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Female Sexual Health Peptides 2026 Update: Comparison of Research-Stage Compounds

The following table summarizes the peptide compounds under active investigation for female sexual health applications as of the 2026 research update: PT-141 (Bremelanotide) MC4R agonist. Dopamine modulation HSDD (hypoactive sexual desire disorder) FDA-approved

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  • The following table summarizes the peptide compounds under active investigation for female sexual health applications as of the 2026 research update:
  • PT-141 (Bremelanotide)
  • MC4R agonist. Dopamine modulation
  • HSDD (hypoactive sexual desire disorder)
  • FDA-approved (Vyleesi)
  • Subcutaneous injection
  • High. Phase 3 RCTs
  • Kisspeptin-54
  • KISS1R agonist. GnRH pathway activation
  • Arousal disorders, HSDD
  • Phase 2
  • Intravenous (investigational intranasal)
  • Moderate. Pilot studies
  • Oxytocin analogs
  • OXTR agonist. Bonding and arousal circuits
  • Anorgasmia, arousal disorders
  • Preclinical to Phase 1
  • Intranasal, subcutaneous
  • Low. Mixed results
  • VIP (Vasoactive Intestinal Peptide)
  • NO pathway. Vascular smooth muscle relaxation
  • Arousal disorder, vaginal atrophy
  • Intravaginal gel, systemic analogs
  • Moderate. Small trials
  • Adrenomedullin (AM)
  • CALCRL agonist. Vasodilation
  • Arousal disorder
  • Preclinical
  • Investigational
  • Low. Animal models only
  • Melanocortin analogs (non-PT-141)
  • MC3R/MC4R modulation
  • HSDD, arousal disorders
  • Phase 1–2
  • Subcutaneous, intranasal
  • Low to moderate