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Extenze Male Enhancement Pills – Reviews, Side Effects, Results, Ingredients & Before and After

Ever since I published the review on ProSolution Plus, our inbox has been bombarded with a ton of questions about other male enhancement pills but especially Extenze.

We receive questions such as the following on a daily basis…

  • Does ExtenZe really work?
  • Is it safe?
  • Does ExtenZe work like viagra?
  • How fast do Extenze pills work?
  • What does it do for a man?
  • Can you buy it over the counter?
  • Does it make you hard right away?
  • What is in it?
  • How long does it take to work?
  • What are the negative side effects of Extenze?

So I and Jane have gone ahead to write a comprehensive review on ExtenZe…

We’ll publish reviews of other male enhancement products maybe in the future if/when time permits.

Also, make sure to check out this week’s The Well newsletters for special offers and access to our exclusive discounts.

So without further ado, let’s get right into it…

When a man reaches the age of 40, he may begin to experience certain unpleasant changes, such as fatigue, hair loss, and the most dreaded of all – fluctuations in sexual performance.

The latter can include a decrease in sex drive or libido, and difficulty in getting and maintaining an erection.

These symptoms can put a serious dent in your love life, especially if your partner has started suspecting you’re not the stallion you used to be in the bedroom.

Now you may ask: why is this happening to me?

For starters, take a deep breath and relax, because these changes are normal with age…

…and mainly occur because the levels of free and total testosterone in your body gradually begin to decrease after 40.

And your question will probably be: What can I do to make these levels go up again?

Well, here’s one solution that I’ll be reviewing today – ExtenZe, the Doctor Approved Number 1 Brand that can help you regain your sexual vigor and provide you an unforgettable sexual experiencing every time!

Or so the manufacturers claim!

So here’s a detailed review of the male enhancement pill ExtenZe, featuring the good, the bad, and the ugly.

ExtenZe: All You Need to Know 

Having sold more than a billion pills over a period of 19 years, Biotab Nutraceuticals – the manufacturers of ExtenZe – describe the product as…

“one of the most effective male enhancement products” currently available in the market.

ExtenZe has been developed using 26 pharmaceutical grade compounds that will help users struggling with sexual performance issues to regain their confidence and achieve bigger, harder, and longer erections.

With just one pill per day, ExtenZe claims to provide efficient and fastest results by boosting the body’s natural testosterone production.

As stated on the official website:

Extenze statement

Before moving on, remember that this product is simply a supplement – it is not intended to diagnose, treat, cure, or prevent any sexual difficulty or disease.

How Does ExtenZe Work?

Extenze is formulated to increase the flow of blood within your body, especially towards the penis.

It does this by using the combined power of eleven scientifically proven all-natural ingredients that also aid in boosting testosterone production quickly and effectively.

So basically, ExtenZe claims to help:

  • increase libido
  • improve sexual stamina and endurance of your penis
  • improve erection quality and duration
  • enhance penis size
  • increase penis hardness

What Does it Contain – Ingredients?

ExtenZe is made using a gel formulation…

…It’s basically a gel capsule that allows for the quick and easy breakdown and release of ingredients so that the body can absorb them efficiently.

It is an exclusive medically developed synergistic mix of the best quality nutritional and herbal ingredients that promote male sexual enhancement and performance.

While some of the active ingredients in ExtenZe are well-known natural remedies for treating sexual and erectile difficulties, others have no proper research to back them up and are only supported via hearsay or circumstantial evidence.

Moreover, others might even have certain unwanted or dangerous side effects if consumed in larger quantities.

But we’ll talk about that in detail later.

For now, here a list of the active ingredients in ExtenZe and their attributes:

1) Zinc


Zinc is not produced naturally by the body, and deficits can cause detrimental effects on sexual health…

  • Zinc supplements are commonly used to treat symptoms of erectile difficulties since it boosts the natural testosterone producing mechanisms of the body and helps increases testosterone levels.
  • Zinc in ExtenZe also helps to enhance libido and improve sexual performance.

