Best Male Enhancement Pills

A majority of men will deal with some form of sexual performance issue in their lifetimes.1 Any kind of erectile dysfunction (ED) can be devastating, and for men who might shy away from prescription solutions, male enhancement pills pose a compelling alternative. Some claim to resolve erectile and performance issues, while others aim to help with fertility and semen volume.

However, male enhancement supplements come with a few major pitfalls. For starters, it’s too easy to end up with counterfeit pills containing dangerous ingredients you never realized you were going to consume. The market is also rife with expensive products that do little more than a good, less expensive vitamin D capsule could.

We took a hard look at the male enhancement pills on the market and whittled the immense field down to a few products we think have the most potential to be effective while offering you the safest experience.

If you’re in a hurry, here’s a quick look at our top recommendations:

At Innerbody Research, we thoroughly scrutinize every product and service we review, including the male enhancement pills in this guide. All told, our team has spent over 2,190 hours reviewing more than 200 scholarly articles pertaining to erectile health and the various ingredients included in common male enhancement supplements. We also found the best products available that aligned with scientific research and tried them for ourselves.

Alongside this research, our team also formulated a testosterone booster called Innerbody Labs Testosterone Support. As you’ll see, it contains a few of the best ingredients commonly found in top-tier male enhancement pills, as well as several powerful and well-researched ingredients to support testosterone levels and elevate mood. We’re confident it’s the best thing for most men in search of the effects that male enhancement pills tend to offer, but we’ll also be up-front with you whenever an alternative could be appropriate.

Additionally, like all health-related content on this website, this guide was thoroughly vetted by one or more members of our Medical Review Board for accuracy. We’ll continue to stay on top of new developments in male enhancement and ED treatment to keep this article up to date.

Historically, products marketed as male enhancement pills haven’t been all that great. Many contain poorly researched ingredients at seemingly randomized doses, with only a few brands providing supplements that could safely make a meaningful difference in a man’s sexual health. It would be easy for us to grade on a curve, promoting the best of a bad bunch of supplements. But we’d rather identify what it is men are looking for from a male enhancement pill, then apply relevant human scientific research to see if any supplement out there, regardless of how it’s marketed, could fit the bill.

So, the first major step in our evaluation process was to identify and remove subpar actors from the running entirely, eliminating their influence from consideration in any of our major evaluation criteria. We then looked at the supplements that remained and applied the following critical considerations:

• Effectiveness
• Safety
• Cost
• Convenience

Here are the results from our analysis:

Effectiveness

Advantage: Testosterone Support by Innerbody Labs

Men typically turn to male enhancement pills for a few possible reasons:

• Mild to moderate erectile dysfunction (ED)
• Diminished sex drive
• Low ejaculate volume
• Dissatisfaction with penis size

The best male enhancement pills could make a difference in every one of these issues, but we need to be clear-eyed about the last one in particular. No pill can increase penis size. However, pills that improve blood flow may, in some cases, create stronger erections than were previously achievable, which could marginally increase perceived size while erect. That said, if a product claims it can increase your penis size, even if the fine print leans heavily on this erectile loophole, it’s usually a good sign that it’s not from a trustworthy brand.

So, how can you safely achieve one or more of these goals in a single supplement? Well, it helps to examine the root causes of these issues and attempt to address them directly. That can allow effects associated with male enhancement to cascade from other health improvements, and it’s why two categories of supplement make the most sense for male enhancement, neither of which is marketed as male enhancement pills.

We’re talking about testosterone boosters and fertility supplements. The blends commonly seen in these supplement categories are typically much more effective (not to mention safer and more transparent) than those in the traditional male enhancement niche, with better track records in human research.

We give Innerbody Labs Testosterone Support the advantage here because it’s far and away the best testosterone booster on the market, thanks to clinically relevant doses of each ingredient in its formula, nine of which have research supporting roles in men’s sexual health. These include ashwagandha, which has been shown to boost testosterone levels and reduce stress and anxiety.2 The same can be said for its fenugreek and tongkat ali content, creating a potent combination to improve hormonal balance and help tackle the psychological side of erectile and libido issues.54 55

Testosterone Support also includes one of the best-researched ingredients for energy and erectile health: maca root extract. Maca shows up in a lot of testosterone boosters and traditional male enhancement products, but it’s often delivered at doses far below what would be effective. Some of its research has proven inconclusive, but the overall picture supports its potential to improve libido, fertility, and blood flow (a marker for erectile health).11 12

Other testosterone boosters may offer somewhat similar ingredient bills, but they have either fewer effective ingredients or smaller doses of the ingredients found in Innerbody Labs.

