Sexual desire isn't just psychological - it's fundamentally neurochemical. Your brain produces dopamine (the 'I want' neurotransmitter) and activates your melanocortin-4 receptor system (MC4R), which is a master regulator of sexual motivation and arousal.
For women with HSDD, this system isn't working properly. It's not about willpower, attraction, or relationship quality - the neurochemical machinery that generates desire is stuck in the 'off' position. The melanocortin-4 receptor (MC4R) system in the brain, which directly controls sexual arousal and motivation, is underactive.
Bremelanotide works by activating MC4R, essentially flipping the neurochemical switch that generates sexual motivation. It's not a libido booster in the traditional sense - it's addressing the underlying biological mechanism of desire itself.
"Sexual desire is a neurochemical process, not a psychological failing."
The result? Women report increased sexual motivation, more frequent desire, and improved arousal - not through willpower or effort, but because the neural system that generates desire is finally getting the right signal.