This is a list of investigational sexual dysfunction drugs, or drugs that are currently under development for clinical use for the treatment of sexual dysfunction but are not yet approved. Sexual function disorders include anorgasmia, atrophic vaginitis (vaginal atrophy), decreased libido, dyspareunia (painful sexual intercourse), erectile dysfunction, female sexual dysfunction (female sexual arousal disorder (FSAD)/hypoactive sexual desire disorder (HSSD)), male sexual dysfunction, premature ejaculation, vulvodynia (vulva pain), paraphilias, and hypersexuality, among others.
Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses. The format of list items is "Name (Synonyms) â Mechanism of Action â Indication [Reference]". The section that the drug is in corresponds to its highest developmental phase, not its phase for all listed indications.
This list was last comprehensively updated in January 2026. It is likely to become outdated with time.
Under development
Preregistration
Phase 3
Phase 2
- Aildenafil (methisosildenafil) â phosphodiesterase PDE5 inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800057380
- AN-788 (IP-2018; IP2018; NSD788; NSD-788) â serotoninâÂÂdopamine reuptake inhibitor (SDRI) â erectile dysfunction https://adisinsight.springer.com/drugs/800028006
- Apomorphine intranasal (AL-101; intranasal apomorphine) â non-selective dopamine receptor agonist, other actions â erectile dysfunction, female sexual dysfunction https://adisinsight.springer.com/drugs/800065343
- Autologous mesenchymal stem cell therapy (autologous bone marrow-derived mesenchymal stem cell therapy; Cellgram; Cellgram-ED; Cellgram-LC; Cerecellgram-spine; Hearticellgram-AMI; Immunocellgram; Impocellgram; Livercellgram; Lungcellgram; MSC-1; MSC-2) â cell replacement â erectile dysfunction https://adisinsight.springer.com/drugs/800023673
- Botulinum toxin A (AboBoNT-A; AbobotulinumtoxinA; Alluzience; Azzalure; BoNT-A; BTX-A-HAC; BTX-A-HAC NG; Clostridium botulinum toxin type A haemagglutinin complex; Dysport; Dysport NG; Dysport RU; Dysport Solution; Dysport Next Generation; Reloxin) â acetylcholine release inhibitor and neuromuscular blocking agent â vulvodynia https://adisinsight.springer.com/drugs/800010369
- Bupropion/trazodone (Lorexys; Orexa; S1P-104; S1P-205; SIP-104; trazodone/bupropion) â combination of bupropion (norepinephrineâÂÂdopamine reuptake inhibitor (NDRI), other actions) and trazodone (serotonin antagonist and reuptake inhibitor (SARI), various actions) â erectile dysfunction, female sexual dysfunction, male sexual dysfunction https://adisinsight.springer.com/drugs/800035655
- Buspirone/testosterone (Lybridos; testosterone/buspirone) â combination of buspirone (serotonin 5-HT<sub>1A</sub> receptor agonist, other actions) and testosterone (androgen) â female sexual dysfunction https://adisinsight.springer.com/drugs/800040046
- BZ-371A (PnPP-19) â nitric oxide stimulant â erectile dysfunction, female sexual dysfunction https://adisinsight.springer.com/drugs/800052534
- Cligosiban (IX-01; PF-3274167) â oxytocin receptor antagonist â premature ejaculation https://adisinsight.springer.com/drugs/800038534
- Estetrol (Donesta; E4) â estrogen (estrogen receptor agonist) â atrophic vaginitis, female sexual dysfunction https://adisinsight.springer.com/drugs/800044874
