Sexual medicine

Simply put, this provides the body with sulfur, which some research shows can positively influence sexual performance.23 It’s generally recognized as safe by the FDA and appears to have minimal side effects.44 However, you don’t see it in too many other male enhancement pills, and Male Extra is the only product in our guide to employ it. Whether that speaks to its efficacy, safety, or cost in production is unclear, but it’s an interesting point to note. You’ll also find pomegranate extract in Male Extra, which has improved erectile performance among men in at least one small study.45 And no other pill on this list includes it. Here’s a breakdown of the ingredients in Male Extra: The most disappointing dose in the bunch is likely the 25mg of cordyceps. There aren’t a lot of relevant studies looking at the mushroom’s potential to treat male sexual dysfunction, but there are several available animal studies. In one rodent study, doses ranged from 100mg/kg of body weight to 1,000mg/kg. In a 220lb male, that’s the equivalent dose range of 10-100g, much larger than Male Extra’s 25mg. But even if you disregard animal studies and only look at the competition, you’ll find a 1,000mg cordyceps dose in Max Performer, which greatly eclipses Male Extra’s offering. Male Extra is available in 1-, 3-, 5-, and 12-month supplies for these prices: At the highest bulk quantity, the cost for one month is $30.

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.

Frequently asked questions

Men with less capital to spend up-front might consider a lower bulk tier.

Any shipment of three or more months comes with increasing amounts of the company’s Pro Erection gel. This gel uses a topical L-arginine that the company claims can increase blood flow to the penis. We have not found any research supporting the topical use of such ingredients and generally recommend against using the gel at this time.

Other things you can do to improve your sex life

Male Extra offers a 100-day money-back guarantee. This allows you to try the product for up to three months and still have over a week to get your refund request in. It’s one of the more generous guarantees out there, but it’s still shorter than Performer 8’s lifetime guarantee. Learn more about the product in our full review. Moderate zinc dose may help raise testosterone levels No “hero” ingredient to suggest reliable efficacy Ginseng erectile dysfunction pills over the counter dose is on the small side Equal parts of horny goat weed, maca, cordyceps, and ginseng provide the lion’s share of potential benefits in Max Performer.

ED overview

But those 1,000mg doses translate into different degrees of potential for each ingredient. A 1,000mg dose of cordyceps reflects successes seen in some animal studies. Conversely, 1,000mg of ginseng is less than you’ll often see in clinical research. Unlike much of its competition, Max Performer includes a decent vitamin B complex containing B2, B3, B5, B6, and B12 in quantities ranging from 200-714% of your daily value. A particularly large study from China with more than 4,000 participants established a strong positive correlation between homocysteine and ED (homocysteine is an amino acid abundant in animal protein that’s associated with inflammation and heart disease).24 46 Other studies show that B vitamins can inhibit homocysteine, which should, in turn, reduce the intensity and incidence of ED.25 All that said, if a B vitamin deficiency is contributing to your sexual performance issues, you could likely find a high-quality B complex for a lot less than Max Performer costs.

Heart health and erectile dysfunction

Here’s a full look at Max Performer's ingredients: You can purchase Max Performer in 1-, 3-, 6-, and 12-month supplies. There are no freebies included at bulk purchasing levels like e-books or other products. Here’s how the pricing shakes out: For a 12-month supply, the cost per month is $30. Compared to the competition, Max Performer has the deepest discount per bottle between its one- and 12-month supplies, but that’s largely because the cost of a one-month supply is so high at the outset. Ultimately, it has the same per-bottle price at its highest bulk tier as Male Extra does, and Male Extra boasts the superior ingredient profile. Shipping from Male Extra is free at any level. Male Extra offers a 100-day money-back guarantee. This allows you to try the product for up to three months and still have over a week to get your refund request in. It’s one of the more generous guarantees out there, but it’s still shorter than Performer 8’s lifetime guarantee. Learn more about the product in our full review.

