Arginine HCl 6%
Nitric-oxide donor
A precursor to nitric oxide, which dilates blood vessels. Increased blood flow to vulvar and clitoral tissue is the foundation of arousal physiology.
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RxPrescription Included
Her Arousal Rx Cream
A prescription topical for female libido, arousal, and sensitivity — three vasoactive actives that target arousal physiology directly.
$89/ 30-day supply
Arginine increases blood flow, Papaverine relaxes smooth muscle, Alprostadil enhances vasodilation and sensitivity. Together they address the underlying physiology of female arousal.
Important Safety Information⚕️
Consultation Included
This is a prescription-strength product. Your order includes a free medical consultation with one of our licensed providers.
How it works:
- • Complete your online health intake after checkout.
- • A provider will review your information within 24-48 hours.
- • If approved, your prescription is sent to our pharmacy for discreet shipping.
If our providers determine this treatment isn't appropriate for you, your card authorization is released — you're never charged.
🔒 HIPAA Secure
🧪 Compounded in USA
📋 No Charge until approved
Heightened Sensitivity✦Restored Arousal✦Increased Confidence✦Renewed Intimacy✦Heightened Sensitivity✦Restored Arousal✦Increased Confidence✦Renewed Intimacy✦Heightened Sensitivity✦Restored Arousal✦Increased Confidence✦Renewed Intimacy✦
Heightened Sensitivity✦Restored Arousal✦Increased Confidence✦Renewed Intimacy✦Heightened Sensitivity✦Restored Arousal✦Increased Confidence✦Renewed Intimacy✦Heightened Sensitivity✦Restored Arousal✦Increased Confidence✦Renewed Intimacy✦
Proven Ingredients
Why our formula works
Three vasoactive actives, each addressing one of the three physiological pathways that drive female arousal. Compounded in a topical cream for direct, localized application.
Papaverine HCl 5%
Smooth-muscle relaxant
A long-established vasodilator that relaxes smooth muscle in vascular and erectile tissue. Enhances local engorgement when applied topically.
Alprostadil 0.2%
Prostaglandin E1
Originally developed for male erectile dysfunction; topical Alprostadil increases vulvar/clitoral blood flow and sensitivity in women.
“
Female arousal is physiology, not willpower. Topical actives target the physiology directly — and the clinical data is solid.
Dr. Annie Ressalam, MD
Internist · Medical Director, HerTeleMeds
The science
How female arousal works
Arousal isn't emotional alone — it's a vascular and neural process. Three things happen when the physiology is supported.
↑ Blood flow
Vasocongestion
Increased circulation to clitoral and vulvar tissue is the first step of arousal. Hormonal shifts at perimenopause can blunt this response.
Smooth muscle
Tissue relaxation
Smooth muscle in vascular and erectile tissue must relax for engorgement. Papaverine has been used clinically for this since the 1970s.
Nerve response
Heightened sensitivity
Local prostaglandin signaling sensitizes nerve endings. Alprostadil enhances this pathway when applied topically.
Trusted by thousands
Real women seeing real results
After my hormones shifted in my 40s, intimacy felt different. This brought a real, physical response back.
— HTM Patient, CA
My skin felt like a stranger's after menopause. Her Arousal brought it back home.
— HTM Patient, TX
Discreet shipping, clear instructions, and it actually works. The whole experience was professional.
— HTM Patient, FL
Personalize your treatment
Top 3 concerns by age
Hair thinning has different drivers at different life stages. Here's how HairMax addresses the most common concerns at each.
Postpartum changes
Arousal and sensation shifts after childbirth. Topical vasodilation supports the return to baseline blood flow and sensitivity.
Stress & libido
Cortisol blunts the arousal response. Topical actives bypass the hormonal feedback loop and act directly on tissue.
Birth-control side effects
Some hormonal contraceptives reduce circulating testosterone and arousal. Topical Rx provides an option without changing your contraceptive plan.
The mechanism
Three pathways, one cream
Each active addresses a distinct physiological step in the arousal response. Together, they cover the full pathway.
I
Increase blood flow
Arginine HCl drives nitric-oxide-mediated vasodilation, increasing circulation to clitoral and vulvar tissue.
II
Relax smooth muscle
Papaverine HCl relaxes vascular smooth muscle in erectile and surrounding tissue, allowing engorgement.
III
Enhance nerve sensitivity
Alprostadil sensitizes nerve endings via prostaglandin E1, restoring physical sensation locally.
Eligibility
Is Her Arousal right for you?
Her Arousal Rx contains three vasoactive actives. Most adults can use it safely — but cardiovascular conditions and certain medications require a conversation with your provider before starting.
Good fit if you are
- • For external topical use only on vulvar/clitoral tissue. Valid prescription required.
- • Contraindicated for patients with unstable cardiovascular disease, recent heart attack, recent stroke, or active angina.
- • Do not use with nitrate medications, alpha-blockers, or other vasodilators without provider clearance.
- • Avoid use during pregnancy or breastfeeding (limited topical safety data).
- • Topical Alprostadil can transfer to a partner — use a barrier method or wash before contact if partner has cardiovascular concerns.
- • Avoid contact with eyes, mouth, or open skin. Wash hands before and after application.
- • Discontinue and contact your provider if persistent burning, severe redness, prolonged tissue swelling, or systemic symptoms occur.
Talk to your provider before starting if
- !You have a history of unstable cardiovascular disease, recent heart attack, or recent stroke.
