For the primary time, the FDA has expanded approval of Addyi (flibanserin) to girls over 50, together with those that are postmenopausal, marking a serious breakthrough in girls’s sexual well being. This transfer comes after years of debate, analysis, and advocacy, lastly giving older girls a medical possibility for persistent low sexual want that causes misery—a situation often called Hypoactive Sexual Need Dysfunction (HSDD).
What Is the Addyi Tablet, and Who Is It For?
Addyi is a prescription treatment designed to deal with HSDD in premenopausal and now postmenopausal girls. Alyssa Dweck, MS MD, Chief Medical Officer of Bonafide Well being, explains, “By definition, HSDD suggests a persistent lack of sexual want that causes misery and isn’t as a result of different identifiable causes”. The brand new 2025 FDA approval extends this therapy to girls over 50, a gaggle that usually faces vital challenges with sexual want as a result of hormonal adjustments and menopause.
Why Menopausal Ladies Might Profit Most
Menopause brings dramatic shifts in hormone ranges, usually resulting in a drop in libido and sexual satisfaction. For a lot of girls, these adjustments can have an effect on relationships and vanity. Addyi affords a pharmacological resolution for these whose low want is just not attributable to relationship points, medical situations, or drugs. “For a lot of girls, their libido is tied to their id, psychological well being, and relationship wellbeing,” says Uma Darji, MD, who practices household medication. Scientific trials present that ladies over 50 who took Addyi reported modest however significant enhancements in sexual want and satisfaction, notably when mixed with counseling or way of life adjustments.
How the Addyi Tablet Works and How It Differs from Viagra
Not like Viagra, which works by rising blood circulate to the penis, Addyi targets the mind. It acts on neurotransmitters like dopamine, serotonin, and norepinephrine, which regulate temper and sexual want. Whereas Viagra is taken as wanted earlier than intercourse, Addyi is taken every day, with results constructing step by step over a number of weeks. This distinction is essential: Addyi addresses the psychological and emotional points of sexual want, not simply the bodily.
What Can the Addyi Tablet Do?
Addyi is just not a “magic bullet,” however research point out it might assist girls with HSDD expertise extra frequent sexual want and satisfaction. In medical trials, girls who took Addyi reported about 1–2 extra satisfying sexual occasions per 30 days in comparison with placebo. “Through the years, I’ve had a couple of events to prescribe Addyi and did see some response,” says Janette Grey, MD, inner medication doctor and writer of The Reality about Intercourse Hormones. Whereas outcomes fluctuate, many customers say the tablet helps them really feel extra linked to their companions and extra assured of their sexual id.
Ladies’s Early Evaluations of the Addyi Tablet
Early consumer opinions are blended however usually optimistic. One 43-year-old consumer, posting on Reddit, shared, “I’ve been on Addyi for a number of months. At first, it was only a actually good sleeping tablet. After constant use—a couple of month—I began craving intercourse. In the course of the day, night time, each time. I now have intense [orgasms] each single time. I would like intercourse extra.” Many ladies report that it takes time to work—often round two months—however as soon as it does, they discover enhancements in want and intimacy. “It’s been gradual however regular for me,” one reviewer mentioned. “I really feel extra linked, much less annoyed with myself. Big reduction!”.
Addyi Tablet Facet Results to Watch For
Like every treatment, Addyi comes with potential negative effects. The most typical embrace drowsiness, fatigue, nausea, dizziness, and low blood strain. In uncommon circumstances, it might trigger fainting, particularly when mixed with alcohol or sure drugs. The FDA requires a Threat Analysis and Mitigation Technique (REMS) for Addyi, which means sufferers should be educated about these dangers earlier than beginning therapy.
Is Addyi Lined by Insurance coverage?
Protection for Addyi varies by plan. Many Medicare Half D plans and personal insurers cowl it, however sufferers might face copays or deductibles. As of 2025, the typical month-to-month value for Addyi is round $47 with insurance coverage, however costs can fluctuate. Sufferers ought to verify with their supplier for particular particulars.
Why It Took So Lengthy to Get ‘Feminine Viagra’ Accredited
Addyi’s journey to approval was lengthy and controversial. The FDA rejected it twice earlier than lastly approving it in 2015 for premenopausal girls, citing modest effectiveness and security issues. The enlargement to postmenopausal girls in 2025 displays rising recognition of girls’s sexual well being wants and advances in analysis. Advocacy teams like Even the Rating performed a key function in pushing for approval, framing the shortage of choices as a girls’s rights difficulty.
Why the First Ladies’s Libido Tablet Is So Historic
The approval of Addyi for girls over 50 is historic as a result of it acknowledges that sexual well being is a crucial side of total well-being, particularly for older girls. For many years, most analysis and coverings targeted on males, leaving girls with few choices. Addyi’s approval alerts a shift towards larger equality in sexual well being care.
Different Methods to Deal with Low Libido
Whereas Addyi is a brand new possibility, it’s not the one one. Life-style adjustments, counseling, hormone remedy, and relationship assist may assist. Some girls discover that train, stress discount, and open communication with their companions make an enormous distinction. Others profit from testosterone remedy or different drugs, relying on their particular wants.
The Backside Line on ‘Pink Viagra’
Addyi represents a big step ahead for girls’s sexual well being, particularly for these over 50. Whereas it’s not a miracle remedy, it affords hope and reduction for a lot of girls battling low want. As with every treatment, it’s vital to weigh the advantages and dangers and work intently with a healthcare supplier. For ladies in search of a lift in sexual want, Addyi is now a viable possibility—and a logo of progress in girls’s well being.
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