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MyDosage · Personal evidence dossier

Sexual health

Melanocortin and kisspeptin pathways for libido and arousal.

DSR-SEXU-20260820
Issued August 20, 2026
Editorial · independent
01Top candidate
PT-141
α-MSH analogue (MC4) · t½ ~2.7 h

Cyclic α-MSH analogue approved as Vyleesi for hypoactive sexual desire disorder in premenopausal women.

Evidence Intelligence Score™
6.3/ 10Moderate
Strongest

Effects on the indexed outcomes are supported by randomized human data, with 1 citation on file.

Weakest

Effect sizes outside trial populations and durations beyond the studied window remain less characterized.

Unknowns

Interactions outside listed contraindications, long-term safety, and effect heterogeneity across age and sex are not fully resolved.

Outlook

Outlook: maturing. Expect the consensus to harden as multi-site replications publish.

02Ranked candidates
  1. 01
    PT-141
    α-MSH analogue (MC4)
    6.3
    A
  2. 02
    Melanotan II
    α-MSH analogue (cyclic)
    3.6
    C
03Safety register
  • PT-141
    Uncontrolled hypertension · Cardiovascular disease
  • Melanotan II
    Pregnancy · Personal/family melanoma · History of moles/dysplastic nevi

Suggestive, never prescriptive. This dossier summarizes indexed published evidence as of issue date. It is not medical advice. Discuss with a clinician.

Issued by
MyDosage Editorial
Independent · non-commercial

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