2) Folate

  • Folate is known to increase the amount of red and white blood cells, which facilitates greater and better blood flow to the penis, which allows for better erections.
  • Folate is also attributed to increase in sperm production, particularly when used in combination with Zinc.
  • Moreover, folate has been seen to alleviate symptoms of depression and anxiety, which might also arise due to decreased sexual performance and ability, and help improve mood which in-turn could help return diminishing libido.

3) Black Pepper

Black Pepper

I’m sure this will come as a rather surprising ingredient.

But apparently, it has some great benefits to return your lost sexual vitality!

  • Black pepper contains something called ‘piperine’, a compound that helps increase the levels of Coenzyme Q10 within the blood. This allows for greater blood flow to the penis, resulting in harder and larger erections.
  • Black pepper also facilitates absorption in the body, which allows for the immediate breakdown and efficient uptake of all the ingredients within ExtenZe.

4) Horny Goat Weed

Horny goats weed

The active compound in this ingredient is Icariin, and its function is quite obviously given away by its name!

  • The weed works by inhibiting any blockages in the dilation of arteries within the penis.
  • A study where horny goat weed was given to rats found some improvement in erectile dysfunction [1].
  • This facilitates effective and rapid blood flow towards the penis, hence improving the quality of erections – bigger, harder, and more long-lasting!

5) Tribulus Terrestris

Tribulus Terrestris

Known by various names, this herb has its origins in Indian medicinal practices and has been used extensively for improving male virility and vitality.

  • Research suggests that this ancient ingredient might also play a role in enhancing testosterone levels.
  • It has also been clinically proven to enhance libido and improve overall erectile function.

6) Korean Red Ginseng


Also known as Panax Ginseng, this Korean herbal remedy has been widely used to treat erectile difficulties.

Korean Red Ginseng can help improve qualities such as:

  • ability to sustain an erection
  • enhanced sexual drive
  • increased satisfaction after sexual intercourse

7) Turnera diffusa (Damiana)

Turnera diffusa

  • Consuming the leaves of this low-growing, flowering plant is reported to enhance libido and sexual endurance in males and females.
  • It works by improving oxygen flow to the genital region which helps in sexual stimulation.
  • It may also alleviate symptoms of premature ejaculation.

8) Muira Puama

  • The woods and roots of this plant help increase sexual yearning in men and women.
  • It has also been reported to enhance erectile quality in men with erection difficulties.

9) Astragalus Root

  • This root has been used mainly in Chinese medicine to enhance overall health and energy, which can in-turn increase libido and sexual stamina.
  • It is also proven to improve sperm motility.
  • It improves both testosterone levels and levels of growth hormone in men.

10) Stinging Nettle

  • It works by preventing the removal of free testosterone from the body, thus increasing the amount of testosterone available for use.
  • This ingredient is widely known to enhance men’s libido and prostate health.
  • It also helps slow down the rate of cell division within the prostate, which not only improves sexual function but also keeps all functions controlled and healthy.

11) Hops

The dried form of this flowering plant has been used as an aphrodisiac for centuries.

  • Recent studies have now confirmed that hops can also alleviate the symptoms of erectile difficulties.

12) Yohimbe or Yohimbine


  • This herbal supplement is made from the bark of the Pausinystalia johimbe tree. It has been used traditionally in West African medicine to treat male infertility.
  • It’s assumed to be effective in treating erectile difficulties since it blocks alpha-2 adrenergic receptors that commonly prevent erections, and also helps in the production of nitric oxide, which enhances blood flow to the penis [2].

13) L-arginine


  • This commonly known amino acid has been found to be effective for increasing blood flow within the body, but only if taken in high doses [3].

14) Pregnenolone

  • This is a naturally occurring hormone that helps the body produce testosterone and various other hormones.

However, there is no evidence of whether pregnenolone has any effects on erectile dysfunction or sexual performance.

15) Dehydroepiandrosterone (DHEA)

  • DHEA is another naturally occurring substance within the body that helps produce hormones including testosterone.
  • When taken in small doses, it’s shown promising results for treating erectile difficulties [4].

But remember: DHEA supplements may have dangerous interactions with certain medications.

What People Have to Say about ExtenZe: User Testimonials 

Surprisingly, and a bit discouragingly, there aren’t any user testimonials on the official website.