- Estriol vaginal ring (VR-102; VR102; long-acting estriol vaginal ring) â estrogen (estrogen receptor agonist) â atrophic vaginitis https://adisinsight.springer.com/drugs/800072355
- Fadanafil (XZP-5849) â phosphodiesterase PDE5 inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800046145
- FKW-00GA (FKW00GA; TGW-00AA; TGW00AA; TGWOOAA; TGW-OOAA) â serotonin 5-HT<sub>1A</sub> receptor agonist, serotonin 5-HT<sub>2A</sub> receptor antagonist â sexual function disorders https://adisinsight.springer.com/drugs/800029565
- LIB-01 (DIC-2024; DIC2024; Libiguin) â indirect melanocortin MC<sub>4</sub> receptor potentiator â erectile dysfunction, premature ejaculation https://adisinsight.springer.com/drugs/800047257
- Onabotulinum toxin A (BoNTA; Botox; botulinum toxin A injectable; GSK-1358820; GSK1358820; OnabotA X; OnabotulinumtoxinA X; Vistabel; Vistabex) â acetylcholine release inhibitor and neuromuscular blocking agent â premature ejaculation https://adisinsight.springer.com/drugs/800008810
- OPK-88004 (LY-2452473; TT701) â selective androgen receptor modulator (SARM) â erectile dysfunction https://adisinsight.springer.com/drugs/800033580
- Pudafensine (IP2015; IP-2015) â serotoninâÂÂnorepinephrineâÂÂdopamine reuptake inhibitor (SNDRI) â erectile dysfunction, vulvodynia, female sexual dysfunction https://adisinsight.springer.com/drugs/800066919
- Sildenafil/testosterone (Lybrido; testosterone/sildenafil) â combination of sildenafil (phosphidiesterase PDE5 inhibitor) and testosterone (androgen) â female sexual dysfunction https://adisinsight.springer.com/drugs/800040043
- Sildenafil topical â phosphodiesterase PDE5 inhibitor â female sexual dysfunction https://adisinsight.springer.com/drugs/800051315
- Testosterone intranasal (low-dose) (MPP-14; Noseafix; TBS-2; Tefina) â androgen (androgen receptor agonist) â anorgasmia, decreased libido https://adisinsight.springer.com/drugs/800029680
- TGFK-09SD (TGFK09SD) â serotonin 5-HT<sub>1A</sub> receptor agonist â female sexual dysfunction https://adisinsight.springer.com/drugs/800032503
Phase 1/2
Phase 1
Clinical phase unknown
Preclinical
Phase unknown
Not under development
No development reported
Preregistration submission withdrawal
Suspended
Discontinued
- Acolbifene/prasterone (dehydroepiandrosterone/acolbifene; DHEA/acolbifene; prasterone/acolbifene; Femivia) â combination of acolbifene (selective estrogen receptor modulator (SERM)) and prasterone (dehydroepiandrosterone; DHEA) (androgen, other actions) â decreased libido https://adisinsight.springer.com/drugs/800043933
- Alprostadil SEPA (prostaglandin E1 SEPA; alprostadil/soft enhancement of percutaneous absorption; Topiglan) â prostaglandin E1 (PGE1) agonist â erectile dysfunction https://adisinsight.springer.com/drugs/800010551
- Alprostadil/lidocaine (NM02216; NM100061) â combination of alprostadil (prostaglandin E1 (PGE1) agonist) and lidocaine (sodium channel blocker, local anesthetic) â premature ejaculation https://adisinsight.springer.com/drugs/800019217
- Amesergide (LY-237733; LY237733; LY-237,733) â serotonin 5-HT<sub>2A</sub>, 5-HT<sub>2B</sub>, and 5-HT<sub>2C</sub> receptor antagonist, other actions â erectile dysfunction, premature ejaculation https://adisinsight.springer.com/drugs/800001117
- Apomorphine inhalation (VR-004; VR-040; VR-400) â non-selective dopamine receptor agonist, other actions â erectile dysfunction, female sexual dysfunction https://adisinsight.springer.com/drugs/800018754
