Top 20 Best Male Enhancement Pills in 2020: Men's Sexual Performance Guide

Male Enhancement in 2020 and Beyond: Growing Pains

Everyone's talking about male enhancement, but let's really talk about ‘enhancing a male‘.

It has been said a man's penis is the dipstick to his health. Proven or not, is this measuring stick perspective the real secret to research about men's sexual performance versus the hopeful benefits of a product named ‘mandingo warrior wonder pill'? Humor aside, to digress or not, asking:

What if sexual health activity coincides with how well a man's body is performing internally?

From general health to genital health, the hush-hush stigma of “male enhancement” as “penis enlargement” terminology-only hurts the overall image of improving a man's sexual energy.

The body is known as a system of systems, and when comparing how important daily diet decisions are or avoiding harmful habits that can be detrimental to your well-being (not to mention the beneficial effects of regular fitness and exercise workout routines add for M.E.); making subpar to poor lifestyle choices stack up fast and lead to moderate sexual impairment or major erectile dysfunction problems.

Yet the focus is on miracle pills and magical potions? It doesn't make sense in totality, but the reality is making whole body health and wellness a priority. What we see in the current state of the male enhancement industry is a classic case of eager enthusiasm outpacing medical evidence. However, there is help in the form of herbal supplementation that can help men get an edge and extra boost of sexual confidence.

While common sense says, ‘yes, sexual health coincides with overall body wellness' – most men gloss over this fundamental factor and undergo troublesome trials and tribulations or side effects no man truly wishes for, especially if not overly elderly. In a recently-published January 2020 study on erectile dysfunction, researchers concluded, “these findings underline the utility of encouraging healthy lifestyle habits among young men in order to reduce the subsequent risk of prostatic enlargement and ED.”

So if “the penis is a dipstick for the male health”, why do men go straight into searching for reviews of the top male enhancement pills; only to be sold the highest margin, lowest quality discount cheap supplement on the market from questionable companies and brands found everywhere online?

Luckily you're here. In an age where random testosterone enhancers and nitric oxide boosters run rampant in the male performance/enlargement pill industry – where an estimated few thousand products are available to buy – it is easy to get burned and sold false promises if no due diligence is conducted.

Advanced Living's researched list of proven male enhancers that work will be recapped with optimal sexual health tips for men to study up on more thoroughly. It's safe to say there are a few growing pains to researching dozens and dozens of products that claim to enhance sexual performance in men or fictitiously promote increasing manhood member sizes overnight.

The Advanced Living male enhancement guide acts as a treasure trove of supplemental resources on the latest men's health research regarding sexual performance and the most popular male enhancement pills. The following buyer's guide checklist will help ensure men from all over the world research and review the best of the best when it comes to male enhancement pills.

First, it is important to give a clear cut meaning to the male enhancement expression and definitively distinguish the true definition of enhancing a male's most prized organ. This will help eliminate the mistake of buying into the inflated fluff or unsubstantiated hype of most male performance pill claims are made of today.

What is Male Enhancement?

The shape of the male enhancement supplementation market has never been bigger in 2020.

The term male enhancement is largely associated with penis enlargement and promoting various pills, pumps and magical potions to restore all that is right within a man's sexual ability. In order to do a deep-dive definition to answer what is male enhancement, we must first understand the multi-faceted men's supplementation industry.

While the desires of being well-endowed cross through the minds of millions of men around the world, every man ponders if a natural herbal alternative works or exists to increase their sexual prowess when and where it counts. Overcoming the fear of sexual dysfunction or embarrassment of premature ejaculation in aging men is much more common than most people think in today's sex-sells, bigger is always better economy. In the pop culture modern society when the narrative is ‘size matters‘; confidence, self-esteem and overall mental wellness can quickly be jeopardized if the root of insecurity is not dealt with accordingly.

To establish a proper understanding of the taboo nature of male enhancement, recognizing the problem is much more common that one might think is the first step towards awareness. At the University of Michigan Medicine, they even went as far as saying ED is “an extremely common condition”, projecting that over 320 million men will have moderate to complete erectile dysfunction by 2025.

This is why it is no secret by now any grown adult man walking on the face of the earth has searched for the truth about male enhancement once experiencing any level of erectile dysfunction or shrinkage in youthful vigor. Whether its a drop in testosterone, physical stamina, virility, libido levels or even fertility; men do not have to look long or hard to be sold male enhancement fantasies. Ask any man walking on the street and they can admit the constant targeting and bombarding of miracle pills that flood their email inbox claiming to return them to promise land of penis perfection.

While these fairy-tale sexual enhancers want to make you believe any user can grow a jack-the-beanstalk manhood member overnight using their product, separating the male enhancement facts from men's enlargement fiction to even porn star folklore is difficult to do honestly. Many studies like “The Old Made New: Natural Compounds against Erectile Dysfunction” have been conducted over the years in a quest to accomplish the impossible and give men the staying power to intensify sexual drive and performance.

It is a rather disappointing state of affairs, but the good news is it's all ‘overcomeable' or ‘figureoutable'. While the notion of ‘bigger is always better in the bedroom' steals the spotlight when it comes to the term male enhancement, Advanced Living likes to think of the M.E. term as a plausible concept of ‘complete alpha-human optimization'.

The Advanced Living ultimate male enhancement guide sets out to revise and reconsider men's sexual health and penile performance as a sum of the whole, not an isolated event or organ. Currently, learning how to boost a man's sexual livelihood is quite a dysfunctional affair due to the dilution of truthfulness circulating around on the Internet. The penis health = man's health dipstick analogy is the start of our research towards helping men live more optimally within the confines of our sexual nature and desires.

Will a Male Enhancement Pill Actually Enlarge a Man's Dipstick?

Not everyone can be superman. Every man's body is unique. There is no one size fits all. Each man opting to use a penis pill will respond differently to the herbal stimulus. There is also the moving variable that each man is starting out from different health status and condition.

