Female sexual function is multifactorial β hormones, stress, relationship, and vascular health all play roles. Supplements have modest evidence for enhancing libido, particularly in peri- and post-menopausal women.
- Maca root (1.5β3 g/day): Multiple small RCTs show libido improvement in pre- and post-menopausal women. Non-hormonal mechanism.
- Tribulus terrestris (500β750 mg/day): Better-evidenced in women than men. A 2014 RCT showed meaningful improvement in arousal and desire in menopausal women.
- L-Arginine + Yohimbine combination: Enhances vascular response and arousal.
- Fenugreek (600 mg Testofen/day): Some evidence for libido in both men and women through modulation of sex hormone binding globulin.
- Ashwagandha (600 mg KSM-66/day): Reduces stress-related libido suppression.
- Products spiked with unlisted pharmaceuticals (common in this category)
- Yohimbine at high doses without cardiovascular screening
- Proprietary "female enhancement" blends with hidden doses
- Claims of "instant" effects without medication-like mechanisms
Third-party purity testing (particularly important given adulteration), standardized extracts, clinical-trial-matching doses, and evidence quality. Products targeting multiple pathways (hormonal + vascular + stress) score higher when transparently dosed.