- Apomorphine intranasal â non-selective dopamine receptor agonist, other actions â erectile dysfunction https://adisinsight.springer.com/drugs/800017357
- Avanafil (Razatus; Spedra; Stendra; TA-1790; Zepeed) â phosphodiesterase PDE5 inhibitor â female sexual dysfunction, premature ejaculation https://adisinsight.springer.com/drugs/800015525
- BAY-604552 (BAY98-7081; sGC activator) â guanylate cyclase stimulant â erectile dysfunction https://adisinsight.springer.com/drugs/800028283
- Bremelanotide (Rekynda; Vyleesi; PT-141) â melanocortin MC<sub>4</sub> receptor agonist â erectile dysfunction https://adisinsight.springer.com/drugs/800014146
- CP-866087 (CP-866,087) â ü-opioid receptor antagonist â female sexual dysfunction https://adisinsight.springer.com/drugs/800025577
- DA-8031 (DA8031) â selective serotonin reuptake inhibitor (SSRI) â premature ejaculation https://adisinsight.springer.com/drugs/800032011
- Dapoxetine (IMD dapoxetine; YHD-1044) â selective serotonin reuptake inhibitor (SSRI) â premature ejaculation https://adisinsight.springer.com/drugs/800034841
- Delequamine (RS-15385; RS-15385197) â ñ<sub>2</sub>-adrenergic receptor antagonist â erectile dysfunction https://adisinsight.springer.com/drugs/800004435
- Estradiol/testosterone transdermal (testosterone/estradiol transdermal) â combination of estradiol (estrogen) and testosterone (androgen) â female sexual dysfunction https://adisinsight.springer.com/drugs/800011418
- GM-1485 (GPI-1485; NIL-A) â immunophilin modulator â erectile dysfunction https://adisinsight.springer.com/drugs/800010875
- Heparin/lidocaine/sodium bicarbonate (alkalised lidocaine and heparin formulation; Hep-Lido-A compounded formulation; U-101; URG-101) â combination of heparin (Factor Xa inhibitor, thrombin inhibitor), lidocaine (sodium channel blocker, local anesthetic), and sodium bicarbonate (absorption enhancer) â dyspareunia https://adisinsight.springer.com/drugs/800023371
- hMaxi-K gene therapy (pVAX/hSlo; URO-902) â gene transference â erectile dysfunction https://adisinsight.springer.com/drugs/800024362
- INO-1001 (INO1001; Pardex) â poly(ADP-ribose) polymerase inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800017281
- LGD-2941 (LGD2941; LGD122941; LGD-122941) â selective androgen receptor modulator (SARM) â female sexual dysfunction, male sexual dysfunction https://adisinsight.springer.com/drugs/800013541
- Melanotan II (MT-II; PT-14) â melanocortin receptor agonist â erectile dysfunction, male sexual dysfunction https://adisinsight.springer.com/drugs/800010143
- Milnacipran (Dalcipran; F-2207; Impulsor; Ixel; Joncia; Midacipran; Midalcipran; Savella; TN-912; Toledomin) â serotoninâÂÂnorepinephrine reuptake inhibitor (SNRI) â vulvodynia https://adisinsight.springer.com/drugs/800000712
- Nitroglycerin topical (Anogesic; Cellegesic; Rectiv; Rectogesic) â nitric oxide donor â dyspareunia, vulvodynia https://adisinsight.springer.com/drugs/800012295
- NMI-870 â ñ<sub>2</sub>-adrenergic receptor antagonist, nitric oxide donor â erectile dysfunction, female sexual dysfunction https://adisinsight.springer.com/drugs/800014166
- Oxytocin (oxytocin gel; oxytocin topical; Vagitocin) â oxytocin receptor agonist â atrophic vaginitis https://adisinsight.springer.com/drugs/800033176
- Pagoclone (IP-456; Panex; RP-62955) â GABA<sub>A</sub> receptor positive allosteric modulator and nonbenzodiazepine/cyclopyrrolone â premature ejaculation https://adisinsight.springer.com/drugs/800002118