Safety

Advantage: Testosterone Support by Innerbody Labs

Safety is a mixed bag among traditional male enhancement pills. Some are wildly unsafe, while others offer so little in terms of ingredients or doses that they end up both harmless and ineffective. Brands in this field also typically lack a hallmark of those that care about safety: third-party testing for safety or purity.

This category was nearly a toss-up between Innerbody Labs and Bird & Be. Both offer well-considered third-party-tested formulas that rely on established clinical research for both safety and efficacy. But there are two things that tilted this criterion in Innerbody Labs’ favor.

First, Innerbody’s third-party test results are available right on the product page via a prominent link. You can quickly see a wide variety of results, including potency, purity, and pesticide analysis. Bird & Be advertises its third-party testing, but you have to go through customer service to request test results, and we have not received a copy of these results since asking.

Second, Bird & Be’s formula contains 500mg each of L-arginine and L-carnitine, which can improve blood flow and potentially make for a stronger erection.38 The only problem is that the improved blood flow in question is significant enough that it could be a safety risk for men taking medication to control high blood pressure. An unsafe drop in blood pressure may occur, which could cause additional side effects.

Cost

Advantage: Performer 8

Considering the practical and potential costs when trying a male enhancement product, we take price into account along with things like shipping costs, money-back guarantees, and bulk purchasing discounts. Here’s how the top players stack up:

Among nonprescription options with a real shot at effectiveness, Performer 8 offers the lowest possible monthly price. However, that’s only with a large bulk order of five bottles. If you only have enough cash to afford a monthly subscription, Innerbody Labs ends up being the less expensive choice. That’s because Innerbody Labs ships all of its orders for free, while Performer 8 charges $8 to ship single-bottle orders.

If you aren’t averse to the prescription route for treating ED directly, Hims offers some of the best prices on the market, especially for daily tadalafil.

Convenience

Advantage: Testosterone Support by Innerbody Labs

In measuring convenience, we looked at things like money-back guarantees, customer service experiences among our testing team, and regimen and dose flexibility. For our three top nonprescription picks, Innerbody Labs Testosterone Support stands out in nearly every consideration.

Testosterone Support is a four-capsule dose, much easier to take than the eight capsules in every dose of Bird & Be, and the same serving size as Performer 8. But unlike Performer 8, it doesn’t include caffeine, meaning you can take it any time of day without it interfering with your coffee or tea habits.

Innerbody Labs also boasts the most responsive customer support of the three companies, delivered through phone and email options. Bird & Be has a chat module the others lack, but its staffing hours are unpredictable.

On the guarantee side, Innerbody Labs lands in the middle between Performer 8’s 60-day guarantee and Bird & Be’s lack of any guarantee. Prescription products from Hims and others typically lack any guarantee, as well.

Male enhancement pills are nutritional supplements designed to improve various aspects of male sexual health. Many of them focus on erectile performance, seeking to improve blood flow to the penis and address certain nutritional deficiencies that might contribute to mild ED. They typically include botanical ingredients like ginseng and horny goat weed, as well as amino acids like L-arginine and L-carnitine. Some also offer vitamins and minerals.

Technically, the category includes the ridiculous and often dangerous types of pills you see sold in gas stations and truck stops around America. These are not the types of male enhancement pills we’ll focus on here. The supplements in our guide come from much more reputable companies than those hawked next to novelty lighters and beef jerky. That doesn't outright guarantee their efficacy, but it provides a much more reliable baseline of safety.

Ultimately, even the best male enhancement pill can only go so far in addressing things like ED. If you have only mild symptoms (e.g., the ability to get mostly erect but not enough for penetration, or your erectile performance is mostly reliable but a tad inconsistent), male enhancement pills may be able to help. But most men — especially those with moderate to severe ED — would do better to seek out prescription-strength assistance.

