What mental health conditions do you treat?

We treat adults 18 and over for anxiety, depression, ADHD, OCD, perimenopausal and postpartum mood changes, trauma-related symptoms, sleep issues, and burnout.

Do you offer therapy or just medication management?

We offer medication management and supportive therapy strategies, and we collaborate with therapists when needed.

Do you prescribe stimulants for ADHD?

Yes. Stimulants may be prescribed after a comprehensive evaluation, required testing and screening, and with mandatory safety monitoring.

What insurance do you accept for mental health care?

We are in-network with Aetna, Blue Cross Blue Shield, UnitedHealthcare (including UMR), Midlands Choice, and Nebraska Total Care (Medicaid). We are currently out of network for Medicare, Cigna, and Tricare. Self-pay: $300 initial visit, $150 follow-up.

How soon can I get an appointment?

Most new patients are scheduled within 1 to 2 weeks. Appointments are offered in-person in Papillion or via secure telehealth anywhere in Nebraska.

Do you offer telehealth mental health care outside Nebraska?

Mental health services are currently licensed in Nebraska only. Our other services (medical weight loss, hormone therapy, and online prescriptions) are available via telehealth across 16 states.

Do you continue benzodiazepine prescriptions from other providers?

For patient safety, we do not continue or assume daily benzodiazepine prescriptions initiated elsewhere. Benzodiazepines may be considered short-term when clinically appropriate, while working toward safer long-term options.

Can we address weight loss or hormones during my visit?

Yes, we care about your whole health. During a mental health visit, we may discuss hormones, weight, sleep, or metabolic health if they affect your mood, focus, or well-being. However, medical treatment, prescriptions, or dose changes for weight loss or hormone therapy must be handled through a separate self-pay medical visit, as insurance does not allow those services to be billed under mental health coverage.

Female Arousal Cream

Topical arousal support, non-hormonal, as needed.

Compounded topical cream with alprostadil or sildenafil to support local blood flow and sensitivity. Non-hormonal. For as-needed use. Clinician-reviewed online.

Low Cost

$120

total, first fill
no subscription

Quick

1–2

business days
clinician review

Easy

appointments
online intake

How It Works

$50 service fee · ~$58–$80 from compounding pharmacy · Adults 18+ · 16 states

The Difference

Clinician-prescribed. No auto-refill.

$50 consult + ~$58–$80 pharmacy per tube. Used as needed, not daily. Reorder only when you want a refill.

For Comparison

The few online services that prescribe comparable topicals charge $45–$85 per month on auto-refill plans, totaling $540–$900+ per year.

Range reflects common direct-to-consumer pricing for comparable services as of 2026.

What It Does

Topical support for local blood flow and sensitivity.

Our compounded arousal creams use alprostadil or sildenafil topically to support local circulation and physical sensitivity. They act locally with minimal systemic effects. They are designed for occasional, as-needed use, not daily treatment.

Non-Hormonal. Works through blood flow and tissue response, not through hormones. Safe option for women who cannot or prefer not to use hormonal therapies.

Local Action. Applied topically, absorbed locally. Minimal systemic effects compared to oral medications.

As-Needed Use. Apply 5–30 minutes before sexual activity. Not a daily medication. Max once per 24 hours.

Physical Support Only. These creams address physical arousal response. They do not treat low libido, relationship concerns, or psychological causes of sexual dysfunction.

Formulation Options

Two compounded options.

💧

Topical Alprostadil

Alprostadil 300mcg/0.1ml in pharmabase, 3ml tube with one refill. Vasodilator that increases local circulation. Apply a small fingertip amount 5–30 minutes before activity.

~$80 for 15ml via compounding pharmacy

💊

Topical Sildenafil

Sildenafil 10mg/ml in a 15ml tube with one refill. Same active ingredient as Viagra, formulated for topical application. Enhances physical arousal through improved localized blood flow.

~$58 for 15ml via compounding pharmacy

⏱️

Duration

A 15ml tube lasts several weeks to months depending on how frequently it is used. Stored at room temperature.

🚫

Maximum Use

Intended for occasional, as-needed use. Maximum once per 24 hours. Not for daily or multiple-time-per-day use.

How to Get Your Prescription

Async intake. Clinician review.

Online Intake

Secure questionnaire covering medical history, medications, and cardiovascular history. 5–10 minutes.

Clinician Review

Licensed clinician reviews for safety, selects formulation, and checks for contraindications. Typically 1–2 business days.

Prescription Sent

Sent to the compounding pharmacy. You pay the pharmacy directly for the medication, separate from our $50 service fee.

Safety & Contraindications

These compounded creams are custom-prepared by a licensed compounding pharmacy based on individual prescriptions. Not FDA-approved as commercial products. Adults 18+ only.

Not appropriate for patients taking nitrates for chest pain, those with significant cardiovascular disease, severe hypotension, or certain other medication interactions. Does not prevent pregnancy or sexually transmitted infections. Does not treat low libido, relationship concerns, or psychological causes of sexual dysfunction. Those require different approaches.

Important Safety Information

Before starting compounded arousal cream, please read.

Not FDA-approved; compounded medication. Our arousal creams are custom-compounded using alprostadil or sildenafil for topical use. Neither formulation is FDA-approved for this topical use. The cream is dispensed by a state-licensed 503A compounding pharmacy based on a patient-specific prescription. Compounded medications have not undergone FDA review of safety or efficacy for specific indications.
Off-label use. Topical alprostadil and topical sildenafil for female arousal are off-label uses. Off-label prescribing is legal but you should understand these indications are not FDA-approved.
Pregnancy and breastfeeding. These creams are not for use during pregnancy or breastfeeding. Tell us before starting if you are pregnant, could be pregnant, trying to conceive, or breastfeeding.
Contraindications. Not appropriate for patients taking nitrates for chest pain, patients with significant cardiovascular disease, severe hypotension, or certain other medication interactions. Disclose all current medications and medical conditions at intake.
Scope. These products are intended to support physical arousal response. They do not treat low libido of other origin, relationship concerns, or psychological causes of sexual dysfunction, and they do not prevent pregnancy or sexually transmitted infections.

See our full prescribing and safety terms, including the off-label prescribing disclosure and compounded-medications disclosure.

Common Questions

Arousal cream, answered.

$50 service fee. Medication cost via compounding pharmacy: alprostadil ~$80 for 15ml, sildenafil ~$58 for 15ml. Lasts several weeks to months depending on frequency.

Apply a small fingertip amount 5–30 minutes before sexual activity. For as-needed use only. Maximum once per 24 hours. Not for daily use.

No. These creams support physical arousal through blood flow. They do not treat low libido, relationship concerns, or psychological causes. Those require different approaches, often hormone therapy, therapy, or medication addressing root causes.

Local mild tingling or warmth is common and expected. Some patients experience mild local redness. Systemic side effects are uncommon at topical doses. Not appropriate for patients with significant cardiovascular disease or those taking nitrates.

No. These are custom-compounded medications prepared by a licensed pharmacy based on individual prescription. Compounded medications are not FDA-approved commercial products.

No. These creams do not prevent pregnancy or sexually transmitted infections. Use appropriate contraception and STI prevention as needed.

Ready to request
your prescription?

$50 service fee. Clinician-reviewed for safety. Adults 18+. Available in 16 states.

131 N Washington Street, Suite A · Papillion, NE 68046 · Info@midwestmindandbodyhealthcare.com

Please do not send protected health information (PHI) by email. For secure communication about your care, use our patient portal after booking.

If you are experiencing a mental health crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.