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Published on: 2/28/2026

Libido Crashing? Why Maca Root Works and Medically Approved Next Steps

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.

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Explanation

Libido Crashing? Why Maca Root Works and Medically Approved Next Steps

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.


What Causes a Drop in Libido?

Low libido isn't just "in your head." It's often influenced by multiple factors, including:

  • Hormonal changes (low testosterone in men, perimenopause/menopause in women)
  • Chronic stress
  • Poor sleep
  • Depression or anxiety
  • Certain medications (SSRIs, blood pressure meds)
  • Thyroid disorders
  • Chronic illnesses like diabetes or heart disease
  • Relationship strain

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.


What Is Maca Root?

Maca root (Lepidium meyenii) is a plant grown in the Andes mountains of Peru. Traditionally, it has been used for:

  • Enhancing fertility
  • Increasing stamina
  • Supporting mood
  • Boosting libido

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.


Why Maca Root Works for Libido

1. It May Improve Sexual Desire

Multiple clinical studies suggest that maca root supplementation can increase sexual desire in both men and women.

Research has shown:

  • Improved libido in men after 6–12 weeks of maca root supplementation
  • Reduced sexual dysfunction in people taking antidepressants
  • Enhanced sexual well-being in postmenopausal women

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.


2. It May Support Mood and Energy

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:

  • Supporting dopamine balance (important for motivation and pleasure)
  • Reducing stress-related hormone effects
  • Improving perceived energy levels

When stress and exhaustion are part of the problem, maca root may indirectly help restore sexual interest.


3. It May Improve Erectile Function

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:

  • Enhanced nitric oxide activity
  • Improved psychological sexual desire
  • Reduced anxiety around sexual performance

However, if erectile dysfunction is persistent or worsening, it should always be medically evaluated. It can sometimes be an early sign of cardiovascular disease.


What Maca Root Does Not Do

It's important not to overstate benefits.

Maca root:

  • Does not replace testosterone therapy in men with confirmed low testosterone
  • Does not cure serious hormonal disorders
  • Does not instantly increase libido overnight
  • Does not treat underlying thyroid or metabolic disease

Most research suggests benefits appear after 6 to 12 weeks of consistent use.


How to Take Maca Root Safely

Typical research-backed dosing ranges from:

  • 1.5 to 3 grams per day of gelatinized maca root powder or capsules

Tips for use:

  • Start low and increase gradually
  • Take in the morning (it may increase energy)
  • Choose reputable brands tested for purity
  • Avoid if you have uncontrolled thyroid disease unless your doctor approves (maca contains goitrogens in raw form)

Side effects are generally mild but can include:

  • Digestive upset
  • Insomnia (if taken late in the day)
  • Mild jitteriness in sensitive individuals

If symptoms persist or worsen, stop and speak to a healthcare professional.


When Low Libido Is a Medical Issue

While maca root may help in mild or stress-related cases, certain red flags require medical evaluation:

  • Loss of morning erections in men
  • Persistent fatigue and muscle loss
  • Breast tenderness or enlargement in men
  • Hot flashes in men
  • Significant depression
  • Rapid weight gain
  • Thyroid symptoms (hair thinning, cold intolerance)

These may indicate hormonal imbalance, including low testosterone, thyroid disorders, or metabolic disease.

Low testosterone in men may also increase risk for:

  • Reduced bone density
  • Increased body fat
  • Insulin resistance
  • Mood changes

If you suspect hormone imbalance, it's wise to get blood testing through a qualified clinician.


Medically Approved Next Steps

If your libido is crashing, here's a balanced plan:

✅ Step 1: Improve Foundations

Before supplements, optimize:

  • Sleep (7–9 hours nightly)
  • Strength training 2–3 times per week
  • Stress reduction
  • Adequate protein intake
  • Limiting alcohol

Lifestyle changes alone can significantly improve libido.


✅ Step 2: Consider Maca Root

If lifestyle is solid and libido remains low:

  • Try maca root consistently for 6–12 weeks
  • Monitor changes in desire, energy, and mood
  • Stop if no improvement after a reasonable trial

✅ Step 3: Screen for Hormonal Causes

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.


✅ Step 4: Speak to a Doctor

If libido changes are:

  • Persistent (more than 3 months)
  • Worsening
  • Accompanied by erectile dysfunction
  • Linked to depression
  • Associated with physical changes

You should speak to a doctor. Blood work may include:

  • Total and free testosterone
  • Thyroid function
  • Prolactin
  • Fasting glucose
  • Lipid panel

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.


The Bottom Line on Maca Root

Maca root is one of the better-studied natural options for low libido. Evidence supports modest benefits in:

  • Sexual desire
  • Mild erectile dysfunction
  • Mood-related sexual issues
  • Antidepressant-related sexual dysfunction

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:

  • A supportive tool
  • Not a cure
  • Best used alongside healthy lifestyle habits

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.

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