The changing landscape of male enhancement

We’ve been following developments in the male enhancement space for years, and we’ve seen the field transform from an untamed wilderness of unreliable options to a much more legitimate enterprise. Part of that evolution has been the wider supplement industry realizing that men want their sexual health needs tended to with dignity.

To that end, numerous manufacturers have either developed men’s sexual wellness products from scratch with a more holistic emphasis or they’ve altered the formulas of their previous male enhancement pills to promote sexual health through greater well-being. Innerbody Labs Testosterone Support is an excellent example of the former, in which a company found a stark gap in the landscape for a potent combination of well-researched ingredients to support men’s sexual and hormonal health.

Performer 8, one of the picks in this guide, is a great example of the latter. Its older formula included things like barrenwort powder, muira puama, and pine bark extract. Presumably, these ingredients were included for their popularity among male enhancement pills, rather than for their support in clinical research. In recent years, the company has reformulated, focusing on ashwagandha, L-arginine, and zinc to promote higher testosterone levels, lower anxiety, and improved blood flow.

As these changes have taken place, some of the older style of traditional male enhancement products have been discontinued, including the brand names Max Performer and Male Extra. It’s hard to find viable alternatives when searching online, especially using terms like “male enhancement pills,” but the migration away from that kind of advertising and to a more respectful treatment of legitimate physiological and psychological issues is a profoundly good thing — and we have the background and experience to guide you to an appropriate product for your needs.

The best male enhancement pills combine various ingredients to improve sexual function, virility, and libido. They don’t all work quite the same way because their ingredient lists can differ in sometimes subtle (or even dramatic) ways. The best way to understand how a male enhancement pill might work is to look at its ingredients and consider how they could work together.

Many of the old guard among male enhancement products used ingredient doses that were below what clinical research suggested could be effective. And very little of that research had been repeated in enough studies to reach statistical or clinical significance. The general idea behind these formulas was that combining multiple ingredients can increase the odds of success by working on slightly different potential problems (e.g., hypogonadism, performance anxiety, and circulation issues).

By comparison, the products we promote in this guide boast ingredients with much more significant clinical research behind them, and they deliver doses that often align with or safely exceed those researched amounts. The best among these treat men’s sexual wellness more holistically than older male enhancement pills. Rather than focusing solely on directing blood to the penis, newer formulas take into account the importance of hormonal balance and psychological well-being.22

In fact, up to 40% of ED cases are psychogenic, meaning they arise from psychological and emotional issues that several botanical ingredients with antidepressant and anti-anxiety properties can address.70 That’s also why our comprehensive guide to ED treatment has an entire section devoted to mental health care.

Here’s a look at some key ingredients you’ll find in the best products that can provide male enhancement:

As you can see, several ingredients in male enhancement pills are there to address low testosterone directly, like zinc and ashwagandha. Some testosterone boosters are built around such ingredients, while other male enhancement pills include them to create a more comprehensive approach to sexual health than just directing blood to the penis.

Male enhancement pills are best suited for men who have problems with libido, erectile performance, or testosterone levels. The best among them typically contain ingredients that can address all of these concerns.

Take our top pick, Innerbody Labs Testosterone Support, as an example. Its maca and ashwagandha content has scientific support from clinical research to treat mild ED.11 62 Meanwhile, ingredients like fenugreek, zinc, and vitamin D combine to increase testosterone levels.64 66 34 At the same time, ashwagandha, tongkat ali, and fenugreek conspire to reduce stress and cortisol, known enemies to a healthy libido.17 60 54 78

Who might want to look elsewhere?

The most abundantly important answer to who might want to look elsewhere for male enhancement pills is anyone looking to increase their penis size. Penis size dissatisfaction is a very real psychological concern in the U.S., but there are no pharmacological interventions that can increase the size of a man’s penis.79

Despite that reality, plenty of male enhancement pills on the market have claimed — either outright or through innuendo — that they could actually make a man’s penis larger. No product in this guide makes that claim, and any product that does should be disregarded as untrustworthy and potentially unsafe.

