Posts Tagged ‘FDA’

Male Sexual Enhancement Supplements: Don’t Waste Your Money

January 28, 2017

Andrew Siegel MD  1/28/17

During my urology clinic hours at least one patient a day–if not more–shows me a recently purchased bottle of herbal supplements slated as beneficial for “sexual health.”  The composition of these products often includes one or more of the following: arginine, ginko biloba, horny goat weed, maca, yohimbine, etc. After I have had a chance to look at the product and its ingredients the following question is typically posed: “Any good, doc?”  I often reply with: “Don’t waste your money, you’re getting stiffed.”  (Pun intended.)


Image above from Wikipedia Commons, public domain


The male herbal enhancement business is billion dollar in scale, one that preys upon the desperation of men willing do anything to improve/enhance the dimensions of their penis and sexual function. Unfortunately, many men believe erroneously that supplements are natural and innocuous solutions to an array of sexual issues. The truth of the matter is that most sexual enhancement products are ineffective and make false claims. Of those that do have some beneficial effects, many contain small amounts of the chemicals used in legitimate ED medications without that being indicated on the label. The problem is that the quantity of added Viagra, Cialis, etc., is unknown and the origin a mystery, often counterfeit and/or produced in unregistered and unregulated labs. An additional problem is that the presence of these legitimate medicines in the herbal product makes the supplement dangerous to a segment of the population in which their usage is contraindicated.

Because these products are “supplements,” they are not under the domain of the FDA and therefore not subject to the regulation and scrutiny normally directed towards FDA approved pharmaceutical products. Furthermore, when a problem surfaces with one of these herbal products, the FDA will do no more than issue consumer alerts and request a voluntary recall.

Bottom Line: When it comes to male sexual enhancement supplements, save your resources, which would be much better spent elsewhere. Now that there is a generic 20 mg formulation of Viagra available (Sildenafil), you can get “stiff” without being “stiffed.” See your urologist for an ED consultation instead of heading to the Internet or convenience store to hunt for ineffective herbal products that are often tainted and contaminated.

Wishing you the best of health,

2014-04-23 20:16:29

A new blog is posted every week. To receive the blogs in the in box of your email go to the following link and click on “email subscription”:

Dr. Andrew Siegel is a practicing physician and urological surgeon board-certified in urology as well as in female pelvic medicine and reconstructive surgery.  Dr. Siegel serves as Assistant Clinical Professor of Surgery at the Rutgers-New Jersey Medical School and is a Castle Connolly Top Doctor New York Metro Area, Inside Jersey Top Doctor and Inside Jersey Top Doctor for Women’s Health. His mission is to “bridge the gap” between the public and the medical community that is in such dire need of bridging.

Author of MALE PELVIC FITNESS: Optimizing Sexual & Urinary Health

Author of THE KEGEL FIX: Recharging Female Pelvic, Sexual and Urinary Health


You Can’t Make It Bigger

June 13, 2015

Andrew Siegel MD   6/13/15


(New Jerseyans might recognize the lighthouse at Barnegat Bay)

Male Body Insecurity

In “Searching for Sex,” in The Sunday Review of the January 24, 2015 NY Times, Seth Stephens-Davidowitz studied Google online searches and observed: “The degree of a man’s worry about his genitals is profound.”  He concluded: “We are so busy judging our own bodies that there is little energy left over to judge other people’s, and maybe if we worried less about sex, we’d have more of it.”

Men Google more questions about their penises than any other body part. For every 100 questions about their genitals, there are 67 for the heart, 57 for the eyes and 40 for the head. One of the most commonly searched subjects is how to make one’s penis bigger, which seems to be primarily a male concern, because for every search women make regarding penis size, men make 170 searches. Of the top 10 questions about “my penis,” nine involve size, the first and second being “how to make my penis bigger” and “how to make my penis longer,” respectively. Interestingly, women have nearly as many concerns about their vaginas as men do about their penises. They want to know how to shave it, tighten it and how to improve its taste and scent. 

