PT-141 Libido Enhancement refers to the therapeutic use of the synthetic peptide Bremelanotide (PT-141) to improve sexual desire and arousal in both men and women. Unlike traditional treatments that target vascular mechanisms, this peptide acts centrally within the brain to activate pathways associated with sexual motivation. It represents a neuro-hormonal approach to addressing hypoactive sexual desire disorder.
Origin
PT-141 is a synthetic analog of the naturally occurring melanocortin peptide alpha-MSH, which was initially developed for tanning but was observed to have a potent side effect on sexual arousal. Its clinical application is rooted in the understanding that sexual function is driven by central nervous system signaling, not solely peripheral blood flow.
Mechanism
The primary mechanism involves the activation of melanocortin receptors, specifically the MC3R and MC4R, located in key brain regions like the hypothalamus. Activation of these receptors initiates a cascade of neuronal signaling that modulates dopamine release in the motivation and reward pathways. This central action directly increases subjective sexual desire and arousal, offering a distinct mechanism from phosphodiesterase inhibitors.
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