Sex Drive In a Little Pink Pill- Consumers Be Warned

By Dr. Kristen Burris, DAcCHM — “Dr. Babymaker”

Low libido in women is not a personal shortcoming, a sign of a bad relationship, or something that can be magically fixed with a little pink pill. Sexual desire is a complex interplay of personal connection, brain chemistry, hormone expression, stress physiology, emotional safety, and reflection of overall physical and emotional health.

Recently, the prescription drug Addyi® (flibanserin) has hit the shelves and has been marketed as a solution for women with low sexual desire. However, when we look closely at how it works, how well it works, and the risks involved, a vital question emerges:

Why risk taking a medication, with potentially serious side effects when safer, effective, non-drug options already exists?

What Is Addyi—and How Does It Work?

Addyi (flibanserin) is FDA-approved for hypoactive sexual desire disorder (HSDD) in premenopausal women. Unlike Viagra, which increases blood flow, Addyi acts on the brain, altering levels of neurotransmitters such as serotonin, dopamine, and norepinephrine. Spoiler ALERT! Acupuncture naturally alters levels of neurotransmitters, serotonin, dopamine and norepinephrine. 

The theory for this drug is simple: adjust brain chemistry and desire may improve.

The reality? The benefits of this pink pill or extremely modest... less than .5 increase. Even though they boast boldy "Real Science. Real Results". Orgasm increase was from .49 to .81...over 24 week period, arousal from .6 to 1.0 desire from .59 to .91. These results are hardly any increase whatsoever but the drug got FDA approval anyways. And recently, they expanded the population for postmenopausal women too. 

Clinical trials showed only small increases in desire scores and, on average, about one additional “satisfying sexual experience” every two months compared to placebo. But the page advertises this in a misleading way by promising "More Satisfying Sex" with two tiny asterisks next to that bold statement. Many women saw no meaningful change at all.

The Real Risks of Addyi

What often gets glossed over in advertising is Addyi’s safety profile.

1. Dangerous Alcohol Interactions

Addyi carries a boxed warning for severe low blood pressure and fainting when combined with alcohol. Even small amounts can trigger significant reactions. For many women, this alone is a deal-breaker.

2. Medication Interactions

Addyi interacts with common medications, including:

  • Antifungals

  • Certain antibiotics

  • Antidepressants

  • Hormonal therapies

  • St. John's Wort

  • Ginko

  • Resveratrol 

  • Even Grapefruit Juice

These interactions can raise drug levels and increase side effects.

3. Common Side Effects

Reported side effects include:

  • Dizziness

  • Passing Out Sycope

  • Very Low Blood Pressure

  • Extreme fatigue

  • Nausea

  • Insomnia

  • Brain fog

They warn: DO NOT DRIVE within 6 HOURS of taking this medication do to the risk of passing out, losing consciousness 

Many women stop the medication because they simply don’t feel well on it. 13% had such severe side-effects they had to discontinue the medication. 

Why Low Libido Is Rarely a “Drug Deficiency”

From a functional and integrative medical perspective, low libido is almost never caused by a lack of pharmaceuticals.

Common root contributors include:

  • Chronic stress or nervous system overload

  • Hormonal imbalance (especially estrogen, progesterone, testosterone and cortisol)

  • Poor sleep and exhaustion

  • Depression or anxiety

  • Pain, inflammation, or pelvic floor dysfunction or prolapse

  • Relationship or emotional safety issues

  • From a TCM perspective our Kidney energy are almost always involved 

Suppressing symptoms without addressing these root cause drivers often leads to frustration—and sometimes harming the patient.

How Acupuncture Improves Libido—Without the Risk

Acupuncture doesn’t force the body into one biochemical pathway. Instead, it regulates to imbalances.

Research shows acupuncture can:

  • Modulate serotonin and dopamine

  • Calms the sympathetic (“fight or flight”) nervous system

  • Improves blood flow to pelvic organs and the brain

  • Reduce stress hormones including cortisol

  • Improve sleep quality

  • Improve mood and desire

  • Increases energy and stamina

These healing effects directly influence sexual desire, arousal, and satisfaction—using the body’s own regulatory systems as opposed to overriding them.

When performed by a licensed practitioner, acupuncture and dry needling have an extremely low risk profile. Look for the specific credentials Licensed Acupuncturist "LAc" or  Doctor of Acupuncture "DAc" or  the dual doctorate Doctor of Acupuncture with a Specialization in Chinese Herbal Medicine "DAcCHM".  

Individualized Chinese Herbal Medicine: Precision, Not Pills

Unlike one-size-fits-all medications, Chinese herbal medicine is customized to your body, your pattern, your desire. We differentiate based on many aspects including if you feel desire once things get started, never feel aroused, have a hard time climaxing, have no energy to get aroused, or too exhausted to think about having sex. We pay attention to whether the patient has back pain, headaches or suffers emotionally. Each pattern is different for each person. 

Two women with “low libido” may receive completely different formulas based on:

  • Hormone patterns

  • Energy levels

  • Sleep quality

  • Digestive health

  • Emotional state

  • Tongue and Pulse Diagnosis

Properly prescribed herbal formulas can:

  • Support dopamine and norepinephrine pathways

  • Improve blood circulation and pelvic and overall body warmth

  • Reduce anxiety and mental fatigue

  • Support adrenal and hormonal balance

  • Stimulate the desire to initiate 

When prescribed appropriately, individualized herbal medicine offers therapeutic benefit, without the systemic risks seen with drugs like Addyi. Never order online. Herbs can be tampered with. Never order from other countries. These can contain contaminants and even unlisted drugs. 

Similar Brain Effects—Very Different Safety Profiles

Here’s what’s important to understand:

Addyi, acupuncture, and Chinese herbal medicine all influence brain chemistry.

The difference is how they do it.

Approach

Addyi

Acupuncture

Individualized Herbs

Affects Neurotransmitters

Yes (single pathway)

Yes (regulatory, multi-pathway)

Yes (adaptive, multi-target)

Systemic Risk

Moderately High

Very Low

Low (when properly prescribed)

Why start with the riskiest option?

A Smarter, Safer First-Line Approach

As a doctor of natural medicine, my philosophy is simple:

Start with the least invasive, most restorative option that addresses root causes first.

For most women, that means starting with acupuncture and herbal medicine with lifestyle changes for:

  1. Nervous system regulation

  2. Hormonal balance

  3.  Metabolic Support

  4. Digestive System Strengthening

  5. Auto-immune system regulation

Medication should always be a last resort, not the first option.

Final Thoughts from Dr. Babymaker

Low libido is not a flaw—it’s feedback. Whether you are trying for a baby or you are on your way into menopause, libido is more than sex drive. It's connection, it's healthy relationships, it's healthy hormones and blood flow. It is a natural part of life that can improve with a little help. 

Your body is asking for balance, safety, and support—not suppression.

Before risking a medication with known side-effects and uncertain long-term consequences, consider treatments that work with your physiology, not against it.

Because when effective, safer options already exist, why gamble with your health?

Ready to Address Low Libido Naturally?

If you’re struggling with low desire and want a personalized, root-cause approach using acupuncture and functional medicine, schedule a consultation at www.doctorbabymaker.com.

Your body deserves better than a pill with a warning label.

Colin Eggleston