*Your physician may ask for a video or phone consultation if they decide it’s needed.
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.
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
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.
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 nextMost 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.
One in ten. And almost none of them have ever heard the name.
Shifren et al., Obstetrics & Gynecology, 2008 (PRESIDE).
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.
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.
Not a men's telehealth brand with a women's page bolted on. Not a supplement company.
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.
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.
Records are encrypted. Your order ships from the pharmacy with nothing on the outside indicating the contents. Your statement shows only “Senova.”
Pick the path that fits, and the form you'd prefer. You don't have to get this right — the physician confirms it.
Written questions designed by physicians, answered whenever you like. Most people take under fifteen minutes.
A US-licensed physician reviews your case personally and confirms what's appropriate for you — which may differ from what you selected.
Your card is saved when you order, and only charged after a clinician approves your plan. Your order arrives from the pharmacy, discreetly packaged.
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.
Complete an online health questionnaire. A US-licensed physician reviews it — no charge unless they determine treatment is appropriate.
See how it works →