PT-141 Injection: illustrative photo of a pharmacy injection vial
The PT-141 Injection injection vial in an everyday setting
PT-141 Injection at a glance: what it does and how you use it. Bremelanotide activates melanocortin receptors in the brain involved in sexual desire. It's taken about 45 minutes before sex, not every day. A small injection under the skin, at least 45 minutes before sex. No more than one dose in 24 hours, as directed by your clinician.
A hand holding the PT-141 Injection injection vial, shown at real size
A woman laughing at an outdoor dinner with friends

Images are for illustration only. Your medication is prepared and packaged by a licensed pharmacy, so containers, labels and colors will look different.

Menopause

PT-141 Injection

Bremelanotide · as-needed injection

$179/mo · $179 billed monthly

Or split it into smaller payments withKlarna.

PT-141 (bremelanotide) works on the brain's desire pathways rather than hormones. A brand-name version is FDA-approved for premenopausal women with low desire that bothers them; after menopause, use is off-label. Nausea is common. A clinician decides if it's right for you.

Plan: billed only after a clinician approves you

✓ Free assessment · pay only if prescribed

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All-in price
Your care team, on callText or email anytime, reply within 24 hours. Call 9 a.m. to 8 p.m. ET.
Product details

Bremelanotide activates melanocortin receptors in the brain involved in sexual desire. It's taken about 45 minutes before sex, not every day.

  • Used as needed
  • Works on the brain, not hormones
  • Off-label after menopause
  • Reviewed by a licensed U.S. clinician
  • Free, discreet shipping
How you take it
A small injection under the skin, at least 45 minutes before sex. No more than one dose in 24 hours, as directed by your clinician.
What's included
  • A licensed clinician's review of your health history
  • Medication, if prescribed
  • Monthly check-ins, and dose adjustments when appropriate
  • A care team you can text or email, with a response within 24 hours, or call from 9 a.m. to 8 p.m. ET
  • Refill reminders and easy plan changes
  • Goddess Protocol Plus app membership (coming soon)
Side effects & safety
Nausea is common, especially the first time, along with flushing and headache. It briefly raises blood pressure, so it isn't for anyone with uncontrolled high blood pressure or heart disease. It can darken skin with frequent use. This is a compounded medication, so it isn't FDA-approved. Your clinician reviews your history first.

Based on published research and prescribing information: Vyleesi® (bremelanotide) prescribing information (FDA). Your clinician reviews your personal risks before prescribing.

About compounded medications
This is a compounded medication, so it isn't FDA-approved. Your clinician can talk you through FDA-approved alternatives.

Prescription required. A licensed clinician decides whether treatment is appropriate, and which medication and dose, if any, is right for you. Exploring options doesn't mean you'll be prescribed. Results vary. Plans renew automatically; cancel anytime at least 48 hours before your next billing date. Prepaid plans are refunded for unused months.

Your midlife

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How to use

How you take it. Simple, every time.

A small injection under the skin, at least 45 minutes before sex. No more than one dose in 24 hours, as directed by your clinician.

How care works ›

Feel good. Feel supported.

01.

Licensed clinicians

Menopause-literate care from real U.S. clinicians.

02.

Rooted in research

Built on The Menopause Society's guidance, explained in plain English.

03.

Whole-woman support

Sleep, mood, strength and the rest of your very full life.

What to expect

Change that builds over time.

  1. Weeks 1–2

    Settling in

    Your body adjusts to the new routine. Mild breast tenderness, spotting or bloating can happen early and often eases. Message your care team anytime.

  2. Weeks 4–8

    Early changes

    Many women in studies notice hot flashes and sleep shifting within the first couple of months. Everyone's timeline is different.

  3. Month 3

    Check in and adjust

    Your clinician reviews how you're feeling and whether the dose or form still fits.

Timelines are based on these studies. Results vary, and your clinician will tailor the plan to you.

  1. MacLennan AH et al. Oral oestrogen and combined oestrogen/progestogen therapy versus placebo for hot flushes. Cochrane Database Syst Rev. 2004
  2. The 2022 Hormone Therapy Position Statement of The North American Menopause Society. Menopause. 2022;29(7):767-794
Check-ins every month

Us vs. the usual

Real care. No shortcuts.

Not a rushed seven-minute appointment, and not guessing on your own. Ongoing care from people who get midlife.

Goddess Protocol RxA rushed appointmentGoing it alone
A licensed clinician reviews your history✓✓
Care focused on midlife women✓
Monthly check-ins and dose adjustments✓
Text your care team anytime✓
All-in price, nothing owed unless prescribed✓✓
App, recipes and workouts included✓

Included with every plan

Everything you need, in one place

Clinician review

A licensed U.S. clinician reviews your health history.

Monthly check-ins

Dose adjustments when appropriate, and refill reminders.

Free shipping

Discreet delivery to your door.

Plus app included

Hespera (your private AI chat), workouts, recipes and sleep stories. Coming soon.

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PT-141 Injection$179/mo · Monthly
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