over 12 weeks
This actually makes you want it, not just physically react. Felt the difference within a couple of hours. Much more natural than other options.
PT-141
The melanocortin peptide studied for sexual desire in women and men.
- Works through the brain, not through blood flow
- Increased desire in two phase 3 trials of 1,267 women
- Also studied for erectile dysfunction in men
How to use PT-141
Our own 17-step illustrated guide, from mixing to storage.
This actually makes you want it, not just physically react. Felt the difference within a couple of hours. Much more natural than other options.
Description
What Is PT-141?
PT-141 (Bremelanotide) is a synthetic peptide derived from Melanotan II that acts on melanocortin-4 receptors (MC4R) in the central nervous system. Unlike every other sexual dysfunction treatment on the market – PDE5 inhibitors (Viagra, Cialis) that work on blood vessel mechanics – PT-141 enhances sexual desire at the neurological level, addressing the psychological and neurochemical roots of low libido rather than just the physical symptoms.
This distinction is critical: PDE5 inhibitors can produce an erection but cannot create desire. PT-141 works upstream, activating the brain pathways responsible for sexual arousal, motivation, and desire. This makes it effective for both men and women – a rarity in sexual health pharmaceuticals. In fact, PT-141 (under the brand name Vyleesi) received FDA approval in 2019 specifically for hypoactive sexual desire disorder (HSDD) in premenopausal women.
How PT-141 Enhances Sexual Function
- Central nervous system activation: PT-141 crosses the blood-brain barrier and binds to MC4R receptors in the hypothalamus – the brain region that governs sexual arousal, desire, and motivation. This triggers a neurochemical cascade that increases sexual interest and responsiveness.
- Dopamine pathway involvement: PT-141’s mechanism involves the dopaminergic reward pathways associated with desire and motivation, producing a natural-feeling increase in sexual interest rather than an artificial or forced arousal.
- Works for both sexes: Because it targets the brain’s desire centres rather than genital blood flow, PT-141 is effective for both men and women – one of the few compounds in sexual health that can make this claim.
- Complementary to PDE5 inhibitors: For men, PT-141 can be used alongside Viagra or Cialis. PT-141 addresses desire and arousal at the brain level, while PDE5 inhibitors address the physical mechanics. The combination addresses sexual function comprehensively.
- Extended duration: Effects typically begin 30–60 minutes after injection and can last 6–12 hours (sometimes up to 24 hours), providing a wide window of responsiveness rather than a timed “on/off” effect.
Clinical Evidence
PT-141 was evaluated in multiple clinical trials for both men and women. In men with erectile dysfunction, PT-141 produced erections in patients who had not responded to Viagra. In women with HSDD, clinical trials demonstrated statistically significant increases in sexual desire, arousal, and satisfying sexual events compared to placebo – leading to FDA approval as Vyleesi.
Who Uses PT-141?
PT-141 is used by men experiencing desire-related erectile dysfunction (where the physical mechanism works but desire/arousal is lacking), women with hypoactive sexual desire, couples looking to enhance intimacy, individuals on medications (SSRIs, antidepressants) that suppress libido as a side effect, and anyone experiencing age-related decline in sexual interest.
Obstet Gynecol, 2019. PubMed →
Ann N Y Acad Sci, 2003. PubMed →
Ther Adv Reprod Health, 2019. PubMed →
Clinical References
- Molinoff PB, Shadiack AM, Earle D, et al. PT-141: a melanocortin agonist for the treatment of sexual dysfunction. Ann N Y Acad Sci. 2003;994:96-102. PubMed 12851303
- Shadiack AM, Sharma SD, Earle DC, et al. Melanocortins in the treatment of male and female sexual dysfunction. Curr Top Med Chem. 2007;7(11):1137-1144. PubMed 17584134
- Dhillon S, Keam SJ. Bremelanotide: First Approval. Drugs. 2019;79(14):1599-1606. PubMed 31429064
- Pfaus JG, Sadiq A, Spana C, et al. The neurobiology of bremelanotide for the treatment of hypoactive sexual desire disorder in premenopausal women. CNS Spectr. 2022;27(3):281-289. PubMed 33455598
- Uckert S, Bannowsky A, Albrecht K, et al. Melanocortin receptor agonists in the treatment of male and female sexual dysfunctions: results from basic research and clinical studies. Expert Opin Investig Drugs. 2014;23(11):1477-1483. PubMed 25096243
- Diamond LE, Earle DC, Rosen RC, et al. Double-blind, placebo-controlled evaluation of the safety, pharmacokinetic properties and pharmacodynamic effects of intranasal PT-141, a melanocortin receptor agonist, in healthy males and patients with mild-to-moderate erectile dysfunction. Int J Impot Res. 2004;16(1):51-59. PubMed 14963471
- Kingsberg SA, Clayton AH, Portman D, et al. Bremelanotide for the Treatment of Hypoactive Sexual Desire Disorder: Two Randomized Phase 3 Trials. Obstet Gynecol. 2019;134(5):899-908. PubMed 31599840
