Cream
BiomeNourish™ Arousal
Designed for added localized external support before sexual activity when arousal, sensitivity, or physical responsiveness feel reduced. It is designed for external use on the clitoral area before sexual activity.
What It Helps With:
Reduced external arousal before sexual activity
Lower local sensitivity
Difficulty building physical responsiveness with stimulation
Added external support before intimacy when appropriate
One-Time Purchase
$112.00
✔ Eligible for 3 refills during 12 month
✔ No additional consultation required during eligibility period
A $20 consultation fee will be added at checkout. Your fee includes a virtual visit with a certified OB-GYN, intake review, and secure messaging for 12 months.
Your requested treatment may be adjusted if a different option is more appropriate. Learn More
Compounded
HSA/FSA eligible
Free delivery
Long-term microbiome support
Microbiome support protocols are recommended following your treatment to help maintain long-term vaginal microbiome health.
$101.00
pH-supportive microbiome recovery therapy to help support a low-pH, lactobacillus-friendly vaginal environment.
$62.00
Hormone-free moisture and tissue support for internal and external vaginal dryness, irritation, and comfort.
$62.00
Hormone-free internal moisture and tissue support for vaginal dryness, comfort, and tissue resilience.
External use only on the clitoral area.
BiomeNourish Arousal Cream
Tube size: 15 g
Active ingredients: Pentoxifylline 2%; Theophylline 3%; Sildenafil Citrate 4%
Inactive ingredients: BiomeNourish™ Cream Base — a proprietary pH-balanced, iso-osmolar cream base designed specifically for vulvar and vaginal tissue compatibility.
This compounded cream is designed for localized external support before sexual activity. It combines ingredients used in clinician-directed arousal-support approaches to support blood flow, microcirculation, and tissue responsiveness in external genital tissue.
Sildenafil helps support localized blood flow. Pentoxifylline may help support microcirculation, and theophylline is included as part of this compounded external support approach.
Together, these ingredients are used in selected care plans to support local responsiveness and sensitivity before sexual activity.
Some patients notice local warmth, tingling, or increased awareness within the time window recommended by their clinician. Response can vary.
Mild local irritation may occur. This product is used for localized external support and does not replace moisture-support or pain-focused therapies when dryness, irritation, or discomfort are the main concern.
Apply 1 pump to the clitoral area 15 to 30 minutes before sexual activity. External use only. Wash hands after application.
- For external use only
- Should not be inserted into the vagina
- Not a lubricant or moisture-support product
- Requires clinician review and oversight
- May not be appropriate for all patients, including some with certain cardiovascular conditions or medication interactions
- Should be reviewed if irritation or side effects become concerning
This product may be considered when clinician review suggests that external pre-intimacy support is appropriate.
It may be used on its own in selected arousal-support plans or alongside moisture-support therapies when both responsiveness and dryness-related symptoms are part of the picture.
- BiomeNourish Arousal Cream (This Option): localized external pre-intimacy support for responsiveness and sensitivity.
- BiomeNourish™ Moisture + Comfort Cream: hormone-free moisture and tissue support when dryness or tissue sensitivity are part of the issue.
- BiomeNourish™ Moisture + Comfort Suppository: hormone-free internal moisture and tissue support when dryness is mainly internal.
- Bremelanotide Acetate (PT-141) Nasal Spray: clinician-directed on-demand support before intimacy.
- Oxytocin Nasal Spray: clinician-directed support for intimacy, responsiveness, and connection in selected patients.
- Online intake
- Clinician review
- 15 g compounded cream shipped discreetly
- HSA/FSA may be eligible
Cream
BiomeNourish™ Arousal
One-Time Purchase
$112.00
✔ Eligible for 3 refills during 12 month
✔ No additional consultation required during eligibility period
A $20 consultation fee will be added at checkout. Your fee includes a virtual visit with a certified OB-GYN, intake review, and secure messaging for 12 months.
Your requested treatment may be adjusted if a different option is more appropriate. Learn More
Designed for added localized external support before sexual activity when arousal, sensitivity, or physical responsiveness feel reduced. It is designed for external use on the clitoral area before sexual activity.
What It Helps With:
Reduced external arousal before sexual activity
Lower local sensitivity
Difficulty building physical responsiveness with stimulation
Added external support before intimacy when appropriate
Compounded
HSA/FSA eligible
Free delivery
Long-term microbiome support
Microbiome support protocols are recommended following your treatment to help maintain long-term vaginal microbiome health.
$101.00
pH-supportive microbiome recovery therapy to help support a low-pH, lactobacillus-friendly vaginal environment.
$62.00
Hormone-free moisture and tissue support for internal and external vaginal dryness, irritation, and comfort.
$62.00
Hormone-free internal moisture and tissue support for vaginal dryness, comfort, and tissue resilience.
External use only on the clitoral area.
