A Guide to Non-Prescription Erectile Dysfunction Products

VigRX is available in 1-, 3-, 6-, and 12-month supplies.

• Over-the-counter sildenafil is often produced by small supplement companies.
• Check the expiration date before purchasing OTC sildenafil products.
• Many OTC options are advertised as natural or herbal supplements.
• Use OTC sildenafil responsibly to avoid adverse health effects.
• Keep records of purchase and usage for future reference.

1-month supply: retails for $90, costs $59 using INNERBODY35, saving you 35%. 3-month supply: retails for $270, costs $149 using INNERBODY45, a 45% discount. 6-month supply: retails for $540, costs $297 using INNERBODY45 — you save 45%. 12-month supply: retails for $1,070, costs $432 using INNERBODY60 — you save 60%. The cost per month at the highest shipping tier is $89 but drops to $36 with the INNERBODY60 discount code. That’s still a bit more expensive than most competitors, and some of those cheaper alternatives have better ingredients or ingredients in larger doses.

What should I know about storage and disposal of this medication?

Best for semen volume and best for fertility Relatively high dose of zinc may help men with low testosterone levels Pine bark dose is clinically sufficient in some research Numerous ingredients may combine to increase the likelihood of success The subject of a successful clinical study Some ingredients appear in doses too low to be effective Several ingredients are severely lacking in research Leading Edge Health (Semenax’s parent company) funded its clinical study Safety claims are unsupported by the company’s own study Semenax has one of the most comprehensive ingredient lists in our guide. Some of these ingredients offer benefits for erectile strength and maintenance, but the formula is designed to increase the quantity and fertility of semen. The zinc and pine bark extract should also work to raise testosterone levels, which can have a positive ripple effect throughout your sexual health.48 49 It’s a commendable dose of zinc, as well, with its 30mg the second highest dose on our list (behind only Male Extra’s 45mg). Other doses of individual ingredients fall short of what research suggests would be needed for success. For example, Semenax provides you with 250mg of L-Arginine.

Erectile dysfunction

A comprehensive review of the literature up to 2019 saw most studies using doses between 1,500mg and 5,000mg.50 Semenax was the subject of a randomized, double-blind, placebo-controlled study including nearly 100 participants.26 Results showed a significant increase in both measured semen volume and reported orgasm intensity. There were also noteworthy improvements in semen characteristics. Leading Edge Health funded the study, but a third-party organization conducted it. Here’s the complete list of ingredients in Semenax: You can purchase Semenax in 1-, 3-, 6-, and 12-month supplies at a discount with a code provided for Innerbody readers. 1-month supply: retails for $80 but costs $60 using INNERBODY35, reducing your cost by 35%. We’ve got a full sildenafil 60mg review of VigRX Plus, where you can learn more.

Doses are obscured behind a proprietary blend Most evidence is anecdotal or from animal studies Leading Edge hasn’t performed a clinical study like it has for other brands There’s already a fair amount of crossover between Eastern medicine and the ingredients in many male enhancement products.29 But Volume Pills take this approach further than most, loading its supplement with both well-known and lesser-known botanicals from China, Korea, and other parts of Asia.30 For some men, this makes it an ideal supplement, especially for those looking to minimize their intake of chemicals that may have been synthesized in a lab.

But many of those Eastern botanicals lack rigorous scientific research, making the efficacy — and risk factor — of Volume Pills harder to calculate.

And since the product still contains things like artificial colors, its position as an “all-natural” supplement isn’t entirely accurate. Other than zinc, none of the ingredients in Volume Pills found their way into our earlier breakdown of common male enhancement components.

• The legality of OTC sildenafil varies widely by country.
• Always check whether a product is approved for over-the-counter sale locally.
• Labels should clearly state the active ingredient: sildenafil citrate.
• OTC sildenafil is not intended to replace consulting a doctor.
• Beware of "miracle" cures or exaggerated claims in OTC products.

Solidin, for example, has no known research into its capabilities outside of claims made by Leading Edge Health and a few other companies that use it. Conversely, ong chong xia cao is a mushroom with numerous health benefits similar to cordyceps seen in other pills.31 And emblica officinalis is an Indian fruit that’s featured in ayurvedic medicine and may boost nitric oxide production.32 But again, most of these claims are based on anecdotal evidence, with some scientific evidence in animal models.