To steal a line from what the National Institute of Aging said:

“Quackery is at an all time high in the male enhancement market”

In most cases, men (and women) inquire about honest reviews of the best male enhancement pills as the first option versus giving up in the fight against E.D. and its dreaded side effects. Many wonder if it is even obtainable at all let alone naturally via a herbal supplement to increase the size and performance of the male genitalia. Even in 2020, sound evidence is lacking as to which male enhancement methods work and the truth is very evident to review when so many misleading options of products and types are advertised when it comes to treating impotency, like:

• herbal pills, capsules, and tablets
• liquid shots and drink powders
• topical creams and serums
• vacuum pumps
• stretching exercises (jelqing and kegel)
• patches
• hanging weights
• penoscrotal rings and clamps
• extender devices
• silicone injections
• pharmaceutical prescription drugs
• packaged male enhancement programs, systems, and books
• and even lengthening and thickening surgeries

There are even the expensive testosterone hormone replacement therapy (TRT) sessions which some men resort to for boosting sexual function improvement when experiencing male hypogonadism. This condition is when the body doesn't make enough testosterone to aid in masculine growth and development and can result in weakened, limp erections.

In a review of “Erectile dysfunction through the ages” by Department of Urology, St. Mary's Hospital in London, UK, the defined the impotence term as:

“The term impotence has traditionally been used to describe the inability of the male to attain and maintain an erection adequate for sexual intercourse. Although the term has been used for centuries, as will be described in this article, it generates much confusion and has been replaced by ‘erectile dysfunction’ since 1992 [1]. This then differentiates the problem from the many other processes that are involved in male sexual function.”

In 2020, nearly every man has been targeted through online advertisements and slammed with email inbox spam of marketing materials claiming to add inches or gain girth using a simple pill. However, there are a bunch of charlatans preying on vulnerable, often insecure men in order to make money selling these male enhancement pills, creams and magical potions to ‘fix' the problem. Even Harvard Medical School professor of urologic surgery at Brigham and Women's Hospital, Michael O'Leary, MD, told WebMD:

“I think there isn't a guy in the world who hasn't wished his penis were an inch or two longer,” […] “Trust me, if I knew of a way to safely and effectively increase penis size, I'd be a billionaire,” […] “But I don't. Nobody does.”

So where does a man turn to for real male enhancement assistance and guidance when so many methods have unacceptably high rates of complications and risky side effects of disfiguring or even rendering a man's manhood member useless?

With so many ineffective, dubious, bogus and outright dangerous methods of possible enlargement strategies available, how can men safely research and properly apply any form of male enhancement in 2020 and beyond? Thankfully, there are a few reputable companies who offer trusted products that go above and beyond to satisfy their customers wants and demands. However, to no one's surprise, not all male enhancement pills are created equally.

With overload imminent, the Advanced Living male enhancement guide focuses on distinguishing male enhancement from penis enlargement in order to optimally overcome impotency. But first, the rankings for the top-rated best male enhancement pills. Then, it's time the growing pains of male enhancement emerge from the shadows by sharing some light on prominent pathways to improving a man's dipstick health.

Ranking the Most Popular Male Enhancement Products in 2020

In an effort to provide honest reviews of the most effective male enhancement pills, despite a wealth of fluff, hype and downright dirty strategies to sell size-enlarging products online, we did our best in identifying and selecting the top-rated supplements based on the following criteria:

• company reputation/trustworthy brand ratings
• quality formulas and sourcing of proven ingredients, Made in the USA in GMP-certified facility
• dosage, potency and detailed instructions for using the product
• accuracy and Transparency of the supplement facts label
• verifiable third-party independent lab test results
• return policy, money-back guarantee, no tricky free trial offers
• not being marketed as seen on TV, i.e. Shark Tank, Dr. Oz or celebrity-endorsed

Cutting through the clutter of these various potential growth hormone tactics found online, it is wise to use a common-sense approach when researching the formula and ingredients of hundreds of available products on the market that promise to do all sorts of wonderful things for your size, stamina and testosterone levels. The following list is based on dozens of hours of research, analyzing each brand's product formula, ingredients and potency.

Best Male Enhancement Pills to Boost Sexual Performance

Male enhancement supplements have rapidly grown in popularity after the rise of prescription drug Viagra, offering an alternative to the medication with natural ingredients that aim to help consumers get these effects as well. The formulas offer a combination of these ingredients to promote better sexual performance with dopamine boosts, nitric oxide increases, and increasing energy to last longer. While there are so many male enhancement pills to buy from Amazon, Target, Walmart, CVS, and Walgreens or even every corner store and gas station; how do you find the best natural male enlargement supplements in 2020?

The team here, as hopefully you can see by our extensive introduction and research, rolled up our the sleeves and reviewed the top natural male performance enhancers in 2020. Check out some of the products catered towards ‘penile elongation' on the market right now and determine if these natural alternatives are the right option for your personal needs.

VigRX Plus Male Enhancement Virility Pill

The VigRX Plus formula is designed to help men to increase their sexual desire as it promotes a heightened libido. As a result, the formula not only increases the intensity of the orgasms, but it also increases the frequency. This supplement promotes better control over erections as well, which means that the user’s partner will also experience an impressive performance as well.

The supplement has to work well in some kind of way because it has managed to sell 1.2 million boxes in the last 13 years of being on the market. To create the advertised effects, the formula includes a total of 10 ingredients that trigger the sex drive and libido. Those ingredients include

When the ingredients are combined, the user’s nitric oxide levels rise to create relaxation in the corpus cavernosa to increase blood to a man's dipstick. In doing so, the erection becomes substantially thicker and fuller for a more enjoyable experience. Some of these ingredients include damiana, epimedium leaf extract, Asian ginseng, hawthorn berry, and Catuaba bark extract, among others.

