Systematic Review of l-Arginine for the Treatment of Hypoactive Sexual Desire Disorder and Related Conditions in Women
Open accessAbstract
This systematic review evaluates the efficacy and safety of l-arginine alone or in combination for the treatment of women with hypoactive sexual desire disorder (HSDD) or related conditions, such as female sexual interest/arousal disorder and female sexual arousal disorder. Medline, Embase, International Pharmaceutical Abstracts, Science Direct, and the Cumulative Index to Nursing and Allied Health Literature were searched using keywords “arginine”, “Lady Prelox”, “ArginMax”, “Stronvivo”, “Ristela”, “hypoactive sexual desire disorder”, “female sexual interest arousal disorder”, “female sexual arousal disorder”, “sexual dysfunction”, “sexual behavior”, “dyspareunia”, “libido”, and permutations thereof. Relevant records were retained if they were primary literature, conducted in women with HSDD or related conditions, and published as full text in English. Five randomized controlled trials and two nonrandomized studies met eligibility criteria. Six of the seven studies reported either an increase in the total mean Female Sexual Function Index score or significant increases in multiple domains therein. One study assessed vaginal pulse amplitude and found a statistically significant increase in a combination treatment group compared to placebo. No significant side effects were reported. Four of seven studies had potential risk-of-bias concerns per Cochrane assessments. This systematic review found that combination products containing l-arginine in the form of ArginMax or Lady Prelox may be considered for the treatment of HSDD and related conditions in women regardless of age.
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ArginMax can be effective in the treatment of Hypoactive Sexual Desire Disorder and Related Conditions in Women.
“In a systematic review in 2021, it was found that the compound containing L-arginine called ArginMax can be effective in the treatment of Hypoactive Sexual Desire Disorder and Related Conditions in Women.”
From Effect of l-arginine compared to placebo on sexual function in women with major depressive disorder: a randomized controlled trial (2024) · cites this paper as [39]
The lack of statistical significance of adding L-arginine on sexual performance may be due to lower doses compared to most other studies.
“In addition to SSRI-induced sexual dysfunction, the lack of statistical significance of the addition of L-arginine on sexual performance despite the improvement of the FSFI score in the L-arginine group may be that in terms of its lower doses compared to most of the other studies [39].”
From Effect of l-arginine compared to placebo on sexual function in women with major depressive disorder: a randomized controlled trial (2024) · cites this paper as [39]
The Discussion (page unavailable) reports that reviewed studies used l-arginine in combination therapies, making its individual effects difficult to assess. It does not suggest that a lower dose explains a nonsignificant sexual-performance result; searches for dose-dependent effects and SSRI-related sexual dysfunction found no such explanation in our copy. (LLM, conf=0.73)
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Cites
1 retracted
Original Articles: Epidemiology and Neurobiology of Female Sexual Dysfunction
Clayton, A. H. (2007) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2007.00609.x · Cited by 100 · see citing works
RetractedDiagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
RoB 2: a revised tool for assessing risk of bias in randomised trials
Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., et al. (2019) · BMJ · doi:10.1136/bmj.l4898 · Cited by 33,583 · see citing works
ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions
Sterne, J. A., Hernán, M. A., Reeves, B. C., Savović, J., Berkman, N. D., Viswanathan, M., Henry, D., Altman, D. G., Ansari, M. T., Boutron, I., et al. (2016) · BMJ · doi:10.1136/bmj.i4919 · Cited by 20,329 · see citing works
Zeng, X., Zhang, Y., Kwong, J. S. W., Zhang, C., Li, S., Sun, F., Niu, Y., & Du, L. (2015) · Journal of Evidence-Based Medicine · doi:10.1111/jebm.12141 · Cited by 2,082 · see citing works
Schwedhelm, E., Maas, R., Freese, R., Jung, D., Lukacs, Z., Jambrecina, A., Spickler, W., Schulze, F., & Böger, R. H. (2008) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.2007.02990.x · Cited by 494 · see citing works
Rector, T. S., Bank, A. J., Mullen, K. A., Tschumperlin, L. K., Sih, R. T., Pillai, K., & Kubo, S. H. (1996) · Circulation · doi:10.1161/01.cir.93.12.2135 · Cited by 275 · see citing works
The aphrodisiac and adaptogenic properties of ginseng
Nocerino, E., Amato, M., & Izzo, A. A. (2000) · Fitoterapia · doi:10.1016/s0367-326x(00)00170-2 · Cited by 229 · see citing works
Hypoactive Sexual Desire Disorder: A Review of Epidemiology, Biopsychology, Diagnosis, and Treatment
Parish, S. J., & Hahn, S. R. (2016) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2015.11.009 · Cited by 227 · see citing works
Clayton, A. H., Goldstein, I., Kim, N. N., Althof, S. E., Faubion, S. S., Faught, B. M., Parish, S. J., Simon, J. A., Vignozzi, L., Christiansen, K., et al. (2018) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2017.11.002 · Cited by 226 · see citing works
Moinard, C., Nicolis, I., Neveux, N., Darquy, S., Bénazeth, S., & Cynober, L. (2007) · British Journal Of Nutrition · doi:10.1017/s0007114507841110 · Cited by 218 · see citing works
Hypoactive sexual desire disorder in postmenopausal women: quality of life and health burden.
