If you're thinking about taking PT-141 to boost your Erections and Sex Drive or even to last longer in bed - you should think TWICE. This stuff might sound like a miracle fix—and yeah, it’s FDA-approved for women—but it could seriously mess you up.
I’ve spent years helping men tackle premature ejaculation (PE) and erectile dysfunction (ED), and in this post, I’ll guide you through:
- What PT-141 is
- How PT-141 works
- The serious potential long-term downsides
- And some BETTER alternatives for boosting sex drive & erections for men.
What is PT-141? A Sex Booster?
PT-141, also called bremelanotide, is a peptide that targets melanocortin receptors in the brain.
There are five types:
- MC1R: Influences skin and hair pigmentation by controlling melanin production.
- MC2R: Regulates the production of stress hormones (like cortisol) in the adrenal glands.
- MC5R: Regulates sebum (skin oil) production, contributing to skin and hair health
- MC3R and MC4R: Play a role in hunger and sexual motivation in both men and women. This is why PT-141 is now FDA approved to increase sex drive in women.
The FDA approved PT-141 for women with low sex drive, but it’s not approved for men. Still, its effects on erections and libido make it interesting to men dealing with ED or low desire. However, there’s a significant downside we’ll explore later.
How PT-141 boosts Erections and Sex Drive in Men
PT-141 can be used as an injection or nasal spray. For men, it can strengthen erections and help maintain them longer—sometimes for 12 to 24 hours. It works by activating the MC3R and MC4R receptors, which are tied to sexual desire and erectile function. It also boosts nitric oxide production in the genitals, a critical factor for achieving an erection.
On the surface, it sounds promising: stronger erections, heightened libido, and no reliance on pills like Viagra or Cialis. But the risks make it less appealing.
RISKS
The general side effects of PT-141 are nausea (40% of users), flushing (20%), headaches (11%), and vomiting (5%).
But more concerning are reports of severe anhedonia and depression. Anhedonia means losing interest in things you used to enjoy, and for some, it’s like an emotional blackout.
Here’s what real users have said on Reddit:
REDDIT REPORT 1: Anhedonia from PT-141

“It’s been 2 weeks and I’m still suffering from anhedonia on and off from PT-141. I took it and the dullness is on and off, but other than that I have a constant blank mind which is making life extremely agitating. I cannot seem to socialize anymore and it’s hard to do cognitive tasks.”
REDDIT REPORT 2: PT-141 Serious Apathy/Depression

“I took only 100 micrograms of PT-141 on three separate occasions one week apart. It caused horrible apathy and depression for me and is lasting weeks. The final dose was about 6 weeks ago when I noticed the depression. I’m not a depressed person at all; most people comment on my frequent smiling.”
REDDIT REPORT 3: PT-141 Lowered Libido

“I pinned this peptide only twice, 500 micrograms each time. Ironically, I was looking to increase libido and sex drive but seems to have had the opposite effect. I had average libido before, could orgasm pretty easily once I got going, but now I have trouble getting excited and either no orgasm or very weak climax.”
REDDIT REPORT 4: PT-141 Hangover Effect
Another user mentioned a lingering “hangover” feeling that stuck around long after the effects wore off:

Even peptide expert Ryan Russo cautions against frequent use in one of his recent videos. He advises, “I would treat that peptide with extreme caution. I would treat that peptide as once in a blue moon and that it could create an anxious environment.”
Why Does PT-141 Cause ANHEDONIA and Loss of Sex Drive ?
PT-141 might overstimulate the melanocortin receptors, throwing off your brain’s natural balance. One possibility is that it disrupts dopamine pathways, which handle pleasure and motivation. You might get a temporary lift in libido or erections, but the tradeoff could be anhedonia, depression, or even reduced sex drive over time.
COSTS
On top of the risks, PT-141 isn’t cheap. A 10 mL vial for injections runs about $50, enough for two doses. The nasal spray costs around $250. So, it’s not just your health at stake—it’s your wallet too.
ALTERNATIVES
What are the alternatives to PT-141 for Better Erections and Sex Drive?
If PT-141’s risks have you second-guessing, here are safer, more effective options to boost your sex drive and erections:
- Good Sleep: Quality sleep regulates hormones like testosterone, which directly impacts libido and erectile function.
- NoFap: Avoiding excessive pornography and masturbation can restore dopamine sensitivity, enhancing natural arousal and stamina.
- Optimizing Testosterone and Estrogens: Balancing these hormones through diet, exercise, or medical guidance can dramatically improve sexual performance.
- Diet High in Animal Fats, Carnivore: Nutrient-dense animal fats support TESTOSTERONE production, fueling libido and overall vitality.
- Healthy Lifestyle, Fitness: Regular exercise boosts blood flow, confidence, and energy—all key to better erections and sex drive.
- Viagra / Cialis: These well-tested medications are safe for erections, reliable, and far less risky than experimental peptides like PT-141.
Need Help with PE or ED?
If PE or ED is an issue for you, I’m here to help. Book a free call with me here. I’ve worked with guys like you for years. We’ll talk through your situation, explore what’s possible, and if it’s a fit, we can start coaching to boost your stamina.