And the only data we have concerning the safety profile of VigRX’s specific ingredients and doses working in concert comes from the company’s self-funded study, which was small. Commonly called "horny goat weed," the extract is used in a myriad of male sexual enhancement supplements. This is noteworthy because, as described above, the men in the test group received higher doses of many VigRX Plus ingredients, as compared to consumers today. One potential cause for performance issues is low testosterone, which is why VigRX includes some ingredients designed to boost testosterone levels. Several well-dosed ingredients, a proven track record, and a lifetime guarantee help to differentiate it. Our team has researched the top supplements in the field to determine which testosterone booster is likely the best for you. Studies suggest that penis pumps can both restore erectile function and prevent or reverse this size loss.47 However, this is not an indication that penis pumps will increase penis size; it’s a result specific to this group of men. Roman Testosterone Support pricing Many over-the-counter (OTC) products make claims, but there is limited research to back them up. You may be interested in natural testosterone boosters instead. Some older people on testosterone therapy could face increased cardiac risks. While testosterone therapy can be an option, it has disadvantages as well. Testosterone levels naturally decline as you age. 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. While affordability is important for many budget-conscious individuals, the value of a supplement should be considered rather than price alone. Consult a healthcare professional if you have underlying health conditions that may be at the root of your problems, or are taking medications. Most of these ingredients can be found in elite male health supplements. The risks of buying male enhancement pills over the counter apply to online purchases as well, because these are sold as herbal supplements, and not regulated by the FDA like drugs are. 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. Several studies showed that a high-protein diet actually decreased testosterone levels. That means there's no guarantee of how powerful the active ingredients are or if the products even contain what they say they do. Long-term zinc supplementation may lead to increased testosterone levels. Also called androgen replacement therapy, this is a medical treatment your doctor may prescribe if blood tests show unusually low levels of testosterone. Testosterone-boosting supplements are different from testosterone therapy. Factors to consider are medications being taken, individual tolerance to ingredients, and underlying health conditions. The formula’s composition should include elements known for their potential to improve male sexual health and performance. Apigenin and Amla work synergistically to relax blood vessels, increasing blood flow to the penis and enhancing sexual performance. Drilizen helps increase nitric oxide levels, promoting better blood circulation and erectile function. Your package will contain reusable ice packs to keep the doses cool in transit, but don’t freeze the doses when they arrive. You and your doctor can decide together how many doses you would need in a month, but the standard package comes with six. Even before considering the presence of sildenafil and apomorphine, it may be unsafe (and expensive) to consume Rugiet Ready’s tadalafil dose daily. Studies into combination therapies are lacking and often include participants on a daily dose of tadalafil who take sildenafil as needed.13 Beyond cardiovascular complications, one of the most frequently reported side effects of tadalafil is muscle pain, often located in the lower back.10 Zinc may promote testosterone production in the testes. Zinc is an essential mineral for your healthy body function. Taking 6 grams reduced levels. Both of these may stimulate the body to release more testosterone. Prime Male contains all-natural ingredients and has no reported adverse side effects when taken at the recommended dosage. Higher testosterone production can result in several benefits for male health. Semenax doesn't have the capabilities to increase erectile health, like some of the products on this list. Each of the ingredients contributes in some way to improving male virility. Given the current state of available doses, we don’t recommend combination therapies to men who haven’t tried ED medications before. That 22mg tadalafil dose is much higher than we’d recommend for men new to ED medications. Finally, there’s Roman’s combination sex chew offering, called Sparks, which is only available as a combination of 22mg tadalafil and 55mg sildenafil for the constant rate of $12/dose. If you sign up for recurring shipments of 18 doses every three months, the company will knock $70 off the cost, resulting in a monthly cost ranging from $61-$120 and a per-dose cost ranging from $10-$20. We focus here on what most men would need to consider before investing in medication for erectile dysfunction. This makes Hims our recommendation for long-term daily tadalafil. For daily tadalafil, Hims could save you $250-$350 per year compared to BlueChew (depending on whether you opt for a chew or a pill). However, prices for daily tadalafil (in pill and chew form) are among the lowest on the market. Bird & Be Power Prenatal for Males combines higher doses of clinically-backed ingredients compared to its competitors. In any effective male enhancement product you need to look for certain ingredients that are backed by scientific research and actually proven to work. 