The US Vyleesi label concerns a specific form of acquired generalized low desire in premenopausal women. That is not approval for men or every sexual complaint.
Blood-pressure effects and labeled cardiovascular restrictions are material. A positive result for the authorized product does not establish a community stack or another preparation.
Sources and proposed-mechanism explanation
Melanocortin signaling is offered as the explanation. Desire, arousal and performance are distinct endpoints, not a single universal response.