But according to people who’ve purchased ExtenZe and left reviews online, I gathered somewhat mixed responses.

Let’s start with the positives…

According to one user, using ExtenZe for a month helped him regain his sexual stamina and satisfaction.

He also mentioned that he performed regular exercise at least 4 to 5 times per week so that the supplement could work more effectively owing to his overall physical and mental wellbeing.

Another satisfied customer, aged 35, claimed that he felt a difference in just 5 days of using ExtenZe.

He clarified that most people compare the results with Viagra, but that’s not what this supplement is intended for.

He further said that even though he didn’t suffer from erectile dysfunction, he was experiencing a dip in his sex drive and stamina, and taking ExtenZe has helped him attain and maintain an erection whenever and wherever he wants.

Moving on to the negatives, one user reviewed the product by stating that it “gives you energy, but no more than a red Bull would.”

He said that he’d been taking the supplement for weeks and despite manufacturer claims, he had seen no increase in size whatsoever.

Plus, it didn’t help him with erections either.

Another rather unimpressed user claimed that the manufacturers hadn’t mentioned for how long the supplement needed to be taken for persistent effects.

And also, it takes hours for its effects to wear off, which might be troublesome if you’re not in the mood anymore!

So overall, we can gather that ExtenZe does help with sexual stamina and performance, and might also help sustain erections, but does not help increase size, despite official claims.

What I Like About the Product: The Pros

After going through the reviews, and coming across a lack of clinical evidence and official user testimonials, I gathered that there aren’t many positives about the product, apart from the fact that:

  • it is an effective natural male enhancement supplement with a unique herbal blend
  • it helps enhance sexual drive and libido
  • it helps attain and maintain erections

Moreover, ExtenZe can help boost testosterone levels back to where they used to be, resulting in:

  • harder erections
  • increased sexual endurance and stamina
  • immediate results

Additionally, ExtenZe is delivered in discreet, non-disclosing packaging.

This helps ensure user confidentiality and saves them from any unnecessary embarrassment.

And last but not the least, there’s a 100% money-back guarantee if you’re not satisfied with the results – no questions asked.

Who Shouldn’t Use ExtenZe?

  • Not to be used by individuals less than 18 years old.
  • Before using this supplement, consult a doctor or licensed qualified healthcare professional if you or any members of your family have a history of prostate enlargement or prostate cancer, heart disease, or low levels of good cholesterol (HDL).
  • Also consult a physician if you are currently taking another dietary supplement, a prescription drug, or any over-the-counter drugs, especially for heart disease or blood pressure.
  • People suffering from depression and hormone imbalance have also been advised to consult their physicians before using the supplement.
  • Do not exceed the recommended serving, this might cause serious adverse side effects. Discontinue use and immediately call a physician if you experience these possible side effects:
  1. 1acne
  2. 2hair loss
  3. 3aggressiveness or irritability
  4. 4rapid heartbeat
  5. 5dizziness
  6. 6blurred vision
  7. 7nausea
  8. 8cramps
  9. 9diarrhea
  10. 10headache
  11. 11difficulty sleeping
  12. 12seizures
  13. 13decline in testosterone production
  14. 14increased estrogen levels
  • Allergen warning: might contain lecithin from soybeans.
  • At least two of its active ingredients (DHEA and pregnenolone) are regarded as performance-enhancing drugs and are banned by pro sports. Thus, professional athletes cannot take ExtenZe.

What I Don’t Like about the Product: The Cons

Apart from the fact that there isn’t much to offer in terms of buyer packages, coupons and add-ons, there is a bigger issue when it comes to ExtenZe – reliability.

Effectiveness of ExtenZe: Does it REALLY Work? 

Now, the manufacturers of ExtenZe claim that the supplement helps reduce symptoms of erectile dysfunction by increasing blood flow into the spongy chambers of the penis…

…hence helping to attain and sustain a bigger and harder erection.

However, NO clinical studies have been displayed or cited by the manufacturers to support these claims.

Yes, a few studies have been conducted to examine some of the individual ingredients used in ExtenZe……such as horny goat weed, muira puama extract, and damiana, the results of which suggest that they might as well have sexual health benefits, including the enhancement of decreased libido.