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. The quantities you’ll encounter in male enhancement supplements aren’t likely to help you break any home run records, but they could still show up on mandatory drug tests. One group of men took an enhanced dose of the supplement for 84 days (roughly twice the recommended dose of two capsules a day for a total of four capsules), while another group took a placebo. That questionnaire covers overall erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction. Here’s a quick look at VigRX Plus’ ingredients. The company would argue that the smaller doses work in concert with one another to create an overall effect that's greater than the sum of its parts. But from an efficacy standpoint, no nutritional supplement will likely work as well as the available prescription drugs for men's sexual dysfunction. Like sildenafil, tadalafil comes with cardiovascular implications. So, while sildenafil is active in your system for about 4-6 hours, tadalafil remains effective for hours. During your doctor’s consultation, you’ll need to provide a recent blood pressure reading, and you’ll want to divulge any cardiovascular diagnoses you’ve received and discuss whether PDE-5 inhibitors would be safe for you. Sildenafil has been studied extensively and prescribed widely, but it can be dangerous if you have cardiovascular issues, especially if you’re taking medication for conditions like high blood pressure (such as those with nitrates). Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions to live healthier lifestyles.Sildenafil has been studied extensively and prescribed widely, but it can be dangerous if you have cardiovascular issues, especially if you’re taking medication for conditions like high blood pressure (such as those with nitrates).Men who wish they had more stamina in the bedroom sometimes reach for male enhancement products.If confidence is part of a mental angle affecting your sexual performance, this might help.This is noteworthy because, as described above, the men in the test group received higher doses of many VigRX Plus ingredients, as compared to consumers today.However, there are some crucial differences in the ingredient lists that lead us to favor TestoPrime over Testogen.Nugenix has some of the best testosterone boosters on the market, with formulas that include a higher number of well-studied ingredients provided at higher doses than you’ll find in TestoPrime’s formula. They offer two sildenafil and tadalafil doses intended for as-needed use, as well as a daily tadalafil blended with a multivitamin. And if you’re in need of testosterone support, supplements can help; visit our guide to the best testosterone boosters. We explore the potential benefits of fenugreek supplements to help you choose the best brand and dose. You won’t see the ancillary benefits of boosted semen levels or increased energy and mental focus like you might with some male enhancement pills. That said, male enhancement pills commonly target increased blood flow and relaxation of the corpus cavernosum. The short answer is “not really.” Even the best male enhancement pills won’t add tissue to your penis to make it physically larger. For example, we appreciate the inclusion of saw palmetto, but studies looking into its efficacy for sexual health use doses around three times what you see in VigRX Plus.27 This becomes important when you consider that many of VigRX Plus’s ingredients appear in low doses compared to those used in studies. As you move towards reclaiming your sexual vitality, remember the key to optimal results lies in how you integrate it into a holistic approach to sexual health. Male enhancement pills can contribute to increased arousal, enhanced endurance, and firmer erections, resulting in improved sexual experiences. Assess the time it takes for the supplement to produce noticeable effects, such as enhancing libido, improving erection quality, and increasing stamina. In our research, we found that many fertility supplements use higher doses that are closer to what’s clinically supported in the research, but they sometimes use fewer ingredients than the average volume pill. Both volume pills and male fertility supplements seem to draw from the same well of ingredients. For this volume pills guide, our team reviewed over 170 research papers examining the various ways that common volume pill ingredients interact with male sexual health and virility. 