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If you tuned in to last week’s Intentional Living Podcast episode with Dr. Pragna Patel Dadhania, you know we opened the door to a topic so many women quietly struggle with: sexual health and libido changes, especially during perimenopause and menopause.

If you haven’t listened yet, this is the perfect time to catch up - it’s an empowering, candid episode that so many listeners have already called “eye-opening” and “finally the conversation we needed.” Today, I want to take that conversation a step further and highlight one of the treatment options Dr. Patel-Dadhania and I discussed: Scream Cream.

What Is Scream Cream?

Despite the playful name, Scream Cream is a compounded topical cream designed to increase blood flow and enhance sexual arousal and orgasmic response.
It’s applied externally and works locally, meaning it doesn’t circulate throughout the body the way hormonal therapies do. There are different formulations, but most versions include ingredients that help boost circulation and sensitivity.

Why Women Use It

Many women begin noticing that sexual desire, arousal, or orgasm just… isn’t the same as it used to be. This can be because of:

• Perimenopausal or menopausal hormone shifts
• Stress or chronic fatigue
• Changes in pelvic floor tone
• Medications ( SSRIs, antidepressants like Sertraline, Escitalopram, and Citalopram)
• Vaginal dryness or Genitourinary Syndrome of Menopause (GSM)
• Reduced blood flow to the genital tissues

Scream Cream can offer targeted support, helping women feel more connected to their body and their pleasure again, without needing systemic medication.

Is It Right for Everyone?

Not necessarily. Like any compounded therapy, Scream Cream should be personalized based on your symptoms, history, and goals.

Women often choose Scream Cream when they:

• Want a non-oral, targeted option
• Prefer something that acts locally and quickly rather than systemically
• Are experiencing decreased sensitivity or difficulty achieving orgasm
• Need support while also addressing deeper causes (like GSM or hormonal changes)

While Scream Cream can enhance sexual response, it doesn’t replace treating underlying vaginal dryness, tissue changes, or hormonal imbalance. It’s often most effective as an adjunct to the full plan.

If You’re Curious…

This is your reminder that your sexual health matters. It’s not “vain,” it’s not “too personal,” and you definitely don’t have to just put up with feeling disconnected from your own body. If you're curious about Scream Cream—or wondering whether another hormonal or non-hormonal option might be a better fit—the best place to start is with the Comprehensive Longevity with Hormones Journeys. This allows us to review your full hormone panel together and make personalized recommendations based on your results.

Our team at Powell Pharmacy compounds the Scream Cream right here in-house, and we’re here to provide safe, compassionate, evidence-based guidance every step of the way.

Please note that it does require a prescription from your provider.

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Have you had your flu shot? As we talk about living intentionally, one of the most practical steps you can take for your health is staying up to date on your vaccinations. Last week was National Influenza Vaccination Week, a reminder that it’s not too late to get your flu shot. The flu season is still active, and protecting yourself protects the people around you - your family, coworkers, and community. If you haven’t had your flu vaccine yet, consider this your gentle nudge. Stop by Powell Pharmacy. Your future self, family, and friends will thank you.

The Art of Leadership in Daily Life

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In this week’s episode of Intentional Living with Emlah, I sat down with leadership coach and strategic advisor Erin Crotty for a heartfelt conversation on moving from autopilot to aligned. Erin shares her personal journey of redefining success, stepping out of “the river” of default expectations, and learning to lead herself with presence, clarity, and intention. Together, we explore the art of leadership in everyday life, at home, at work, and within ourselves, while discussing practical tools like Erin’s transformative “seasonal pause” practice. The episode ends with a deep dive into Quercetin during Supplement School, highlighting its role in immune support and allergy relief. It’s a beautifully grounded, inspiring conversation filled with simple, actionable steps toward a more intentional life.