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Female sexual dysfunction is common, but it is often overlooked or misunderstood.
Many people assume there is a direct equivalent to Viagra for women, but the reality is more complex.
While Viagra is highly effective for treating erectile dysfunction in men, it does not work the same way in women, and no licensed UK medication offers an identical effect.
Female sexual dysfunction involves a range of physical, hormonal, and psychological factors, and treatment options must be approached differently.
The points below explain why Viagra is not suitable for women and what alternatives may exist.
Viagra is not licensed or recommended for women in the UK.
It was developed specifically to treat erectile dysfunction in men by increasing blood flow to the penis.
Studies looking at its use in women have shown mixed and mostly disappointing results, with no consistent improvement in sexual desire, arousal, or satisfaction.
Because of this lack of proven benefit, and the potential for side effects, healthcare professionals do not prescribe Viagra for women.
In short, no, Viagra does not work for women in the same way it works for men.
Female sexual dysfunction is often driven by hormonal, psychological, and relationship factors rather than issues with blood flow.
Clinical trials have not found reliable evidence that Viagra improves sexual desire, lubrication, or arousal in women.
For this reason, Viagra is not considered an effective treatment for female sexual dysfunction.
If a woman takes Viagra, she is unlikely to see any meaningful improvement in sexual function, because the medication does not target the underlying causes of female sexual dysfunction.
However, she may still experience side effects, such as headaches, flushing, dizziness, indigestion, or changes in blood pressure.
Since the risks outweigh any potential benefits, medical experts advise against women using Viagra.
Many women find that sex is not always pleasurable, and for some, even thinking about sex can cause distress. This can happen at different stages of life, affecting up to 40% of women.
However, if sex consistently feels like a chore rather than something enjoyable, and these feelings have lasted a long time or are affecting your relationship, you may be experiencing female sexual dysfunction (FSD).
Temporarily “not being in the mood” does not mean you have FSD.
For some women, these difficulties have been present throughout their sexual lives.
For others, FSD begins later and may be triggered by factors such as:
In some cases, FSD can develop gradually without an obvious cause.
FSD can present differently from woman to woman. You may experience one symptom, a combination, or several at once.
Common symptoms include:
This involves having little or no desire for sex, reduced or absent sexual thoughts or fantasies, and a lack of interest even when stimulation is present. Some women also lose interest in masturbation.
You may find it difficult or impossible to orgasm, even with adequate arousal or ongoing stimulation. Some women experience delayed orgasms or notice that the intensity of orgasms has reduced over time.
Painful sex is common and can occur during penetration, deep thrusting, or after intercourse. Some women experience involuntary tightening of the pelvic floor muscles (vaginismus), which can prevent penetration entirely. Anxiety or fear of pain can also make symptoms worse before, during, or after sex.
Managing FSD often involves a combination of lifestyle changes, medical treatment, and emotional or relationship support.
Depending on the underlying cause, your treatment plan may include:
Lifestyle adjustments can make a significant difference. For example, research shows that women who smoke are 48% more likely to experience FSD than non-smokers. Stopping smoking may help improve libido and sexual response.
Similarly, studies suggest that obesity can contribute to sexual dysfunction, while regular exercise is associated with improvements in sexual desire, satisfaction, and overall wellbeing.
This highlights the important role of a healthy lifestyle in sexual health.
This medication is approved in the USA to treat FSD in women before menopause. Used to treat low sex drive in women, it is often compared to Viagra, even though they work in different ways.
Flibanserin works by targeting neurotransmitters in the brain to increase sexual desire.
*Flibanserin is not licensed in the UK
Also approved in the USA to treat FSD, bremelanotide is a peptide hormone that acts on melanocortin receptors in the brain, enhancing sexual desire.
*Bremelanotide is not licensed in the UK
Lady Era uses sildenafil citrate, the active ingredient found in Viagra, to enhance genital blood flow and arousal in women. Because of this, it is often described as the closest thing to a “women’s Viagra” currently available.
However, clinical studies examining the use of Sildenafil for female sexual dysfunction, have shown mixed and generally inconclusive results.
As a result, Lady Era is not licensed for medical use in the UK, and healthcare professionals do not recommend it as a treatment for female sexual dysfunction.
Viagra is designed to increase blood flow to the penis, so the effect that Viagra has on women is not the same as in men.
It can cause side effects such as headache, dizziness, facial flushing, indigestion or a drop in blood pressure.
It will not improve arousal, libido, lubrication or sexual satisfaction.
No, there is no licensed Viagra or Sildenafil for women in the UK.
Sildenafil is only approved for use in men with erectile dysfunction and is not licensed as a treatment for women.
Products marketed online as “Viagra for women” or “female Sildenafil” are unregulated, unlicensed, and potentially unsafe.
Women experiencing FSD should see their GP.
In most cases, it is unlikely to cause serious harm, but it may lead to unpleasant side effects such as headaches, flushing, dizziness, indigestion, or changes in blood pressure. These symptoms will usually resolve after a few hours.
You should, nevertheless, seek medical advice from a qualified healthcare professional.
Seek urgent medical attention if you experience severe symptoms such as chest pain, fainting, vision changes, or an allergic reaction.
Dmitrovic R, et al., “Sildenafil citrate in the treatment of pain in primary dysmenorrhoea: a randomised controlled trial.” (Accessed: 24 November 2025) https://pmc.ncbi.nlm.nih.gov/articles/PMC3795469/
Lo Monte G, Graziano A, Piva I & Marci R, “Women taking the ‘blue pill’ (sildenafil citrate): such a big deal?” Drug Design, Development and Therapy, 2014;8:2251-2254. (Accessed: 24 November 2025) https://pmc.ncbi.nlm.nih.gov/articles/PMC4232035/
Allahdadi KJ, Tostes RC & Webb RC, “Female sexual dysfunction: therapeutic options and experimental challenges.” Cardiovascular & Haematological Agents in Medicinal Chemistry, 2009;7(4):260-269. (Accessed: 24 November 2025). https://pmc.ncbi.nlm.nih.gov/articles/PMC3008577/
Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.