Over the past 2 decades, the “The bigger the penis, the better” mentality has been reinforced by an explosion of media content focused on expanding the size and thickness of the male penis. An increasing number of men with healthy and normal penises want to enlarge their penis. European research published in Phytotherapy Research has validated the safety profiles of Tribulus terrestris and other botanical ingredients included in the formulation. Read verified customer experiences and research-contextualized feedback from individuals who have used evidence-based botanical supplementation, or explore our comprehensive FAQ section for detailed information about research-supported expectations. Individual responses may vary based on factors including age, baseline health status, and consistency of supplementation. Supplementary Material Consulting a healthcare provider before use is recommended to ensure safety and suitability. Consumers may want to approach this product with caution due to these ambiguities, as understanding the product’s true benefits and potential risks becomes challenging without a more detailed explanation of its formula. This inconsistency might leave users doubtful about the product’s claims and effectiveness. However, a closer inspection reveals that the supplement contains only 100mg of hemp oil extract per serving. A notable concern lies in the potentially misleading claims on the product’s label. Men of all ages experience erectile performance issues, a lack of libido, and infertility for an assortment of reasons. It takes time for a pump to create an erection by pulling blood into the penis. Men who undergo radical prostatectomies sometimes have their penises recede somewhat into their bodies.29 It’s a disconcerting phenomenon, but studies into penis pump efficacy have shown a tendency for the therapy to return such men’s penises to normal size and function. But if you genuinely want to avoid prescription drugs and don’t like your odds with less-tested supplements, pumps might be a good option. Bluechew delivers its products in a chewable tablet form instead of a pill you have to take with water. Dietary supplement recommendations can be found everywhere — in commercials, through social media influencers, and from your neighbors, friends, and family. Because it is taken daily and builds in strength over time, the user won’t have to worry about planning to take it just before sexual activity which is not only more convenient but allows for spontaneity in the bedroom. With such a lack of information regarding the clinical trial and manufacturer, not only is it unclear how effective the product would be, but the safety is in question too. 90% of users reported enhanced sexual pleasure and satisfaction for both partners! Epimedium – is also called Horny Goat Weed due to its potent sexual enhancement properties. Ginseng Clomiphene doesn't contain any hormones, but it signals to your brain that there isn't enough testosterone in your system, leading to an increase in production. Previously, Roman only offered its nutritional supplement as a means to treat low testosterone. Its range of high-quality products and services is right up there with competitors like Hims. As products, TestoPrime and Testogen have a lot of similarities. As described previously, the algorithm uses 11 categories as described in Methods and determines whether reviews of a product “pass,” “warn,” or “fail” under each domain. The k statistic for interrater reliability was 0.94, indicating strong agreement among our raters before a third rater addressed any discrepancies.30 Results from the qualitative analysis of comments via IIEF from the first 2 product pages before ReviewMeta filtration are summarized in Table 3 and graphically presented in Figure 3. All reviews from the top 2 pages of comments were collected for each supplement, resulting in a total of 90 reviews, and analyzed using the IIEF questionnaire as described in Methods. Devices for at-home use cost as little as $20, and pharmacy chains like CVS often have free heart health programs or open-access machines that can measure it for you. If your blood pressure is already lowered due to an ailment or medication, adding a PDE5 inhibitor can prove fatal. Beyond the psychological importance most men place on their genitalia, there is the practical use for reproduction and waste elimination to consider. Most insurance, including government insurance like Medicare, won’t cover the costs of ED medication, so it’s essential to consider your available budget. There are several strange claims on the ExtenZe website, including the suggestion that their supplements are banned for use in Olympic athletes because they're "such a performance enhancer" which is simply not true. While we don’t recommend either product, we believe Ageless Male is a better brand than ExtenZe because they haven’t received any FDA warning letters over adulterated supplements. Vitamin D3 supplementation has been clinically shown to increase total testosterone levels by over 25%. ExtenZe contains a number of additive ingredients that we recommend avoiding from a health perspective. If you purchase a featured product, we may be compensated. Our testing team puts the best penis pumps of 2026 to the test so you can find the right one for your needs. Check out our guide to the best penis extender for more information. But with penis extension (unlike time at the gym), gains can be permanent. Many supplements promoted for ED and sexual enhancement—sometimes called “herbal Viagra”—have been found to be tainted with drug ingredients or related substances. Ultimately, the journey toward improved sexual health should involve a combination of lifestyle changes, open communication with healthcare providers, and informed choices regarding supplements. Natural supplements can play a role in enhancing sexual performance and improving overall well-being, but they should not replace professional medical advice or treatment for erectile dysfunction. Most male enhancement pills focus on improving erectile function, stamina, and libido rather than altering anatomical dimensions. CBD is also a popular ingredient for erectile performance, especially if anxiety and psychogenic ED are at issue, and some of our favorite CBD companies have introduced sex-focused products that include some of these ingredients. With the exception of a few great products out there, many such complex supplements include a few iffy ingredients or subclinical doses that call their potential safety and efficacy into question. A few ingredients in these supplements may also work to increase testosterone levels or ejaculate volume. The undeclared ingredients in these products may interact with nitrates found in some prescription drugs (such as nitroglycerin), and can lower blood pressure to dangerous levels. Male Extra is a natural supplement that not only appears to help support several areas of male sexual function but is backed by clinical studies. And while we aimed to find products with the highest chances of success, that ceiling is a bit low; men aren’t likely to feel a night-and-day difference from taking a male enhancement pill, and many won’t feel much at all. When we put together our guide to the best male enhancement pills, we included only those offerings that we thought had the best chance of efficacy with the greatest degree of safety. Not all male enhancement pills are created equal. And we’d be remiss if we didn’t also talk about prescription alternatives, especially for men who hope that a male enhancement product will address erectile dysfunction. Since Max Performer is considered a male enhancement pill, we’ll look at some of the other male enhancement pills on the market, our favorite of which is Performer 8. You should be skeptical when you get to know that taking male enhancement pills permanently increases penis length and girth. Like Male Dominator and Savage Grow Plus, Hyper Male Force is one