140 Jupiter Lakes Blvd A, Jupiter, FL 33458 Monday - Friday 8am - 4pm · By Appointment Only

Sexual Wellness

For low desire and arousal that pills built for blood flow don’t address.

Book a Consultation All peptide therapies

Low libido is one of the most common things people don’t bring up at the doctor. It affects men and women, it tends to creep in with stress, age, medications or hormonal shifts, and the usual fixes don’t always help. Drugs like sildenafil improve blood flow, which is useful if that’s the problem, but they do nothing for desire itself.

Sexual wellness peptide therapy works further upstream. PT-141 (bremelanotide) acts on melanocortin receptors in the brain that govern desire and arousal, which is why it helps both men and women and why it works even when blood-flow medications haven’t. Dr. Loera pairs it, when appropriate, with hormone testing and bioidentical hormone replacement, because low testosterone or estrogen is often part of the picture.

How it helps

How sexual wellness peptides help

The difference is where they act. Blood-flow drugs work on the plumbing; PT-141 works on the signal.

Desire, not just function

PT-141 activates melanocortin pathways in the brain tied to sexual motivation and arousal.

Works for women too

Bremelanotide is FDA-approved for low sexual desire in premenopausal women, one of the few treatments with that evidence.

Helps when PDE5 drugs don’t

Men whose issue is desire or arousal rather than blood flow often respond when sildenafil or tadalafil haven’t.

Combines with hormone care

Peptides and hormone optimization address different parts of the problem and are often used together.

On-demand use

Taken before intimacy rather than every day, which suits most people’s lives.

Discreet and private

Consultations happen in a private suite with a physician who has this conversation every week.

Getting the diagnosis right first

Low libido has causes, and the treatment should match them. Before prescribing, Dr. Loera looks at:

  • Hormones: testosterone (in men and women), estrogen, thyroid, prolactin and cortisol
  • Medications: antidepressants, blood pressure drugs and hormonal contraception are frequent culprits
  • Sleep, stress and mood, which blunt desire more than most people realize
  • Blood flow and vascular health, particularly in men

Sometimes the answer is hormone replacement, sometimes a medication change, sometimes PT-141, and often a combination.

How PT-141 is used

PT-141 is taken as a small subcutaneous injection or a nasal spray roughly 45 minutes to a few hours before planned intimacy. Effects build gradually rather than switching on, and many people report they last well into the following day. It is not taken daily; most patients use it a few times a month. Starting doses are low to see how you respond, since the most common side effects, nausea and facial flushing, are dose-related.

Pairs well with

Candidates

Is sexual wellness peptide therapy right for me?

Often a good fit

  • Low desire or difficulty with arousal, in men or women
  • Blood-flow medications haven’t helped, or desire is the main issue
  • Libido changes tied to stress, age, menopause or medications
  • Wanting an on-demand option rather than a daily pill
  • Open to checking hormones as part of the plan

Let’s talk first

  • Uncontrolled high blood pressure or significant heart disease (PT-141 can raise blood pressure briefly)
  • Pregnancy, breastfeeding or trying to conceive
  • Relationship or psychological factors that would benefit from counseling first (we can refer)
  • Active cancer or cancer treatment in the last five years
  • A history of melanoma or many atypical moles (melanocortin peptides affect pigmentation)

Not sure where you land? A consultation with Dr. Loera is the fastest way to find out.

The process

How it works

  1. Step 1

    Private consultation

    A frank, unhurried conversation about what’s changed, plus a review of medications, health history and hormone labs.

  2. Step 2

    Your plan

    Dr. Loera decides whether PT-141, hormone optimization, a medication change or a combination fits best.

  3. Step 3

    Teaching and first dose

    We show you how and when to use it, starting at a low dose to gauge your response.

  4. Step 4

    Use as needed

    Prescriptions ship from a licensed compounding pharmacy. Most people use PT-141 a few times a month.

  5. Step 5

    Follow-up

    We check in after the first few uses to adjust dose and timing, and review labs if hormones are part of the plan.

Good to know

Sexual wellness questions, answered

What is PT-141?

PT-141, also called bremelanotide, is a peptide that activates melanocortin receptors in the brain involved in sexual desire and arousal. Unlike sildenafil-type drugs, which work on blood flow, PT-141 works on the desire signal itself, which is why it helps both men and women.

Does PT-141 work for women?

Yes. Bremelanotide is FDA-approved (as Vyleesi) for low sexual desire in premenopausal women. It is also used off-label for women after menopause and for men.

How is PT-141 different from Viagra or Cialis?

Viagra and Cialis improve blood flow and do nothing for desire. PT-141 increases desire and arousal through the brain and does not depend on blood flow. Some men use both for different parts of the problem.

How long before it works, and how long does it last?

Effects typically begin 45 minutes to a few hours after dosing and can last several hours, with many people noticing effects into the next day. It isn’t an instant switch like a blood-flow drug.

What are the side effects?

The most common are nausea and facial flushing, especially at higher doses, plus a temporary rise in blood pressure. Some people notice darkening of skin or moles with repeated use. We start low and screen for blood pressure and skin history.

Is sexual wellness peptide therapy FDA approved?

Bremelanotide is FDA-approved for premenopausal women with low desire. Its use in men and postmenopausal women is off-label, and compounded versions are regulated differently from the branded product. Availability can change, and Dr. Loera will confirm what can currently be prescribed.

Should I check my hormones first?

We recommend it. Low testosterone, low estrogen, thyroid problems and high prolactin are common, treatable causes of low libido, and addressing them can make a peptide unnecessary or far more effective.

Can my partner and I both be treated?

Yes. Low desire often affects both partners in different ways, and it’s common for couples to be seen together or separately. Everything is confidential.

Is it safe with blood pressure medication?

Usually, as long as blood pressure is well controlled. PT-141 can cause a short rise in blood pressure, so we check yours and review your medications before prescribing.

What does it cost?

It depends on the peptide, dose and whether hormone care is part of the plan. Peptide therapy is self-pay and not covered by insurance. You’ll get a clear quote at your consultation, and our price list is always available.

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Ready to feel like yourself again?

Personalized care from a board-certified physician in a private, relaxing suite.

Book an Appointment (561) 277-9211

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Conveniently located in Jupiter, Florida

By Appointment Only

Monday - Friday
8am - 4pm
Saturday & Sunday
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