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. We’ve done our best to bring you a collection that meets a high bar for safety with minimal adverse effects. You can find the right test to fit your needs by visiting our guide to the best at-home testosterone tests. If you have any reason to believe that your problems in the bedroom are related to low T, we recommend taking a testosterone test. This ingredient is also called barrenwort or horny goat weed. And very little of that research has been repeated in enough studies to reach statistical or clinical significance. There are also several that pop up in most of the ingredient lists we encounter. While an increase in semen volume doesn’t always mean a meaningful increase in sperm count, more semen usually translates to more sperm. It’s tied to semen volume, but the correlation isn’t perfectly direct. We want to steer people away from wishful-thinking products and toward the most likeliest products to deliver positive results. But it's harder to predict such a supplement’s helpfulness without scientific research to support its specific combinations. There's no guaranteed safe and proven way to enlarge your penis. Some surgeons offer cosmetic penis enlargement using many techniques. Surgery is typically reserved for men whose penises don't work because of a problem present at birth or an injury. When the suspensory ligament is cut, the non-erect penis may look longer because more of it hangs outside the body. But it does not change the actual length of the penis. Ads for penis-enlargement products and procedures are everywhere. Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries. Tempted by products that claim to increase penis size? DHEA (dehydroepiandrosterone) is a precursor to the sex hormones testosterone and estrogen that our body’s adrenal glands typically produce. However, the studies leave a fair bit to be desired in their methodologies and size.21 The evidence thus far points to the need for more research into the potential of red ginseng as an effective treatment. Panax ginseng (red ginseng) is sometimes called “herbal Viagra.” There have been more than a handful of studies providing evidence that Panax ginseng can help with ED. #1 VigRX Plus – Best Male Enhancement Pills for Boosting Libido Testosterone needs to be free for your body to use it for sexual health, muscle maintenance, and more. There is also increasing evidence that it can help improve semen parameters.25 It often appears at clinically relevant doses, as well. It also contains ashwagandha, which we like seeing thanks to its testosterone-boosting21 abilities and its anxiolytic and adaptogenic effects.22 Our top-rated male enhancement pill is Performer 8. It’s routinely surpassed by offerings that are less expensive, contain more or better ingredients, or both. Unlike drugs, herbal supplements are not regulated stringently by the FDA, hence the ingredients and their dosages may not always match those on the label. There is no scientific evidence that male enhancement pills really work. Never take any OTC male enhancement pills; they are not safe. Even BlueChew’s daily tadalafil is combined with a multivitamin complex that may help with erectile performance.That’s because you could request daily tadalafil tablets on a yearly billing cycle, which brings the cost per dose to nearly $1.00.Several small-scale studies have looked at ginseng’s potential to treat sexual dysfunction in both men and women, most of which had positive results.Testosterone boosters may help with ED if low testosterone is at the source.Semenax has an incredibly dynamic ingredient list featuring many elite compounds.We spoke earlier about commonly underdosed ingredients for erectile health, with maca being a prime example.So it’s a good thing that VigRX provides bulk purchasing discounts, which can bring your cost per month down to about $49.The quantities you’ll encounter in male enhancement supplements aren’t likely to help you break any home run records, but they could still show up on mandatory drug tests.The key to the supplement's success is the impressive ingredients list created by the research team at VigRX.If a vitamin D deficiency is suppressing your testosterone, a supplement with 100 ingredients but no vitamin D would likely prove ineffective (not to mention costly). #8 Prime Male—Best For Restoring Testosterone These supplements focus on improving various aspects of male sexual health and function, such as libido, stamina, and erection quality. While these erections are often more impressive in size, male enhancement supplements do not permanently increase penis size. Personalized medical advice can help determine whether male enhancement pills are aligned with your health profile and needs. Formulated with a blend of natural ingredients, ProSolution Pills aims to optimize male sexual health with an emphasis on improving erection firmness and duration. When considering the choice between male enhancement supplements, it’s crucial to weigh the benefits and drawbacks of each option. Cost and Value But when it comes to maximizing sexual pleasure, it's second to none. If you're looking to up your semen volume and orgasmic force, look no further. Ingredients such as zinc show significant evidence for improving semen volume. It states that it cannot provide refunds for any prescription products, but its testosterone booster — and many other products on offer — do not require a prescription. If Roman restarts this program at its previous rate, and your testosterone tests reveal low testosterone levels, you can get continued testosterone monitoring and prescription delivery at the cost of $165/month. At-home testosterone testing requires you to draw two finger-prick blood samples soon after waking on successive days and after a fast of at least eight hours. Roman offers an at-home testosterone test you can use to determine whether your T levels are low enough to warrant treatment. Does Erectin Have Negative Side Effects? If your