications for blood clots

• Are taking pentoxifylline alongside anticoagulants or antiplatelet agents (such as aspirin, clopidogrel, or direct oral anticoagulants)

• Are taking CYP3A4 inhibitors (e.g. ketoconazole, ritonavir), alpha-blockers, or ergoloid mesylate

• Are taking medications for epilepsy, including carbamazepine, lamotrigine, phenobarbital, phenytoin, topiramate, perampanel, rufinamide, or primidone

• Are taking medications for HIV, including efavirenz, nevirapine, or ritonavir

• Are taking modafinil (used for narcolepsy)

• Are taking medications for tuberculosis, including rifampicin or rifabutin

This list is not exhaustive. Full suitability is determined through a clinical consultation. Always disclose your full medical history and current medications so we can assess safety and suitability appropriately.

This cream is for external use only and should not be swallowed.

A mild warming or tingling sensation at the application site can occur and is usually temporary.

If you feel unwell, dizzy, or experience chest discomfort, avoid intimacy and seek medical advice. Please inform your GP if you notice any concerning side effects.

This is a prescription-only product and should not be shared with anyone else.

Most women do not experience side effects when using this cream. It is formulated at a low dose and is generally well tolerated when used as directed.

However, as with any medication, side effects can occur. Uncommon side effects may include:

Mild warmth or redness at the application site

Tingling sensation

Headache

Dizziness

Nausea

Mild external skin irritation

These effects are usually temporary and settle on their own.

Rare side effects may include:

Palpitations

Changes in blood pressure

Significant skin irritation

Symptoms of a severe allergic reaction, such as difficulty breathing, chest pain, or swelling

If you experience severe symptoms, stop using the cream immediately and seek medical advice. Please inform your GP or your prescribing clinician if you notice any concerning or persistent side effects.

Store this cream at room temperature, away from direct heat and sunlight.

Keep out of the sight and reach of children.

Do not use this product after the expiry date shown on the dispensing label.