Treatments for sexual conditions

Let’s look at each of the products from Leading Edge Health that made our cut: Uses hormones and amino acids to achieve results Low price for a one-month supply DHEA is considered a performance-enhancing drug and is banned by several athletic organizations ExtenZe’s low costs for supplies of 1-3 months make it our best budget pick (more on its pricing below), but we don’t consider the product to be the best value; if you can afford to spend an additional $20 on a 3-month supply, Male Extra would be a better choice for the budget-conscious. (As we described earlier, if you can afford to do it, the most effective approach — from the standpoint of giving the products a change while stretching your dollar as far as possible — is to buy either a two- or three-month supply of male enhancement pills to start.) ExtenZe was one of the first male enhancement pills to gain national attention. That was thanks in large part to a television ad campaign that featured some not-so-subtle references to the size of a man’s golf club as a stand-in for penis size and rigidity. In the past, ExtenZe was at the heart of some controversy through the FDA, which released this statement in 2018. This was due to pink pills for woman low levels of sildenafil, the generic form of Viagra, showing up in tested samples.

What causes sexual dysfunction?

The cause of this was simple: the FDA had gotten hold of counterfeit ExtenZe. But counterfeit ExtenZe is common, so we recommend buying from the manufacturer only. The real thing does not contain anything other than what it clearly states on its ingredients list. Unfortunately, the quantities of those clearly stated ingredients remain a mystery. Leading Edge Health withholds the exact ratio of ingredients in ExtenZe for what it claims are proprietary reasons.

View Erectile Dysfunction Treatments

That makes it difficult to measure its efficacy and safety against other offerings on the market. Here’s a look at that ingredient list: 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. If you compete anywhere that tests for and prohibits the use of DHEA, you’ll want to look elsewhere. No other male enhancement pills in our guide utilize hormonal ingredients, including DHEA. ExtenZe is available in a 1-, 2-, 3-, or 6-month supply: A 1-month supply retails for $50, but it costs $43 with discount code INNERBODY15 — 15% off. Moderate zinc dose may help raise testosterone levels No “hero” ingredient to suggest reliable efficacy Ginseng erectile dysfunction pills over the counter dose is on the small side Equal parts of horny goat weed, maca, cordyceps, and ginseng provide the lion’s share of potential benefits in Max Performer. But those 1,000mg doses translate into different degrees of potential for each ingredient. A 1,000mg dose of cordyceps reflects successes seen in some animal studies.

Ethical concerns

Shipping with Max Performer is premature ejaculation medicine free at all levels. You can learn more about the experience by visiting our full review. Leading Edge Health isn’t a branded male enhancement pill, but it’s the parent company behind a wide variety of men’s sexual wellness products, including Semenax, Volume Pills, VigRX Plus, and ExtenZe. There are some advantages and disadvantages associated with products under such a large brand umbrella. On the one hand, it can be difficult to differentiate among them or to understand why the company produces so many versions of male enhancement products in the first place.

Psychiatric barriers

(If one or two formulas worked, why wouldn’t the company just stick with that?) All these products also end up with the same 67-day money-back guarantee, which is a month short of the 100-day guarantees from Male Extra and Max Performer and is significantly shorter than Performer 8’s lifetime guarantee. The website experience is also inferior across all products. Each product’s site runs on the same inconsistently attended chat server. If you get through to an agent, it would be wise to let them know which product you’re asking about, as they might give you an answer for the wrong one. On the other hand, the weight of that parent company allows it to do more than some others can, including funding clinical research of some of its formulas.

What is Male Sexual Dystunction?

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). And its variety of products, while confusing, might serve a wider range of potential customers; in theory, one product may help men who need to address testosterone more than anything else, while another may help those who want a supplement that’s predominantly botanicals instead of chemicals. Leading Edge Health has offered our readers specific discount codes you’ll find in the pricing sections for each of the products below. Its various brands offer their own discounts on a consistent basis (reflected throughout our guide), but the Innerbody codes often save you a bit more. Insider Tip: To receive the Innerbody discount, you have to click through the links provided, as simply entering the code text will conflict with any ongoing promotions and may not activate properly. Conversely, 1,000mg of ginseng is less than you’ll often see in clinical research. Unlike much of its competition, Max Performer includes a decent vitamin B complex containing B2, B3, B5, B6, and B12 in quantities ranging from 200-714% of your daily value. A particularly large study from China with more than 4,000 participants established a strong positive correlation between homocysteine and ED (homocysteine is an amino acid abundant in animal protein that’s associated with inflammation and heart disease).24 46 Other studies show that B vitamins can inhibit homocysteine, which should, in turn, reduce the intensity and incidence of ED.25 All that said, if a B vitamin deficiency is contributing to your sexual performance issues, you could likely find a high-quality B complex for a lot less than Max Performer costs.