Sexual Enhancement Products

Not a day goes by where I am not bombarded with spam messages in my email inbox advertising drugs that claim to increase penis size. Additionally, not an office session happens in my urology practice when I don’t have at least several patients ask me about these products or bring in a print ad to ask my opinion.

The Internet is overrun with male “sexual enhancement” products that claim not to improve one’s sexual function but to increase the size of one’s penis. They capitalize on male body insecurity, which has created a huge market for these products, with hordes of men willing to pay top dollar for claims that are misleading and underhanded and products that are often mislabeled, contaminated and falsely advertised. The New York Attorney General recently accused four major retailers (GNC, Target, Walgreens and Walmart) of selling fraudulent and potentially dangerous herbal supplements and demanded that the products be removed. Unfortunately, such supplements are exempt from the stringent regulatory oversight applied to prescription drugs, which require reviews of a product’s safety and effectiveness before it goes to market. Do not waste your money!

What The FDA Has To Say

Although the FDA does not have the jurisdiction and regulatory powers over “natural” and “herbal” supplements that they have over prescription medications, they have still managed to restrain unscrupulous companies. According to physicians and federal experts, these products with claims that they can enlarge one’s penis are not only deceptive, but also potentially dangerous. The FDA has issued numerous public warning notifications in an effort to curb the sale of these often-tainted products and supplements. They have notified consumers that many of the products contain sildenafil, a.k.a. Viagra. The unknowing consumption of sildenafil can pose major health risks including precipitous drops in blood pressure in men on nitrate medications, which are commonly used for cardiac conditions.

You Can’t Make It Bigger, But You Can Make It Better

Okay gentleman, let’s do a reality check. Mother nature determined that you were to have a penis with its size determined by the genetic blueprint you inherited from your parents. You can’t make your penis bigger any more than you can make yourself taller…it is what it is. Nature is nature, but don’t forget about nurture. We do have some say in the way it functions, just as we have some say in what kind of physical shape our bodies are in and how they function.

How To Make It Better:

  • Use It Or Lose It. Your penis needs to be utilized the way nature intended. Erections keep your penile smooth muscles and tissues richly oxygenated, elastic and functioning well. Sexual intercourse on a regular basis protects against ED.
  • Maintain A Healthy Lifestyle. A healthy diet, a trim weight, keeping fit through balanced exercise (cardio, resistance, core, stretching), avoiding tobacco, avoiding excessive alcohol and managing stress are the keys to a healthy lifestyle.
  • Exercises Specifically Geared For Sexual Function. The penis contains smooth muscle, which can only be “exercised” through achieving erections. However, the pelvic floor muscles (PFM) that engage at the time of sexual activity are skeletal muscles; the ischiocavernosus PFM is the “erector” muscle and the bulbocavernosus PFM is the “ejaculator” muscle. Participating in a male Kegel exercise program such as the Private Gym will increase the strength, tone, and endurance of the PFMs, enhancing erectile and ejaculatory function and capacity.

Wishing you the best of health,

2014-04-23 20:16:29

A new blog is posted every week. To receive the blogs in the in box of your email go to the following link and click on “email subscription”:

Author of Male Pelvic Fitness: Optimizing Sexual and Urinary Health: available in e-book (Kindle, iBooks, Nook, Kobo) and paperback:

Co-founder of Private Gym:

The Private Gym is a comprehensive, interactive, follow-along exercise program that provides the resources to properly strengthen the muscles that are vital to sexual and urinary health. The program builds upon the foundational work of Dr. Arnold Kegel, who popularized exercises for women to increase pelvic strength and tone. This FDA registered program is effective, safe and easy-to-use.  The “Basic Training” program strengthens the pelvic floor muscles with a series of progressive “Kegel” exercises and the “Complete Program” provides maximum opportunity for gains through its patented resistance equipment.