numbers come back normal, then check out pills like Viagra or Cialis. If you're hoping that testosterone boosters will treat ED but aren't sure whether you even have low testosterone, you might want to take an at-home testosterone test. But men with low testosterone might develop problems with their sex drive that prevent them from getting excited enough to make use of Viagra's specific mechanisms. "By improving obesity, reducing peripheral fatty tissue, we reduce the aromatization of testosterone," Dr. Urdaneta explained, "so it is no longer converted into estrogen, and the symptoms improve." They include shellfish, eggs, cocoa products, and green leafy veggies, to name a few. There is also increasing evidence that it can help improve semen parameters.25 It often appears at clinically relevant doses, as well.For example, they both offer relatively high doses of well-researched testosterone-boosting ingredients.Semenax takes the number 6 spot on our list of the best male enhancement pills.And a 15mg dose of tadalafil from Hims costs, at best, $10.17.Additionally, like all health-related content on this website, this review of VigRX Plus was thoroughly vetted by one or more members of our Medical Review Board for accuracy.Most other male enhancement pills explicitly list their doses and don’t rely on proprietary blends of any kind.You can get back in the sack and be more like the virile sexual god you're meant to be.Another important ingredient note is that ExtenZe contains DHEA, which is banned as a performance-enhancing drug in many competitive leagues and organizations, including the Olympics. Most insurance, including government insurance like Medicare, won’t cover the costs of ED medication, so it’s essential to consider your available budget. And if tadalafil sounds like the right path to try first, BlueChew is the best way to try it out. And since tadalafil is active in the system well within an hour, you can still use it in cases of spontaneous sex and not have to wait too long for it to kick in. As we stated, Performer 8 focuses on maximizing sexual stamina in men. Boostaro is a good product for helping men get their energy levels up, fight back against aging, and potentially have more sex. Boostaro has no reported adverse side effects. If you're facing issues related to your energy levels or diminished libido, then Boostaro might be able to help. Boostaro is formulated to help reduce the effects of these pitfalls. Rugiet Health is an online telehealth service that delivers its ED medications as a sublingual troche — also known as a lozenge — that dissolves under your tongue.When it rises, testosterone falls.A generous dose of zinc — which boosts testosterone levels in several studies — is the main attraction here.21Any of the PDE5 inhibitors can also cause your blood pressure to drop (though Stendra is less likely to cause this to happen).Most male enhancement pills seek to improve blood flow to the penis and often achieve this by vasodilation, a widening of the blood vessels.If you're getting easily winded or can't go all the way during sex, this supplement may offer relief.A testosterone test can help you determine if this is what’s behind your ED.That honor goes to BlueChew’s as-needed chewable tadalafil (which starts at 6mg), and their free trial makes them a more convenient place for men to start. As we’ve discussed, fertility support is one of the biggest promises volume pill manufacturers make, and there are ingredients in Bird & Be’s formula that you’ll find in many volume pills. There are also some ingredients in volume pills, like L-arginine, that can act similarly to PDE-5 inhibitors like Viagra or Cialis, albeit with less intensity. That said, traditional volume pills may contain ingredients that research indicates will be less likely to help with fertility but more likely to increase pleasure or performance in the bedroom. Erectin targets common causes contributing to erectile issues and low libido, providing men with renewed confidence in the bedroom. It’s an excellent choice for guys seeking firmer, longer-lasting erections and heightened sexual satisfaction. Buying directly from the manufacturer ensures you receive genuine products with the full benefits of the VigRX money-back guarantee and outstanding customer support. Whether you want to boost libido, enhance sexual desire, or improve sexual satisfaction, VigRX Plus is a reliable ally. Korean Red Ginseng helps improve stamina and libido, while Saw Palmetto supports prostate health. Rugiet Reviews: Is Rugiet Ready the ED solution for you? Out of the 100 plus brands which we tested – these top 10 all natural products stood above all the rest. Which products got the best reviews and what have men said about them? From all the different products which we analyzed, we found out that most had poor reviews from men saying they do not work nearly as well as their advertisements claim. Putting all of these factors together has given us the opportunity to bring you the best products that are available today. VigRX Plus Test Boost Max relies on some familiar ingredients to boost testosterone, but it also has a handful that you won't see in too many other products. Many of them are testosterone boosters, but Nugenix also sells supplements for prostate health, fat loss, and cellular maintenance. Some research points toward a decrease in