BiomeNourish Arousal Cream
Tube size: 15 g
Active ingredients: Pentoxifylline 2%; Theophylline 3%; Sildenafil Citrate 4%
Inactive ingredients: BiomeNourish™ Cream Base — a proprietary pH-balanced, iso-osmolar cream base designed specifically for vulvar and vaginal tissue compatibility.
This compounded cream is designed for localized external support before sexual activity. It combines ingredients used in clinician-directed arousal-support approaches to support blood flow, microcirculation, and tissue responsiveness in external genital tissue.
Sildenafil helps support localized blood flow. Pentoxifylline may help support microcirculation, and theophylline is included as part of this compounded external support approach.
Together, these ingredients are used in selected care plans to support local responsiveness and sensitivity before sexual activity.
Some patients notice local warmth, tingling, or increased awareness within the time window recommended by their clinician. Response can vary.
Mild local irritation may occur. This product is used for localized external support and does not replace moisture-support or pain-focused therapies when dryness, irritation, or discomfort are the main concern.
Apply 1 pump to the clitoral area 15 to 30 minutes before sexual activity. External use only. Wash hands after application.
- For external use only
- Should not be inserted into the vagina
- Not a lubricant or moisture-support product
- Requires clinician review and oversight
- May not be appropriate for all patients, including some with certain cardiovascular conditions or medication interactions
- Should be reviewed if irritation or side effects become concerning
This product may be considered when clinician review suggests that external pre-intimacy support is appropriate.
It may be used on its own in selected arousal-support plans or alongside moisture-support therapies when both responsiveness and dryness-related symptoms are part of the picture.
- BiomeNourish Arousal Cream (This Option): localized external pre-intimacy support for responsiveness and sensitivity.
- BiomeNourish™ Moisture + Comfort Cream: hormone-free moisture and tissue support when dryness or tissue sensitivity are part of the issue.
- BiomeNourish™ Moisture + Comfort Suppository: hormone-free internal moisture and tissue support when dryness is mainly internal.
- Bremelanotide Acetate (PT-141) Nasal Spray: clinician-directed on-demand support before intimacy.
- Oxytocin Nasal Spray: clinician-directed support for intimacy, responsiveness, and connection in selected patients.
- Online intake
- Clinician review
- 15 g compounded cream shipped discreetly
- HSA/FSA may be eligible
The Base Designed for the Vaginal Ecosystem
BiomeNourish™ is a microbiome-supportive prescription base, available as a cream and suppository, designed specifically for vulvar and vaginal tissue. Using patented Bio-Match® Technology, it aligns with the natural vaginal environment to support comfort, healing, and long-term balance before, after, or alongside treatment.
Petroleum-derived ingredients like propylene glycol
Formulated for use on vulvar and vaginal tissue
Hyperosmolar
Iso-osmolar
Not pH matched
pH + osmolality matched
Your personalized treatment journey, step by step
Step 1
Select & Buy Your Care
Filter by your symptoms to choose and purchase your appropriate treatment
Step 2
Complete Your Intake
A licensed OB-GYN will review your health info and approve your selected treatment or recommend a more appropriate option
Step 3
Free Home Delivery
Your prescription is sent discreetly to your home with free two-day shipping so you can get care without the extra trip
After checkout, you’ll complete a brief medical intake about your symptoms and health history. A licensed provider will review your information, typically within 24 hours, to determine whether the requested treatment is appropriate for you. Throughout the process, you’ll have access to secure messaging through your patient dashboard, allowing you to communicate directly with your provider if additional information or follow-up is needed.
If approved, your prescription will be sent to a licensed compounding pharmacy and shipped directly to your door. If your provider determines that a different treatment may be more appropriate, they may recommend an alternative treatment plan based on your symptoms, health history, and clinical judgment.
Compounded medications are customized treatments prepared by a licensed compounding pharmacy under the direction of a healthcare provider. Unlike mass-produced medications, compounded therapies can be tailored to specific patient needs, including the ingredients used, strength, delivery method, or formulation base.
At Good Clean Clinical Care™, many prescriptions are formulated using our proprietary BiomeNourish™ base, which is designed to support vaginal and vulvar tissue comfort while helping maintain a healthy vaginal environment.
Our treatments use a specialized base, BiomeNourish™, developed with patented Bio-Match® technology to better align with the vaginal environment. This helps support beneficial bacteria while delivering treatment, improving comfort and promoting a healthier microbiome over time. Unlike many standard prescription treatments that use generic petroleum-based creams which can disrupt the natural pH and may irritate sensitive tissue, leading to discomfort or reduced tolerability, our formulations are designed specifically for vaginal and vulvar tissue.
Some medications are eligible for refills, while others may require a new provider review before additional treatment can be prescribed.
For eligible prescriptions, you may choose Auto-Refill for convenient ongoing treatment or request one-time refills directly from your patient dashboard when they become available. Refill eligibility and availability will be displayed on your Prescriptions page.
Prescription orders are typically reviewed by a provider within 24 hours. Once approved, prescriptions are prepared by our pharmacy partner and generally arrive within 3-5 business days.