Male Infertility Quiz

Q.

Folic Acid (B9) and ED: Nitric Oxide, Homocysteine, Evidence

A.

Folic acid can support erections by lowering homocysteine and preserving nitric oxide availability, and small trials show modest improvements in erectile function, especially in men with elevated homocysteine or when combined with PDE5 inhibitors. There are several factors to consider; see below for optimal dosing and duration (typically 1 to 5 mg daily for 8 to 12 weeks), when to check folate, B12, and homocysteine, potential B12 masking and drug interactions, lifestyle steps, and warning signs that warrant medical evaluation.

Q.

Tongkat Ali for ED: Evidence Summary and Safety Red Flags

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Tongkat Ali may modestly help erectile function and libido based on limited short human trials, typically at 200 to 400 mg of standardized extract for 8 to 12 weeks. There are several factors to consider. See below to understand more, including how evidence quality and product standardization affect results. Safety red flags include liver or kidney disease, prostate conditions, cardiovascular issues, mood or sleep changes, medication interactions, and risks from adulterated or low quality supplements. Discuss with a clinician first and use it only as an add-on to proven ED treatments; key details that could guide your next steps are outlined below.

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Women: Maca Root for ED—Is It a Safe Experiment?

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Maca root can modestly boost sexual desire but is not proven to treat erectile dysfunction; short-term use appears generally safe for healthy adults, with mild effects like stomach upset or insomnia, and most studies used 1.5 to 3 g daily. For women considering it to support a partner’s ED or their own sexual well-being, evidence in women is limited and it should not replace medical evaluation if ED persists. There are several factors to consider. See below to understand who should avoid maca such as pregnancy, hormone-sensitive or thyroid conditions, how to start at 500 mg and titrate up, possible interactions, how long to try, and when ED symptoms should prompt a doctor visit.

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Women: Vitamin D for ED—Should We Test Levels First?

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Vitamin D supports hormones and blood flow, and low 25-hydroxyvitamin D levels are linked to a higher risk and greater severity of ED; testing makes sense if there are deficiency symptoms or risk factors, or if ED persists after lifestyle and psychological factors are addressed. There are several factors to consider. See below to understand more. If levels are low, supplements can help as part of a broader plan, but this is not a standalone cure and ED can signal cardiovascular or metabolic disease, so coordinate with a clinician. See below for target levels, dosing ranges, lifestyle steps, and specific red flags that should prompt medical care.

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Women: Yohimbe for ED—Is This One of the “Dangerous” Supplements?

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Yohimbe has little proven benefit for women and is often viewed as a higher risk supplement due to variable potency, increases in blood pressure and heart rate, anxiety, and serious drug interactions. There are several factors to consider, including who should avoid it, side effects, interactions, dosing cautions, product quality, and safer alternatives; review the complete guidance below and speak with a healthcare provider before using it.

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Zinc and Erectile Dysfunction: When Deficiency Matters

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Zinc deficiency can contribute to erectile dysfunction by lowering testosterone, impairing nitric oxide mediated blood flow, and raising oxidative stress; optimizing zinc through diet and, if needed, cautious supplementation may help. There are several factors to consider, including who is at risk, how to test, safe dosing and copper balance, drug interactions, and when to seek urgent care; see the complete guidance below to inform your next steps with a healthcare professional.

Q.

Women: Nitric Oxide for ED—Is This a Safe “Fix” for Him?

A.

Nitric oxide supplements for ED can help some men with mild to moderate symptoms by improving blood flow, but they are not a guaranteed fix and can cause blood pressure drops; mixing them with nitrates or PDE5 medicines can be dangerous, and quality and long-term safety are uncertain. There are several factors to consider, including his cardiovascular risk, current medications, and expectations, and a medical evaluation is important because ED can signal heart disease. See below for complete guidance on who might benefit or should avoid these supplements, how to integrate them with lifestyle and medical care, what side effects to monitor, and when to seek urgent help.

Q.