- Simon JA, Kingsberg SA, Portman D, et al. Long-Term Safety and Efficacy of Bremelanotide for Hypoactive Sexual Desire Disorder. Obstet Gynecol. 2019;134(5):909-917. PubMed 31599847
- Clayton AH, Althof SE, Kingsberg S, et al. Bremelanotide for female sexual dysfunctions in premenopausal women: a randomized, placebo-controlled dose-finding trial. Womens Health (Lond). 2016;12(3):325-337. PubMed 27181790
- Rosen RC, Diamond LE, Earle DC, et al. Evaluation of the safety, pharmacokinetics and pharmacodynamic effects of subcutaneously administered PT-141, a melanocortin receptor agonist, in healthy male subjects and in patients with an inadequate response to Viagra. Int J Impot Res. 2004;16(2):135-142. PubMed 14999221
Product specifications
- Dosage
- 1mg – 2mg as needed
- Cycle
- As needed (not daily)
- Form
- 10mg lyophilised powder
- Purity
- ≥98%
- Molecular formula
- C₅₀H₆₈N₁₄O₁₀
- Storage
- 2–8°C refrigerated
- Certificate of Analysis
- View COA
Dosing guide
Category-Specific Dosing Guides
Unlike many other sexual health peptides, PT-141 is typically used on an as-needed basis rather than as part of a daily protocol. Published studies and clinical use have generally evaluated intermittent administration with adequate spacing between doses.
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1
Reconstitute
Add 2 ml of BAC water to the 10 mg vial to achieve a concentration of 5 mg/ml. At this concentration, 4 units on a U-100 insulin syringe corresponds to approximately 200 mcg, while 20 units corresponds to 1 mg. One vial typically provides 5-10 administrations, depending on the amount used per protocol.
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2
Dosing
Clinical studies and commonly reported protocols have evaluated doses ranging from 1-2 mg administered subcutaneously approximately 45-60 minutes before anticipated activity. Many protocols begin at 1 mg before considering higher amounts. Published guidance generally recommends not exceeding 2 mg within a 24-hour period.
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3
Frequency
This protocol is typically investigated as an intermittent protocol rather than a daily one. Common usage schedules involve no more than 2–3 administrations per week, with at least 24 hours between doses. Published reports describe activity lasting approximately 6–12 hours, with some observations extending beyond this range.
Nausea is among the most frequently reported adverse effects of Bremelanotide and was reported in approximately 40% of participants in clinical studies. Facial flushing has also been reported. As with any peptide protocol, the incidence and severity of side effects may vary between individuals and dosing regimens.
Shipping and returns
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Nearly twice the gain in sexual function as placebo
In a 12-week trial of 327 women, sexual function scores rose 3.6 points on PT-141, against 1.9 on placebo.
over 12 weeks
Distress about sex dropped 11.1 points
Women in the same 12-week trial also scored how much distress they felt about sex. It fell 11.1 points on PT-141 and 6.8 points on placebo. Satisfying sexual events rose by 0.7 a month, against 0.2.
Clayton et al., Women's Health, 2016More desire in two phase 3 trials
In the RECONNECT trials, women with low sexual desire used PT-141 as needed for 24 weeks. They reported more desire and less distress about low desire than women on placebo, in both trials.
Kingsberg et al., Obstetrics & Gynecology, 2019Gains held for a full year
684 women carried on with PT-141 for another 52 weeks. Those who used it from the start kept their gains in desire and distress scores. No new safety signals appeared.
Simon et al., Obstetrics & Gynecology, 2019Worked in men who did not respond well to Viagra
Men who got an erection good enough for sex half the time or less on 100 mg Viagra were given PT-141 injections. Both 4 mg and 6 mg doses gave a significant erectile response against placebo.
Rosen et al., International Journal of Impotence Research, 2004Sources: Clayton AH et al., Women's Health (London) 2016;12(3):325-37; Kingsberg SA et al., Obstetrics & Gynecology 2019;134(5):899-908; Simon JA et al., Obstetrics & Gynecology 2019;134(5):909-917; Rosen RC et al., International Journal of Impotence Research 2004;16(2):135-42
Rated 4.7 by verified buyers
This actually makes you want it, not just physically react. Felt the difference within a couple of hours. Much more natural than other options.
One of the few options that works for women. The neurological approach is different and it shows. Very satisfied with results.
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How to use PT-141
Ready in 4 steps, BAC water included. A complete visual guide to preparing, reconstituting, injecting, and storing your peptides safely. Follow each step in order.
Pre-filled for this product. Adjust values to match your protocol.
Frequently Asked Questions
Common questions answered