Along with the improvement in the erection, the formula includes ingredients that can improve testosterone levels as well, giving them the sexual energy that they need to utilize all of this newfound arousal. As the body ages, men don’t produce the same amount of testosterone that they typically would during their younger years, which puts a major damper on their sex life. However, there have been some studies that show that the use of a supplement to improve this hormone’s concentration within the blood can help.

The commitment while using VigRX isn’t too substantial. Rather than having to try and be inconspicuous about the use of a pill right before sexual activity, this supplement is meant to be integrated into the daily routine of the user, taking a capsule twice a day. By spreading out the dose, the body is able to fully absorb the natural ingredients at their highest concentration, but it also has a consistent hormone level to be ready for sexual activity at a moment’s notice.

Currently, the only place that this supplement can be purchased is from the official website, where the total cost of the VigRx supplement is $69 for a one-month supply. However, consumers can purchase higher quantities of the supplement to get a discount. For example, while the three-month supply is available for $179 (about $59 each), the 12-month supply is available for $589 (about $49) each. Plus, even if the user finds that this product doesn’t work their needs, they have up to 67 days to return it.

Find Best Price For VigRX Plus

ProSolution Plus Male Potency Formula

ProSolution Plus is designed for much of the same benefits as other male enhancement supplements, though it primarily advertises itself as a solution to premature ejaculation, reducing it by 64%. In addition to preventing this embarrassing issue, the formula claims that it improves “erectile quality” by 67%, sexual function in general by 48%, and satisfaction by 78%. However, the latter benefit is unclear on whether the user’s satisfaction improves or their partners. The user can experience improvements in the quality of their erection, their libido, and their sexual performance.

To create the effects, ProSolution Plus offers herbal, vitamins, minerals, and nutrients in every capsule. The user gets the benefits previously offered in the ProSolution Pills while amplifying them with ingredients that are specifically made for the purpose of reducing the risk of premature ejaculation. Without this concern, the formula inherently makes men feel more confident in their abilities while increasing their sex drive to show it off.

Consumers will find many familiar ingredients in this supplement that they see in other remedies on the market, like Tribulus Terrestris for the sex drive and erections. However, it also includes some unfamiliar ingredients, like L-DOPA to improve the pleasurable sensations and asteracantha longifolia to increase attraction (which stimulates the production of sperm).

The only place that men can get the ProSolution Plus formula is through the official website, which lists a single box for $69.95. Consumers that want to save more money per box could opt for one of the multi-box packages, though the greatest savings will be with the highest quantities. Comparatively, a two-month supply is available for $119.95 (almost $60 per box), while the one-year supply is available for $429.95 (less than $36 per box).

Find Best Price For ProSolution Plus

ExtenZe Fast-Acting Extended Release

ExtenZe is one of the most popular names on this list, and the creators have already sold over one billion pills to consumers to give them the harder, bigger, and more frequent erections that they want. Along with the “massively intense and electrifying orgasms,” users of ExtenZe will also find themselves lasting longer, maximizing their pleasure and that of their partner. In fact, the performance boost found in ExtenZe is so intense that the substance has been banned from professional football and the Olympics.

As the user takes ExtenZe, they will experience a greater volume of blood rushing into the erectile chambers, which is how the formula improves the size and hardness of the erection. To do so, this supplement offers an herbal blend of ingredients, which are all chosen with the goal of increasing blood flow and promoting endurance. Don’t be fooled – there are no narcotic or artificial substances in this treatment. Instead, the creators focus on natural ingredients that gently but effectively improve their erection.

Consumers won’t need to make some huge regimen out of the use of ExtenZe. The only requirement is that the user takes the one-capsule dose once a day. The gel cap is inconspicuous and helps to create an internal environment that is ready for an exciting sexual adventure at a moment’s notice.

The total cost of a single box is just $49.95, already making it relatively affordable. Like many products on the list, consumers can get a discount for each box with higher quantities. With the six month supply, the total cost goes down to less than $42 per box. Even if the user is unhappy with the results, their investment in ExtenZe is still safe with the 67-day return policy.

Find Best Price For ExtenZe

TestRX Natural Testosterone Supplement

TestRX reels consumers in with its promotion of a better physique. Consumers that take this treatment can expect to increase their muscle mass, improve energy levels, and increase strength. Inherently, these adjustments help consumers to lose weight effectively, which makes the muscles burst out even more. In addition to these improvements, the formula also advertises that consumers can increase their sex drive, giving the user a moment to show off their renewed body.

The best place to purchase TestRX is from the official website, where it is available for $69.95. However, consumers can get a discount per box by increasing the quantity that is ordered at once.

Find Best Price For TestRX

TestoGen Testosterone Triple Action

TestoGen aims to naturally increase testosterone levels, but that effect is the precursor to other changes in the body, like improvements in muscle size and increased strength. The triple action formula (muscle, stamina and libido performance) has brain-boosting qualities as well, offering energy enhancement, increased focus, and reduced irritability. In every capsule, consumers will find “premium ingredients,” though the website isn’t exactly clear on what ingredients those are. Still, if the user keeps up with the regimen of four capsules a day (which are taken about 20 minutes before breakfast), they should see improvements.

The easiest way to purchase the testosterone-boosting supplement is through the official website, where users can spend $89.99 for a bottle of Testo-drops and a bottle of TestoGen capsules.

Find Best Price For TestoGen

Cilexin Male Enhancement & Performance

Cilexin is designed specifically for “erectile health,” pushing to improve the user’s sexual performance with natural support. The supplement includes many ingredients that are common in these types of formulas, including L-Arginine (for nitric oxide), Tongkat Ali (for libido enhancement), and Panax Ginseng (for sexual performance). Along with sexual performance, the formula helps promote a healthier mood and healthy blood flow. Much like the other products on this list, there’s no prescription necessary.

Only two capsules a day are needed to naturally promote a better sex life. To purchase Cilexin, visit the official website, where it is listed for $39.99, providing the user with a one-month supply.