“Royal Honey” for ED: FDA Warnings, Hidden Ingredients, Safer Options

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Royal honey products marketed for ED have prompted FDA warnings because many contain hidden prescription drugs like sildenafil or tadalafil, creating unpredictable dosing, dangerous interactions with heart medications, and potential liver stress. Safer choices include seeing a clinician, using FDA approved ED medications, and considering lifestyle or counseling options; see below for important details, red flags that need urgent care, and step by step guidance.

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ACV for ED: Miracle Fix or Total Myth?

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Not a miracle fix: ACV has no direct clinical evidence for improving erections, though it may modestly help underlying drivers like blood sugar, weight, and blood pressure. There are several factors to consider; see below for who should avoid it, safe dosing and timing, potential risks like enamel erosion, GI upset, and medication interactions, plus proven treatments and when to see a doctor.

Q.

Over 65? Avoid “Royal Honey” If You Take Heart Meds

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If you are over 65 and on heart medications, avoid royal honey sexual enhancers because many are secretly spiked with PDE5 drugs like sildenafil that can interact with nitrates or some blood pressure medicines to cause a sudden, dangerous drop in blood pressure, fainting, chest pain, or even a heart attack or stroke. There are several factors to consider. See below for key risks specific to older adults, which medications are unsafe to combine, safer doctor-approved ED options and lifestyle steps, and when to seek urgent care.

Q.

Women: Beet Juice for ED—Is This a Harmless Try or a Bad Idea?

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Usually safe to try as a food, beet juice may modestly boost nitric oxide and circulation and could help mild ED, but evidence is limited and it is not a standalone fix, and for women considering it for a partner or their own arousal concerns the benefits remain unproven; there are several factors to consider, so see below to understand more. Key cautions include blood pressure drops and interactions with antihypertensives or nitrate meds, kidney stone risk from oxalates, and GI upset, and persistent ED should be evaluated by a clinician; details on dosing, timing, and safer use appear below.

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Women: Horny Goat Weed for ED—What I’d Want My Partner to Know

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Horny goat weed may offer modest help for ED by increasing nitric oxide and weakly inhibiting PDE5, but human evidence is limited and product quality, dosing, and safety issues like interactions with blood pressure drugs, blood thinners, and ED meds mean it should only be used with medical advice. There are several factors to consider, including possible side effects, when to avoid it, lifestyle steps that improve ED, and how to talk with your partner about a safe trial period; see the complete guidance below.

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Women: L-Arginine for ED—Could It Clash With His Medications?

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L-arginine may help ED, but interactions matter: avoid it with nitrates due to dangerous drops in blood pressure and use caution with blood pressure medicines or PDE5 drugs because of additive dizziness, headache, flushing, and low blood pressure; seek medical guidance. See below for who should avoid it, safe dosing and monitoring, side effects and warning signs, and how other heart or blood thinning medicines could alter risk, which may affect your next steps.

Q.

Women: L-Citrulline for ED: What I’d Want My Partner to Know

A.

L-citrulline is a daily supplement that converts to L-arginine to boost nitric oxide and blood flow, and small studies show modest improvements in erection hardness for mild to moderate ED, typically at 1.5 to 3 grams per day with mostly mild stomach side effects. There are several factors to consider, including that results build over weeks, quality and interactions matter especially with blood pressure meds, and red flag symptoms may signal heart or metabolic problems; see below for step by step dosing, brand tips, lifestyle upgrades, partner support ideas, and when to contact a clinician.

Q.

Women: Pomegranate Juice for ED—Is This Worth Adding to His Routine?

A.

Pomegranate juice may offer a modest boost for erectile function by supporting blood flow and lowering oxidative stress, but evidence is limited and it is not a standalone fix. There are several factors to consider. See below for the best daily amount, typically 4 to 8 ounces, safety issues like sugar and medication interactions, how to combine it with diet and exercise, and red flags that mean he should see a clinician.

Q.

Women: Watermelon for ED—What Results Are Realistic?

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Watermelon contains L-citrulline that can slightly improve mild ED by supporting blood flow, but to match research-backed doses you would need close to a kilogram daily for several weeks, so results are modest and it is unlikely to help moderate or severe ED on its own. There are several factors to consider, including underlying health conditions, sugar intake for diabetes, possible medication considerations, and when to seek medical care. See below for important details and next steps, including lifestyle changes and proven treatments that may be a better fit.