Testosterone Arousal Cream for Women

About Testosterone

While testosterone is most known for its role in male sexual health, research shows that testosterone plays a crucial role in female arousal and orgasm. It is involved in:

• Clitoral engorgement

• Vaginal lubrication

• Neurological signaling during arousal

• Physical satisfaction during intimacy

Topical testosterone formulations for women are not FDA-approved, but their off-label use is supported by clinical evidence and is widely used by hormone-trained practitioners.

At Optimal Sexual Health, we prescribe custom-compounded testosterone cream in microdoses specifically for clitoral and vulvar application. This ensures maximum effect with minimal systemic absorption.

Who Might Benefit

This cream may be right for you if you experience:

• Reduced clitoral sensitivity

• Difficulty achieving orgasm

• Weak or delayed arousal

• Postmenopausal sexual changes

• Genital numbness after antidepressant use

• Frustration with the physical side of intimacy

How to Use It

Apply as directed by your provider, typically:

1. Clean the area before use

2. Apply a pea-sized amount directly to the clitoral hood and surrounding vulvar area

3. Wait 15–30 minutes before intimacy

4. Use once daily or prior to intimacy, per your prescription

For best results, use consistently over several weeks. Combining with intimacy tools or sexual mindfulness practices may enhance outcomes.

How It Works

Testosterone supports healthy nerve function and vascular blood flow in genital tissue. In small, localized doses, it can:

• Improve clitoral blood supply and responsiveness

• Support the nerve endings involved in orgasm

• Enhance the body’s physical response to sexual stimulation

Because this cream is applied topically, it works locally—not throughout your whole body—minimizing the risk of systemic side effects.

When to Expect Results

• Some patients report subtle improvement in days

• Most experience noticeable change within 2–4 weeks

• Full benefits may take up to 8–12 weeks of regular use

• Results are enhanced when used as part of a broader sexual wellness plan

When to Contact Your Provider

Let us know if you experience:

• Irritation or redness that persists

• Signs of systemic absorption (voice change, facial hair growth)

• No improvement after 8–12 weeks

• Any concerns about combining with other hormone treatments

Possible Side Effects

Topical testosterone is generally well tolerated when used at proper doses. You may notice:

• Mild tingling or warmth at the application site

• Temporary sensitivity

• Rare: increased local hair growth or acne (near application area)

Avoid use on broken skin. Do not exceed prescribed dose.

Frequently Asked Questions

Q: Will this make me grow hair or change my voice?
A: You should not experience virizulation at the doses we prescribe. This is a very low-concentration cream for localized use only.

Q: Is this the same as hormone replacement therapy?
A: No. This is not systemic HRT—it’s a topical formula used for improving physical sexual response, not general hormone balance.

Q: Can I use it with other sexual health treatments?
A: Yes! It can be safely combined with:

• Sildenafil cream

• Oxytocin nasal spray

• Vaginal estrogen

• Intimacy-enhancing supplements or devices

We’ll guide you through the best combination based on your goals.

Testosterone arousal cream is a controlled medication. It is a prescription treatment, compounded and dosed based on your personal needs. It is not suitable for all patients. A video visit and possibly an in person evaluation my be required. Lab values will be required based on provider recommendations.
Always use as prescribed. Do not share. Notify your provider of any side effects or changes.

Medical Oversight Disclaimer

Optional Add-On Tools

Ask about combining your treatment with:

Oxytocin nasal spray

Commonly called the love hormone, this nasal spray may increase emotional connections.

Supplements

Adjunct to enhanse prescription treatments.

HIV prevention is for everyone who requires it. Women of all orientations are eligible.

PrEP

Contact Us

Reach out for inquiries about female arousal cream and sildenafil prescriptions. We're here to help!