Black cohosh (Cimicifuga racemose) supports physical and sexual drive in post-menopausal women, as indicated by the œsexuality domain of clinical reporting scales used in studies. Panax Ginseng may have mild estrogenic effects on reproductive tissues in addition to its ability to moderate the effects of stress on the nervous system, a function that is shared by other adaptogens in this formula, such as Eleutherococcus senticosus (Siberian Ginseng) and Ashwagandha (Withania somnifera). In traditional medicine, Muira Puama (Ptychopetalum olacoides) is a traditionally used Brazilian adaptogen to support arousal. In a small, randomized trial women presenting with hyposexual desire disorder took 7.5 mg of Tribulus terrestris daily for four weeks along with a placebo group. After four weeks the trial group showed improvements in the Female Sexual Function Index areas of desire, arousal, lubrication, satisfaction and comfort domains.