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The Study

Effect of standardized root extract of ashwagandha (Withania somnifera) on well‐being and sexual performance in adult males: A randomized controlled trial

In simple terms

This is like a race where one group got a special supplement and another got a sugar pill, and nobody knew which one they had. Because it was a random, even split and secrets were kept, we can say that the supplement probably helped the men feel better about their sex lives and raised a hormone called testosterone. But we only know this for the kind of men in the study—Indian men in their 20s to 40s who were healthy but wanted more desire.

81%

Analysis score

81/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting40
Methodology81
Publication100
Statistical100
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

Researchers tested whether a supplement called ashwagandha could help men who felt low sex drive. They gave half the men ashwagandha pills and the other half fake pills (placebo) for 8 weeks. The men who took ashwagandha felt better sexual function and had more testosterone in their blood compared to the placebo group.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
81

81 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1These changes are big and unlikely to be a fluke, but the study was small (50 men), lasted only 8 weeks, and only included healthy men with low desire, so it may not apply to everyone.
  2. 2On a sexual function questionnaire, ashwagandha users improved by about 10 points more than placebo users.
  3. 3Testosterone rose by about 72 ng/dl (17%) in the ashwagandha group, while the placebo group went up only about 5 ng/dl (2%).

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Health Science Reports

Year

2022

Authors

Sanjaya Chauhan, Manoj Srivastava, A. K. Pathak

Open Access
44 citations
Analysis v6

Related Content

Claims (7)

Assertion

The root of the plant must be used, and the extract must be standardized, or the desired effects will not occur. Other plant parts or non-standardized extracts will not produce the same outcome.

Causal
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Assertion

Ashwagandha is an herb that comes in pill form. Healthy men who took 300 mg of the root extract twice a day for 8 weeks only had mild side effects like sleepiness, stomach pain, or joint pain — no serious side effects happened. So this dose of ashwagandha is safe for healthy men.

Descriptive
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Assertion

Men with low sex drive who took a pill made from the ashwagandha plant twice a day for two months had bigger improvements in their sexual function than men who took a fake pill. Their sexual function scores went up about 10 points more, and their overall improvement was 40% compared to 25% for the fake-pill group.

Causal
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Assertion

Men with low sex drive who took an ashwagandha supplement twice a day for 8 weeks had a bigger rise in their testosterone (a hormone involved in sex drive) than men who took a dummy pill. Testosterone went up by about 17% in the supplement group and only 2% in the dummy pill group.

Causal
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Assertion

Taking an extract from the ashwagandha plant's root—300 milligrams twice a day for 8 weeks—helps men with low sex drive. Compared with men who took a fake pill, these men felt more sexual desire and improved in all measured areas of sexual function: having sexual thoughts, becoming aroused, engaging in sexual behavior, having orgasms, and wanting sex.

Causal
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Assertion

Taking an ashwagandha supplement (300 mg twice a day for 8 weeks) does not change the level of prolactin, a hormone, in the blood of healthy men with low sex drive. Men who took the supplement had prolactin levels similar to those who took a placebo (a pill with no active ingredient).

Causal
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