Quick take
-
What it is: Femalegra is a sildenafil product (the active ingredient in Viagra).
-
Regulatory status: Products branded “Femalegra” or “female Kamagra” are not FDA-approved for sexual dysfunction. Quality and dosing consistency may vary by seller and country.
-
Evidence: Research on sildenafil for female sexual dysfunction is mixed and limited; it is not an approved treatment for low desire (HSDD) or general female sexual dysfunction.
-
Approved female options: In the U.S., flibanserin (daily) and bremelanotide (on-demand injection) are approved for HSDD in premenopausal women. Neither is an “instant arousal” pill.
What “Female Viagra” really means
Sildenafil is a PDE-5 inhibitor that enhances blood flow via the NO–cGMP pathway. In men, it helps erections with sexual stimulation. In women, small studies have explored sildenafil for genital arousal disorder, SSRI-related sexual dysfunction, and certain vascular causes, but results are inconsistent and often modest. It does not treat low desire and is not a universal solution for women.
If a clinician considers sildenafil for a woman, it is off-label and individualized. Do not self-medicate.
Who might be considered (clinician-supervised, off-label)
-
Carefully selected patients with genital arousal disorder where a vascular mechanism is suspected.
-
Some cases of antidepressant-associated sexual dysfunction after other strategies fail.
-
Patients without contraindications and with counseling on realistic expectations.
Who should not use sildenafil
Do not use if you:
-
Take nitrates (e.g., nitroglycerin) or riociguat
-
Have recent heart attack or stroke, unstable angina, severe hypotension, or uncontrolled hypertension
-
Have severe liver or kidney disease without specialist oversight
-
Have retinal disorders (e.g., retinitis pigmentosa) or prior NAION
-
Are pregnant or breastfeeding (safety not established)
-
Are allergic to sildenafil or excipients
Interactions to know
-
Contraindicated: Nitrates, riociguat
-
Use caution / dose adjust: Strong CYP3A4 inhibitors (ritonavir, ketoconazole, clarithromycin), alpha-blockers, some antihypertensives, SSRIs/SNRIs, antihistamines
-
Grapefruit can raise levels; avoid near dosing
-
Alcohol can worsen dizziness and sexual response
Possible side effects
Common: Headache, facial flushing, nasal congestion, indigestion, dizziness, visual tint/brightness change.
Serious—seek urgent care: Chest pain, severe dizziness/syncope, sudden vision or hearing loss, priapism (rare but any prolonged painful genital engorgement warrants care), allergic reaction, palpitations.
Safe-use checklist (if a clinician prescribes)
-
Confirm a cardiovascular risk screen and full medication review.
-
Use one PDE-5 inhibitor at a time; do not stack with tadalafil or vardenafil.
-
Avoid heavy/high-fat meals near dosing (may delay onset).
-
Limit alcohol.
-
Track outcomes and side effects; stop and report any concerning symptoms.
Better-supported alternatives for women
-
HSDD (low desire): Consider flibanserin or bremelanotide per labeling, plus psychotherapy or sex therapy when appropriate.
-
Arousal or pain issues: Evaluate hormonal status (e.g., vaginal estrogen for GSM), pelvic floor dysfunction, medication side effects, relationship and mental health factors.
-
SSRI sexual side effects: Discuss dose timing, drug switches, or add-on strategies with the prescriber.
Buying and safety (USA)
-
Use a licensed clinician and a state-licensed pharmacy.
-
Be cautious with unverified online sellers; counterfeit risk is high.
-
Verify lot, expiry, and tamper-evident packaging.
FAQs
Is Femalegra the same as Viagra?
It contains sildenafil, but “Femalegra” itself isn’t FDA-approved. Formulation quality can vary.
Does it boost desire?
No. Sildenafil may affect genital arousal, not desire. HSDD requires different approaches.
What dose should women use?
Dosing for women is off-label and must be set by a clinician after assessing risks, meds, and goals. Do not self-dose at “100 mg.”
How long until it works?
When used, sildenafil typically acts in 30–60 minutes, but response in women is variable and not guaranteed.