of the top male enhancement supplements on this list that claims to permanently increase the length of your penis. The New Alpha Nutrition Rock Hard male enhancement pill may amplify energy levels, thus allowing an individual to have better sexual stamina and blood flow. Without any hassles, men can improve their sexual performance in a few weeks of consuming this supplement.IngredientsSaw Palmetto, Muira Puama Bark, Gingko Biloba Extract, Chinese Hawthorn, Tribulus Terrestris, Korean Red Ginseng, and BioperineFeatured BenefitsHelp to achieve harder erectionsBoost sex drive and libidoIncrease penile blood flowImprove overall sexual satisfactionElevate orgasm intensityServings per bottle60 soft gels for one month supplyRight DosageTwice in a dayPros67-day money-back guaranteeNatural and safe for consumptionFree shipping on selected packages100% Secured paymentsPrice$67 The hidden ingredient was identified as sildenafil, the active ingredient in prescription erectile dysfunction drugs like Viagra and Bluechew. Given the effective dose of yohimbe extract, we consider ExtenZe potentially effective for male sexual enhancement. We consider most of the ingredients in this blend to be severely underdosed. The remaining active ingredients in ExtenZe are in a blend called "Male Enhancement Blend" with a total dose of 600 mg, and an average ingredient dose of 43 mg. This is such an absurdly low average ingredient dose that it's not even worth analyzing data on the other two ingredients in this blend (white pepper and ginger). Many ingredients in the Testo Dark formula act as adaptogens, helping the body manage stress and preventing the hormonal crashes that lead to fatigue and low libido. Blood flow is the engine of male performance. Unlike synthetic options, this product uses natural extracts to nourish the body from within, making it suitable for daily use alongside a balanced diet and exercise. As men age, maintaining peak physical performance, mental clarity, and sexual vitality becomes a top priority. This compound plays a crucial role in enhancing blood circulation by promoting the production of nitric oxide, which relaxes blood vessels. Be cautious of products with vague labeling, as they might be hiding important information. Look for brands that have positive reviews, testimonials, and a history of delivering reliable products. Steer clear of products that contain questionable chemicals or potentially harmful components. From online forums to customer testimonials, we’ve gathered insights from real users who’ve put these supplements to the test. But some of them are reasonable, especially among the volume pills aimed at fertility. These range from increased fertility to cures for erectile dysfunction. Many men look into volume pills based on one or more of the claims manufacturers tend to make. As with Semenax, this is just enough of a guarantee that you might see an effect or two before the time comes for you to decide whether to stick with the product or request a refund. For most people, though, it’s not something we’d recommend for starters. Research the brand’s history, any certifications it may have received within the industry, and how frequently it submits its products for clinical or third-party testing. Assess the time it takes for the supplement to produce noticeable effects, such as enhancing libido, improving erection quality, and increasing stamina. While safety and efficacy are primary concerns when choosing a new supplement, you should also prioritize value, brand reputation, customer satisfaction, and ingredient profile. It’s essential to consider several key factors when selecting a male enhancement pill to ensure you make an informed decision that aligns with your goals and preferences. The release of NO from neuronal NOS activates eNOS NO production, which subsequently binds (in quantitatively much higher amounts) to the enzyme guanylate-cyclase in vascular smooth muscle cells to generate a second messenger, namely, cyclic guanosine monophosphate (cGMP). First of all, NO is produced by the neuronal enzyme NO synthase (NOS) (non-cholinergic nerve axons) of the penis and by endothelial NOS (eNOS) from endothelial cells of the corpora cavernosa . Among the EIs, L-arginine was the most used ingredient, followed by Tribulus terrestris and Panax ginseng. The characteristics of the 27 DSs marketed in Italy are summarized in Table 3, reporting the respective composition, recommended daily dose, grade of evidence for each ingredient and efficacy scores. If you are a Mayo Clinic patient, we will only use your protected health information as outlined in our Notice of Privacy Practices. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape. There's also no proven way to make a penis larger. Even if your penis is smaller than average, it may not matter to your partner. However, the ingredients in Savage Grow Plus could provide some small support for erections, sex life, and blood flow.IngredientsEpimedium Sagittatum, Muira Puama, and Oat StrawFeatured BenefitsReduce the risk of erectile dysfunctionIncreased sexual stimulationStronger orgasmsIncreases penis sizeReduces anxietyGreat sexual desiresBoost sperm countServings per bottle90 pills in a bottle for a month supplyRight DosageThree times in a dayProsNatural and permanent penis enlargement formula60 days money-back guaranteeEasily available onlineMade in FDA certified centersPrice$69 These natural male enhancement pills use natural ingredients to purportedly add several inches to your penis length and girth. Now, to see supplements that may have made the list but are not quite in the same class as the top-rated male enhancement supplements listed above, here are four others that used to be the best ranked products for men’s sexual health and wellness until these bigger brand name formulas compared above ousted them. In order to put fort the most effective buyer’s guide for purchasing the best male enhancement pills that work in 2022, this review of the top male enhancer supplements will be segmented into three categories of the top, honorable mentions and a few not quite cut from the same cloth as the best sexual performance enhancers. Some of the commonly found ingredients in male enhancement pills include Panax ginseng, Tribulus terrestris, L-arginine, Withania somnifera, saw palmetto, Curculigo orchioides, maca root, muira pauma, and horny goat weed. The ingredients in these sexual enhancement supplements can have harmful side effects and have interactions with other drugs. Natural ingredients are key to the success of male enhancement supplements. If the ingredient lists for the products above don’t thrill you, or you’re interested in finding non-medicinal means to improve your sexual performance, there are several compelling options out there. Men with mild cases of ED are among the best candidates for male enhancement pills, far better than those with moderate-to-severe ED or other sexual health issues. Beli has the easiest pricing structure to understand of any product in this guide. Beli divides its Vitality into two ingredient sections, one of which is a multivitamin and the other of which is the company’s Vitality Blend (note that this is not a secretive proprietary blend, just a name for an ingredient section). It also offers a 100-day money-back guarantee, which is the most generous guarantee in our guide and the only one long enough for a man to ascertain whether the pills he’s using have any effect. But for men concerned with erectile strength, Ultraload’s maca and L-citrulline content may make it a superior investment. We’d prefer to see at least 100 days for a guarantee on a product in this class, such as the one from Ultraload. By carefully considering the following factors, you can maximize your experience and satisfaction with the best male enhancement pills. Apigenin and Amla work synergistically to relax blood vessels, increasing blood flow to the penis and enhancing sexual performance. ProSolution