Find Best Price For Cilexin

Male Extra

Male Extra makes big promises, stating that the use of these products will give the user the “best performance ever.” The formula helps to increase their stamina and to promote better erections for stronger orgasms by increasing blood flow to the genitals, which is the key to these stronger erections. This formula includes L-Arginine, MSM, L-Methionine, Zinc, Cordyceps, and other ingredients to increase sex drive and sexual performance.

Users need to take three capsules daily with a meal to get the desired effects. To purchase Male Extra, the total cost is $64.95 for a one-month supply with the official website, though additional packages are available.

Find Best Price For Male eXtra

Viasil Male Potency Formula

Viasil, developed by Swiss Research Labs, offers promises of vitality, stamina, and strength to keep up healthy performance. Setting itself apart from the formulas that precede it on the list, this formula includes ingredients like Epimedium Brevocorum (for blood flow), Zinc (for proper hormone levels), and Citrus Sinensis (to promote ATP production).

Unlike other formulas ahead of this supplement, this product seems to be used on an as-needed basis. Along with a 60-day money-back guarantee, consumers can purchase Viasil for £54.99, which gives users a single box. However, there are packages of up to four boxes available as well.

Find Best Price For Viasil

High T Black Hardcore Testosterone Booster Formulation

High T Black is made to remedy the struggle for the body to maintain testosterone levels, which significantly decreases with age. The formula offers ingredients like fenugreek, vitamin B12, caffeine, and others to increase strength and promote better energy levels. The formula increases testosterone levels, which can also help the user to focus with greater ease and improve the mental acuity that can be difficult to attain without the right energy levels.

A total of four capsules a day are necessary to feel the effects that the creators advertise. Consumers can find High T Black on the official website for High T Supplements or Amazon for $59.99.

Find Best Price For High T Black

Max Performer

Max Performer offers a chance to “increase your self-esteem,” as the primary purpose, but it does much more. The formula is designed to increase the thickness and strength of an erection while increasing the sex drive. In doing so, men perform better and satisfy their partner more. Horny goat weed, maca, red Korean ginseng, cordyceps, and selenium are among the ingredients that make these effects possible, helping with blood flow, energy levels, and antioxidants.

The best place to purchase Max Performer is on the official website, where it is listed for $69 to get a one-month supply. Consumers can save on the monthly cost by purchasing multiple boxes at once, allowing them to buy up to a year’s supply at once, bringing down the cost to $30 per box.

Find Best Price For Max Performer

MAXXLOAD Ultimate Enlargement Performance Booster

MAXXLOAD promises men that they will see a major increase in their erection size, but with natural ingredients to promote blood flow. In this remedy, consumers will find a lot of common ingredients in enlargement formulas, including horny goat weed, maca root, Tribulus Terrestris, saw palmetto berry, and more. Consumers can expect enhancements in their energy levels and stamina while promoting a better mood as well.

The only commitment that consumers need to make is a dose of two capsules a day, which should be taken about two hours before activity with a meal or snack. Amazon.com has the MAXXLOAD formula available for $24.99, and its even one of their top choices for male enlargement pills.

Find Best Price For MAXXLOAD

Modern Man Nitric Enhancement Alpha Male

Modern Man Products Nitric Enhancement Alpha Male offers a booster for “unrivaled” performance. While the formula specifically includes Horny Goat Weed, Maca Root, and Yohimbine as separate ingredients, consumers will find the S7 Pump Blend, which includes undetermined amounts of green coffee bean, green tea, turmeric, tart cherry, and other ingredients.

The total cost of the Nitric Enhancement formula is $10.00 on Amazon, and users need to take one capsule daily to keep up the results.

Find Best Price For Modern Man Nitric Enhancement

Nobi Nutrition Premium Testosterone Booster

Nobi Nutrition Premium Male Enhancement states that there are three ways it can help consumers; promoting stamina, increasing sex drive, and improving energy levels. The formula contains a 1000-mg proprietary “Testosterone Blend” with many major ingredients, including Maca Root Powder, Tribulus Terrestris Extract, and Horn Goat Weed. However, as they are in a blend, it is difficult to determine how much is included in the formula.

Consumers will need to take a dose of two capsules within about 1 to 2 hours before a meal. The remedy is available for purchase on Amazon for $18.87.

Find Best Price For Nobi Nutrition Test Boost

Nature’s Craft Horny Goat Weed Herbal Complex

Nature’s Craft Horny Goat Weed Herbal Complex is a male enhancement supplement that is primarily made of Horny Goat Weed. However, rather than just including this ingredient as the only ingredient, Nature’s Craft decided to offer the support of other popular substances. Consumers will find an array of ingredients that are already familiar with, including Tribulus Terrestris, maca root powder, Tongkat Ali, and saw palmetto. Ultimately, the formula is meant for either men or women, but the goal is the same, improving sexual stamina.

Users should take two capsules a day with food for the best absorption, though the dose should be taken about one or two hours before sexual activity, if possible. The total cost on Amazon for Nature’s Craft Horny Goat Weed Herbal Complex is $17.55.

Find Best Price For Nature’s Craft Horny Goat Weed

Dr. Emil Nutrition Goliath Concrete Cowboy

Dr. Emil Nutrition Goliath Concrete Cowboy is a formula created to increase testosterone levels and promoting heightened sex drive. Concrete Cowboy offers consumers the ability to promote better blood flow and vascularity, to help increase a man’s pleasurable experience in the bedroom.

While primarily meant for its ability to improve the libido, the same stamina boost can be applied to workouts and other fitness routines, as the remedy includes Tongkat Ali, Maca, L-arginine, and a proprietary blend that offers both Panax ginseng and Eleutherococcus.

However, much of the ingredients are wrapped up in proprietary blends, making it difficult to determine how prominent the benefits of these ingredients may be.

