Our Services
Medical Information
Helpful Resources
Published on: 2/28/2026
There are several factors to consider. Maca root is one of the better-studied natural options for a crashing libido, with modest benefits for desire, mood, and mild ED after 6 to 12 weeks via non-hormonal pathways, but it is not a replacement for testosterone therapy; dosing, safety, and who should avoid it are detailed below.
Medically approved next steps include optimizing sleep, strength training, stress, diet, and alcohol, then a monitored maca trial, and seeking medical evaluation for red flags or persistent symptoms with labs like testosterone, thyroid, prolactin, glucose, and lipids; important nuances that could change your next step are outlined below.
A sudden drop in libido can feel confusing, frustrating, and even alarming. Sexual desire naturally changes over time, but when your interest in sex noticeably declines — and stays low — it's worth paying attention.
One natural supplement that consistently comes up in research and patient discussions is maca root. But does maca root really work? And when is low libido a sign of something more serious?
Let's break it down clearly and honestly.
Low libido isn't just "in your head." It's often influenced by multiple factors, including:
For men in particular, declining testosterone is a common medical cause that warrants proper evaluation.
If you're experiencing persistent symptoms and want to better understand whether hormones could be playing a role, consider using a free symptom checker for Low Testosterone / Late Onset Hypogonadism to help identify patterns before your next doctor's visit.
Maca root (Lepidium meyenii) is a plant grown in the Andes mountains of Peru. Traditionally, it has been used for:
The part used medicinally is the root, typically dried and powdered or taken in capsule form.
Unlike testosterone replacement therapy, maca root does not contain hormones. Instead, it appears to work through indirect pathways that influence sexual desire and energy.
Multiple clinical studies suggest that maca root supplementation can increase sexual desire in both men and women.
Research has shown:
Importantly, many of these benefits occurred without significantly increasing testosterone levels. That means maca root likely works through the brain's neurotransmitter systems rather than directly boosting hormones.
Low libido is often linked to fatigue and low mood. Maca root has shown mild mood-stabilizing and energizing effects in some studies.
Possible mechanisms include:
When stress and exhaustion are part of the problem, maca root may indirectly help restore sexual interest.
While maca root is not a prescription erectile dysfunction treatment, some small clinical trials show improvement in mild erectile dysfunction after several weeks of use.
This may be due to:
However, if erectile dysfunction is persistent or worsening, it should always be medically evaluated. It can sometimes be an early sign of cardiovascular disease.
It's important not to overstate benefits.
Maca root:
Most research suggests benefits appear after 6 to 12 weeks of consistent use.
Typical research-backed dosing ranges from:
Tips for use:
Side effects are generally mild but can include:
If symptoms persist or worsen, stop and speak to a healthcare professional.
While maca root may help in mild or stress-related cases, certain red flags require medical evaluation:
These may indicate hormonal imbalance, including low testosterone, thyroid disorders, or metabolic disease.
Low testosterone in men may also increase risk for:
If you suspect hormone imbalance, it's wise to get blood testing through a qualified clinician.
If your libido is crashing, here's a balanced plan:
Before supplements, optimize:
Lifestyle changes alone can significantly improve libido.
If lifestyle is solid and libido remains low:
If symptoms include fatigue, muscle loss, mood changes, or erectile dysfunction, consider further evaluation.
Start by documenting your symptoms carefully. A free AI-powered symptom checker for Low Testosterone / Late Onset Hypogonadism can help you identify which symptoms may be hormone-related and prepare you for a more productive conversation with your healthcare provider.
This does not replace medical care — but it can guide your next conversation.
If libido changes are:
You should speak to a doctor. Blood work may include:
Low libido can sometimes signal underlying conditions that deserve treatment. It's not something to ignore — but it's also not something to panic over.
Maca root is one of the better-studied natural options for low libido. Evidence supports modest benefits in:
It is generally safe, affordable, and worth trying in appropriate cases.
However, if your libido crash is linked to true hormonal deficiency, chronic illness, or significant mental health concerns, maca root alone won't fix the problem.
Think of maca root as:
And most importantly — if something feels off, especially with energy, mood, or sexual function, don't self-diagnose forever.
Speak to a doctor about symptoms that could be serious or life threatening. Early evaluation is almost always easier than delayed treatment.
Your libido is part of your overall health. When it changes, it's a signal worth understanding — not ignoring.
(References)
* Dording CM, Schettler K, Rosenbaum JF, Fava M, Jellinek D, Rosenbaum JF, Alpert JE, Fava M. Maca (Lepidium meyenii) for treatment of sexual dysfunction in women with antidepressant-induced sexual dysfunction. CNS Neurosci Ther. 2008 Fall;14(3):182-91. doi: 10.1111/j.1755-5949.2008.00052.x. PMID: 18784609.
* Gonzales GF. Maca (Lepidium meyenii) and male sexual dysfunction. Andrologia. 2012 Nov;44 Suppl 1:178-83. doi: 10.1111/j.1439-0272.2011.01162.x. PMID: 22099419.
* Meissner HO, Reich-Meissner H, Reich-Meissner H, et al. Prospective randomized, placebo-controlled study of Maca (Lepidium meyenii) on sexual desire and mood in postmenopausal women. Maturitas. 2006 Nov 20;55(3):356-62. doi: 10.1016/j.maturitas.2006.07.009. Epub 2006 Oct 2. PMID: 17007998.
* Nappi RE, Nappi C, Nappi F, Nappi M. Update on the pharmacologic treatment of female sexual dysfunction. Ther Adv Urol. 2019 Aug 26;11:1756287219871147. doi: 10.1177/1756287219871147. eCollection 2019. PMID: 31481977.
* McMahon CN, Lakin MM. Current and emerging therapeutic approaches for male sexual dysfunction. J Sex Med. 2018 Jan;15(1):15-28. doi: 10.1016/j.jsm.2017.11.002. Epub 2017 Dec 1. PMID: 29203108.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Was this page helpful?
Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.