Age-related sexual dysfunction and testosterone decline in men are common conditions that affect quality of life and well-being. Herbal therapies, particularly those rooted in Traditional Chinese Medicine (TCM), are gaining popularity as natural alternatives to hormone replacement therapy. This review synthesizes evidence from eight double-blind randomized controlled trials evaluating herbal interventions for male sexual health, including Eu rycoma longifo lia (Tongkat Ali), Lepidium meyenii (Maca), Trigonella foenum - graecu m (Fenugreek/Testofen), and a multi-herb topical SS-cream. Findings suggest that these therapies improve sexual function through both hormone-related and hormone-independent mechanisms. Across studies, adverse events were mild and comparable to placebo. In addition to biomedical mechanisms—such as hypothalamic-pituitary-gonadal (HPG) axis support and nitric oxide (NO) signaling—these herbs align with TCM concepts of yang-tonification, kidney support, and essence nourishment, highlighting their potential as integrative options for male sexual health.
KeywordsTestosteroneLibidoTCMYang TonicKidney DeficiencyHerbal MedicineMale Sexual Health
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