Pills target erection hardness and longevity by addressing various aspects of sexual health, including blood flow, libido, and erectile function. MACA Root is a potent aphrodisiac and libido booster that has been used to improve sexual function, stimulate desire, and increase energy levels, enhancing overall performance in bed. A unique ingredient, shilajit, is a nutrient-rich resin that forms on rocks due to plant decay. A key ingredient, Asparagus adscendens, is a potent antioxidant believed to benefit men. This exciting proprietary formula is chock-full of compounds that may assist in optimizing sexual wellness. ProSolution Plus is a 100% natural formulation, including several ancient plant therapeutics used in China and India for thousands of years. This ensures that users have peace of mind when placing an order, and allows for quick assistance if there are issues with delivery or product questions.The fact that their services include a few more things than Hims (like testosterone support) makes them a viable choice for such a multi-prong approach.Ginseng raises luteinizing hormone, which signals the body to form more testosterone.Some supplements raise testosterone, a crucial male sex hormone responsible for weight, energy, sex drive, and more.The problem with ExtenZe is that it’s impossible to know what its ingredient doses are for the majority of its formula due to the company's utilization of proprietary blends.We’ve examined the market for the ideal supplements to boost virility.When assessing and comparing male enhancement pills, we rely on clinical research and reports from users. Positive effect in insomnia, anxiety, chronic stress, weight management, thyroid gland function, telomerase, cardio-respiratory endurance, muscle strength, recovery of male and female sexual function, and senescence was demonstrated in preclinical and clinical studies . Zembrin®, a standardized hydroalcoholic extract, was found to be safe and well-tolerated in preclinical studies with mild adverse effects (Table 1) and is widely sold as a dietary supplement . In fact, the plant is widely sold over the Internet and specialized herbal shops to increase sexual performance, although its mechanism of action and effects were not clearly demonstrated. There is increasing interest in botanic dietary supplements containing yohimbine extracts in the context of sexual and body enhancement . These cases, however, were isolated and generally resulted from high ginseng doses or with the concomitant use of other substances (e.g., phenelzine, cannabis, herbal supplements); mania was not reported in clinical studies using ginseng alone or in combination. That’s because a product like L-arginine can reduce your blood pressure—which is great if it’s a bit too high, but not if you’re already bringing it down with meds. This is good advice for any supplements if you’re on blood pressure medications, Dr. Brahmbhatt says. L-arginine is found in most protein-rich foods such as red meat, poultry, beans, and dairy products, according to the Mayo Clinic, which has marked it as generally safe but cautions people who take blood pressure meds to talk to a doctor first. “Even if you buy them at a big retailer, and they seem to be made of ‘natural' ingredients, be cautious,” Dr. Brahmbhatt says. Most other male enhancement pills explicitly list their doses and don’t rely on proprietary blends of any kind. Other than zinc, none of the ingredients in Volume Pills found their way into our earlier breakdown of common male enhancement components. Compared to some of the less impressive male enhancement products out there, Innerbody Labs Testosterone Support is a little pricey. We spoke earlier about commonly underdosed ingredients for erectile health, with maca being a prime example. Its powerful blend, including key ingredient magnesium, targets the body's sex hormone-binding globulin (SHBG) supply, leading to a substantial increase in testosterone production. What makes Testo-Max excellent is that it's designed to be stackable with Testo-Max's other supplement products. The major downsides of using steroids are that they replace your body's natural testosterone production with synthetics. We'll examine some of their vegan, organic ingredients and what makes them better than most testosterone boosters. In addition, the advent and refinement of artificial intelligence, various surgical techniques, and products are anticipated not only to improve male SPA and small penis syndrome but also to enhance treatments related to female sexual function and satisfaction. The objective was to study available evidence for ingredients of popular over-the-counter testosterone and erectile dysfunction (ED) supplements. For example, four years ago, Berkeley Nutraceuticals, the largest seller of male enhancement pills -- said its Enzyte product would grow your penis up to 41 percent. VigRX Plus is a pill-form supplement backed by clinical studies on its full formula, designed to improve erectile function, libido, and sexual satisfaction through nitric oxide enhancement and hormone support. Erectin Gummies offer a convenient, gummy-based alternative to traditional male enhancement pills, focusing on boosting nitric oxide (NO) levels for enhanced blood flow and firmer erections. There is also some clinical basis for the claim that certain vitamins, minerals, botanicals, or amino acids might improve ED symptoms by acting like PDE-5 inhibitors. There is some evidence that certain nutritional deficiencies can contribute to erectile dysfunction. So, their likelihood of working and their potential for side effects are well known. Hims’ selection has come to mirror BlueChews in several ways over the years, but it’s also caused Bluechew to adapt by offering a chewable daily tadalafil. We’ve reviewed the alternatives to Hims for men seeking prescription help with their erectile dysfunction. The website experience is also inferior across all products. This gel uses a topical L-arginine that the company claims can increase blood flow to the penis. That makes this one of the most affordable male enhancement options out there if you’re willing and able to put up the nearly $400 yearly investment. Whether that speaks to its efficacy, safety, or cost in production is unclear, but it’s an interesting point to note. Two of Male Extra’s most important ingredients are zinc and vitamin B3, also known as niacin. So we decided to create a testosterone support supplement that could fill the gaps and offer more men the highest likelihood of success. After spending the better part of a decade researching low testosterone and the different ingredients various companies use to address it, we’ve learned which ones should work and which ones probably won’t. By comparison, testosterone-replacement therapies (TRTs) introduce significantly more risk than supplements, especially gels and creams that can leave a residue and transfer to women and children. Your body can’t use the testosterone in that second camp to help improve exercise performance or burn fat. For now, there are more important ingredients to look for in a testosterone booster. While the allure of male enhancement pills can be tempting, it is essential to consider FDA-approved treatments for erectile dysfunction as more reliable options. For example, yohimbine, commonly found in male enhancement products, can cause anxiety, increased heart rate, and elevated blood pressure, particularly in higher doses. Some studies suggest that certain natural components, like L-arginine, may help improve blood flow, potentially benefiting those with mild to moderate erectile dysfunction. Additionally, while male enhancement pills may provide short-term benefits for some individuals, they should not replace medical advice or prescribed treatments for erectile dysfunction (ED). That’s why many of the top male enhancement pills that show proven effectiveness focus on improving circulation. These herbs are used for their ability to support sexual health without causing unwanted side effects. Small trials report modest improvements in sexual desire and stamina; effects on erectile function are smaller and inconsistent. Some studies suggest improved blood flow and symptom relief in certain conditions; evidence for erectile function is mixed. In this guide, we'll help you find the best male enhancement pills that deliver real results. 