All peptides
Sexual healthStrong

PT-141

Bremelanotide · Vyleesi

An FDA-approved melanocortin agonist for hypoactive sexual desire disorder that works through the central nervous system rather than the vascular system.

How it works

Selectively activates MC4R in the hypothalamus, increasing dopaminergic signalling in the medial preoptic area — driving desire itself rather than blood flow, unlike PDE5 inhibitors.

Structure: Cyclic heptapeptide, Melanotan II metabolite

Reported benefits

  • Increased sexual desire in both sexes
  • Works independently of vascular function
  • Effective as an on-demand dose

Practical considerations

  • Raises blood pressure transiently — avoid with uncontrolled hypertension
  • Nausea is common at higher doses
  • Label limits use to eight doses per month

Side effects and risks

  • Nausea and vomiting
  • Flushing
  • Headache
  • Transient blood-pressure increase

Dosing overview

1.75 mg as needed, maximum one dose per 24 hours

This describes doses reported in published literature and community protocols. It is not a recommendation, and it is not a substitute for clinical supervision.

Research references

  • Kingsberg et al., 2019 — RECONNECT trials of bremelanotide