testosterone levels at doses above this, so men with lower BMIs might not benefit as much from something like these capsules. If you can afford it and are comfortable with a higher side effect risk, you could stack Nugenix products together, as their ingredients complement one another and would provide you with a complete approach to testosterone boosting. If your test reveals low testosterone levels, you can talk to a Roman-affiliated provider to determine whether you want to take the nutritional supplements or seek a prescription remedy. If the ingredients are circulating through your body at all times, you can theoretically get an erection whenever you’re aroused. Like daily tadalafil, they’re pills that you simply take once per day. Ultraload is another volume pill, but its ingredient list is far shorter than that of Semenax. As you can see, the initial investment and the cost per dose are both significantly lower with daily tadalafil than as needed. Understanding how a given product can help raise your testosterone levels starts with understanding its ingredients. Innerbody Labs chose these ingredients based on the quality and quantity of available research supporting their efficacy in raising testosterone levels. As you can see, the only product that comes close to matching Innerbody Labs' combination of ingredients and clinically relevant doses is Nugenix, but its Total-T MAXX costs nearly $100 more per bottle. Side effects of oral ED medicines are often mild.(That would be Roman.) And some of our most important ingredients can be found in TestoPrime and Roman, both of which cost less.(Keep in mind, as far as supplemental aids go, this one is more expensive than others you could consider.)Zinc intake can boost testosterone, which has a ripple effect throughout a man’s sexual system.Erectin is equipped with some of the finest ingredients known to man.Understanding the significance of choosing the best male enhancement pills for your specific needs is paramount.Bioperine®, a black pepper extract, ensures VigRX Plus’ maximum absorption and efficacy by improving the bioavailability of other ingredients.It’s possible that VigRX Plus may help some men with specific forms of sexual dysfunction, especially those with benign prostatic hyperplasia or other prostate issues that contribute to their problems in the bedroom. Doctors treating patients with low testosterone often prescribe a therapy to increase testosterone levels. They’re generally a little less effective than traditional TRT but still more effective than a testosterone booster supplement, and they’re often more than enough to take care of clinical hypogonadism in most men. You can also take certain prescription medications designed to increase your testosterone levels through various mechanisms of action. Residue from these products can affect puberty in children and have negative impacts on a woman’s health, especially if she’s pregnant, planning to become pregnant, or breastfeeding.55 The men who are most at risk for severe adverse effects are those on medications that affect blood pressure.5 PDE5 inhibitors act as vasodilators, effectively lowering blood pressure by increasing nitric oxide production. Any medication designed to affect male sexual anatomy is going to be met with extreme caution, and rightly so. If you try their tadalafil and find success, you can try switching to Hims, where you can get 5mg tadalafil (1mg lower than BlueChew’s lowest dose) for as little as $1.07/dose, whether for daily or as-needed use. Let’s visualize how much you might pay for the lowest available doses on telemedicine platforms with the best prices. So, if you don’t want to take a daily pill but have a date at night, you can take tadalafil sometime that day and see reliable effects well into the next day. 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 consider zinc and vitamin D among the ingredients with the most potential to support healthy semen, not least of all due to their connection to testosterone levels. All told, Bird & Be put 22 active ingredients in its Powers for Males, including generous doses of vitamins A and C, a nice B vitamin complex, and more zinc than any of the other products in our guide. These ingredients can slightly widen blood vessels to increase blood flow — an important aspect of erectile health. Men with blood pressure or other cardiovascular issues and those taking prescriptions like warfarin could put their lives at risk by taking PDE-5 inhibitors and may endure similar hazards using male enhancement pills, including VigRX Plus.Several compounds can significantly increase testosterone production.Epimedium (Horny Goat Weed) has been traditionally used to improve erectile function and libido by increasing blood flow to the penis tissues for longer-lasting erections.Leading Edge Health has offered our readers specific discount codes you’ll find in the pricing sections for each of the products below.It isn't as fast-acting as some of the prescription drugs available on the market that can increase testosterone or treat erectile dysfunction, and its ultimate effects pale in comparison to these pharmaceutical advances.In fact, the ingredient lists on common volume pills and fertility supplements are strikingly similar.Ultimately, more studies on the combination of these medications would be helpful. They tend to have fewer