Consumers need to take two capsules a day to get the desired results. Consumers can purchase the formula from Amazon, where it is listed for $28.45. Consumers with Prime memberships can get the product within just a couple of days, providing them with 60 capsules.

Find Best Price For Concrete Cowboy

Swiss Navy Size

Swiss Navy Size offers consumers the opportunity to increase their erections with increased blood flow, supported by a total of 20 natural ingredients. The main ingredient in this daily sexual health supplement concoction is Yohimbine HCL, which has been shown to help with impotence, high blood pressure, and even weight loss. The yohimbine HCL is often used in the United States, in association with erectile dysfunction.

Along with the increase in erection size, consumers can improve their sexual performance and increase stamina with two capsules a day.

The official website offers Swiss Navy Size for $39.99, which provides users with a one-month supply.

Find Best Price For Swiss Navy Size

Pure Micronutrients Male Libido Plus

Pure Micronutrients Male Libido Plus targets the male sex drive by improving the amount of testosterone in the body. In doing so, the formula also inherently helps with sexual desire, stamina, and energy to make it through experience with top performance. The formula includes all-natural ingredients, like L-Arginine, Catuaba Powder, Horny Goat Weed, and Ginseng.

The required daily treatment is three capsules, and consumers can purchase the product from Amazon for $18.63.

Find Best Price For Male Libido Plus

Boost Ultimate Testosterone Booster Male Enhancement

The Boost Ultimate Testosterone Booster Male Enhancement supplement is primarily designed to help with workout performance, which is another arena where size, stamina, and energy truly count. However, rather than improving bedroom performance, the size and stamina directly apply to the muscle. In this formula, consumers will find a proprietary blend of ingredients, as well as four individual ingredients, including Tongkat Ali, Maca Root, L-Arginine, and a Ginseng Blend.

The formula is offered on Amazon for $17.99, and consumers only need two capsules a day.

Find Best Price For BoostUltimate

ASOX9 Advanced Male Lifestyle Formula

The ASOX9 formula calls itself the “best male enhancement supplement on the market,” offering a temporary increase in the user’s erection size. However, this company states that any other supplement would offer the same, adding that no supplement has the power to make the user’s manhood permanently larger. Instead, this remedy focuses on improving blood flow, which allows the erection to reach its maximum size.

The only requirement that consumers have with this product is to take the supplement twice daily, though they are instructed to exclusively take it on an empty stomach. This formula is available on the official website exclusively, where it is listed for $44.92 (plus shipping) to receive a one-month supply. However, consumers can get up to 25% by increasing the quantity ordered.

Find Best Price For ASOX9

Herbal Youth Natural Alpha Male Enhancement

Herbal Youth Natural Alpha Male Enhancement claims itself to be the “most potent and powerful male performance supplement” that the market has to offer. With the potential to increase blood flow and vascularity of the genitals, while increasing sexual desire, consumers will also find improvements in their lean muscle mass. It includes Ginkgo Biloba Leaf, Cinnamon, and Reishi Mushrooms, among others. However, the formula has no proprietary blend, so it is easier for consumers to know exactly what they are getting.

Each day, consumers will need to take two to three capsules, though the varied amount depends entirely on the user’s body weight. It should be taken about 45 minutes before breakfast, followed by a large glass of water. After four hours, the user can choose to take another dose, depending on their particular needs. The one-month supply of capsules can be purchased for $14.00 from Amazon.

Now that we have ranked and reviewed the top 20 best male enhancement pills in 2020, let's break down the benefits, side effects and answer the question of whether or not if male enhancement pills work.

Find Best Price For Herbal Youth Alpha

Semenax Male Climax Intensity

Semenax is the first bonus product included. Rather than simply increasing a man’s erection, Semenax meant to promote the healthy production of semen. With greater semen volume, the creators state that the user will experience bigger orgasms, adding that the results are “guaranteed.” The main ingredients in this formula are Zinc and Vitamin E, but there are a plethora of other ingredients meant to help with semen production. Other ingredients include pine bark extract, Hawthorne berry, cranberry extract, and sarsaparilla.

The easiest place to purchase Semenax from is Leading Edge Health, which lists a one-month supply for $59.95. However, consumers can upgrade to up to a 12-month supply in a single order to save on the cost per bottle.

Find Best Price For Semenax

BlueChew

BlueChew is a bit different and was included in the list of the top 20 best male enhancement pills as a bonus. The brand offers a prescription-based regimen that specifically involves Sildenafil or Tadalafil. Though many of these supplements require no recommendation from a doctor, users of BlueChew must be prescribed online. Luckily, this prescription can be secured on the website, after which time the user will have it shipped to their door.

With BlueChew, customers are given constant medical support, but without waiting in a doctor’s office for their appointment, which can be embarrassing (considering the prescription sought). Once the evaluation is complete, the user is either prescribed 30 mg Sildenafil or 6 mg Tadalafil tablets, which are chewable for fast-acting performance.

Since this subscription comes with prescription medications, there are some warnings that consumers should take heed of. Some of the potential side effects of taking Sildenafil or Tadalafil include an erection that lasts 4+ hours, sudden vision loss, tinnitus, or dizziness. If any of these side effects occur, the user should seek medical attention as soon as possible. These treatments are not recommended for consumers with heart problems, medical conditions involving the blood, or a prior allergy to either of these active ingredients.

The total cost of a month-long “active” BlueChew membership starts at $20 per month, which accounts for either 4 Tadalafil or 6 Sildenafil packets. However, if the user has a more “busy” sex life that they need to keep up with, they can upgrade to the $30 per month plan, giving them 7 packets of Tadalafil or 10 packets of Sildenafil. Still, consumers that want more can go as high as the “pro” plan, costing $90 per month for 28 packets of Tadalafil or 34 packets of Sildenafil.

Find Best Price For BlueChew

Now that we have researched, reviewed and ranked the top 20 best performance pills for men's sexual health, let's analyze the million dollar question:

Do Male Enhancement Pills Work?