25 Gut Health Hacks is yours absolutely FREE when you sign up to receive health information from Harvard Medical School.Saw Palmetto, derived from the berries of the Serenoa repens plant, is a staple in many natural male enhancement products.But the actual corporeal structure of your penis remains the same, and when your erection goes away it will resume its typical flaccid size.To better understand what it’s like to use Hims, members of our team met with Hims doctors and went through the entire intake process, from sign-up to medication shipment and delivery.These products are accessible for purchase from local food, drug stores and the internet.Many consumers have fallen for claims that Dr. Oz male enhancement products are a “secret” comprehensive formula for better sexual function, testosterone production, and energy levels.For a thorough look at testosterone boosters, as well as testosterone replacement therapies, consult our comprehensive guide to the best testosterone boosters on the market. There’s a bit of ingredient crossover from one category to the next, so you can pick your preferred supplement based on your most pressing concerns, and you very well may see benefits elsewhere in your sexual health, as well. And if you’re in need of testosterone support, supplements can help; visit our guide to the best testosterone boosters. Someone with normal testosterone levels wanting to improve their athletic performance, for example, won't see a real benefit from a medication that's FDA-approved for low testosterone, Herati said. So, to what extent will all of these generally healthy support healthy testosterone levels? In terms of improving your testosterone levels naturally, the same things that can boost your overall health are also going to benefit your hormones and testosterone levels, including exercise and maintaining nutrition. Results always back the best male enhancement supplements. These pills often contain a mix of natural ingredients like Ginkgo biloba, Maca, and Saw palmetto. These ingredients make these supplements stand out from the rest. Real-Life Frustrations That Lead Men to Seek Support Throughout a man's life, testosterone plays a crucial role in muscular and skeletal strength as well as mood and personality. This production is why the testes are part of both the reproductive and endocrine systems. For men, testosterone comes from the testes (though a very small amount is also contributed by the adrenal glands producing DHEA, which the body converts into testosterone). Anecdotal evidence suggests a link between sulfur and penis enlargement, but extensive study is still missing from the picture. Compared to Semenax, Male Extra had a much slimmer ingredient list that included methylsulfonylmethane (MSM), a form of sulfur. Our top-rated natural male enhancement supplements will not only give you an impressive erection on demand, but they will also make sure it’s larger & long-lasting. Every male enhancement supplement has its ups and downs, so it’s important to take a realistic look at these products. Previous ED studies have also demonstrated that treatment of ED with oral placebos can elicit clinical effects and improve ED symptoms.46 The positive placebo effect on erectile function and quality of erection should also be considered when interpreting purported benefits of ED-S products. Here’s a quick look at VigRX Plus’ ingredients. But from an efficacy standpoint, no nutritional supplement will likely work as well as the available prescription drugs for men's sexual dysfunction. Whatever the reason, there are still plenty of men who prefer to seek treatment with nutritional supplements before heading to the pharmacy. There may also be some concerns about sexual dysfunctions ending up in health records. And with practical barriers to entry for prescription sexual health medications vanishing in the age of telemedicine, these medications are less expensive and more accessible than ever. Ultra Male definitely isn’t the only supplement on the market that allows you to improve your bedroom performance naturally.Whether it’s boosting stamina, improving blood flow, or increasing libido, male enhancement pills have become a popular solution.Unlike synthetic options, this product uses natural extracts to nourish the body from within, making it suitable for daily use alongside a balanced diet and exercise.During these three months, males also experienced fewer symptoms of erectile dysfunction.After conducting an extensive assessment of dozens of top-selling sex pills for men, we’ve shortlisted the ten best male enhancement pills you can buy in 2023.When we look at the individual components, we see ingredients that are mostly safe for most people.Clinical trials usually move through three phases, starting with small groups of people and progressing to larger studies that can involve thousands of people. While they can be prescribed safely for some people, these drugs are not safe or suitable for others, including those with certain health conditions. Consumers and health care professionals can report adverse events to the FDA's MedWatch program at 800-FDA-1088 or online at /medwatch/report.htm. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates. Treatments for erectile dysfunction are big business, and online scams abound. Side effects of oral ED medicines are often mild. We'll continue to monitor the situation and update this page as Roman brings its testing and prescription support back online. (We already have a comprehensive review of the best at-home testosterone tests, and this test from Roman gives several of our top picks a run for their money in both cost and convenience.) It then added an at-home testosterone test and prescription therapy. In fact, if Roman would adopt a branded ashwagandha like KSM-66, which carries with it a guarantee of potency, this testosterone booster would surpass TestoPrime as our runner-up recommendation without question. Dr. Danoff's insights and recommendations of mens sexual supplements is an invaluable resource, and should help you achieve your sexual health goals. As the Fitness and Commerce Editor at Men's Health it's literally my job to test the latest and greatest products in the world of wellness, including the best supplements. A vitamin D supplement with vitamin K and CoQ10 is a great way to support bone health, cardiovascular health, immune function, antioxidant protection, and energy production all in one. It also contributes to stabilizing blood sugar levels, reducing cholesterol levels, and supporting a healthy gut microbiome. Although synephrine has become one of the most popular stimulants in weight loss products, cardiovascular adverse effects including increased blood pressure, tachycardia, ventricular fibrillation, transient collapse, myocardial infarction, and cardiac arrest have been reported . A testosterone booster for muscle gain must help you lose body fat without causing you to cut too quickly. The choice of which natural boosters work best for you is largely subjective. When taken consistently, users can feel a surge in energy almost instantly, having better workouts when they start taking the pills. The usual dosage entails drinking 4 pills a day, 2 in the morning and 2 at night. You should not use the information on this website for diagnosing or treating a health problem or disease, or prescribing any medication or other treatment. Information on this website is provided for informational purposes only and is not intended as a substitute for the advice provided by your physician or other