Male enhancement pills are also not substitutes for prescription ED treatment, especially in more severe cases of ED. Men with moderate to severe ED should consult with a physician and seek prescription assistance or guided lifestyle changes to address the root causes of their issues.

We’ve done our best to bring you a collection that meets a high bar for safety with minimal adverse effects. However, not all male enhancement pills are safe, and there are ingredients in even some of the safest options that could pose a danger to you.

Prescription ED medications (PDE5 inhibitors like Viagra, specifically) can lower blood pressure.20 This is why prescribers often need a recent blood pressure reading and knowledge of your cardiovascular health history before prescribing them. Supplemental male enhancement pills often employ ingredients that aim to act in similar ways to PDE5 inhibitors, like L-arginine.38 That makes them risky (or dangerous) for men with low blood pressure or men taking medication that affects their blood pressure. Because of this, we recommend getting the all-clear from your doctor if you have blood pressure concerns or take medication to treat a blood pressure condition.

Other ingredients in supplements may have unexpected consequences for certain men. For example, ashwagandha has been linked to increased thyroid hormone production, which could interact with thyroid medications or lead to hyperthyroidism.21

Some ingredients bring the possibility of other adverse reactions, as well:

• MSM: GI symptoms, headaches, insomnia68
• Ginseng: hot flushes, dyspepsia, insomnia69
• Epimedium leaf: GI symptoms, dizziness, low blood pressure53

Take a close look at the ingredients in the pills you have your eye on, and talk to your doctor before starting one to make sure there are no unexpected risks to your health or potential contraindications with any of your current medications.

Dosing is a critical consideration when evaluating the potential risks a supplement poses. For example, the ginseng effects discussed above come from a review looking at study doses of 1-8g/day. Other ginseng studies have looked at doses of up to 9g daily and showed few to no side effects.3 And the stomach discomfort, flushing, and constipation that crop up occasionally in the research are often described as mild and fade over time, causing few dropouts in completed studies.4 With contradictory information like this coming from clinical research, it’s wise to reach for a male enhancement pill that will allow you to titrate. For example, Innerbody Labs Testosterone Support is a four-capsule dose, and you can spend a few days or a week taking just one capsule and increasing your dose after you’ve confirmed you don’t experience adverse effects. This can also give your body time to adjust to the ingredients.

Best for most men and best for testosterone levels

Innerbody Labs Testosterone Support covers a broad patch of wellness, with a primary focus on increasing testosterone levels. Several of its testosterone-boosting ingredients have the potential to reduce stress and anxiety, while the maca and ashwagandha content should be able to significantly improve erectile performance, per several pieces of clinical research.11 63

Here’s a look at the formula:

• Ashwagandha: 600mg KSM-66
• Fenugreek: 600mg
• Maca: 3,000mg
• Longjack: 400mg
• Vitamin A: 750mcg
• Vitamin D: 1000 IU
• Vitamin K2: 75mcg
• Zinc: 25mg citrate
• Copper: 300mcg
• Selenium: 20mcg
• Black pepper extract: 5mg

What’s particularly impressive about this collection of ingredients are the doses used. Each one aligns with doses used in successful human research either to improve testosterone levels, reduce stress and anxiety, increase erectile performance, or support those ingredients as they work. We spoke earlier about commonly underdosed ingredients for erectile health, with maca being a prime example. Innerbody Labs provides a 300mg dose of a 10:1 maca extract, delivering enough to be reliably effective.11

In this formula, black pepper extract, copper, and vitamin K2 serve as supporting players to improve nutrient absorption, protect against zinc-induced copper deficiency, and ensure proper vitamin D metabolism.19 71 72 These are safety and efficacy measures rarely taken by other testosterone boosters and almost never taken by traditional male enhancement products.

Testosterone Support pricing

Compared to some of the less impressive male enhancement products out there, Innerbody Labs Testosterone Support is a little pricey. But if you hold it up against the other top players in this guide, it fares better, especially at the higher subscription tiers. Here’s how its pricing breaks down:

The six-month tier here equates to a 40% reduction in price compared to a single-bottle purchase. Only Performer 8 offers a lower per-bottle price at its five-month tier, but the ingredient bill in that product is inferior to Testosterone Support’s in every way except the slightly larger dose of KSM-66 ashwagandha (750mg vs. 600mg). Considering the near ubiquity of the 600mg dose in most testosterone and erectile health papers looking at ashwagandha, that extra 150mg might not even make a significant difference.

