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rct57 participants

Maca Root for Sexual Desire: Randomized Controlled Trial

Reviewed by·PharmD, BCPS

This content is for informational purposes only and does not constitute medical advice. Consult your healthcare provider before starting any supplement. Full disclaimer

TL;DR — Quick Answer

An RCT of 57 men found that 1,500-3,000mg/day of maca root for 12 weeks significantly improved sexual desire scores compared to placebo (p < 0.01), without altering testosterone or estradiol levels.

Key Findings

  • Self-rated sexual desire increased significantly at 8 and 12 weeks vs placebo (p < 0.01)
  • Testosterone and estradiol levels were not affected, suggesting a non-hormonal mechanism
  • Both 1,500mg and 3,000mg doses improved libido, with no clear dose-response advantage
  • No significant adverse effects were reported at either dose
  • Mood and energy scores showed trends toward improvement but did not reach significance

Study Details

Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men
Gonzales GF, Córdova A, Vega K, Chung A, Villena A, Góñez C, Castillo SAndrologia (2002)
Maca 1,500-3,000mg/day increased sexual desire by 8 weeks without affecting serum testosterone or estradiol
57 participantsHigh

Practical Takeaway

For men experiencing low sexual desire (not related to clinical hypogonadism), 1,500-3,000mg/day of gelatinized maca root powder for at least 8 weeks may improve libido through non-hormonal mechanisms. Maca does not raise testosterone — it appears to work through other pathways affecting desire.

Summary

A randomized, double-blind, placebo-controlled trial evaluating the effects of Lepidium meyenii (maca) root supplementation on sexual desire, hormonal profiles, and subjective well-being in healthy adult men.

Frequently Asked Questions

Does maca increase testosterone?

No. Multiple RCTs have confirmed that maca does not raise serum testosterone or estradiol levels. Despite this, it consistently improves subjective sexual desire scores. The mechanism appears to involve neurotransmitter modulation rather than hormonal changes.

How long does maca take to improve libido?

Clinical trials show significant improvements in sexual desire scores starting at 8 weeks, with continued benefits at 12 weeks. Some users report subjective changes sooner, but allow at least 6-8 weeks for a fair assessment.

What is the best dose of maca for libido?

Clinical trials used 1,500-3,000mg/day of maca root powder. Both doses were effective without a significant difference between them. Start at 1,500mg/day and increase to 3,000mg/day if needed. Gelatinized maca is easier to digest than raw.

Does maca work for women too?

Limited evidence suggests yes. A small RCT in postmenopausal women found maca reduced sexual dysfunction scores and anxiety/depression. However, the evidence base for women is much smaller than for men, and more research is needed.

What type of maca is best for sexual health?

Clinical trials primarily used yellow maca (the most common variety). Black and red maca have been studied in animal models with different effect profiles. For libido specifically, yellow or black maca at 1,500-3,000mg/day in gelatinized form is the best-studied option.

References

  1. Gonzales GF, Córdova A, Vega K, Chung A, Villena A, Góñez C, Castillo S (2002). Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men. Andrologia. DOI PubMed
  2. Shin BC, Lee MS, Yang EJ, Lim HS, Ernst E (2010). Maca (L. meyenii) for improving sexual function: a systematic review. BMC Complementary and Alternative Medicine. DOI PubMed
  3. Gonzales GF, Gonzales C, Gonzales-Castañeda C (2009). Lepidium meyenii (Maca): a plant from the highlands of Peru — from tradition to science. Forschende Komplementärmedizin. DOI PubMed