studies looking specifically at their relationship to testosterone levels, and doses can often be far below what studies would recommend. It uses ingredients with only a few small-scale studies supporting them, and it does so with doses often lower than those used in research. Nugenix has some of the best testosterone boosters on the market, with formulas that include a higher number of well-studied ingredients provided at higher doses than you’ll find in TestoPrime’s formula. For example, they both offer relatively high doses of well-researched testosterone-boosting ingredients. Our botanical testosterone-boosting ingredients are dosed as high as — or higher than — any of our competitors, and no other product has doses this high of ashwagandha, fenugreek, maca, and longjack combined. Walgreens Testosterone Support Capsules (14 days) - 42 ea You’ll see black pepper extracts with different names — such as BioPerine or piperine — pop up in supplements in and outside the realm of sexual health. Many volume pills and fertility supplements also contain some kind of multivitamin complex. One of the most profound ingredients for both semen volume and fertility is zinc, which can directly improve semen parameters while boosting testosterone. 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. In one 2010 study, participants saw a 61% increase in total sperm count and up to a 17% uptick in motility.30 The study consisted of only 60 men, which is well below significance, but it also only used 100mg of shilajit compared to Ultraload’s 200mg dose. This is about mid-range for a guarantee on a volume pill. Overall erectile function improved by 56%, and 90% of the participants wanted to continue with treatment after the study. The study showed VigRX to be relatively safe, with incidents of side effects no higher in the VigRX group than in the placebo group. Researchers examined semen parameters and measured serum testosterone, as well. (Keep in mind, as far as supplemental aids go, this one is more expensive than others you could consider.) Again, this drug combination starts with tadalafil, and Hims has combined it with atorvastatin, a statin designed to reduce your risk of certain cardiovascular events like myocardial infarction.28Such side effects typically resolve on their own as your body acclimates to new supplement ingredients, but if any of them linger past a week or two, you should stop taking the product and talk to your doctor.In a world where health and wellness are increasingly prioritized, the quest for personalized nutrition has gained significant momentum.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.Because various underlying conditions can impact erectile performance and libido, there are a lot of things you can do in your daily life that can improve your sexual health.Supplements like VigRX (when they work) and prescription medications can carry you through that process with a little more dignity and successful sexual activity.VigRX Plus is our favorite supplement and, based on our research, easily the best male enhancement pill available.Look for positive feedback and endorsements from satisfied customers for valuable insights into the supplement’s effectiveness and reliability. On the flip side, sildenafil and Viagra (as well as a specific regimen of Cialis and tadalafil) offer you the choice to take them as needed. For that reason, some men prefer not to take a daily tablet of Cialis or tadalafil when the prospect of sex is not guaranteed. BlueChew offers a free month of as-needed tadalafil as a way to test their service; all you pay is a small shipping fee. As you can see, the decision isn’t terribly obvious from the start, as BlueChew typically has better prices than Hims for as-needed medications, whereas Hims often beats out BlueChew for daily tadalafil. The tadalafil landscape has gotten a little more complicated in recent years. The best of these tend to offer the widest range of well-researched ingredients at doses similar to what researchers use in their studies. It frankly out-doses most volume pills in the most effective ingredient areas like zinc and B vitamins. Volume pills won’t make your penis larger, but some have ingredients that boost blood flow, resulting in harder erections that may look bigger than your former erections. But TestoPrime may still be effective enough for many men, and it’s significantly less expensive than offerings from Nugenix. Nugenix may struggle to compete due to higher prices, but it has some of the most potent ingredient profiles on the market. It’s also suitable for vegetarians, which Nugenix products are not (they contain gelatin). In one yearlong study, 65 men who took 3,300 IU of vitamin D daily increased their testosterone levels by 20% over those who didn't. Taking magnesium as a supplement has been shown to increase free and total testosterone values. Zinc deficiency has been linked to low testosterone levels. However, a subsequent study showed that taking 3 grams of D-aspartic acid did not affect testosterone levels. Ultimately, you’ll decide with the prescribing doctor which dose and schedule are best for your lifestyle. That said, some users only take tadalafil as needed, and those dosages can sometimes be different. Often known by the common brand name Cialis, tadalafil is a PDE5 inhibitor that you can take once per day to provide