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Sexual problems in women: what is licensed in Spain, and what isn't

Sexual problems in women: what is licensed in Spain, and what isn't

Let's be clear from the start: there is no licensed “female Viagra”. Sildenafil is not approved anywhere in the European Union for any female sexual problem, and the only product in this section, Lovegra, has no licence in Spain. We don't recommend it. In Spain, prescription-only medicines may not be sold online, and customs can hold a parcel that contains them. We do not check prescriptions: talk to your doctor before you order.

This section was built around a promise that doesn't hold up: that an erection pill would do the same job for women. We would rather tell you what is known and what is actually available in Spain. Sexual difficulties are common in women, have many possible causes and, in a good number of cases, can be treated.

The product listed here

Lovegra: pink 100 mg sildenafil tablets from an Indian brand, marketed as “Viagra for women”. It is not in CIMA, the Spanish medicines register, and we don't name the manufacturer. It carries all the risks of sildenafil, including a dangerous drop in blood pressure with nitrates or poppers, without any proven benefit for women. Its own page covers the research and offers a guide to what helps for each kind of problem.

Lovegra - Viagra for women

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Why blood flow isn't the whole story

Sildenafil increases blood flow to the genitals during arousal, which is why it was tested on women for several years. In the largest trial, 781 women took part and nothing improved compared with placebo; the manufacturer gave up on the idea in 2004. Desire and arousal in women depend on hormones, mood, the relationship, pain, tiredness and other medicines, not just on circulation.

What you can get in Spain

Problem	What is available	Prescription?
Dryness, soreness or pain during sex after the menopause	Vaginal lubricants and moisturisers	No; sold in pharmacies
Menopausal vaginal atrophy when that is not enough	Vaginal estriol (Ovestinon, Blissel and others) or vaginal prasterone (Intrarosa)	Yes
Moderate to severe atrophy when vaginal oestrogen is not suitable	Ospemifene tablets (Senshio)	Yes
Low desire that bothers you	No medicine licensed in the EU. A doctor looks for causes (medicines, hormones, mood, relationship) and may suggest sex therapy	Not applicable
Difficulty becoming aroused or reaching orgasm	No licensed medicine. A review of your current medicines, especially antidepressants, and sex therapy	Not applicable
Pain that prevents penetration, vaginismus, vulvodynia	Gynaecology, pelvic floor physiotherapy and sex therapy	Depends on the treatment

If you are used to the UK, note one difference: low-dose vaginal oestrogen tablets can be bought from a pharmacist there, while in Spain vaginal oestrogens need a prescription. Readers from the US may have heard of flibanserin (Addyi) and bremelanotide (Vyleesi), approved there for low desire before the menopause. Neither has a European or Spanish licence, and nothing sold online under those names is checked by anyone.

Where to start

Your GP (médico de familia) at the centro de salud is a good first stop and can refer you to gynaecology. Many health centres also have a matrona (midwife) who deals with menopausal and sexual health questions. Privately, you can see a gynaecologist or a sex therapist directly. It helps to note down how long this has been going on, what medicines you take and whether there is pain. If Spanish isn't easy for you, consider taking someone along or asking whether an interpreter can be arranged.

If your partner takes sildenafil or tadalafil, those tablets were prescribed for him, so please don't share them. For his side of things, see our erectile dysfunction section.

Common questions

Is there a licensed “female Viagra” in Europe?

No. Sildenafil did no better than placebo in women, and the two desire medicines approved in the US have no EU licence.

Can I try my partner's Viagra?

Best not. There is no evidence that it works for women, the side effects are the same, it is dangerous with nitrates or poppers, and it was prescribed for someone else.

Can I buy Lovegra without a prescription in Spain?

No. Lovegra is unlicensed, no pharmacy may dispense it, and every sildenafil medicine is prescription-only here.

Can I get Addyi in Spain?

No. It has no licence here, so Spanish pharmacies cannot supply it. Talk to a doctor in Spain about what is available instead.

If you don't recommend Lovegra, why is it listed?

Because we sell it, and we would rather explain plainly what it is than hide it. Our advice is not to take it.

Sources: Spanish product information for Viagra (CIMA, AEMPS; EMA); CIMA entries for Intrarosa, Senshio, Ovestinon and Blissel; Basson R. et al., J Womens Health Gend Based Med 2002; FDA (Addyi, 2015; Vyleesi, 2019). General information only; it does not replace a consultation. In Spain, prescription-only medicines may not be sold online, and customs can hold a parcel that contains them. We do not check prescriptions: talk to your doctor before you order.