Lovegra and sildenafil for women: what the evidence says
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Lovegra is a 100 mg sildenafil tablet, the same active ingredient as Viagra, sold as «Viagra for women». It isn't authorised in Spain, and no EU country has approved sildenafil for any female sexual problem.
This page explains what the trials in women found, the risks, and what treatments do exist for low desire, arousal difficulties or pain during sex. We don't recommend this product: talk to a gynaecologist or your GP first. 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.
| What it is | Pink 100 mg sildenafil tablets under the Indian brand name Lovegra, promoted as «female Viagra». |
|---|---|
| Active ingredient | Sildenafil, as in Viagra |
| Authorised in Spain? | No. Lovegra isn't listed in CIMA, the Spanish medicines register. |
| Sildenafil for women | Not approved for any sexual problem in the EU. Viagra's product information states it isn't indicated for women. |
| Prescription needed? | Every sildenafil medicine is prescription-only in Spain. |
| In this shop | «Lovegra – Women's Viagra» 100 mg, packs of 4 to 372 tablets. The manufacturer isn't stated. |
Why there's no «female Viagra»
Sildenafil boosts blood flow to the penis during arousal. Pfizer, Viagra's maker, spent years testing whether it would do the same for the clitoris and vagina.
Its largest trial enrolled 781 women with arousal difficulties, 577 with normal oestrogen levels and 204 with low levels, who took 10 to 100 mg of sildenafil or a placebo. On every measure of sexual response, rated by the women or by their partners, sildenafil did no better than placebo (Basson and colleagues, 2002). Pfizer abandoned research in women in 2004.
One small trial in 98 women whose antidepressant was causing sexual problems did find some improvement (Nurnberg and colleagues, 2008), but that hasn't led any regulator to approve it. Desire and arousal in women depend on far more than blood flow, and a blood-vessel pill doesn't change that.
The risks
They're the same as for men taking sildenafil, without a proven benefit to balance them. The commonest side effects are headache, flushing, a blocked nose, dizziness, indigestion and colour-tinged vision. On top of that:
- Never with nitrates (GTN, isosorbide), poppers or riociguat: blood pressure can fall dangerously.
- Not advised with serious heart disease, very low blood pressure, a recent heart attack or stroke, or past sight loss from NAION.
- There's no safety data for pregnancy or breastfeeding.
- 100 mg is the maximum dose for men; nobody has worked out a safe, effective dose for women.
- An unauthorised product hasn't gone through the quality checks a medicine registered in Spain has.
What might be going on
Sexual problems are common in women and rarely have a single cause. Doctors usually separate them into a few kinds, which often overlap:
- Little or no desire, when it bothers you rather than someone else.
- Trouble becoming aroused or lubricated, even when the desire is there.
- Difficulty reaching orgasm.
- Pain during penetration, or tightening that makes it impossible.
Behind them there's usually a mix of body and circumstances: the menopause and vaginal dryness, childbirth and breastfeeding, diabetes, some operations, certain medicines (antidepressants above all), tiredness, stress, depression or the relationship itself. A proper consultation helps far more than a pill tried blind.
What worries you most?
Pick the option closest to your situation and we'll tell you what's available in Spain and who to ask. It's a guide only, not a substitute for your doctor.
Treatments authorised in Spain
| Problem | What's available |
|---|---|
| Dryness, soreness or pain after the menopause | Lubricants and vaginal moisturisers over the counter; on prescription, vaginal estriol (Ovestinon, Blissel and others), prasterone (Intrarosa) or ospemifene (Senshio). |
| Low desire | No medicine authorised in the EU. Treating the causes, sex therapy. |
| Arousal or orgasm difficulties | No authorised medicine. Sex therapy, a review of current medicines. |
| Vaginismus, vulvodynia | Gynaecology, pelvic floor physiotherapy, sex therapy. |
Flibanserin and bremelanotide aren't authorised in the EU or Spain; anything sold online under those names comes with no checks at all.
Who to talk to in Spain
If you're registered with the Spanish health system and have a tarjeta sanitaria (health card), your médico de familia, the GP at your centro de salud, can refer you to gynaecology (ginecología). A private gynaecologist or a sex therapist (sexólogo) is another way in. It helps to note down when the problem started, what you take and what has changed in your life.
If your partner takes sildenafil or tadalafil, those tablets are prescribed for him: don't share them.
Questions people ask
Is there a Viagra for women?
Not in the EU. Sildenafil failed in trials with women, and the two medicines approved for low desire in the United States aren't authorised here.
Can I buy Lovegra without a prescription in Spain?
No. Lovegra isn't authorised in Spain, and every sildenafil medicine needs a prescription. Prescription medicines can't legally be sold online in Spain either.
Does Lovegra work?
There's no evidence that it does. In the largest trial in women, sildenafil didn't beat placebo on any measure.
Is it dangerous?
It has sildenafil's side effects and is dangerous with nitrates or poppers. Because it isn't authorised, there's no guarantee about how it was made either.
Can I get flibanserin (Addyi) in Spain?
No. It's approved only in the United States and has no European or Spanish authorisation.
What can I do about vaginal dryness?
Lubricants and vaginal moisturisers are sold without a prescription at any farmacia. If they're not enough, your doctor can prescribe a vaginal oestrogen or another option.
Sources: Viagra product information (CIMA, AEMPS; European Medicines Agency); CIMA entries for Intrarosa, Senshio and vaginal estriol; Basson R. et al., J Womens Health Gend Based Med 2002; Nurnberg H. G. et al., JAMA 2008; US FDA (Addyi, 2015; Vyleesi, 2019). General information only: it doesn't replace advice from a doctor. 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.