Organic Erectile Dysfunction

Some other male enhancement pills cost less per month at their highest bulk levels, like Semenax’s $33/month 12-month supply. Shipping is free for ExtenZe at any level. For more about ExtenZe, visit our full review. Best for semen volume and best for fertility Relatively high dose of zinc may help men with low testosterone levels Pine bark dose is clinically sufficient in some research Numerous ingredients may combine to increase the likelihood of success The subject of a successful clinical study Some ingredients appear in doses too low to be effective Several ingredients are severely lacking in research Leading Edge Health (Semenax’s parent company) funded its clinical study Safety claims are unsupported by the company’s own study Semenax has one of the most comprehensive ingredient lists in our guide. Here’s a full look at Max Performer's ingredients: You can purchase Max Performer in 1-, 3-, 6-, and 12-month supplies. There are no freebies included at bulk purchasing levels like e-books or other products. Here’s how the pricing shakes out: For a 12-month supply, the cost per month is $30. Compared to the competition, Max Performer has the deepest discount per bottle between its one- and 12-month supplies, but that’s largely because the cost of a one-month supply is so high at the outset. Ultimately, it has the same per-bottle price at its highest bulk tier as Male Extra does, and Male Extra boasts the superior ingredient profile. Shipping with Max Performer is premature ejaculation medicine free at all levels. You can learn more about the experience by visiting our full review. Leading Edge Health isn’t a branded male enhancement pill, but it’s the parent company behind a wide variety of men’s sexual wellness products, including Semenax, Volume Pills, VigRX Plus, and ExtenZe. There are some advantages and disadvantages associated with products under such a large brand umbrella. On the one hand, it can be difficult to differentiate among them or to understand why the company produces so many versions of male enhancement products in the first place. (If one or two formulas worked, why wouldn’t the company just stick with that?) All these products also end up with the same 67-day money-back guarantee, which is a month short of the 100-day guarantees from Male Extra and Max Performer and is significantly shorter than Performer 8’s lifetime guarantee. The website experience is also inferior across all products. Each product’s site runs on the same inconsistently attended chat server. If you get through to an agent, it would be wise to let them know which product you’re asking about, as they might give you an answer for the wrong one. On the other hand, the weight of that parent company allows it to do more than some others can, including funding clinical research of some of its formulas. 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). And its variety of products, while confusing, might serve a wider range of potential customers; in theory, one product may help men who need to address testosterone more than anything else, while another may help those who want a supplement that’s predominantly botanicals instead of chemicals.

Leading Edge Health has offered our readers specific discount codes you’ll find in the pricing sections for each of the products below.

Side Effects and Risks

A 2-month supply retails for $100, but you can use INNERBODY25 for a 25% discount at $75. A 3-month supply retails for $150, but you can use INNERBODY30 to reduce your price by 30% for a final cost of $105. A 6-month supply retails for $300 but costs $210 with INNERBODY30. At the highest bulk level, retail-price ExtenZe costs $50/month. That price comes down to $35 with the INNERBODY30 discount code. Its various brands offer their own discounts on a consistent basis (reflected throughout our guide), but the Innerbody codes often save you a bit more. Insider Tip: To receive the Innerbody discount, you have to click through the links provided, as simply entering the code text will conflict with any ongoing promotions and may not activate properly. Let’s look at each of the products from Leading Edge Health that made our cut: Uses hormones and amino acids to achieve results Low price for a one-month supply DHEA is considered a performance-enhancing drug and is banned by several athletic organizations ExtenZe’s low costs for supplies of 1-3 months make it our best budget pick (more on its pricing below), but we don’t consider the product to be the best value; if you can afford to spend an additional $20 on a 3-month supply, Male Extra would be a better choice for the budget-conscious. (As we described earlier, if you can afford to do it, the most effective approach — from the standpoint of giving the products a change while stretching your dollar as far as possible — is to buy either a two- or three-month supply of male enhancement pills to start.) ExtenZe was one of the first male enhancement pills to gain national attention. That was thanks in large part to a television ad campaign that featured some not-so-subtle references to the size of a man’s golf club as a stand-in for penis size and rigidity.

Be wary of 'herbal viagra'

Simply put, this provides the body with sulfur, which some research shows can positively influence sexual performance.23 It’s generally recognized as safe by the FDA and appears to have minimal side effects.44 However, you don’t see it in too many other male enhancement pills, and Male Extra is the only product in our guide to employ it. Whether that speaks to its efficacy, safety, or cost in production is unclear, but it’s an interesting point to note. You’ll also find pomegranate extract in Male Extra, which has improved erectile performance among men in at least one small study.45 And no other pill on this list includes it. Here’s a breakdown of the ingredients in Male Extra: The most disappointing dose in the bunch is likely the 25mg of cordyceps. There aren’t a lot of relevant studies looking at the mushroom’s potential to treat male sexual dysfunction, but there are several available animal studies.