Biddle, A., West, S., D'Aloisio, A., Wheeler, S., Borisov, N., & Thorp, J. (2009) · Value in Health · doi:10.1111/j.1524-4733.2008.00483.x · Cited by 143 · see citing works
Female Sexual Dysfunction—Medical and Psychological Treatments, Committee 14
Kingsberg, S. A., Althof, S. E., Simon, J. A., Bradford, A. M., Bitzer, J., Carvalho, J., Flynn, K. E., Nappi, R. E., Reese, J. B., Rezaee, R. L., et al. (2017) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2017.05.018 · Cited by 128 · see citing works
Ito, T. Y., Trant, A. S., & Polan, M. L. (2001) · Journal of Sex & Marital Therapy · doi:10.1080/713846828 · Cited by 96 · see citing works
Oh, K. J., Chae, M. J., Lee, H.-S., Hong, H., & Park, K. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2009.01700.x · Cited by 91 · see citing works
Biology of female sexual function
Munarriz, R. M., Kim, N. N., Goldstein, I., & TRAISH, A. M. (2002) · Urologic Clinics of North America · doi:10.1016/s0094-0143(02)00069-1 · Cited by 90 · see citing works
Vaginal photoplethysmography: Methodological considerations
Hatch, J. P. (1979) · Archives of Sexual Behavior · doi:10.1007/bf01541879 · Cited by 85 · see citing works
Klotz, T., Mathers, M. J., BRAUN, M. A., Bloch, W., & Engelmann, U. H. (1999) · Urologia Internationalis · doi:10.1159/000030454 · Cited by 84 · see citing works
Meston, C. M., & Worcel, M. (2002) · Archives of Sexual Behavior · doi:10.1023/a:1016220225392 · Cited by 79 · see citing works
Short- and Long-term Effects of Ginkgo Biloba Extract on Sexual Dysfunction in Women
Meston, C. M., Rellini, A. H., & Telch, M. J. (2008) · Archives of Sexual Behavior · doi:10.1007/s10508-008-9316-2 · Cited by 78 · see citing works
Wheatley, D. (2004) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.627 · Cited by 75 · see citing works
Ito, T. Y., Polan, M. L., Whipple, B., & Trant, A. S. (2006) · Journal of Sex & Marital Therapy · doi:10.1080/00926230600834901 · Cited by 67 · see citing works
Female Hypoactive Sexual Desire Disorder
Warnock, J. “. K. (2002) · CNS Drugs · doi:10.2165/00023210-200216110-00003 · Cited by 66 · see citing works
Andersson, U., Berger, K., Högberg, A., Landin‐Olsson, M., & Holm, C. (2011) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2011.203 · Cited by 66 · see citing works
Revicki, D. A., Margolis, M. K., Bush, E. N., Derogatis, L. R., & Hanes, V. (2011) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2011.02312.x · Cited by 55 · see citing works
Natural Aphrodisiacs—A Review of Selected Sexual Enhancers
West, E. J., & Krychman, M. (2015) · Sexual Medicine Reviews · doi:10.1002/smrj.62 · Cited by 48 · see citing works
Clayton, A. H., Derogatis, L. R., Rosen, R. C., & Pyke, R. E. (2012) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2012.02859.x · Cited by 40 · see citing works
Lodise, N. M. (2013) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1002/phar.1209 · Cited by 25 · see citing works
Foley, K. A., Foley, D., & Johnson, B. H. (2010) · Journal of Medical Economics · doi:10.3111/13696998.2010.518114 · Cited by 23 · see citing works
Anderson, R. C., & Moffatt, C. E. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.01.001 · Cited by 19 · see citing works
Lady Prelox® improves sexual function in generally healthy women of reproductive age.