What’s more, all orders from Innerbody Labs ship for free, bringing prices for monthly subscriptions much closer together. That said, Innerbody Labs doesn’t ship outside the U.S., which makes Performer 8 a good pick for those in other countries.

Performer 8 does have Innerbody Labs beat for its money-back guarantee, however. Innerbody Labs offers a fair 30-day guarantee, which should be just enough to feel some positive effects from ashwagandha and maca. That’s certainly better than Bird & Be’s total lack of such a guarantee. But Performer 8’s 60-day guarantee gives you more time to make sure you get that product’s full effects.

Best for fertility and semen volume

Bird & Be is a wellness company focused on improving fertility and pregnancy outcomes from before conception through to the postnatal period. It offers a targeted selection of supplements designed for men and women, with its Male Fertility Power Pack delivering an impressive selection of ingredients.

The Power Pack is designed to bolster sperm health, improving parameters like sperm count and motility. And it turns out that the features of healthy sperm are often tied to the overall health of a man’s reproductive system, including erectile health and hormonal balance. So, when you look closely at the research into many of these ingredients, you’ll find crossovers between sperm health and performance that could make the Power Pack a great place to start for men interested in improving their fertility and semen volume alongside their performance in bed.

Here’s the Power Pack’s ingredient list:

• Vitamin A (as vitamin A palmitate): 540mcg
• Vitamin B1 (as thiamine): 5mg
• Vitamin B2 (as riboflavin): 1.5mg
• Vitamin B3 (as niacinamide): 30mg
• Vitamin B5 (as calcium pantothenate): 10mg
• Vitamin B6 (as pyridoxal 5’-phosphate): 25mg
• Vitamin B12 (as methylcobalamin): 500mcg
• Vitamin C (ascorbic acid): 100mg
• Vitashine vegan vitamin D (as cholecalciferol): 25mcg
• Vitamin E (as D-alpha-tocopheryl succinate): 50.5mg
• Calcium citrate: 50mg
• Choline bitartrate: 100mg
• Folate: 1.6mg
• Magnesium citrate: 20mg
• Selenium chelate: 100mcg
• Zinc bisglycinate: 25mg
• Algae oil DHA (omega-3): 300mg
• EPA: 7.5mg
• L-Arginine: 500mg
• L-Carnitine: 500mg
• N-Acetyl cysteine: 500mg
• Trans-resveratrol: 60mg
• CoQ10 (ubiquinone): 200mg or 600mg

This formula has evolved a bit over the years, with recent changes including a reduction in calcium, as well as a reduction in and a change to the source of zinc. Bird & Be says that these changes came at the behest of customers who complained about nausea and other side effects, which tracks with the zinc dose, at least. The previous formula contained 50mg of zinc from zinc citrate — 10mg above the daily upper limit set by the NIH.67 The current dose is down to 25mg of zinc bisglycinate.

There are some other ingredients in the Power Pack that you don’t see in competing male enhancement products and which could use some elucidation here:

• Omega-3 fatty acids: The EPA and DHA in this formula serve to improve sperm health. Fourteen out of 16 studies included in a systematic review found improvements in semen quality from omega-3 supplementation.73
• CoQ10: An analysis of three studies using either a 200mg or a 300mg daily CoQ10 dose found improvements in numerous semen parameters.74 Another study specifically comparing a 200mg dose with a 400mg dose found that CoQ10 appears to affect sperm positively in a dose-dependent manner, making the option to boost the CoQ10 dose in the Power Pack all the more enticing.75
• Multivitamin content: Numerous research studies support the multivitamin aspect of the Power Pack, including a study looking at nine common vitamins found in supplements.57

This wide variety of approaches to fertility and its far-reaching effects in men’s sexual wellness has one downside: a large capsule count. Each serving requires eight capsules, some of which are rather large. Fortunately, the capsules are contained in convenient packs that make them easier to measure out and take, and you can spread the dose out throughout the day if you have trouble swallowing large handfuls of pills.