hours of effectiveness. Others sell branded pills, authorized generics, and regular generics without doing enough work to explain the differences to their customers. Also, there’s a roughly 10% chance of injection patients developing secondary polycythemia within a year of use, and a 40% chance after ten years, leading to risks like blood clotting, heart attack, stroke, or aneurysm.53 Because injections are the strongest form of clinical TRT, the side effects can be correspondingly severe. TRT typically involves delivering exogenous testosterone to your system, either through injection or transdermal means like a patch or topical cream. However, they can be much more dangerous than other methods, with side effects that include hormonal imbalances resulting in aggression, acne, mania, and infertility.25 Bird & Be offers one of the highest zinc doses we’ve seen, with 50mg of zinc citrate. Our comprehensive research led us to conclude that Bird & Be Powers for Males is the overall best volume pill right now, even though it's marketed as a fertility supplement rather than a volume pill. Fortunately for everyone involved, many of the ingredients that improve semen parameters can also provide these benefits. There are a lot of men out there who could benefit from taking volume pills. That makes volume pills with B12 a good choice for men looking to freeze their sperm for a later date. Other ingredients in supplements may have unexpected consequences for certain men. Studies show it can increase your body’s ability to take in more nutrients from a given supplement.19 It doesn’t have direct benefits to male sexual health, but it may increase the degree to which a given pill works. Research into it can be contradictory,14 with some studies suggesting considerable benefits to blood sugar and sexual health and others coming up inconclusive.15 First, you’ll likely need longer than one month to discover whether male enhancement pills work for you. The general idea behind male enhancement formulas is that combining multiple ingredients can increase the odds of success by working on slightly different potential problems (i.e., hypogonadism, performance anxiety, and circulation issues). Lysine is an essential amino acid that plays various critical roles in human health. But that guideline concerns elemental zinc, of which the average zinc supplement contains between 20% and 30%, depending on which form is used. Perhaps most notable is vitamin D, which, like zinc, has been shown to improve semen characteristics and boost testosterone.6 And unlike B and C vitamins, which many people consume sufficiently through their diets, vitamin D deficiencies are relatively common. For example, studies suggest that ashwagandha can help treat hypothyroidism (low levels of certain thyroid hormones),16 which has led some researchers to fear that it may be dangerous for anyone on thyroid medications or those with even mild hyperthyroidism.If you’re used to taking such a high dose, this might be a viable product, but there are superior options with more flexible dosing for lower prices from Hims.This seems generous at first, but when you consider that it can take 2-3 months for many of these ingredients to show any effects in your system, 30 days isn’t really enough.But it does not change the actual length of the penis.But if standalone sildenafil or tadalafil would have done the same job for you as the combination medicine, then Rugiet Ready is undoubtedly more expensive than other providers like BlueChew and Hims.If you try their tadalafil and find success, you can try switching to Hims, where you can get 5mg tadalafil (1mg lower than BlueChew’s lowest dose) for as little as $1.07/dose, whether for daily or as-needed use.For now, there are more important ingredients to look for in a testosterone booster.Extenze boasts an impressive resume, having sold over 1 billion pills worldwide.One group of men took an enhanced dose of the supplement for 84 days (roughly twice the recommended dose of two capsules a day for a total of four capsules), while another group took a placebo. Bird & Be’s Powers for Males is designed as a fertility supplement, but research into many of its ingredients supports the kinds of claims the average volume pill maker purports. Others have high doses of ingredients with scant research behind them. Bird & Be contains 22 active ingredients, including higher doses of scientifically supported ingredients, such as vitamins A and C, a B vitamin complex, and more zinc than any other product in our guide. Hims charges the same for daily tadalafil subscriptions (30 pills per month) whether you take it at the 2.5mg or 5mg level. BlueChew also gives our readers a free trial of its Active Plan for either sildenafil or tadalafil, or $25 off the first month of any other plan or dose level. If you’re just starting out on your ED treatment journey, you might be tempted to reach for Rugiet first because its combination of ingredients could increase the chances that it will help you. Privacy is vital when it comes to sexual health, both online and in person. If you live in a warm climate, Hims Hard Mints or BlueChew might be better as the individually packed doses offer similar portability but without the concern for temperature. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 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.