Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · Neuropsychiatric

Hypoactive sexual desire and erectile dysfunction — indication assessment

Persistently reduced sexual desire or impaired erectile function causing distress, assessed by validated instruments.

Document identifier
CEI-IN-25
Series
Indication assessment
Version
1.1
Published
31 Aug 2025
Last reviewed
31 Aug 2025
Next review
31 Aug 2027
Identifier
10.71829/cei.ind.25
Certainty
Not rated
Cycle
2025 Q3
ICD-11
HA00
Category
Neuropsychiatric

§1Assessment

§1.1Definition

Persistently reduced sexual desire or impaired erectile function causing distress, assessed by validated instruments.

§1.2Anchor and additional outcomes

The Institute designates one anchor outcome per indication so that estimates for different compounds are reported on a common measure. The anchor for this indication is the first outcome below.

  1. Female Sexual Function Index desire domain
  2. Female Sexual Distress Scale item 13
  3. International Index of Erectile Function
  4. Satisfying sexual events

§1.3State of the evidence

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.3compounds
HighModerateLowVery low
Figure 1. Certainty ratings across the 3 compounds the Institute assesses for this indication. A high rating for one compound says nothing about another.

The Institute assesses 3 compounds in this indication, drawing on 16 trial records and 3 evidence syntheses. [1,2]

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Clayton AH, Althof SE, Kingsberg S, DeRogatis LR, Kroll R, Goldstein I, Kaminetsky J, Spana C, Lucas J, Jordan R, Portman DJ. Bremelanotide for female sexual dysfunctions in premenopausal women: a randomized, placebo-controlled dose-finding trial. Women’s Health 2016;12(3):325–337. doi:10.2217/whe-2016-0018 · PMID 27638896
  2. D’Hondt M, Bracke N, Taevernier L, Gevaert B, Verbeke F, Wynendaele E, De Spiegeleer B. Related impurities in peptide medicines. Journal of Pharmaceutical and Biomedical Analysis 2014;101:2–30. doi:10.1016/j.jpba.2014.06.012 · PMID 25044089

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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