- !You are pregnant, breastfeeding, or trying to conceive (limited topical safety data).
- !You take nitrates or other vasodilator medications (potential hypotension risk).
- !You have priapism risk factors, sickle-cell disease, or bleeding disorders.
Dr. Ressalam reviews these factors during the intake — Her Arousal is only prescribed when it's appropriate. If declined, your card authorization is released and you are never charged.
Pricing
Compare to traditional treatment
Her Arousal Rx bundles compounded Arginine HCl + Papaverine HCl + Alprostadil, a physician visit, and discreet shipping into one monthly cost.
Her Arousal Rx
Traditional regimen
Monthly cost
$89 / mo
Flibanserin (Addyi) ~$99/mo + visit
Dermatologist visit
Included
$150–$300 separate
Treatment route
Topical cream
Daily oral pill
Shipping
Free, discreet
Pharmacy pickup
Provider follow-up
Anytime
Per appointment
Comparison reflects branded oral flibanserin (Addyi) at typical 2026 retail. Topical compounded prescriptions like Her Arousal Rx are dosed locally and avoid the systemic side-effect profile of oral options.
How it works
Get started without a visit
Skip the waiting room. Share your sexual-wellness goals and medical history privately, get evaluated by Dr. Ressalam, and — if appropriate — your prescription ships discreetly.
- 1Answer a few questions about your health
- 2Dr. Ressalam reviews your submission
- 3Get approved (usually within 24 hours)
- 4Your prescription ships straight to you
- 5Stay supported with clinician guidance anytime
Application protocol
How to apply Her Arousal Rx
Apply 15–30 minutes before intimacy, or as your provider directs. The cream begins working within 10–20 minutes and effects last approximately 60–90 minutes.
- 01
Wash hands thoroughly
Both you and any partner should wash hands before application. Topical Alprostadil can transfer if not contained.
- 02
Apply pea-sized amount
Apply a pea-sized amount to the clitoral and vulvar area. A thin layer is sufficient — more does not increase effect.
- 03
Massage gently
Gently massage into the tissue for 30–60 seconds. Allow 10–20 minutes for absorption before activity.
- 04
Avoid transfer
Do not allow the cream to come into contact with sensitive eye, mouth, or open-skin tissue. Use a barrier method if appropriate.
- 05
Limit to as directed
Do not exceed your provider's prescribed frequency (typically up to once daily). Wash applicator finger or wear a finger cot.
When to apply
Apply 15–30 minutes before anticipated intimacy. Effects build within 10–20 minutes and last 60–90 minutes.
Mild warmth normal
A brief warm or tingling sensation after application is expected — that's the vasodilation working. Sharp burning is not normal; stop and contact your provider.
Effect, not cure
Her Arousal Rx works each time you apply it. It does not change your baseline physiology — apply when you want the effect.
Layering with actives
Avoid Vitamin C serums or chemical exfoliants on the same nights. Discuss layering with your provider.
What to expect
Your results timeline
10–20 min
Onset
Vasodilation begins. Most patients feel a subtle warmth and increased sensitivity at the application area.
30–45 min
Peak
Maximum vascular and neural response. Optimal window for intimacy.
60–90 min
Sustained
Effects gradually decline. Some patients report continued sensitivity past the peak window.
2–4 hours
Return to baseline
Vasoactive effects subside. No residual systemic effect. Reapply as directed for next session.
Long term
No tolerance
Her Arousal Rx works each time without building tolerance. Many patients use it ongoing for years.
Timing reflects average response from clinical literature on topical vasoactive compounds. Individual results vary based on baseline cardiovascular health, age, and underlying causes of arousal concerns.
Your questions
Frequently asked
How quickly does Her Arousal Rx work?
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Most patients feel onset within 10–20 minutes of application, with peak effect at 30–45 minutes and sustained activity for 60–90 minutes. Apply 15–30 minutes before intended intimacy.
Will my partner be affected by transfer?
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Topical Alprostadil can transfer through skin contact. If your partner has cardiovascular conditions or takes nitrates, use a barrier method or wash the application area before contact.
Is this safe to use with my heart medication?
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Not in all cases. Nitrates, certain blood-pressure medications, and recent cardiac events are contraindications. Tell Dr. Ressalam your full medication list during intake — she will review carefully before prescribing.
Can I use this if I'm on hormonal birth control or HRT?
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Yes — Her Arousal Rx is non-hormonal and works locally on tissue. It does not interact with systemic hormones and can be used alongside contraceptives or HRT.
Will I build tolerance over time?
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No. The actives in Her Arousal Rx work pharmacologically each time you apply them. There's no tolerance buildup the way there can be with some oral medications.
How is this different from Addyi (flibanserin)?
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Addyi is a daily oral pill that affects neurotransmitters and works on desire. Her Arousal Rx is a topical applied before intimacy that works on local blood flow, smooth muscle, and sensitivity. Different mechanism, different use case.
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Formulas designed for you
Important Safety Information
- • For external facial use only. Valid prescription required.
- • Daily broad-spectrum SPF 30+ is required throughout treatment.
- • Avoid contact with eyes, lips, and mucous membranes. Wash hands thoroughly after application.
- • Discontinue and contact your provider if excessive redness, blistering, or rash occurs.
- • Do not exceed 6 months of continuous use without provider reassessment.
Report negative side effects of prescription drugs to the FDA at www.fda.gov/medwatch or 1-800-FDA-1088.