Not medical advice · See a doctor for ED
Male enhancement pills, checked against the evidence.
What is in each bottle, what the studies (if any) found, who paid for them, what the FDA and courts have said, and what the money-back guarantee really requires. Spoiler: the treatments that reliably work for erectile dysfunction need a prescription, and they are cheap. Start there.
What we compare, and how
Evidence
Published, placebo-controlled trials of the product itself first, then systematic reviews and NIH fact sheets on its ingredients. Who funded each study, and whether the tested formula is the one on sale.
Safety
Ingredients with known risks or drug interactions (yohimbe, ginkgo, DHEA, ashwagandha), and anything that rules a product out for men with heart disease or on nitrates.
FDA & FTC record
FDA warning letters, hidden-drug notices and recalls, FTC and state actions, and class-action settlements against the brand or its seller.
Billing & refunds
List and multi-pack prices from the official site, autoship and rebill terms, and the real conditions of the guarantee: days, opened bottles, return shipping.
Honest marketing
Whether the claims on the sales page match the evidence, and whether the seller names itself. Anonymous sellers and inch-gain promises count against a product.
Seven products, side by side
Ordered by how much real evidence and straight dealing stands behind each, from the top down. It is an order, not an endorsement: none of these replaces an ED drug a doctor can prescribe, several are sold by the same company, and the first product on the list is a testosterone supplement, not an erection pill. Read the "Skip it if" line in each review before you buy anything.
Affiliate disclosure: some links to the platforms on Hard.now may earn us a commission if you sign up or pay. It never costs you more, and no platform pays to be listed or to change what we write. How we rate
| Platform | Best for | Cost | Evidence | Billing & refunds | FDA & FTC actions | Links |
|---|---|---|---|---|---|---|
 Innerbody Labs Testosterone SupportTestosterone-support supplement | Men who want a clearly labelled, dose-disclosed T-support supplement and know it treats neither low T nor ED. | $78/mo; less on subscription | Ingredient studies only | 30 days, even opened | None found | |
 VigRX PlusHerbal supplement for erections | Men curious about a herbal blend who accept that its one trial was paid for by the maker. | $62/mo; ~$52/mo for 3 | 1 maker-funded trial (n=78) | 67 days; return empty boxes | Seller: FDA warning (2026) | |
 SemenaxHerbal supplement for semen volume | Men who want a bigger ejaculate and accept that the only trial is an unpublished, maker-funded report. | $59/bottle; $33/bottle at 12 | Maker-funded, unpublished | 67 days; watch the rebill | Seller: FDA warning (2026) | |
 ErectinHerbal softgel for erections | Nobody who cares where the evidence came from: its "clinical study" is VigRX Plus's trial with the name removed. | $69/bottle; $49/bottle at 6 | Borrows VigRX Plus's trial | 67 days (FAQ says 60) | FDA warning on Erectin gel | |
| Volume PillsHerbal supplement for semen volume | No one we can recommend it to: Semenax at least has a trial, this has a "500% more" claim. | $59/bottle; $33/bottle at 12 | No product trial found | 67 days; return empty boxes | Seller: FDA warning (2026) | |
 ExtenzeHerbal and hormone supplement for erections | Honestly, almost no one: it mixes yohimbe and hormones with a secret formula and a history of hidden-drug alerts. | $49/box; $39/box for 6 | No product trial found | 67 days (FAQ says 60) | Hidden-drug alerts; $6M suit | |
| PhalogenicsPenis-exercise video program | We can't name anyone: an anonymous seller, inch-gain promises and no evidence. | $69 one-off ("was $149") | No evidence found | "365-day" refund, by email | None found; seller anonymous |
Facts last checked November 2026. Each platform's review page lists the sources.
Three numbers worth knowing
30-50M US men have erectile dysfunction, according to the NIH. It is common, treatable, and sometimes an early sign of heart disease.
45.5% of the tainted supplements the FDA flagged from 2007 to 2016 were sold for sexual enhancement, most often with hidden sildenafil.
24.8% of 50 "testosterone booster" supplements had published data showing their ingredients raise testosterone; 90% claimed to.
Sources: NIDDK, Tucker et al., JAMA Network Open 2018, Clemesha et al., World J Mens Health 2020. Read how to spot a tainted product before you buy one.