Bird & Be Pricing

Bird & Be is among the more expensive options we would recommend, though you could save a little money by sticking with the initial 200mg CoQ10 dose and not adding the boost.

Here’s what the pricing looks like for either approach:

These prices are up a few dollars from the last time we reviewed the company, with a per-dose increase of about $0.10. Without the CoQ10 boost, prices are comparable to Performer 8 and Innerbody Labs, but the extra 400mg of CoQ10 may well be worth it for its dose-dependent effects on sperm quality.75

Bird & Be has a low enough free-shipping threshold that any form of its Male Fertility Power Pack ships for free. However, the company doesn’t offer any kind of money-back guarantee, standing in stark contrast to 30-day and 60-day policies from Innerbody Labs and Performer 8, respectively.

Best bulk value and best for shoppers outside the U.S.

Performer 8 uses some of the more thoroughly researched ingredients to address different potential causes of ED or other sexual performance issues, thanks to a recent reformulation that eliminated ingredients with less support to focus more narrowly on what’s more likely to work. Gone are the muira puama, barrenwort, and grape seed extract, replaced by things like L-arginine, zinc, and a larger dose of KSM-66 ashwagandha.

Performer 8 even included copper to offset the risk of zinc-induced copper deficiency — a rare and thoughtful addition also seen in Innerbody Labs Testosterone Support.71

Here’s a closer look at Performer 8’s reformulated ingredient list:

• Magnesium: 80mg
• Vitamin C: 80mg
• Zinc: 10mg
• Vitamin B: 1.4mg
• Copper: 1mg
• Vitamin B9: 200mcg
• KSM-66 ashwagandha: 750mg
• L-Arginine: 500mg
• L-Lysine: 500mg
• Caffeine: 200mg
• Senactiv: 50mg

While we appreciate the new formula and its apparent interest in safety, the addition of L-arginine introduces the same low blood pressure risks we worry about in Bird & Be’s formula.38 We also don’t see a good reason to add caffeine to the bill, especially at this relatively high 200mg dose. It eliminates potential customers who are sensitive to caffeine, can create jitters in people with strong caffeine habits, and limits your dosage to a morning or early afternoon routine.

Performer 8 pricing

You can purchase Performer 8 in one-, three-, and five-month supplies for the following prices:

• One-month supply: $64.99
• Three-month supply: $129.99
• Five-month supply: $194.99

The monthly cost at the highest bulk tier is $39. That’s the lowest per-bottle cost in our guide, which is why Performer 8 won out as our top budget pick. Three- and five-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.

Shipping from Performer 8 is free on orders over $79.99, which rules out single-bottle purchases, bringing the cost there up to about $73. There are no subscription discounts to be had, either — bulk is the way to go for savings here. Fortunately, Performer 8 offers a 60-day guarantee, so you can try the product for longer than its closest competitors to ensure it works for you.

Best for prescription ED and PE treatment

If ED or premature ejaculation (PE) is central to your male enhancement concerns, and you’ve considered seeking prescription help for either, Hims is one of the best places to find treatment. It’s a telemedical giant with various ways to treat either problem, most of which require a prescription, but a couple of which do not.

Your best bets for treating ED through Hims are sildenafil and tadalafil, the generic equivalents of Viagra and Cialis, respectively. Both are PDE5 inhibitors that work to reduce the activity of an enzyme typically tasked with the dissolution of an erection after climax. With too much of that enzyme present, getting an erection in the first place becomes less likely.

Hims offers sildenafil and tadalafil in several formats, including convenient chewable medications and combination therapies that can combine ED and PE treatments or mix in therapies for heart health, hair loss, and more.

Hims also offers climax control sprays and wipes that introduce lidocaine or benzocaine to the glans and shaft of the penis, desensitizing it slightly to reduce the intensity of feeling and allow you to last longer in bed. These are Hims’ only real nonprescription offerings in the men’s sexual health space, and they are effective, if slightly tedious to use. We go into great detail as to their efficacy and drawbacks in our guide to delay sprays.