- PF-446687 (PF-00446687; PF-446,687) â melanocortin MC<sub>4</sub> receptor agonist â sexual function disorders https://adisinsight.springer.com/drugs/800025591
- PF-592379 (PF-000592379; PF-592,379) â dopamine D<sub>3</sub> receptor agonist â erectile dysfunction https://adisinsight.springer.com/drugs/800025529
- Research programme: therapeutics - Re-Pharm (RP-0217; RP0217) â protein phosphatase 2A (PP2A) inhibitor â sexual function disorders https://adisinsight.springer.com/drugs/800046951 https://synapse.patsnap.com/drug/bef6a521d0894396abd68a934e3323f7
- RO-0282425 (RO0282425) â melanocortin MC<sub>4</sub> receptor agonist â erectile dysfunction https://adisinsight.springer.com/drugs/800024669
- RTN-001 (KD-027; SLX-2101; SLx-2101) â phosphodiesterase PDE5 inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800022583
- SAR-407899 (SAR407899; SAR407899A) â Rho-associated kinase inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800026023
- Sertraline (Aremis; Besitran; CP-51974; CP-51974-01; Gladem; J Zoloft; Lustral; Serad; Serlain; Tatig; Zoloft) â selective serotonin reuptake inhibitor (SSRI) â premature ejaculation https://adisinsight.springer.com/drugs/800006147
- Sildenafil (Revatio; Revatio IV; UK-92480; Viagra) â phosphodiesterase PDE5 inhibitor â female sexual dysfunction https://adisinsight.springer.com/drugs/800006675
- Tadalafil (Adcirca; Cialis; GF-196960; IC-351; LY-450190; Zalutia) â phosphodiesterase PDE5 inhibitor â female sexual dysfunction https://adisinsight.springer.com/drugs/800009738
- Tadalafil sublingual (APC-8000) â phosphodiesterase PDE5 inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800052570
- Tadalafil/tamsulosin (CKD-397; tamsulosin/tadalafil) â combination of tadalafil (phosphodiesterase PDE5 inhibitor) and tamsulosin (ñ<sub>1</sub>-adrenergic receptor antagonist) â erectile dysfunction https://adisinsight.springer.com/drugs/800041550
- Tadalafil/tamsulosin (YBH-1603) â phosphodiesterase PDE5 inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800044412
- Testosterone topical (ESP-210) â androgen (androgen receptor agonist) â female sexual dysfunction https://adisinsight.springer.com/drugs/800011411
- Testosterone transdermal (FemTestosterone TDS) â androgen (androgen receptor agonist) â female sexual dysfunction https://adisinsight.springer.com/drugs/800014546
- Testosterone transdermal (Luramist; testosterone MDTS; testosterone transdermal spray) â androgen (androgen receptor agonist) â female sexual dysfunction https://adisinsight.springer.com/drugs/800020263
- TEMPE (Topical Eutectic Mixture for Premature Ejaculation) â undefined mechanism of action â premature ejaculation https://adisinsight.springer.com/drugs/800020209
- UK-357903 (UK-357,903) â phosphodiesterase PDE5 inhibitor â erectile dysfunction https://adisinsight.springer.com/drugs/800013332
- UK-390957 (UK-390,957) â serotonin reuptake inhibitor (SRI) â premature ejaculation https://adisinsight.springer.com/drugs/800017934
- UK-447841 (UK-447,841) â neprilysin inhibitor â female sexual dysfunction https://adisinsight.springer.com/drugs/800039893
- VML-670 (VML670; CEB-1555) â serotonin 5-HT<sub>1A</sub> receptor agonist â female sexual dysfunction, male sexual dysfunction https://adisinsight.springer.com/drugs/800010723
Clinically used drugs
