A quiet bedroom in the morning
Low desire?See what can be done ›
No clinic visits, no video calls*
Two hands resting on a bed, not quite touching
Feeling disconnected?Disconnected?See what can be done ›
No clinic visits, no video calls*

*Your physician may ask for a video or phone consultation if they decide it’s needed.

Women's lower libido is biology, not destiny — and you don't have to live with it

For low desire · for lost connection · or bothNeedle-free forms, delivered discreetly
from $88 /mo
Subscription
from $88
One-time, no subscription
from $73 /mo
3-month plan
Sprays from $139/mo.
Physician review and delivery included.
Find your starting point → or see all treatments and prices
A woman at a kitchen table with a laptop
For low desire

It is easy to accept a drop in sexual desire as your ‘new normal.’ But if you ever find yourself missing that part of your life, or wishing you still had the drive you used to, you don't have to just live with it.

Real medicine for women's low desire
Prescribed by US-licensed physicians
Needle-free forms
No clinic visits, no video calls*

Active ingredient: bremelanotide, compounded by a US-licensed pharmacy. A synthetic peptide that acts on melanocortin receptors in the brain, which are involved in sexual desire. Not FDA-approved; prescribed only if a physician decides it’s right for you.

Side effects include nausea (sometimes severe), flushing and headache. Bremelanotide + oxytocin tablets can be split for a smaller dose. Not for women with heart disease or uncontrolled high blood pressure. Safety information

See treatments and prices → What happens next
A dining table with two cups in morning light
For lost connection

Fading intimacy can create a quiet distance in your relationship. If you are ready to bridge that gap and restore your connection, you have real medical options.

Real care for women who feel disconnected
Prescribed by US-licensed physicians
Needle-free forms
No clinic visits, no video calls*

Active ingredient: oxytocin, compounded by a US-licensed pharmacy. A synthetic peptide that acts on receptors in the brain involved in social bonding. Not FDA-approved; prescribed only if a physician decides it’s right for you.

Side effects are usually mild: headache, mild nausea or nasal irritation. Not for use during pregnancy. Safety information

See treatments and prices → What happens next
The part nobody mentions

It has a name

Most women who notice a lasting drop in desire land on one of two explanations: something is wrong with me, or something is wrong with us.

There is a third one that rarely gets mentioned.

Persistent low desire that causes distress is a recognized clinical condition. Clinicians have called it hypoactive sexual desire disorder, and more recently female sexual interest/arousal disorder. It has been studied for decades, and it has a biological basis.

It is also far more common than almost anyone is told. In the largest US population study of its kind, roughly four in ten women reported low sexual desire — and about one in ten reported that it caused them real personal distress.

4in 10
reported low sexual desire
1in 10
reported real personal distress

One in ten. And almost none of them have ever heard the name.

Shifren et al., Obstetrics & Gynecology, 2008 (PRESIDE).

How desire works

Not the way most of us were taught

The version most of us absorbed: desire appears on its own, unprompted, and then you act on it.

For a great many women that was never how it worked — and sexual medicine has understood this for years. Desire is often responsive rather than spontaneous: it arrives after closeness rather than before it, building rather than announcing itself. This is a normal, well-described pattern, not a lesser version of the other one.

Spontaneous desire→closeness
Responsive closeness→desire

Which matters, because if you measure yourself against a model your body was never running, you'll conclude something is broken when nothing is.

Knowing which pattern is yours — and whether it has changed — is one of the more useful things to bring to a clinical conversation. It's one of the first things we ask.

Why Senova

Built for this, and only this

One condition, taken seriously

Not a men's telehealth brand with a women's page bolted on. Not a supplement company.

A physician actually reads it

Your intake is reviewed personally by a US-licensed physician. If care isn't appropriate for you, you're told so — and you're not charged.

Starts in writing

No clinic visits. No video calls. No phone calls.* You answer honest questions on your own time, which is easier than saying it out loud to a stranger.

*Your physician may ask for a video or phone consultation if they decide it’s needed.

Private by design, not by promise

Records are encrypted. Your order ships from the pharmacy with nothing on the outside indicating the contents. Your statement shows only “Senova.”

How it works

Four steps, start to finish

01

Choose your starting point

Pick the path that fits, and the form you'd prefer. You don't have to get this right — the physician confirms it.

02

Complete a private intake

Written questions designed by physicians, answered whenever you like. Most people take under fifteen minutes.

03

A physician reviews your answers

A US-licensed physician reviews your case personally and confirms what's appropriate for you — which may differ from what you selected.

04

If approved, it ships

Your card is saved when you order, and only charged after a clinician approves your plan. Your order arrives from the pharmacy, discreetly packaged.

See the full step-by-step →

Where we're available. Senova is available in most US states. We're not currently available in Alaska, Arkansas, Indiana, Kansas, Minnesota, Mississippi, New Mexico, South Carolina, Vermont and West Virginia. We're expanding as the physician network grows.

Questions

The things people ask first

Is low desire really a medical issue?+
It can be. Persistent low desire that causes personal distress is a recognized clinical condition with a biological basis, and it's one a physician can evaluate. Whether that's what's happening for you is exactly what the intake is for.
Do I have to talk to anyone?+
Usually not. Most care happens in writing, through your patient portal. Your physician may ask for a video or phone consultation if your care or your state requires it.
What if it turns out not to be right for me?+
Then you're told so, and you're not charged. Your card is saved when you order but only billed after a physician approves a plan.
Will anyone know?+
Your records are encrypted. Your order ships from the pharmacy under the pharmacy's name, with nothing on the outside indicating what's inside. Your card statement shows only “Senova.”
Why do I need to upload an ID?+
Before a physician can prescribe, they need to confirm who you are and that you're over 18. You'll upload a photo of a government-issued ID during your intake. It's encrypted and stored with your private medical record.
What if I pick the wrong option?+
You can't, really. What you select is a starting point; the reviewing physician confirms what's appropriate, and may recommend something different.
Does insurance cover this?+
Senova is cash-pay. We don't bill insurance, and there are no membership fees — you pay for your plan and nothing else. Delivery is included.
Can I stop?+
Yes, anytime. Monthly plans can be cancelled without a call or a form, and a one-time option is available if you'd rather not start a subscription at all.
Who are the physicians?+
Care is provided by independent, US-licensed physicians of Beluga Health, P.A., an independent physician group. Treating physicians are licensed in the state in which the patient is located and are solely responsible for all clinical decisions, including whether treatment is appropriate. Senova Health LLC does not provide medical services and does not practice medicine. The details of the treating physician are available to the patient in the patient portal. More information about Beluga Health is available at belugahealth.com.

Start when you’re ready

Complete an online health questionnaire. A US-licensed physician reviews it — no charge unless they determine treatment is appropriate.

See how it works →