Sexual HealthFDA ApprovedS

PT-141

Bremelanotide / Vyleesi

PT-141 (bremelanotide, brand: Vyleesi) is FDA-approved for hypoactive sexual desire disorder (HSDD) in premenopausal women. Unlike PDE5 inhibitors, PT-141 acts centrally on melanocortin receptors in the CNS to increase sexual desire and arousal rather than acting peripherally on blood flow. Administered as a subcutaneous autoinjector 45 minutes before anticipated sexual activity. Banned from 503A compounding pharmacies.

Observational report only — live community data. Not medical advice. Does not recommend doses, protocols, or treatments.
Studies cited
7
Research grade
S
Experience
15

Overall check-ins

Activity
63

Trackers & reports

Overview

About PT-141

PT-141 (bremelanotide, brand: Vyleesi) is FDA-approved for hypoactive sexual desire disorder (HSDD) in premenopausal women. Unlike PDE5 inhibitors, PT-141 acts centrally on melanocortin receptors in the CNS to increase sexual desire and arousal rather than acting peripherally on blood flow. Administered as a subcutaneous autoinjector 45 minutes before anticipated sexual activity. Banned from 503A compounding pharmacies.

Category
Sexual Health
Regulatory status
FDA Approved
Also known as
Bremelanotide / Vyleesi
Self-reports
29

Community

What 29 users report

29 community reports

Overall experience

From check-in ratings — separate from side effects logged below. Side effects are logged separately from overall experience. A favorable check-in can still include nausea, fatigue, or injection-site reactions.

Favorable 4% · Mixed 3% · Unfavorable overall 93%

Most reported benefits

Benefits users selected when logging a favorable or mixed check-in.

Libido
115
Mood
2

Most logged side effects

Side effects are logged separately from overall experience. A favorable check-in can still include nausea, fatigue, or injection-site reactions.

Nausea
38
Headache
37
Injection site irritation
35

Self-reported dose per injection

Median bucket: 2–3 mg · Most common: 2–3 mg

Reports span 0.1 to ≥ 5 mg (open-ended top bucket)

0.1–0.2 mg
1
0.2–0.4 mg
2
0.4–0.6 mg
9
0.6–1 mg
3
1–2 mg
9
2–3 mg
90
5+ mg
1

Anonymized self-reports from PeptIQ users — not prescribing guidance. Buckets group similar logged amounts; open-ended top buckets mean “at least” that dose.

How repeat users are trending

Among repeat reporters, 87% said they felt similar to their last entry, 13% more positive, and 0% more negative.

Overall, repeat reporters leaned more positive than their previous entry.

Median gap between entries: 100 days · Based on 23 repeat reporters

Research

Cited research (5)

FDA Drug Label

VYLEESI (bremelanotide injection) for subcutaneous use - Prescribing Information

AMAG, 2019

Source
Wiki study page →

PubMed

Hypoactive Sexual Desire Disorder in Women: Physiology, Assessment, Diagnosis, and Treatment

Pettigrew et al., 2021

Source
Wiki study page →

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Frequently asked

What do PeptIQ users report about PT-141?

This page summarizes 29 anonymized self-reports from PeptIQ users who track PT-141, including commonly reported effects and co-tracked peptides. These are observational patterns, not clinical outcomes.

How do side effects relate to overall experience for PT-141?

PeptIQ separates overall check-in ratings (favorable, mixed, or unfavorable) from logged side effects like nausea or fatigue. Users often report benefits and side effects in the same check-in — a high experience score does not mean zero side effects were noted.

What research is cited for PT-141?

5 sources are linked on this page, including PubMed articles, clinical trial registries, and FDA labels where applicable. Citations describe published research — not recommendations.

Is PT-141 safe to use?

This wiki does not assess safety or recommend use. PT-141 is listed as FDA Approved. Consult a licensed clinician for personal medical decisions.

What are the purported benefits and uses of PT-141?

This wiki summarizes observational community reports and linked citations for PT-141. It does not assert therapeutic benefits. See the cited research list on this page and the educational profile for PT-141 for study-level context — not medical advice.

What is the legal status of PT-141?

PT-141 is listed in PeptIQ as FDA Approved. Regulatory status varies by jurisdiction and can change. This wiki does not provide legal advice; check current FDA and local rules and talk with a licensed clinician or counsel for personal decisions.

What are the known or theoretical side effects and risks of PT-141?

Safety data quality for PT-141 varies widely by compound and study design. PeptIQ does not establish a risk profile here. Review primary literature, product labeling where applicable, and clinician guidance. Community self-reports are not a substitute for clinical evidence.

What is the current state of research on PT-141?

This page links 5 indexed sources for PT-141. Evidence maturity differs by application — some peptides have large human programs, others are mostly preclinical. Treat citation counts as literature volume, not proof of efficacy.