healthcare professional. Not drugs, no Andro jell, no pellets, and no Low T Center shots - just a natural formula that works like Gang Busters! Roman has grown into one of the most comprehensive men's health providers online. However, there are some crucial differences in the ingredient lists that lead us to favor TestoPrime over Testogen. TestoPrime will return your entire investment (minus shipping and handling) if its product doesn't work for you. This length of time won't be necessary for most men, as you'll know within a month or two whether the testosterone booster is working. TestoPrime's confidence in its product is expressed in a lifetime guarantee. And one significant review looked at several ingredients common to traditional Chinese medicine and examined their influence on semen quality. Well, the zinc dose might be enough to supplement an otherwise healthy diet for men who have a slight deficiency. We could not find studies into the ingredient’s nitric oxide interaction. Evidence shows that emotional and mental health can play an enormous role in sexual satisfaction and even semen volume.34 That’s why Volume Pills says it includes Solidilin in its formula. The 11 Best Supplements for Men, According to Nutrition Experts The one downside to Tribulus supplementation is that the effects seem to wear off after a 3 week period, which is why I recommend cycling it on a 3 week on, 1 week off basis to avoid it. I have personally taken a wide variety of supplements containg Tribulus Terrestris, and can attest to this. While not technically a “male enhancer”, Nugenix is actually a very effective sexual aid. However, there have been numerous side effects reported with Libido max, including increased blood pressure and heart rate, anxiety, and even flu like symptoms. After losing this lawsuit, they almost closed up shop, but instead decided to change their formula and stop telling guys their product would grow their penis. Zinc is an essential mineral that helps maintain cell health, plays a role in protein synthesis, and fuels 100 enzymatic functions. There’s evidence that Viasil’s inclusion of sweet orange extract could help combat erectile issues related to aging or SSRIs. (Viasil also produces an Instant Erection Gel, a form of topical L-arginine the company claims can instigate vasodilation locally in the penis, but we haven’t found much evidence to back its efficacy. We’ll get into that more deeply in a later section.) Though we always appreciate this level of discretion, it’s also par for the course. This isn’t anything earth-shattering, but it’s interesting that Viasil is one of the few sites that doesn’t offer any way to opt out of the process. Other supplements work over a longer period, delivering sexual health benefits throughout the day. The FDA does not approve or deny any supplements, including male enhancement supplements. Some men may feel dizziness, mild indigestion, stomach discomfort, and other issues when taking male enhancement pills. By picking the right male enhancement pill, you can boost your sexual performance in multiple ways. However, there’s zero scientific evidence supporting the use of supplements to permanently increase the length or girth of your penis. The companies in this part of our guide are all benefactors of a combined tech and telehealth boom in the late 2010s and early 2020s. The top telehealth providers for therapy and psychiatry take your privacy seriously, using things like dedicated video conferencing and messaging software to prevent intrusion. That’s a lot cheaper than out-of-pocket costs for in-person therapy, but it’s also much pricier than financially assisted sessions from BetterHelp. If you have insurance, Cerebral may be the least expensive option among prominent telehealth providers. Two of the most common root causes for psychogenic ED are anxiety and depression, which are among the most commonly treated issues in telehealth psychology and psychiatry. Bitter orange tree’s leaves, flowers, fruits peels, and seeds have been used for centuries to treat tachycardia, rheumatism, insomnia, anxiety, epilepsy, and gastrointestinal disorders and to enhance sexual desire 187,188,189. Albeit its use is culturally well accepted, the betel nut is a strongly addictive substance and multiple adverse effects were reported (Table 1). However, it was also demonstrated that areca alkaloids reduce GABA affinity for the GABAA receptor, and arecaidine and guvacine effects on GABA signaling may cause epileptic seizures 23,169,180,184. These effects are probably due to guvacine and arecaidine, which are strong inhibitors of γ-aminobutyric acid (GABA) reuptake and contribute to the reduction in spontaneous activity and body excitability 181,182,183. These effects, coupled with the inhibition of monoamine oxidase A (MAO-A) caused by aromatic phenolic compounds of the plant, may also explain the antidepressant properties of the areca nut 24,169. Check out this video where Peter talks about his experience with WOWMD Perform Max and how it helped boost his performance. Effective in some trials for ED but can cause anxiety, elevated blood pressure, or heart palpitations; avoid in uncontrolled hypertension. Can help sexual function but has safety risks. Avoid if you’re on blood thinners (interaction risk). What to discuss with a healthcare provider Recent studies suggest that many male enhancement pills available in the market are ineffective and pose dangerous side effects. We have attempted to pick only the top male enhancement pills and the top male enhancement supplements that can gear up your sex life in reality. Apart from the penis enlargement pills mentioned above, there are other male enhancement pills in the market to ensure sexual enhancement too. The variability in doses of popular ingredients, such as ginseng, L-arginine, horny goat weed, and tongkat ali extract, raises the question of why specific combinations of ingredients were chosen for each supplement. After filtration, 60 user comments were reevaluated using the IIEF questionnaire to semiquantitatively determine the effects of individual ED-S products on quality of life. Among the 69 human studies, only 26 (38%) investigated ingredients individually, and of these, 16 (62%) used pre- and post-IIEF measurements to monitor response to ingredients. An average of 19.7 ± 55.0 articles were identified per ingredient (range 0–256), with no published studies for 8 of the 21 ingredients (38%). Testosterone boosters work on different parts of your endocrine system, depending on their ingredients. But for those who aren’t sure whether their testosterone is low, at-home tests make it tremendously easy to measure their levels. "Low sex drive can be caused by many things, but the most common cause is low testosterone levels," Elmardi said. The real thing does not contain anything other than what it clearly states on its ingredients list. Leading Edge Health has offered our readers specific discount codes you’ll find in the pricing sections for each of the products below. It also allows most of its products to be manufactured in cGMP-compliant facilities, which lends a bit to safety and quality standards (ExtenZe was the only Leading Edge Health product whose manufacturing facilities we couldn’t verify). Sexual Health Additionally, some herbal ingredients may interact negatively with other medications or exacerbate underlying health conditions. One of the primary safety concerns is the potential for these pills to contain hidden ingredients, such as sildenafil or tadalafil—active components of prescription ED medications like Viagra and Cialis. The lack of rigorous testing and regulation means that some supplements may not deliver the promised results or could even pose health risks. Our reviews of Max Performer’s ingredients, cost, and safety will help you decide if it’s right for you. Many men might be wary of using prescription medications to address erectile issues, but if you’re turning to supplements