Bottari, A., BELCARO, G. V., Ledda, A., et al. (2013) · PubMed · Cited by 14 · see citing works
Pycnogenol supplementation as an adjunct treatment for antidepressant-induced sexual dysfunction
Smetanka, A., Stara, V., Farský, I., Tonhajzerová, I., & Ondrejka, I. (2019) · Physiology International · doi:10.1556/2060.106.2019.02 · Cited by 13 · see citing works
Lady Prelox® improves sexual function in post-menopausal women.
Bottari, A., Belcaro, G. V., Ledda, A., et al. (2012) · PubMed · Cited by 10 · see citing works
Further Commentary on DSM-5 FSIAD Diagnosis
Balon, R., & Clayton, A. H. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12770 · Cited by 9 · see citing works
Stanislavov, R. (2014) · Journal of Women s Health Care · doi:10.4172/2167-0420.1000195 · Cited by 3 · see citing works
Prevention of vaginal dryness in perimenopausal women. Supplementation with Lady Prelox®
Cesarone, M. R., Belcaro, G. V., SCIPIONE, C., et al. (2020) · Minerva Obstetrics and Gynecology · doi:10.23736/s0026-4784.19.04466-6 · Cited by 2 · see citing works
Spadt, S. K., & Dweck, A. (2020) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2020.04.388 · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [33]ConsumerLab.com L-Arginine Supplements Review. ConsumerLab.com 19 10 2019 Available online: https://www.consumerlab.com/reviews/l-arginine-supplements-review/arginine/ (accessed on 7 December 2020)
- [35]Newell C. Anderson L. Phillipson J. Herbal Medicines: A Guide for Health-Care Professionals The Pharmaceutical Press London, UK 1996
Cited by
Sorted by citations
Management of Antidepressant Therapy–Induced Sexual Dysfunction in Women
Lurati, A. R. (2022) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2022.01.002 · Cited by 3 · see citing works
Torkaman, P., Meybodi, A. M., Kheradmand, A., Eiliaei, S., & Ardakani, M. T. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05781-5 · Cited by 1 · see citing works
“In addition to SSRI-induced sexual dysfunction, the lack of statistical significance of the addition of L-arginine on sexual performance despite the improvement of the FSFI score in the L-arginine group may be that in terms of its lower doses compared to most of the other studies [39].”
BackgroundResult
- Authors
- Cieri-Hutcherson, N. E., Jaenecke, A., Bahia, A., Lucas, D., Oluloro, A., Stimmel, L., & Hutcherson, T. C.
- Affiliations
- Department of Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, NY 14214, USA
- D'Youville University (US)
- University at Buffalo, State University of New York (US)
- Venue
- Pharmacy
- Publisher
- MDPI AG
- Published
- 2021-03-27
- Volume
- 9
- Issue
- 2
- Pages
- 71
- ISSN
- 2226-4787 (ISSN-L)
- PMC
- PMC8103282
- OpenAlex
- W3149673113
- Cited by
- 15
- References
- 37
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 1
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Pharmacy (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- L-arginine, hypoactive sexual desire disorder, female sexual interest/arousal disorder, female sexual arousal disorder, female sexual dysfunction, sexual desire, combination therapy, Female Sexual Function Index, vaginal pulse amplitude, dyspareunia, treatment efficacy, drug safety
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