It's the 800 pound gorilla in the room. A grandiose question in the male enhancement equation is “will a pill actually enlarge the penis and improve its performance”? While the instant effects and permanent results pipe dream may lead the ‘fix erectile dysfunction' headlines, most men's sexual health products lack solid proof and efficacy. Often times, many of these piss-poor pills rely on the placebo effect at play actually helping rather than the ingredients and formulas put forth by so many below-average companies and brands.

The supplement industry is filled with various supplements that promise to improve the size of the user’s manhood. Pumps, weights, pills, and even surgeries suggest that they are capable of improving girth and length, but how reliable are these methods?

As touched on above, realistically, the scientific support is minimal at best, and there’s no medical organization that presently endorses surgery from a cosmetic standpoint. Instead of wondering how long does it take for a male enhancement pill to kick in and last, the main question is will they actually work to enlarge your manly member and boost your performance?

From a broader perspective, the World Health Organization (WHO) has a standalone sexual health definition:

“…a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction, or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.”

Telling insight that all men should adhere to when contemplating the male enhancement topic. In order to review if male enhancement pills work, let's research the potential benefits of men's sexual health pills to know what to look for in terms of safety, effectiveness and results.

Male Enhancement vs Men's Performance Enlargement

As it stands today, male enhancement references the performance and size of his dipstick vs the well-being of his body's overall health. In time this will surely change, but there seems to be two camps or sides of the coin when it comes to “what is male enhancement” in today's culture. There is the A. side and B. side:

A) performance (wellness status of a man's most prized organ, erection quality, libido, etc)
B) size (adding extra inches etc)

The first, which is much more important in the grand scale of things; is all about having healthy blood flow, hormonal circulation and maintaining ‘rock-hard' solid status throughout arousal activities like intimate foreplay or intercourse.

The second, which right now, the term male enhancement is largely associated with ‘penis enlargement' more than any other phrase – when in reality – could zoom out and shift to a man's overall health and wellness enhancement meaning first and foremost versus the hardcore-nature of Ron Jeremy-advertised email inbox spam marketing claims of adding two to three inches by next weekend.

For a moment, men specifically, imagine that Advanced Living were synonymous with Male Enhancement. Obviously, advanced is enhanced and living as a man. In an effort to marry the two phrases and merge them together to form our ‘Advanced Living male enhancement guide', we wanted to go the extra inch and not only review the best male enhancement pills, but address the core elements of how to truly enhance a man's body, performance and sexual health. We figured why not both, get the best of both worlds to use as a quality resource to complement a list of the top-ranked sexual performance products of this year.

Depending on where you are on the spectrum of erectile dysfunction or even desired erection size goals, Advanced Living's Male Enhancement guide would like to introduce a third camp into the male enhancement formula equation and stack it as a functional healing modality along side the size and performance seekers. And that is:

3. Sexual Medicine

Now, the expression sexual medicine is not new (what is under the bright and beautiful sun?), but when stacked in comparison to the size and performance effects of male enhancement, it tends to stand out in a more organic healing way. Defined as a medical specialty dealing with sexual health, it encompasses all aspects that relate to sexuality as well as the human body's ability to perform the act of intercourse.

Whether physical, emotional or mental, sexual medicine is often the missing ingredient for so many men around the world dealing with erectile dysfunction, impotency and low libido levels.

Advanced Living likes to think of sexual medicine as the blend of male enhancement and sexology, where emphasis is put on the wellness of the whole system versus thinking a M.E. pill will work magic for size and performance while nothing else changes. The term sexual medicine starts to put the spotlight on overall health and wellbeing, where the body's system of systems starts working synergistically and produces the euphoric effects of performing optimally.

Benefits of Using Male Enhancement Supplements?

The use of male enhancement supplements has been primarily linked to the increase in sexual performance and has frequently helped with the reduction in blood pressure levels. The use of ingredients like capsaicin is helpful in promoting proper blood flow through the rest of the body. In doing so, it is easy for men to use these ingredients and these supplements to reduce hypertension and reduce inflammation in the joints.

Nitric oxide production is a huge part of these supplements, as it helps the man’s erection to become engorged with blood to increase its size. As testosterone levels decrease over time, it becomes harder to reach this level of arousal naturally. The use of these ingredients helps to create a more youthful climate to allow men to rekindle their younger habits with ingredients that are meant to stimulate these natural processes.

That’s not to say that these supplements could come with some side effects. For instance, most of these formulas aren’t nearly as effective as a medication. Furthermore, some ingredients can cause stomach issues, skin issues, and changes in the urine. One of the biggest concerns for these products is the potential to interact with some medications, though it varies from product to product. Speak with a doctor for a more personal discussion on the designated formula.

Based on how successful these products have been, male supplements will likely see long-term use, and anyone that decides to integrate them into their daily routine should do their research. However, the twenty supplements may be an ideal place to start researching and reviewing.

Dr. Oz on Male Enhancement and Sexual Health

As for the fellow who was referenced above, about the penis as a man's dipstick gauge to his health – that was none other than famous celebrity TV-doctor, Dr. Oz. On his Doctor Oz show, he talked about penis health outside of the scope of lovemaking, saying it's important for making sure your entire body is working.

“The penis really is the dipstick of the body,” he says. “The penis tells you if everything's working, because if it's not working, the odds are stuff inside of you is not functioning the way it's supposed to be.” […] “To know if everything's functioning, you need to know an erection works. First, arteries leading to the penis open up and they let the blood rush in and it engorges the penis. “But something else happens that is really subtle,” […] “What drains the penis are these very thin veins. They get squeezed off so the penis can't let the blood come out again. That's why it gets big and hard and stays that way.”

Further adding:

“If it’s not able to get erect, it’s a reflection that the cells that allow blood to engorge that organ aren’t working in other parts of the body; they’re not working in your kidneys, not working in your heart, your brain, your skin — there are lots of issues going on.” […] “When people are not embarrassed but thoughtful about what this signal is, then, you know, people find solutions.”