Approved drugs
Phosphodiesterase PDE5 inhibitors
Prostaglandin E1 (PGE1) agonists
Estrogens (estrogen receptor agonists)
Other sex-hormonal agents
Other drugs
Combination drugs
Market withdrawal
Off-label drugs
- ñ<sub>2</sub>-Adrenergic receptor antagonists (e.g., yohimbine, rauwolscine (found in yohimbe)) â erectile dysfunction, low sexual desire
- Androgens/anabolic steroids (androgen receptor agonists) (e.g., testosterone, testosterone esters, methyltestosterone) â low sexual desire
- Antiandrogens (e.g., GnRH modulators, high-dose estrogen therapy, high-dose progestogen therapy) â various mechanisms of action â paraphilias, hypersexuality, sexual deviance
- Antipsychotics (e.g., haloperidol) â dopamine receptor antagonists, other actions â paraphilias, hypersexuality, sexual deviance
- Bupropion (Wellbutrin, Zyban) â norepinephrineâÂÂdopamine reuptake inhibitor (NDRI), other actions â low sexual desire
- Buspirone (Buspar) â serotonin 5-HT<sub>1A</sub> receptor agonist, other actions â low sexual desire
- Clomipramine (Anafranil) â tricyclic antidepressant (TCA), serotoninâÂÂnorepinephrine reuptake inhibitor (SNRI), other actions â premature ejaculation
- Cyproheptadine (Periactin) â non-selective serotonin receptor antagonist, other actions â anorgasmia, low sexual desire/decreased libido
- Estrogens (e.g., estradiol, estradiol esters, ethinylestradiol) â estrogens (estrogen receptor agonists) â atrophic vaginitis, dyspareunia, vulvodynia, low sexual desire
- Horny goat weed (Epimedii herba) â unknown mechanism of action â low sexual desire
- Selective serotonin reuptake inhibitors (SSRIs) (e.g., sertraline, fluoxetine, paroxetine, citalopram, escitalopram) â premature ejaculation, paraphilias, hypersexuality, sexual deviance
- Selegiline (<small>L</small>-deprenyl; Eldepryl, Zelapar, Emsam) â monoamine oxidase B (MAO-B) inhibitor, other actions â low sexual desire
- Tramadol (Tramal) â ü-opioid receptor agonist, serotoninâÂÂnorepinephrine reuptake inhibitor (SNRI), other actions â premature ejaculation
- Trazodone (Desyrel, Oleptro) â serotonin antagonist and reuptake inhibitor (SARI), various actions â erectile dysfunction, low sexual desire
Recreational drugs
- Alcohol (ethanol/ethyl alcohol) â GABA<sub>A</sub> receptor positive allosteric modulator
- Alkyl nitrites (poppers) (e.g., amyl nitrite) â nitric oxide donors, vasodilators, muscle relaxants, inhalants
- Cannabinoids (e.g., THC, cannabis, synthetic cannabinoids) â cannabinoid CB<sub>1</sub> receptor agonists
- Dissociative hallucinogens (e.g., ketamine, methoxetamine, phencyclidine (PCP)) â ionotropic glutamate NMDA receptor antagonists
- Entactogens (empathogens) (e.g., MDMA (ecstasy), mephedrone, 6-APB, borax combo) â serotoninâÂÂnorepinephrineâÂÂdopamine releasing agents (SNDRAs), other actions
- ó-Hydroxybutyric acid (GHB; oxybate) and prodrugs (e.g., GBL, 1,4-BD) â GABA<sub>B</sub> and GHB receptor agonists
- Phosphodiesterase PDE5 inhibitors (e.g., sildenafil, tadalafil, vardenafil, avanafil)
- Psychostimulants (stimulants) (e.g., amphetamine, methamphetamine, cocaine, mephedrone (4-MMC), metaphedrone (3-MMC), MDPV) â norepinephrineâÂÂdopamine releasing agents (NDRAs) and/or norepinephrineâÂÂdopamine reuptake inhibitors (NDRIs)
- Serotonergic psychedelics (e.g., 2C-B, 5-MeO-DiPT, 5-MeO-MiPT) â serotonin 5-HT<sub>2A</sub> receptor agonists
See also
References
External links