to fill the gap, you might be disappointed. After four months of wearing the device, he says his flaccid penis has stretched from 3 inches to over 5 inches; erect, he has gone from less than 6 inches to over 7 inches. Then, in the back of a weightlifting magazine, he saw an ad for the FastSize Extender, a device that claims to make the penis longer and fatter through traction. But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small. The FDA might not apply the same rigorous methods to safety in the supplement world as they do with prescription drugs, but they often declare certain ingredients unacceptable for use in nutritional supplements. Commonly called "horny goat weed," the extract is used in a myriad of male sexual enhancement supplements. There just isn’t enough clinical evidence in humans that these ingredients at these doses will make a meaningful difference in men’s sexual health. VigRX Plus is relatively unusual among male enhancement pills in that it has a research study that looks into the effects of its formula.2 Parts of the study’s methodology were well-designed. Many of the men looking into male enhancement pills are dealing with some form of ED, even if it’s relatively mild. It still isn’t the best guarantee among male enhancement pills (that designation belongs to Performer 8, which has a lifetime guarantee), but it’s better than most. At that level, as well as the four- and six-month supply levels, you effectively pay just $30/month for Viasil, which remains the lowest monthly cost among our top male enhancement products. Unfortunately, that study looked at a much larger dose of the VigRX formula than what we see in the supplement sold to consumers,31 and the doses found in the consumer-facing supplement are often subpar compared to research into their individual potentials. For men interested in clomiphene or enclomiphene, the most direct parallel to Hone is Strut Health, which offers testosterone testing and enclomiphene citrate for a fair price. Hone Health operates on a membership model, with Basic and Premium levels available at two very different prices. In men with low T, hCG performs like LH, providing additional signals to the testes that it's time to make more testosterone.28 Anastrozole acts as an aromatase inhibitor, preventing the enzyme from converting the extra testosterone.27 We’ve compiled a list of the thirteen best male enhancement pills to compare below, which use clinically proven and natural ingredients to boost male sexual health and performance in multiple ways.Testosterone is essential for supporting libido, energy, confidence, and even mental clarity.Like other supplements, Enzyte is also branded as a “dietary supplement” that is solely composed of natural, or herbal, ingredients.Most men don’t experience any, but it’s always wise to share your supplement plans with your healthcare provider before adding anything new to your regimen.For the first couple of weeks, changes were slow, but I did start feeling a bit more confident and energetic.After using it regularly for some time, I noticed better performance and stamina.They are the active ingredients to which the effectiveness of ginseng is attributable .With more than 1.2 million boxes sold and a growing base of loyal customers, it consistently ranks among the best male enhancement pills for natural support.In today's fast-paced world, many individuals seek ways to enhance their sexual health and overall well-being. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. You should talk to your doctor about your goals and perhaps order some tests that can determine potential nutritional deficiencies or low testosterone. We recommend you investigate them in conjunction with supplemental or prescription therapies to maximize the odds you’ll return to your old form sooner rather than later. There is also increasing evidence that it can help improve semen parameters.25 It often appears at clinically relevant doses, as well. So, while we appreciate the opportunity for savings at those bulk levels, it doesn’t do much to lower the cost for the average person. Our cost consideration goes beyond just the price tag on a product. Supplements aren’t meant to treat or cure (nor are they intended to prevent or diagnose) any medical problems, including ED, and it’s important to make sure they won’t interact with any medications you take or conditions you may have. Even if you aren’t part of a population mentioned above, always consult a physician before adding Max Performer or any new supplement to your regimen. One ingredient, Korean red ginseng, also has anti-diabetic properties, which, when given to people with diabetes, may cause hypoglycemia. Further investigation is necessary to clearly understand the possible neurological and psychiatric effects caused by these plants. Excellent tolerability is generally reported after using ashwagandha for weeks at therapeutic doses, with statistically insignificant adverse effects compared to placebo 281,282. A renewed interest for maca has been observed from the 1990s onwards, and pills, capsules, flour, liquor, and extracts are now massively produced and exported . Erectin is different and unlike many male enhancement pills claim, this formula is manufactured by employing the most advanced technology for faster absorption.When it comes to male sexual enhancement, ingredients are the ‘holy grail’ of determining a product’s effectiveness.In addition to the intellectual property rights that counterfeiters violate, the products they make can place consumers in danger.There’s a better way to support your drive and endurance — PhaloBoost offers nature-backed performance support without side effects or synthetic fillers.For a good balance of quality and affordability, aiming for products in the $50.00 to $70.00 range is recommended.If your testosterone has fallen through the floor, this supplement might be able to help you.But recently, it seems the industry is paying closer attention to the “pill” aspect of erectile dysfunction treatment. We’ll continue to stay on top of new developments in male enhancement and erectile dysfunction treatment to keep this article up to date. Performer 8 includes nine powerful ingredients proven to increase sexual stamina, erection strength, and semen volume. It was stressful for both of us.I saw this product online and read that it helps with male performance, so I thought to give it a try. They focus on supporting circulation, energy, hormonal balance, and mental confidence using carefully selected ingredients. Natural ingredients mean rare side effects when used correctly, but monitor for mild reactions. In the grand scheme of things, with a supplement that can take up to three months to start working, having to wait up to a few days before getting a question answered won’t set you back too much. Still, other companies have additional chat and phone support, and we see no good reason why Max Performer can't have the same. A generic email address is the only way to contact the company, with no telephone or live chat support available. This isn’t the case with all of the present ingredients.Aside from all of this, we also have to consider effective doses of these ingredients as indicated by various other studies looking at their impacts on sexual performance in men.We will discuss some common benefits or functions of male enhancement products below.Patience is key, as gradual improvements in stamina, libido, and erection will occur over time.Even if your penis is smaller than average, it may not matter to your partner.Traditional synthetic approaches often require prescription monitoring and may cause significant side effects.Therefore, before starting any new health regimen, including the use of male sex pills, always consult with a medical professional.Each supplement works differently on every individual; therefore, you must weigh the pros and cons of each product as per your health conditions. Because the supplement