These doctor-approved insights have stood the test of time since making them in 2013.

The Science Behind Male Enhancement Pills

Male supplements are relatively easy to purchase and are sold both online and in stores. The Food and Drug Administration has stated previously that these supplements are often filled with natural alternatives to the ingredients found in medications like Viagra and Cialis. In some cases, the supplements are made with exactly the ingredients found in those drugs, or they contain altered versions unapproved by the FDA. This authority doesn’t regulate supplements in the same what it regulates medications.

More often than not, these supplements are created by overseas manufacturers, and the distributors in the United States don’t particularly care or know what’s in the products. When it comes to using Viagra, Cialis, or any of the other medications on the market, medical supervision is needed. Without this type of supervision, some people don’t watch out for the side effects that are fairly common with their use. Untested versions are even riskier, and their side effects are unpredictable.

Dr. Pieter Cohen, an assistant professor at Harvard Medical School who has done his fair share of research on these supplements, stated,

“Since the FDA can find the Viagra in the pills relatively quickly if they’re looking for it, that’s when [manufacturers] start playing with the chemical formula and coming up with dozens and dozens of brand new chemicals that have never been tested in humans. You can have a medication that is very safe and effective, but if you just make a slight adjustment to the chemical structure, it becomes a dangerous compound.”

There are many supplements that have “hidden drug ingredients,” but these products likely only are a “small fraction” of what the market has. However, there’s also the worry that dangerous chemicals are involved. In a shipment that was analyzed by the US Customs and Border Protection, high levels of lead were found. A case in Singapore in 2008, reported in the New England Journal of Medicine, found that there was a male enhancement pill taken that contained high levels of glyburide, a diabetes drug. Of the people that took it, a total of 150 men came down with severe hypoglycemia, while four died. Dr. Cohen remarked,

“We’ve already had multiple deaths from these kinds of products, and I’m afraid there’s going to be more because of this complete recklessness with which manufacturers are putting new drugs into sex supplements.”

The FDA issued warnings to consumers in regard to Cave Diver and Super Cheetah supplements, which are both distributed by Boscolini LLC in Chicago. The FDA stated that these supplements contained an active ingredient that is found in Viagra. Founder of Boscolini, Safa Moayyed, stated that the company was started when he used years’ worth of savings at a time when “the market was hot” for these kinds of products. He used a Chinese supplier on Alibaba.com and struck a deal. However, when the FDA got involved, his company ended, and he was unable to reach the company any longer.

The market continues to evolve, and not every company is caught as quickly as this. When looking through the ingredients involved in any of these products, consumers should make sure they do their research, and pay attention to any missing details. If there are labels that mention there are ingredients beyond what is listed, be apprehensive.

FDA Issuing Male Enhancement Pill Side Effects Warnings

The Food and Drug Administration (FDA) has had a war on dietary male enhancement pills over the years. The authoritative government agency is known for policing the entire health and wellness supplement industry, and penis enlarging supplements are at the top of the list when it comes to helping censor and regulate the dietary nutritional product industry.

In the age of Internet porn and sex sells marketing methods, with countless warnings and startling amounts of sex pill recalls; the FDA put out a list of advertising gimmicks used by the makers and creators of these erectile dysfunction-curing products.

Here are the FDA's warnings about not buying male enhancement pills that promise the following claims:

• Promise quick results (within 30 to 40 minutes)
• Are advertised as alternatives to FDA-approved prescription drugs
• Are sold in single servings
• Advertise via spam or unsolicited e-mails
• Have labels written primarily in a foreign language
• Have directions and warnings that mimic FDA-approved products.

The head of FDA's Division of Dietary Supplement Programs, M. Daniel Dos Santos, Pharm.D., Ph.D., and FDA’s national health fraud coordinator, Gary Coody, R.Ph, have both respectively shared comments about “all-natural” and “herbal” alternatives versus the FDA-approved prescription drugs for ED treatment. They said:

“We're finding an alarming number of these products sold online and in retail stores. They're often sold in single-serving sizes in gas stations or vending machines. We've seen pills, coffees, chewing gum and dissolvable oral strips that contain hidden drug ingredients or untested chemicals,” […] “Consumers have no way of knowing which drugs or ingredients are actually in the product just by reading the ingredients on the label.” […] “Some of these products have as many as six different ingredients contained in FDA-approved prescription drugs and analog of those ingredients, which are similar compounds of the drugs. We don’t know what danger this poses because these combinations have never been studied before they’re sold to unsuspecting consumers.”

Pretty serious and impactful statements coming from the leaders within the FDA. In addition, OOC's Import-Export Team team leader, Huascar Batista, was on record about the FDA recalling, seizing and alerting the public about tainted herbal male enhancement pills stating:

“FDA is working closely with U.S. Customs and Border Protection to develop a more effective network to successfully screen and stop these shipments from entering U.S. commerce,” […] “FDA uses all of its enforcement powers—including warning letters, seizures, injunctions, import alerts, and criminal prosecution—to protect consumers against these products.”

Many of these so-called all-natural penis enhancement pills for men are contaminated with Viagra's Sildenafil, Levitra's Vardenafil or Cialis' Tadalafil as well. The FDA director for the Division of New Drugs and Labeling Compliance, Michael Levy, also made a statement about the alarming number of suspect male enhancement products on the market:

“The number of these problematic products available on the Internet appears to be increasing.”

Types of Enlargement Products for Men

The Mayo Clinic states that the majority of the enlargement products on the market are “ineffective,” and some even pose a risk of long-term damage to the body. Here are some of the common products and techniques that the market promotes.

• Pills and lotions, like vitamins, hormones, and other supplements, which are not proven to work
• Vacuum pumps, which directs more blood supply into the shaft temporarily
• Exercises, which are not scientifically proven
• Stretching, which may help increase the length by up to two inches

We included the entire list above but these are the main ones circulating on the Internet and your inbox. But one important note is to touch on surgery, which is in a whole category in comparison to natural male enhancement products.

