The real reason ‘female Viagra’ isn’t approved in the UK – and what to try instead
Interest in female Viagra has spiked recently – and it's hardly a surprise. Many women struggle with low libidos for a variety of reasons, such as menopausal hormonal changes and mental health struggles.
As we realise the link between a fulfilling sex life and overall health, it makes sense that more women are looking for ways to make sex feel better and last longer.
The term 'female viagra' doesn't refer to an elusive or much-wished-for drug – it really exists. Its brand name is Addyi, but, while it's available for purchase in the US, the medicine isn't licensed in the UK or Europe.
With the help of Hira Malik, chief pharmacist and co-founder at Oushk Pharmacy, we dig into everything you need to know about the medication and its alternatives.
What is female Viagra?
Addyi, medical name flibanserin, is designed for women diagnosed with Hypoactive Sexual Desire Disorder (HSDD), which is a persistent lack of sexual desire causing distress, says Hira.
It works in a different way from standard Viagra (given the obvious physical differences between male and female bodies) but developed the nickname for its ability to improve sexual function.
'Unlike Viagra, which works by increasing blood flow, Addyi targets brain chemistry, specifically neurotransmitters like serotonin and dopamine, to boost sexual desire in premenopausal women with HSDD. However, it’s had a controversial history, with concerns about its effectiveness and side effects,' explains Hira.
'One of the main reasons Addyi hasn’t been approved in the UK is that European regulators (the European Medicines Agency) rejected it due to concerns over its modest benefits compared to the risks.'
Could we see Addyi in the UK? 'Possibly,' says Hira, 'but it would need fresh clinical trials to satisfy regulators that the benefits outweigh the risks. To date, no pharmaceutical company has made a serious push to bring it to the UK, which suggests there may not be enough demand or confidence in the drug. The fact that no similar treatment has been approved here also shows how cautious regulators are when it comes to medications for female sexual dysfunction.'
Female viagra alternatives
It's not clear whether the caution is for positive reasons like safety or a lack of interest or fear of support for women's sexual health. However, with a lack of 'female Viagra' available in the UK, there are plenty of headlines that promise natural alternative options.
'Currently, there’s no other licensed medication on the market in the UK,' says Hira. 'There are supplements that some women use to support sexual health, though research on their effectiveness is mixed.'
These include:
L-Arginine – An amino acid that may help by increasing blood flow, similar to how Viagra works in men. Some small studies suggest it can improve arousal but the results aren’t conclusive.
Ginseng – Used traditionally to boost energy and libido but the evidence supporting its effectiveness is limited.
Maca Root – A plant extract sometimes referred to as ‘natural Viagra’ due to claims it can increase sexual desire. While some small studies have shown positive effects, more robust research is needed.
Tribulus Terrestris – A herbal supplement thought to increase testosterone levels, which could enhance libido. However, studies are inconclusive and results vary widely
These supplements are generally available from high-street health retailers, pharmacies or online. 'However, it’s important to choose products from reputable sources to ensure quality and avoid unregulated supplements, which may not contain what they claim,' advises Hira. 'It’s always best to speak to a pharmacist or GP before taking any supplement, especially if you’re on other medications.'
Other ways to improve your libido
'In my experience as a pharmacist, many women prefer looking for natural or lifestyle ways to improve libido before turning to medication,' says Hira.
Some effective approaches include:
Managing stress – Stress levels impact your libido by disrupting hormone balance and sexual desire. Practising mindfulness, yoga, or relaxation techniques can make a real difference.
Prioritising sleep – Lack of sleep can cause fatigue and hormonal imbalances that reduce sexual desire. Ensuring you get enough rest is key.
Regular exercise – Physical activity boosts circulation, improves mood, and increases confidence, all of which can positively impact libido. Too much exercise can have a negative effect on your libido though, so don't overdo stressful, high-intensity workouts.
Balanced diet – Certain foods, such as those rich in zinc and omega-3 fatty acids, can support hormone production and improve energy levels.
Relationship communication – A decrease in libido can sometimes be linked to emotional factors, so having open conversations with your partner about intimacy can help.
'Ultimately,' says Hira, 'sexual health is complex, and there’s no one-size-fits-all solution. While medications like Addyi exist, they’re not necessarily the right option for everyone, and many women find that lifestyle changes or counselling provide the best long-term results.
'If libido is a concern, I’d always advise speaking to a healthcare professional who can explore all possible causes and recommend the most suitable approach.'
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