More than 60% of people globally rely on herbal medicines as a source of
healthcare. Traditional herbal preparations can be traced back to ancient literature, folk
knowledge, and ethnic practices. Traditional herbal products are preferred over
synthetic drugs since these are considered more accessible, affordable, culturally
acceptable, non-toxic, and sustainable. Globally 15% of couples are affected with
infertility, 20-30% of which are attributed to the male factor. Fertility-enhancing drugs
and hormonal methods such as testosterone replacement therapy (TRT) increase
testosterone levels in males but may result in other side effects. Assisted reproductive
technology (ART) remains expensive medicare throughout the world despite its
widespread use, and its success rate also varies with the age of the partner, apart from
other complexities. Aphrodisiacs (Greek - Aphrodisiakos: sexual) are agents that
provoke sexual desire and increase performance. Aphrodisiac herbs have been in use
for thousands of years by various civilizations worldwide involving the traditional
healers and have been mentioned in different ancient literatures, including Ayurveda,
Unani, Siddha, and Chinese Pharmacopoeia. Apart from increasing sexual desire and
performance, these herbs have perceived roles in enhancing fertility. Physiologically,
herbal aphrodisiacs induce virility and reproductive wellbeing of men by modulating gonadal as well as neuro-endocrine systems through the interplay of hormones and
biogenic substances. Unfortunately, sometimes the marketed herbal aphrodisiacs are
adulterated with synthetic compounds, which necessitates further studies and validation
of such preparations for widespread clinical use in the workup algorithm of patients,
particularly in cases of idiopathic male infertility and erectile dysfunction.
Confirmatory laboratory studies, human clinical trials and case studies will be of
paramount use in validating the role of such traditional herbal medicines as
aphrodisiacs in restoring virility and fertility of men who may be in need.