Sex therapy or counselling

In one rodent study, doses ranged from 100mg/kg of body weight to 1,000mg/kg. In a 220lb male, that’s the equivalent dose range of 10-100g, much larger than Male Extra’s 25mg. But even if you disregard animal studies and only look at the competition, you’ll find a 1,000mg cordyceps dose in Max Performer, which greatly eclipses Male Extra’s offering. Male Extra is available in 1-, 3-, 5-, and 12-month supplies for these prices: At the highest bulk quantity, the cost for one month is $30. 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.

What is Male Erectile Dysfunction?

Men with less capital to spend up-front might consider a lower bulk tier. Any shipment of three or more months comes with increasing amounts of the company’s Pro Erection gel. This gel uses a topical L-arginine that the company claims can increase blood flow to the penis. We have not found any research supporting the topical use of such ingredients and generally recommend against using the gel at this time. Shipping from Male Extra is free at any level. In the past, ExtenZe was at the heart of some controversy through the FDA, which released this statement in 2018. This was due to pink pills for woman low levels of sildenafil, the generic form of Viagra, showing up in tested samples. The cause of this was simple: the FDA had gotten hold of counterfeit ExtenZe. But counterfeit ExtenZe is common, so we recommend buying from the manufacturer only. The real thing does not contain anything other than what it clearly states on its ingredients list.

• Sexual dysfunction can be a symptom of underlying health issues.
• Psychological factors like depression can reduce sexual desire.
• Medications for depression may cause sexual side effects.
• Lifestyle changes can improve mental health and sexual function.
• Support groups provide emotional help related to sexual health problems.
• Sexual therapy addresses emotional and relational challenges.
• Educational programs can dispel myths and promote healthy sexual practices.
• Partner communication is key to resolving many sexual medicine issues.

Unfortunately, the quantities of those clearly stated ingredients remain a mystery. Leading Edge Health withholds the exact ratio of ingredients in ExtenZe for what it claims are proprietary reasons. That makes it difficult to measure its efficacy and safety against other offerings on the market. Here’s a look at that ingredient list: 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. If you compete anywhere that tests for and prohibits the use of DHEA, you’ll want to look elsewhere. No other male enhancement pills in our guide utilize hormonal ingredients, including DHEA. ExtenZe is available in a 1-, 2-, 3-, or 6-month supply: A 1-month supply retails for $50, but it costs $43 with discount code INNERBODY15 — 15% off. A 2-month supply retails for $100, but you can use INNERBODY25 for a 25% discount at $75.

• Female sexual arousal disorder treatment includes vaginal lubricants and hormonal therapy.
• Flibanserin is approved to treat hypoactive sexual desire disorder in women.
• Testosterone patches may be prescribed to increase female libido in some cases.
• Psychoeducation can help women address emotional factors affecting sexual function.
• Pelvic floor exercises strengthen muscles involved in sexual pleasure.
• Managing stress and mental health is crucial for improving female sexual function.
• Vaginal estrogen creams can improve lubrication and discomfort during sex.
• Counselling or sex therapy may address psychological barriers to sexual satisfaction.

A 3-month supply retails for $150, but you can use INNERBODY30 to reduce your price by 30% for a final cost of $105. A 6-month supply retails for $300 but costs $210 with INNERBODY30. At the highest bulk level, retail-price ExtenZe costs $50/month. That price comes down to $35 with the INNERBODY30 discount code. Some other male enhancement pills cost less per month at their highest bulk levels, like Semenax’s $33/month 12-month supply.

Shipping is free for ExtenZe at any level. For more about ExtenZe, visit our full review. Best for semen volume and best for fertility Relatively high dose of zinc may help men with low testosterone levels Pine bark dose is clinically sufficient in some research Numerous ingredients may combine to increase the likelihood of success The subject of a successful clinical study Some ingredients appear in doses too low to be effective Several ingredients are severely lacking in research Leading Edge Health (Semenax’s parent company) funded its clinical study Safety claims are unsupported by the company’s own study Semenax has one of the most comprehensive ingredient lists in our guide.