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Reduced arousal and lubrication are among the most commonly reported women's health concerns, and among the least often treated. OH! connects you with a licensed clinician who reviews your health history and, if appropriate, prescribes a topical treatment. Delivered in unmarked packaging.
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Physical arousal depends on genital blood flow, nerve response, and tissue sensitivity. All three are affected by hormonal change, common medications, circulation, and sleep. When they decline, the physical response declines with them, regardless of how you feel about your partner or yourself.
the likelihood of desire and arousal difficulty in early perimenopause versus premenopause.
Monash University midlife study ↗report reduced lubrication, among the most common menopause-related symptoms.
Menopause symptom prevalence (NIH PMC) ↗About these figures. Each number describes how common these experiences are among women generally, drawn from peer-reviewed research and established medical references and linked to its source above. None describes what any treatment does, and none is a claim about outcomes from OH! Prevalence estimates vary between studies depending on population and definition. Further reading: StatPearls, Female Sexual Interest & Arousal Disorder · Boston University, Epidemiology of FSD.
Roughly half of women in midlife report a problem.
Most never bring it up. Most doctors never ask.
Monash University midlife study · Sarin et al., PLOS ONE · Boston University School of Public Health
Compounding pharmacies have prepared topical treatments for arousal difficulty for years, and clinicians have prescribed them off-label. There is peer-reviewed literature on them. What there has never been is a company willing to talk about it plainly.
Because it travelled by word of mouth. If your gynecologist happened to know, you could get it. If not, you were told to have a glass of wine and relax. Formulations vary widely between pharmacies, and essentially no one has marketed the category or explained it.
We're not inventing it. We're talking about it and treating it like the medical option it always was: we are designing our formula with ingredients we wish were in every formulation. We are offering two strengths of sildenafil, the active ingredient in Viagra, because we know some women will need a little extra oomph. We're working with specialized compounding pharmacies and clinicians who care. No wink, wink, nudge, nudge.
Compounded topical preparations for female sexual arousal disorder are prepared by licensed compounding pharmacies under Section 503A and prescribed off-label. They are not FDA approved, formulations differ between pharmacies, and the evidence base varies by ingredient. See the scoping review in The Journal of Sexual Medicine.
Two strengths. One formula. Applied where it counts.
(The active ingredient in Viagra®)
(Keeps blood vessels open)
(Fuels nitric oxide for blood flow)
(Moisture for glide)
(Supports serotonin for libido)
(Supports sensitive skin)
(A cool tingle on contact)
What's not in it: testosterone, aminophylline, or anything that needs extra bloodwork.
Original contains 3% sildenafil. Extra Strength contains 5%. Viagra is a registered trademark of Viatris Inc. OH! is not affiliated with or endorsed by Viatris. Compounded medications are not FDA approved, and the FDA has not evaluated this formulation for safety, effectiveness, or quality. Individual results vary.
A prescription compounded arousal cream, delivered every 1, 2 or 3 months.
Where most women start.
15 packets per box.
Plus a yearly clinician visit: $25 online, or $35 if your state requires video.
Try OH!Prescription required. A licensed clinician reviews your intake and confirms the strength that's right for you. Recurring charge each time a box ships, cancel anytime. Compounded medications are not FDA approved.
A prescription topical cream for women, applied externally 15 to 30 minutes before sex. It combines sildenafil, the same active ingredient as Viagra, with supporting ingredients that work on local blood flow and sensation.
It's compounded: a state-licensed pharmacy prepares it against a prescription written for you. Compounded medications are not FDA approved, and the FDA has not evaluated this formulation for safety, effectiveness, or quality.
Same formula. Different sildenafil concentration. Original is 3%. Extra Strength is 5%. Everything else in the packet is identical.
Every monthly fill is 15 single-use packets. One packet is one use, and nothing ships without a prescription.
Do not use OH! if you take nitrates (such as nitroglycerin, for chest pain) or riociguat. Combining them with sildenafil can cause a dangerous drop in blood pressure.
Tell your clinician about every medication you take, especially blood pressure medications, alpha blockers, and other PDE5 inhibitors, and if you are pregnant, breastfeeding, or have a history of heart disease, low blood pressure, or stroke. Your intake covers all of this.
For external use only. Stop using it and contact your clinician if you have irritation, burning that doesn't fade, dizziness, or any reaction that worries you. In an emergency, call 911.
A private online questionnaire covering your symptoms, health history, and current medications. A few minutes, and often no video call at all, though some states require a short live consult before a first prescription. We'll schedule a call if your state requires it.
A licensed clinician reviews your intake and determines whether treatment is appropriate, or tells you honestly if it isn't, and what else to consider.
An unmarked box with no branding and no product name on the label. Refills monthly, with ongoing clinician messaging included.
Health information is sensitive, and this category more than most. Every touchpoint is built for privacy.
Be first in line for clinician review when we launch this fall.