Evidence-Based Benefits
- Libido enhancement — Kamenov et al. (2017) conducted a 12-week RCT in 180 men and women and found that 750mg tribulus extract daily significantly improved sexual desire and satisfaction scores, with effects more pronounced in men, independent of testosterone changes
- Sexual function — a 2016 systematic review by Qureshi et al. analyzing 7 RCTs found that tribulus consistently improved self-reported sexual function and desire, though the mechanism appears to be non-hormonal (possibly involving nitric oxide or dopaminergic pathways)
- Urinary tract support — traditional Ayurvedic use as Gokshura for kidney stones and urinary symptoms has some preliminary support from in vitro and animal studies showing diuretic and litholytic properties
- Erectile function — Santos et al. (2014) found 800mg tribulus daily for 30 days improved IIEF (International Index of Erectile Function) scores in men with mild-to-moderate erectile dysfunction