The Science Behind Sexual Performance Supplements

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.
- Specific male enhancement pills target blood flow, testosterone, or stamina.
- Many products contain high doses of herbal extracts intended to stimulate libido.
- The FDA does not strictly regulate dietary supplements like enhancement pills.
- Look for products with transparent ingredient lists and reputable sources.
- Results from pills vary significantly between users.
(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 popularity of male enhancement pills has increased worldwide.
- Some pills contain caffeine or stimulants intended to boost energy.
- Men should set realistic expectations about what these products can achieve.
- Risk of counterfeit products is high in online markets.
- Using enhancement pills without proper guidance can lead to health risks.
The website experience is also inferior across all products.
| Ingredient | Study Summary | Study Type | Key Findings | Published Year |
|---|---|---|---|---|
| L-Arginine | Improved blood flow and erectile function in men | Clinical trial | Significant increase in erection strength | 2015 |
| Tribulus Terrestris | Mixed results, some libido improvement noted | Meta-analysis | Not conclusive, more research needed | 2018 |
| Ginseng | Positive effects on sexual performance and satisfaction | Randomized trial | Enhanced libido and orgasm quality | 2017 |
| Maca Root | Increased sexual desire in healthy men | Double-blind study | Moderate increase in libido | 2014 |
| Horny Goat Weed | Promising results in erectile dysfunction treatment | Animal study | Improved erectile response in rats | 2019 |
Each product’s site runs on the same inconsistently attended chat server.
- Natural male enhancement pills include herbal components like maca root.
- Prescription drugs like Viagra are more effective but require medical oversight.
- Supplements should be taken as directed to avoid adverse effects.
- Some pills may contain banned or illegal substances.
- Long-term safety data for many enhancement pills is limited or unavailable.
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.
Is PrEP Safe?
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.
Medication ships fast and discreet
Moderate zinc dose may help raise testosterone levels No “hero” ingredient to suggest reliable efficacy Ginseng 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. 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.
Eye Health
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. 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 erectile dysfunction tablets uk 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. 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.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Levitra Original | 20mg | 34 + 2 Pills | 188.51€ 179.53€ | |
| Kamagra Oral Jelly | 100 mg | 10 Sachets | 54.55€ 51.95€ | |
| Cialis Generic | 5mg | 60 + 4 Pills | 86.02€ 81.92€ | |
| Viagra Original | 100mg | 64 + 4 Pills | 264.15€ 251.57€ | |
| Kamagra Soft Tabs | 100 mg | 20 Pills | 79.79€ 75.99€ | |
| Cialis Professional | 20mg | 10 Pills | 48.29€ 45.99€ | |
| Cialis Professional | 20mg | 30 Pills | 104.57€ 99.59€ | |
| Viagra Generic | 25mg | 120 + 6 Pills | 125.56€ 119.58€ | |
| Viagra Soft Tabs | 100mg | 90 + 6 Pills | 205.31€ 195.53€ | |
| Levitra Generic | 40mg | 360 + 10 Pills | 704.99€ 671.42€ | |
| Kamagra Gold | 100 mg | 180 + 6 Pills | 436.79€ 415.99€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Levitra Generic | 10mg | 120 + 10 Pills | 178.59€ 170.09€ | |
| Levitra Professional | 20mg | 270 + 6 Pills | 738.98€ 703.79€ | |
| Super Kamagra | 160 mg | 60 + 4 Pills | 342.71€ 326.39€ | |
| Levitra Professional | 20mg | 180 + 4 Pills | 502.31€ 478.39€ | |
| Cialis Generic | 20mg | 10 Pills | 31.49€ 29.99€ |
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).
Special Section
Epimedium leaf: irregular heartbeat, low blood pressure Take a close look at the ingredients in the pills you have your eye on, and talk to your doctor before starting it to make sure there are no unexpected risks to your health or potential contraindications with any of your current medications. Insider Tip: There are many counterfeit male enhancement supplements on the market that use packaging nearly identical to the real thing. In one test run, the FDA found “undeclared active pharmaceutical ingredients” in 100% of the products it purchased through Amazon and 86% of the products it purchased through eBay. Be sure to buy your enhancement pills directly from the supplier. Sellers on Amazon and other platforms may provide you with dangerous goods.16 51 Best overall and best for low testosterone High doses of its most promising ingredients Does not include zinc to help boost testosterone Claim of “zero known side effects” is disingenuous Performer 8 uses some of the more thoroughly researched ingredients to address different potential causes of ED or other sexual performance issues.
Do male enhancement pills work?
It’s the only supplement in our guide containing ashwagandha, an extract that studies show can increase testosterone levels and reduce anxiety. Specifically, Performer 8 uses KSM-66, a branded form of ashwagandha that’s a high-quality, standardized extract. That means you get the same potency in each dose, and Performer 8’s ashwagandha dosing is in line with the amounts used in clinical studies. Performer 8 also boasts one of the highest doses of ginseng of any pills that made our cut.22 Special Offer: 35% OFF a 1-Month Supply from Semenax Here’s a closer look at Performer 8’s ingredient list: You can purchase Performer 8 in 1-, 3-, and 5-month supplies for the following prices: The monthly cost at the highest bulk tier is $39. One- and 3-month supplies also come with free e-books covering nutritional approaches to improving sexual performance and exercises you can do to improve your stamina in the bedroom.
Serious Liver Injury Risks From Vasculitis Drug
These are relatively mid-range prices among male enhancement pills, with products like Max Performer and Male Extra offering deeper savings with their 12-month supplies. But it’s worth remembering that those two companies offer 100-day guarantees to Performer 8’s lifetime promise, and neither of them contains ashwagandha. Shipping from Performer 8 is free and discreet, and it takes about a week. Credit card statements will show “P8” for the purchase, making it difficult for anyone to figure out what you ordered. Potent pomegranate extract may improve erectile performance Up to a 12-month supply available at a deep discount L-Arginine may be dangerous for men with blood pressure issues Two of Male Extra’s most important ingredients are zinc and vitamin B3, also known as niacin. 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.
- Use caution with pills promising instant results or huge size gains.
- Lifestyle factors like diet, exercise, and stress management influence effectiveness.
- Male enhancement pills are sometimes used alongside other sexual health therapies.
- Side effects depend on the ingredient and individual sensitivities.
- Some pills may interact negatively with other medications.
Leading Edge Health has offered our readers specific discount codes you’ll find in the pricing sections for each of the products below.
What is PrEP?
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 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. 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.
| Region | Legal Status | Prescription Needed | Notes |
|---|---|---|---|
| United States | Over-the-counter | No | FDA does not approve supplements |
| European Union | Over-the-counter | No | Some ingredients regulated |
| Australia | Restricted substances | Yes for synthetic | Natural supplements mostly OTC |
| Canada | Over-the-counter | No | Health Canada regulates claims |
| United Kingdom | Over-the-counter | No | Advertising is strictly controlled |
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.
Real Science. Real Results.
Niacin has a litany of health benefits, many of which begin with its ability to provide cellular energy.42 Male Extra also recently upped its zinc dose, taking it from 14mg to 45mg of zinc citrate and increasing the likelihood that the supplement can help men with low testosterone or a zinc deficiency.43 One unusual ingredient in Male Extra is methyl sulfonyl methane. 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.
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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.
Rheumatoid Arthritis
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. Men with less capital to spend up-front might consider buy vardenafil 40mg 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.