Hims also offers prescriptions for certain SSRI antidepressants that have been shown to improve PE symptoms in clinical studies.76 There’s even evidence that PDE5 inhibitors like sildenafil and tadalafil can help with PE symptoms, though this research is younger than research looking at SSRIs.77

Hims pricing

Due to the variable nature of these products’ doses and Hims’ complex delivery schedules, including a full accounting of its ED and PE product pricing would require several pages of spreadsheets. Here’s a brief look at typical prices for the most common doses of sildenafil and tadalafil, delivered on a monthly subscription:

Tadalafil creates an interesting opportunity here, as most men who qualify for treatment can either take it daily or on an as-needed basis. If you find that 5mg is enough to treat your ED on an as-needed basis, you can elect to receive a month’s supply through the daily prescription, then suspend future deliveries until you need more, potentially reducing your monthly costs dramatically.

On the PE side, Hims offers prescription sertraline for as little as $49 per month, but its Sex Rx + Climate Control — combining tadalafil and the SSRI fluoxetine — starts at just $39.

Hims doesn’t offer any kind of money-back guarantee, which makes sense for its prescription products, but it’d be nice if the company stood behind something like its nonprescription topical delay products with at least a 30-day promise.

Our selection above excludes a fair number of players for various reasons, and it can be enlightening to spell out why we don’t regard them as worthy of your time, attention, or money. Some of these are products we’ve conditionally recommended in the past but that have been discontinued as newer, superior products have taken over. Others are brands you’re likely to encounter in your search that may be poor investments or even pose health risks you should know of before purchasing.

If the ingredient lists for the products above don’t thrill you, or you’re interested in finding non-medicinal means to improve your sexual performance, there are several compelling options out there. The most reliable alternatives specifically for treating ED are prescription medications like Viagra (sildenafil) and Cialis (tadalafil).

As a category, male enhancement pills draw in men looking for more than just ED treatment. Many men investigate male enhancement as a means to penis growth or a way to alleviate problems like premature ejaculation. There’s no pill you can take to make your penis larger, but there are a few approaches to premature ejaculation in the form of sprays and wipes that can definitely delay orgasm in most men.

Here’s a look at some of your best alternative options.

Diet and exercise

Numerous studies indicate that whether you want to improve blood flow or boost testosterone in response to ED symptoms, there are few things you can do that are more powerful than regular exercise and a good diet.35 In many cases, ED actually serves as an early indicator of potential cardiovascular issues. And there seems to be a direct link between obesity and poor sexual performance.

Losing weight is also one of the few ways you can make your penis appear larger. As pelvic fat decreases, the penis appears to protrude more than it had before. If confidence is part of a mental angle affecting your sexual performance, this might help.

That doesn’t mean you have to start training for a 10k immediately, and it doesn’t preclude you from utilizing any of the other methods we discuss here. The best thing you can do for ED is to combine diet and exercise with one or more of the products or methods included in our guide.36

Penis pumps and penis extenders

To be clear at the start: penis pumps are not designed to increase your penis size. They’re actually mechanical devices designed to draw blood to the penis using vacuum pressure, resulting in an erection of sufficient hardness for penetrative sex. Some also have settings allowing you or a partner to use them for pleasure and foreplay. You can read all about the pumps we consider best in our 2025 guide.

Men who have undergone radical prostatectomy in response to prostate cancer form a common group of men in penis pump research. These men often develop ED, and some experience a phenomenon in which the penis retracts slightly into the body, making it appear shorter. Studies suggest that penis pumps can both restore erectile function and prevent or reverse this size loss.47 However, this is not an indication that penis pumps will increase penis size; it’s a result specific to this group of men.

If you’re hoping that male enhancement products will increase the size of your penis, a penis extender would be a far better option. Admittedly, they’re a lot more tedious to use than popping a couple of pills in the morning, with regimens involving several hours of daily wearing for several months in order to see growth. Still, they can actually produce results that no male enhancement pill can claim.37

Penis extenders gradually create microtears in the penile tissue, not unlike the muscular tears you create by lifting weights. Over time, those tears heal and add tissue to the penis. But with penis extension (unlike time at the gym), gains can be permanent, even if only to the tune of a couple of centimeters.

You won’t see the ancillary benefits of boosted semen levels or increased energy and mental focus like you might with some male enhancement pills. Still, if the other results are what you’re after, these might be a great choice.

Check out our guide to the best penis extender for more information.