Surgical Solutions May Be Risky and Ineffective

For consumers that want to take a more aggressive and serious approach, surgery may be discussed as a possibility. There have been multiple studies on the way to surgically lengthen the shaft of a man's genitalia, discovering a range of different results for safety, efficacy, and even the satisfaction of the patient. Most of the time, this type of surgery is best for up to a centimeter of length when not erect, but it doesn’t really impact the length with an erection.

In the worst case, surgery can cause scarring or even loss of function and sensation. Still, surgeries are rare, and they are almost never performed without a birth defect or injury.

What Can Men Do?

Though supplements are seemingly the least invasive and the most likely to improve performance, it is unlikely that long-term changes in length could be impacted. Men who are concerned about their size should speak with their partner about igniting their sex life more effectively. If changes are needed, reducing belly fat can make the penis appear even longer, though it won’t change the natural size.

Improving a man’s size of his erection won’t really improve sexual prowess or even improve their own performance because only the man himself can change how he uses his body. Furthermore, it is likely that he may already be within the normal range, and there has yet to be a proven way to actually make an erection larger. Speak with a professional counselor if there is substantial concern still.

In fact, there is even a psychiatric diagnosis called ‘penile dysmorphic disorder' (the kind of perceptual distortion anorexics have when they believe they are fat regardless of how thin they are) that self-imposingly plagues men from all walks of life who now dwell inside the notion that ‘bigger is always better' and suffer from what is known as locker-room syndrome.

Let’s take a look at some important factors to consider, starting with what is normal for the male body.

Natural Penis Size: What's Normal?

We would reminisce if we did not research what exactly is normal and natural about a man's erection size.

Odds are, if you are reading this and wondering if your penis size is adequate – it is. Take a deep breath, relax and stop doubting your manhood and eliminate the uneasiness about your dipstick not being good enough to satisfy your sexual partner during intercourse.

The fear that a man doesn’t measure up to others of their age and body type is a fairly common concern. For that reason, it may come as a soothing fact to these men that individuals who worry about being too small often have fairly typical size erections, according to Mayo Clinic. There are also studies that suggest that many men think that the average size is actually much bigger and that a non-erect penis predicts the actual length while erect.

In fact, there is a condition called “penile dysmorphophobia” where men underestimate their own dick size while overestimating the average cock size of other men and believe they need some sort of penile rehabilitation in order to be acceptable.

In reality, the flaccid length has nothing to do with the erect length, so that size cannot be factored in when judging length. The normal size is considered to be five to six inches long, when erect, and a man only falls into the category of “abnormally small” if it reaches less than three inches long while fully erect which is a conditioned called micropenis. There are many advertisers that try to claim that the normal length is small in an effort to represent sexual partners, but this is a personal preference.

So where do most men get the narrative that their penis size isn't suitable nor optimal? Porn. Because male performers appearing in pornography are typically above average, many men believe this is the standard for what women crave and desire due to the acting found in the videos. In fact, one of the largest penis size studies ever conducted in the world found out that when over 3,000 men who were interested in penis enhancement were examined, they were under the impression and assumption that the average flaccid size (non-erect) was nearly 5 inches which are grossly overestimated. The research was published in the International Journal of Impotence Research in 2002 and found that a man with a 7-inch erect penis would be in the 99th percentile.

Even New York sex counselor and author of the book She Comes First, Ian Kerner, commented on the fantasy imaginations of a gargantuan penis and told WebMD:

“When it comes to penis size, being average is really where you want to be,” […] “Having a penis that's too big can be a much larger problem — pun unintended — than one that's too small.” […] “Size really doesn't matter nearly as much as being a good and creative lover,” […]  “How you use your brains, your hands, your mouth, and everything else — that's what counts in the bedroom.”

Wise words indeed!

FAQ on Male Enhancement Pills

This best-ranked male enhancement pill review throws a lot of information, insight and hopefully intelligence into a man's inner workings and the wheelhouse of sexual performance. Let's recap some of the most basic as well as advanced questions pertaining to male enhancement products:

Final Word on the Best Male Enhancement Pills in 2020

The research does not stop about male enhancement. Men all over the world care deeply about their dipstick's health, function, and performance as it is a vital part of their anatomy.

While diet trends come and go and new discoveries give high hopes for the next big thing in health and wellness, the specialty niche of the tried and true, essentially taboo male enhancement needs a clear-cut no-nonsense guide to male enhancement and that is what we provided above. After researching all of the facts about penis enlargement methods and going over the sexual performance benefits supplements can provide, we ranked the top 20 best male enhancement pills in 2020 and gave you the reasons as to why they made the coveted list.

It is truly a buyer beware market for purchasing penis pills designed to increase sexual health performance. While the male enhancement industry is maturing, but there is much more room to grow in terms of quality, transparency, and authenticity. Harvard called male enhancement pills “unicorn juice”, stating most sexual function supplements have not been scientifically studied or validated in clinical trails in any capacity despite being marketed as natural performance boosters.

Here are additional resources we used, reference and highly recommend reading, researching and reviewing for more information about natural male enhancement and sexual health performance:

• https://www.webmd.com/men/picture-of-the-penis#1
• https://www.smr.jsexmed.org/article/S2050-0521(19)30012-5/fulltext
• https://www.urologyhealth.org/urologic-conditions/erectile-dysfunction(ed)

There was even a top-level surface video explaining the basics of healthy sexuality worthy of listening to.

In closing, every man should recognize the penis is a dipstick to the body's health. Advanced Living's male enhancement guide on ranking the best sexual performance pills is meant to educate, inform and empower users for making optimal choices when it comes to increasing men's health as a whole; whether dieting, exercising or supplementing, the conversation surrounding male enhancement is changing and the future of enhancing men is brighter than ever.