is designed to enhance sexual health over time, its benefits are cumulative and often become more noticeable with regular daily use. Ingredients like Damiana, Saw Palmetto, and Asian Red Ginseng are included specifically to help revitalize sexual desire through natural hormonal support. When it comes to male sexual health, the challenges many men face extend far beyond the bedroom. Try VigRX Plus—order today and enjoy discreet delivery, natural ingredients, and guaranteed satisfaction. But chances are your penis is within the typical size range.As blood flows to your lower region, your organ swells immediately, increasing the penis size.Male-enhancing testosterone boosters encourage muscle protein synthesis.With an overwhelming number of male performance supplements on the market, it’s easy for consumers to feel lost.Branded Viagra is the original, and it’s the most expensive form of the drug.Prime Male contains all-natural ingredients and has no reported adverse side effects when taken at the recommended dosage.The botanical compounds in ExtenZe have been studied internationally, with research published in journals across multiple countries confirming consistent effects across diverse populations.Instead, it’s produced by a third party that has essentially reverse-engineered the original formula and replicated its manufacturing process. The jury is still out on this ingredient’s true efficacy, with several studies openly contradicting one another. This mineral has been shown to increase serum testosterone levels, but it might only make a real difference in men with low testosterone.18 Several studies show that L-arginine can widen blood vessels in a manner resembling PDE-5 inhibitors.15 The fact that their services include a few more things than Hims (like testosterone support) makes them a viable choice for such a multi-prong approach. BlueChew is one of Hims’ top competitors in the sexual health space. Innerbody Labs' balance of ingredients is an example of this combination effort, but it achieves that balance without also sacrificing the dose of each ingredient, as we discussed above. If a company doesn't use clinically relevant doses, it had better employ a combination of ingredients that can make up the difference. To that end, every ingredient included in Innerbody Labs Testosterone Support is present at a dose that aligns with or exceeds those found in studies pointing toward effectiveness. That’s why, as we consider safety and effectiveness to be such critical factors, we heavily scrutinize ingredients and doses. Zytenz Review – Is This Male Enhancement Pill Safe To Use & Does It Work? In today’s fast-paced world, many men experience changes in energy levels, stamina, and confidence as they grow older or face increasing stress.PDE5 inhibitors can amplify the effects of nitrates, often prescribed for heart conditions, leading to a dangerous drop in blood pressure.Some ingredients — like L-arginine — may be dangerous for men with low blood pressure.They can tell you if it’s safe and if the recommended dosage is appropriate for you.These compounds, sometimes referred to as endocrine disruptors, may interfere with testosterone production and metabolic health, further compounding the problem.The provided information includes product information, overviews, buying guides, and product specifications.Obviously, when it comes to buying a male enhancer, some considerations are more important than others. Even men who appear “healthy” by outward standards can find themselves affected by these subtle disruptors, making it harder to maintain consistent performance over time. Modern life also exposes men to hormone-disrupting chemicals found in plastics, processed foods, and even personal care products. Many men assume that struggles with performance, stamina, or arousal are just part of “getting older.” While age is certainly a contributing factor, it’s far from the only one. More than just a best-selling supplement, it represents a shift toward clinically supported, bioavailable, and transparent formulations tailored to help men feel their best. His work has taken a particular focus on scientific studies “beyond the headlines,” reading the study to more closely examine the results. Dan is a long-time freelance writer focusing on technology, science, health, and medicine, with a lifelong interest in physics, biology, and medicine. While gas station sex pills can be tempting, they’re far less regulated than prescription medication. Contributing your product facts helps to better serve our readers and the accuracy of the content. The provided information includes product information, overviews, buying guides, and product specifications. Our subjective assessment of a product is based on the strength of the available information and our estimation of its efficacy. Additionally, the high sugar content and potential labeling inconsistencies raise concerns about the product’s transparency and value. Below, you’ll see the main categories and considerations we used to rate the supplement. Ageless Male is another popular male enhancement supplement, so readers frequently ask which product is superior. ExtenZe Shots, ingredients shown above, is the most unhealthy ExtenZe product in our opinion. This supplement does have one additional ingredient that we consider effective for male sexual function, which is tongkat ali extract. What are the ingredients in herbal male enhancement pills? The association between Dr. Oz and male enhancement pills is completely fraudulent. It’s likely a fabricated article written by an other party trying to push low-quality male enhancement products. An amino acid known to aid blood flow by increasing nitric oxide levels, which may enhance sexual performance. Phrases like “clinically proven to improve erectile function” or “doctor-endorsed sexual health booster” are typical red flags. A few neurological side effects were reported in preclinical studies, including impairment of both short- and long-term memory and reduced locomotion 151,152 (Table 1). In vitro studies of the hippocampus and other brain regions suggest that the sedative effects of kavalactones may be mediated by an increase in GABAA receptor binding sites 251,252. In fact, most clinical studies with ginseng or ginsenosides reported no psychiatric or neurological side effects or statistically insignificant effects compared to placebo, and were not included in Table 1 223,224,225,226,227. Consumers of illicit PDE-5i often do not realize they are using counterfeit products and placing themselves at an unnecessary health risk. Whether you want better erections, more pleasurable orgasms, or more energy, an all-natural male enhancement pill can help. ProSolution Plus has no known adverse side effects based on user reviews and ingredient studies. But these issues are not at all exclusive to older men — ED affects adult men of all ages, as do issues with sperm count and motility.1 So, naturally, there are numerous companies like Max Performer offering solutions. For now, we've chosen to maintain this page in its most recently updated state as an information resource for anyone still curious about the supplement. In addition to treating patients, she has a diverse professional background stretching from hospitals to healthcare communications, academia, and the pharmaceutical industry. Neither the publisher nor its syndication partners shall be held liable for any damages, real or perceived, resulting from the use or misuse of any product or information described herein. Such compensation helps support the continued publication and maintenance of editorial content. The main drawback to using a multivitamin rather than a volume pill or fertility supplement is that some of those ingredients — the type you don’t often see in multivitamins — might make a real difference. You’re also less likely to see in multivitamins some of the questionable ingredients used in a few volume pills. The best of these tend to offer