2. Dehydroepiandrosterone (DHEA)

That’s certainly better than what many other companies do. For instance, Bird & Be has a good male fertility supplement but a total lack of any guarantee. Performer 8’s 60-day guarantee gives you more time to make sure you get that product’s full effects. The Subject of a successful clinical trial VigRX Plus comes from a brand that offers a slew of male sexual health products, including pills designed exclusively for fertility and sprays and wipes to help men overcome premature ejaculation. VigRX Plus is one of just three formulas in our guide to contain Bioperine, a black pepper extract that can increase your absorption of the supplement’s other ingredients.

Side Effects

This becomes important when you consider that many of VigRX Plus’s ingredients appear in low doses compared to those used in studies. For example, we appreciate the inclusion of saw palmetto, but studies looking into its efficacy for sexual health use doses around three times what you see in VigRX Plus.27 This isn’t the case with all of the present ingredients. Ginkgo biloba, while most often thought of as a cognitive aid, has been shown effective in cases of antidepressant-induced ED in doses ranging from 60mg-120mg. Here’s a closer look at the ingredients in VigRX Plus: Like Semenax, VigRX subjected this male enhancement product to a relatively rigorous clinical study.28 The parameters were thorough, though the participant pool was small. As a result, its conclusions are promising but not statistically significant. Other than the zinc, Volume Pills doesn’t reveal the quantities of any of its ingredients, which we don’t like.

Treating ED Without Medications

3-month supply: retails for $240 but costs $132 using INNERBODY45, lowering your cost by 45%. 6-month supply: retails for 480 but costs $264 using INNERBODY45 — a 45% discount. 12-month supply: retails for $960 but costs $384 using INNERBODY60 — you save 60%. The cost per month at the highest shipping tier retails for $80 but comes down to $32 with the INNERBODY60 discount code. This brings Semenax almost in line with the sildenafil softgel capsule lowest monthly cost you’ll find from Male Extra and Max Performer.

When to take

Shipping from Semenax is free on all orders. For more information, check out our comprehensive review. Best for most men and best for testosterone levels Each ingredient’s dose meets or safely exceeds those in published human trials Several ingredients can improve stress-related performance issues High maca dose can increase blood flow and erectile performance Recent ashwagandha research also shows improved erectile health Third-party tested for purity, potency, and safety Some slightly weaker alternatives are less expensive Uses unbranded extracts of fenugreek and tongkat ali Only ships to the U.S., U.K., and Canada Canadian shipments can't exceed 90-day supplies 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: 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. Most other male enhancement pills explicitly list their doses and don’t rely on proprietary blends of any kind.

• OTC sildenafil is often marketed as a dietary supplement in some regions.
• Effects of OTC sildenafil are similar to prescription but with lower potency.
• Side effects may still occur; medical consultation is recommended.
• OTC products may not undergo rigorous regulation or testing.
• Use only trusted sources to buy OTC sildenafil to ensure safety.

Here’s a look at the whole list of Volume Pills’ ingredients: You can purchase Volume Pills in 1-, 2-, 3-, 6-, and 12-month supplies with a discount code structure akin to other Leading Edge Health products: 1-month supply: retails for $80, costs $56 using INNERBODY30 — you save 30%. 2-month supply: retails for $160, costs $96 using INNERBODY40 — you save 40%. 3-month supply: retails for $240, costs $144 using INNERBODY40 — you save 40%. 6-month supply: retails for $480, costs $216 using INNERBODY55 — a 55% discount.

12-month supply: retails for $960, costs $288 using code INNERBODY70 — a 70% discount.

• Consumers should avoid buying sildenafil OTC from unverified websites.
• Some OTC sildenafil may be packaged as natural or herbal alternatives.
• Over-the-counter availability depends on the country’s drug regulations.
• OTC sildenafil is intended for occasional use, not daily therapy.
• Keep track of dosage instructions even for OTC products.

At the highest level, the monthly cost of Volume Pills retails for $80, but the INNERBODY70 discount code brings that cost down to $24.

4. Ginseng

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. 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.

Penile implants

Only Performer 8 offers a lower per-bottle price at its five-month tier. What’s more, all orders from Innerbody Labs ship for free, bringing prices for monthly subscriptions much closer together. That said, Innerbody Labs ships to the U.S., U.K., and Canada only, whereas Performer 8 makes a good choice elsewhere in the world. Performer 8 also has Innerbody Labs beat for its sildenafil from canada money-back guarantee. Innerbody Labs offers a fair 30-day guarantee, which should be just enough to feel some positive effects from ashwagandha and maca.