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For example, a 2014 study found that 7.5mg daily for four weeks increased desire, arousal, lubrication, satisfaction, and pain.84 However, a 2020 systematic review explains that, while the data appears positive for FSD, “the certainty of the evidence was very low” and more research is needed.85 But a more recent, unrelated 2021 review investigating T. terrestris for the female reproductive system found that the plant’s positive effects are due to its saponin content (a bitter-tasting compound found in many plants).86 And Drive For Her’s T.
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However, Cake’s prescription is more expensive than Wisp’s for fewer applications. But, unlike Wisp, Cake does offer an extra strength option containing 3% sildenafil, though that’s even pricier. At this time, we’d only recommend opting for Cake’s O-Cream Rx for Her if you’ve tried a 1% sildenafil topical, found it wasn’t strong enough for your needs, and would like to try the 3% sildenafil extra strength variety. That said, let’s examine the ingredients in Libido Lift Rx and Drive For Her. Libido Lift Rx has a fairly small list of ingredients, containing only L-citrulline, oxytocin, and tadalafil. terrestris content is standardized to 45% saponins, which is promising.
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Let’s cover how this prescription’s inclusions work. The research on tadalafil for women is pretty sparse, but the results that exist are promising. As noted in a 2017 review on phosphodiesterase type 5 (PDE5) inhibitors for FSD in older women,70 research has mainly focused on tadalafil for women with FSD due to antidepressants or diabetes.71 72 Both studies (using 5-20mg tadalafil) led to positive outcomes — all patients experienced improvement — but were limited by small sample sizes and lack of placebo control. As researchers continue to investigate the effects of PDE5 inhibitors in women, we’ll update this guide accordingly. Since L-citrulline gets converted in the body to L-arginine and nitric oxide, supplementing with this amino acid may lead to increased nitric oxide production.10 There really isn’t any research on oral L-citrulline supplementation alone for female sexual dysfunction or libido support, but some research on men found that 1,500mg could help treat mild to moderate erectile dysfunction.20 However, that’s nearly eight times the amount in Libido Lift Rx. This ingredient isn’t added for sexual health; rather, it’s included to potentially improve the bioavailability of the other herbal ingredients. The piperine content in black pepper has been found to increase the bioavailability of various substances by 30-200%. However, it’s currently unknown how well it works on all ingredients, and the effect may be inconsistent on some.87 As with most supplements and medications, there are some safety risks to keep in mind.
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In a 2007 overview of guarana’s history and prospects, researchers state that this plant “has been distorted by market forces into an aphrodisiac and energy booster.”78 This is supported by the findings of a few small studies. A 2009 study gave breast cancer patients 75mg daily for 28 days and found that there were no effects on radiation-induced fatigue or depression.79 And an older study that gave 45 elderly volunteers 1g of guarana found no significant sleep quality, cognitive, or sexual improvements.80 While there isn’t much research on caffeine for female sexual health, the results of a 2023 study showed that, compared to a placebo, acute administration of 300mg of caffeine (around six times the amount in this supplement) increased genital arousal in women experiencing sexual dysfunction due to antidepressants.81 There are a few positive studies that suggest saffron supplementation may be beneficial for sexual dysfunction. A 2022 placebo-controlled study on married women suffering from severe sexual dysfunction found that 15mg of saffron twice daily (30mg total) resulted in a 62% score improvement from baseline after six weeks. Improvements from saffron over placebo were particularly strong in desire, lubrication, and satisfaction.82 A similar 2012 study on saffron for antidepressant-induced sexual dysfunction gave 38 women either 30mg of saffron or placebo daily for four weeks. In the end, the saffron group experienced “significantly more improvement” in arousal, lubrication, and pain, but not in desire, satisfaction, or orgasm.83 A couple of studies suggest Tribulus terrestris extract may be a potentially effective treatment for sexual dysfunction in women. For Libido Lift Rx and Drive For Her, they include: Both products (and O-Cream Rx) are unsafe for individuals who are pregnant or nursing. Tadalafil can lead to headaches, indigestion, back pain, nasal congestion, hypotension, skin flushing, limb pain, nausea, dizziness, vision changes, hearing loss, and rashes.64 Tadalafil may interact with alcohol, alpha-blockers, antihypertensives, and other medications.64 Fenugreek (Libifem) may be unsafe for those with thyroid or hormone-sensitive concerns.88 89 Reishi may interact with medications for diabetes, blood pressure, and blood clotting.90 Saffron shouldn’t be taken by those with diabetes, hypoglycemia, low blood pressure, or bipolar disorder. It may also interact with sedatives, antidepressants, and more.91 Of course, the list above isn’t comprehensive, so you should always speak with your doctor before adding a new supplement or prescription to your routine.