the widest range of well-researched ingredients at doses similar to what researchers use in their studies. That means they contain things like zinc and ashwagandha, which studies show can both improve testosterone36 and reduce anxiety.37 But there are other product categories that can solve similar problems, as well as categories that can address different meal sexual health needs altogether. CBD and ashwagandha are two powerful natural ingredients that can support men's libido and overall well-being. However, not all supplements are created equal, and the quality of the products you choose can significantly impact their effectiveness. Improving your sexual health doesn’t always require medication or supplements. Treating underlying health issues like high blood pressure, heart disease or diabetes can help improve sexual function. Male sexual enhancement supplements may not be safe for everyone as they can cause side effects, allergic reactions and interactions with other medications. One of the most compelling reasons men choose VigRX Plus over other male enhancement pills is the strong base of verified customer feedback. When considering the best male enhancement pills, cost is always part of the equation. This commitment to innovation is why it continues to stand out, not just as another supplement, but as a leader in the field of natural sexual performance enhancement. A lot of men believe that ExtenZe can make your penis larger. There’s no scientific evidence that ExtenZe would make a penis larger than it was before. Most men suffering from clinically diagnosable erectile dysfunction would not benefit from ExtenZe. The reality is that we don’t recommend this product as something beneficial to potential customers at this time. If you go by how the company advertises itself, you might even believe it could cure ED or make your penis bigger. If your test results showed that your testosterone levels are on the low side of normal, something as light as these drops might have been a decent place to start because they were easy to take and shouldn't have led to any overcorrection. The price of Nugenix supplements prevents them from being top recommendations. It’s also suitable for vegetarians, which Nugenix products are not (they contain gelatin). This is frustrating and disappointing when you consider that other companies offer money-back guarantees, allowing you to try their products with some risk reduction. By contrast, omega-3 fatty acids can have the opposite effect because they lower inflammation that might be affecting blood vessels, while also reducing blood clotting. If you go to a convenience store and see something behind the counter with a name like "Boner Blaster 5,000," it's a surefire way to know a supplement is not legit. Physical causes should be checked out, and any indications of mental health concerns should be investigated and addressed with the doctor. Several variables might have an impact on sexual life. Anxiety and stress can have a significant influence on sexual life. The FDA has issued warnings on hundreds of such herbal supplements that were found to contain prescription ED drugs not mentioned on the label. Even pills for "penile growth" are available OTC, which claim to make the penis grow longer, but there is no evidence any of these pills actually work. These are available as dietary supplements and are not regulated by the U.S. They contain herbal ingredients that are not well-researched and ingredients that are not mentioned on the label, and dosages too may not be as mentioned. Regular exercise for only 20 to 30 minutes raises blood flow to the penis and improves sexual performance. Most supplements in our list contain active ingredients in the exact dosages as used in clinical studies. To help you pick the best supplement, we have made a list of the 11 best male enhancement pills according to the following ranking factors. Additionally, Rock hard contains all proven ingredients to support sexual health. It’s a common feature in natural male wellness products. It’s commonly included in men’s supplements for those seeking improved performance, especially in the bedroom. More men are seeing supplements like PhaloBoost not just as a fix for one area of life—but as part of a broader daily wellness routine designed to support focus, performance, and stamina from morning to night. The brand takes the extra steps necessary to instill trust, from full ingredient disclosure to reliable customer service channels and manufacturing standards that meet or exceed industry benchmarks. This level of transparency and accountability is rare in the supplement space. This allows users to try the product and return it if not satisfied, with no hidden hoops to jump through. In two large surveys, 23–32% of PDE-5i users had no prior interactions with healthcare professionals (13,14). With the low cost of base materials and the high cost of pills, the profit margin for creating sildenafil is approximately 2,000 times that of cocaine. Others seek to bypass the legitimate healthcare system due to either embarrassment of the underlying condition or desire for cheaper alternatives. Red Boost has no reported adverse side effects. While this ingredient list is not as dynamic as some competitors, it's still impressive. By focusing on getting nitric oxide levels up, Red Boost may be able to offer you these benefits. If you'd like to purchase VigRX Plus or learn more about the product, check out the official VigRX Plus webpage. The formula’s safety may also come into question, as the reason for including hemp oil extract in a supplement marketed for male enhancement is not clearly explained. This discrepancy raises questions about the transparency of the product and whether the full list of ingredients is disclosed. While the inclusion of hemp oil might offer general wellness benefits, its effectiveness as a solution for male sexual performance remains questionable. In addition to reducing stress, some studies indicate that ashwagandha may increase testosterone levels. As we mentioned above, zinc has a good track record of improving testosterone levels in studies. Other companies shift their focus away from the kind of effects prescription PDE-5 inhibitors offer, instead looking to low testosterone as a potential cause of erectile dysfunction. Look for ashwagandha supplements with enhanced absorption techniques to ensure optimal utilization of the herb's beneficial properties. Look for readily available lab reports that provide transparency and ensure the quality of the products you're purchasing. This verifies the potency and purity of the CBD and ashwagandha used in the supplements. Emerging research linking ED to systemic conditions, such as cardiovascular disease and diabetes, underscores the importance of a thorough evaluation before using any supplement or drug.44,45 We observed that only 69 of the 413 studies that we identified (17%) were undertaken in human subjects. Similarly, we observed a 90% decrease in users reporting increased sexual satisfaction and an 88% decrease in users noting increased enjoyment with sexual intercourse. We identified a 77% decrease in users reporting improvements in erection strength and an 83% decrease in users reporting improvements in ability to maintain an erection overall. After filtering supplement reviews using the ReviewMeta service, considerable differences in both overall and the popular IIEF categories identified before filtration were observed. Psychological factors can contribute to erectile dysfunction and make it difficult for a consulting physician to pinpoint the cause of your ED. We recommend you check out the high-quality at-home Testosterone Test from LetsGetChecked, as well as our guide to the best testosterone tests. Thankfully, these days, you have the option of testing your testosterone at home without a lab order or waiting in a medical office. A testosterone test can help you determine if this is what’s behind your ED.