Scream Kreem's Extreme formula is a more potent version of the original Scream Kreem. It contains a unique blend of pharmaceutical grade components that cause vasodilatation. Which in turn assist a woman's body in producing natural moisture, enhances sensitivity and sensual feelings that lead to pleasurable intimacy. Ingredients in ScreamKreem cause increased blood flow on all skin it contacts. By applying ScreamKreem directly to the clitoris, blood flow is immediately increased, this increases sensation and natural lubrication. In combination, the effects produced by ScreamKreem reduce or eliminate dryness, increase sensitivity and enhance the quality of intimacy during sexual acts of intimacy. Prior to sexual relations, apply a small amount (2-4 pumps) of gel to your fingertip and gently massage directly onto the clitoris and surrounding area (approximately 1-2 minutes). You will feel a warming/tingling sensation as the clitoral tissue engorges with blood. The level of warming and/or tingling sensation is different for everyone. These sensations vary between women, but on the average, these sensations will continue for approximately 15-60 minutes, and may include a throbbing sensation. All this is expected and very positive.