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But, to be fair, the L-citrulline in this prescription appears to play more of a supporting role than a main one. There’s very little research on oxytocin as a treatment for sexual dysfunction. One small study from 2015 found that long-term (eight weeks) intranasal oxytocin (32UI) self-administered by women 50 minutes before sexual intercourse improved both sexual function and symptoms of depression.68 And a 2023 study in men receiving testosterone treatment for erectile dysfunction found that oxytocin troches (50-100UI) may be a helpful adjunctive treatment, with 56% of patients (14 out of 26) considered responders to the intervention.69 In contrast to the short ingredient list of Libido Lift Rx, Drive For Her contains seven herbal ingredients and one amino acid. Here’s how their potential benefits for female sexual health break down. A 2015 study evaluated how Libifem affected sex hormones and sexual function in 80 healthy, menstruating women with self-reported low libido. It’s worth mentioning that Cake Meds For Her can’t be shipped to Alabama, California, South Carolina, Guam, or Puerto Rico due to restrictions.
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Participants in the treatment group (600mg per day for eight weeks) experienced a “significant increase” in free testosterone and estradiol, as well as sexual arousal and desire versus the placebo group.73 Other, unrelated research on fenugreek extract found similar results. A 2021 study gave 48 healthy, menstruating women either 250mg of fenugreek extract twice a day or a placebo. Those who took the extract had fewer sexual problems and reduced irritability, along with increased estradiol, free testosterone, and total testosterone.74 The evidence on reishi mushrooms for female sexual dysfunction or libido support is pretty slim, with only a couple of animal studies available at this time. In a 2018 study, male Wistar rats were either given one of two reishi extracts (150mg/kg and 300mg/kg) or one of two placebos (sildenafil and distilled water) to evaluate the mushroom’s aphrodisiac potential. Results showed that the lower dose of 150mg/kg was more effective, but, in general, the reishi extract increased the rats’ interest in females and led to increased mounting behavior and mating performance.75 A similar male rat study from 2022 found that reishi mushroom polysaccharides may be able to treat diabetes mellitus-induced erectile dysfunction (DMED), in part by enhancing “the mRNA expression of” nitric oxide synthase (the enzyme that turns L-arginine to L-citrulline and nitric oxide).76 77 This ingredient has the least amount of scientific support. This means that those territories can’t get Libido Lift Rx or O-Cream Rx, but they can still get the Drive For Her supplement. In contrast, Wisp is able to prescribe medications in all 50 U.S. states, so you can get OMG! Cream no matter where you are in the country. The chart below breaks down the pricing details for Libido Lift Rx, Drive For Her, and O-Cream Rx (regular and extra strength). As you can see, Cake’s prescription products can’t be purchased on a one-time basis. This means that you’ll have to sign up for a recurring subscription if you’re interested in either of those. Drive For Her, on the other hand, can be purchased either way, and it’s covered under the company’s 30-day satisfaction guarantee.
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If you’re suffering from a form of female sexual dysfunction, like hypoactive sexual desire disorder (HSDD), Libido Lift Rx will not get to the root of the problem. According to experts, HSDD appears to be caused by an imbalance of certain neurotransmitters and hormones in the brain, which the ingredients in Libido Lift Rx won’t affect.18 Pivoting to the supplement, Hello Cake Drive For Her (previously called “Sex Drive For Her”) is a blend of various herbal ingredients and L-arginine intended to increase sexual desire. While there is some supportive research behind most of this supplement’s ingredients, the evidence isn’t quite as strong as it is for VitaFLUX’s nitric-oxide-boosting amino acids. But, if you can’t take a supplement with such a heavy focus on increasing nitric oxide — or if you simply prefer the idea of an herbal supplement and its potential benefits — then Drive For Her is an option worth considering. (As a side note, Drive For Her only requires you to take two capsules daily instead of VitaFLUX’s six.) In addition to Libido Lift Rx and the Drive For Her supplement, it’s worth mentioning that Cake also offers a topical arousal product similar to Wisp’s OMG Cream called “O-Cream Rx for Her.” Both creams include the same 1% concentration of sildenafil (the generic form of Viagra).