But again, NO clinical trials have been conducted on ExtenZe itself.

Lawsuits and Warnings 

Another aspect that puts the product under scrutiny is that the manufacturers, Biotab Nutraceuticals were subjected to lawsuits for ‘deceptive marketing’.

In 2011, they had to pay $6 million in settlements against a class-action suit accusing the company of ‘false advertising’.

Similarly, in 2018, the Food and Drug Administration (FDA) issued a notice “advising consumers not to purchase or use Extenze” (FDA, 2018).

Lab tests conducted by the latter revealed that the product contained sildenafil, which is the active ingredient in Viagra and isn’t displayed as an ingredient for ExtenZe, which claims to use only ‘natural’ herbal ingredients [5].

Viagra and other erectile dysfunction drugs are known as PDE5 inhibitors.

They work by widening blood vessels.

Since nitrates also widen blood vessels, taking them along with a PDE5 inhibitor can result in too much widening and a dangerous decrease in blood pressure.

Since people with diabetes, hypertension, high cholesterol, or heart disease often take nitrates, these individuals were significantly warned against using ExtenZe.

What the Research Says

Here is what some of the most reliable research has to say about ExtenZe:


Study revealed that the unregulated overdose of sildenafil, an undeclared ingredient in ExtenZe and an active ingredient in prescription medications for erectile dysfunction such as Viagra…

…can cause serious adverse symptoms such as seizures, loss of memory, low blood sugar, and even loss of nerve function [6].


Study diagnosed an unusual type of heart failure in an individual who overdosed on yohimbine, an active ingredient in ExtenZe [7].


Study revealed that the active ingredients and hormones found in ExtenZe could increase the risk of developing gynecomastia, commonly known as “man boobs”, due to increased estrogen levels and decreased testosterone levels [8].

Insider Information: What to Watch Out For

Now I’ve pretty much covered everything you need to watch out for in the previous section, since it’s pretty obvious that the manufacturers have not been completely transparent about the efficacy of the supplement and also its ingredients.

But if you’re still willing to buy the product, always purchase by booking your order from the official website.

Always avoid fakers and frauds.

Also, keep checking the official website for special discounts and packages that might be offered periodically on special occasions or promotional events.

Buying Advice 

One bottle of ExtenZe contains 30 gel capsules.

According to the official website, you will start seeing and feeling changes within a month.

Here are the packages you can avail:

One Month One Box of Extenze Gel Capsules
Two Months Two Boxes of Extenze Gel Capsules! Save $10!
Three Months Three Boxes of Extenze Gel Capsules! Save $25!
Six Months Six Boxes of Extenze Gel Capsules! Save $50!

There are no publicized lucrative coupons or add-ons with purchases.

However, there are several other ExtenZe products available on the website that you can purchase along with the Original ExtenZe for additional sexual enhancement results.

The manufacturers claim that after enjoying a ‘ramp up’ period of 30 days after using the Original ExtenZe, users can switch to ExtenZe Black Max Strength Extended-Release and use it for 30 days to avail maximum results.

Here are the products you can use after having benefited from the Original ExtenZe, along with their benefits.

EX30 – ExtenZe Extended Release Soft Gel (30 tablets)


  • Maximum strength supplement for male sexual enhancement
  • Improved performance
  • Enhanced pleasure
  • Better sex life

ExtenZe with Testosterone Boost (30 tablets)


  • Special formula with increased testosterone support
  • Maximum pleasure, stamina, performance
  • Increased muscle mass

ExtenZe Plus 5ct Tray (60 Tablets)


  • Enhanced pleasure and performance
  • Improved sex life
  • Improved energy and vitality

ExtenZe 2oz Shots 6pk (Fast Acting Liquid Male Enhancement Formula)


  • Boosts performance
  • Enhanced sexual pleasure
  • Improved sex life

Conclusion – My Take on ExtenZe

Having reviewed the product in detail, there seems to be no reliable or conclusive evidence that ExtenZe, or any of its related products, actually works.

In fact, studies suggest that the supplement MIGHT even have opposite effects…

…such as increased estrogen levels, decreasing testosterone levels and even making it harder to perform until the supplement’s effects have worn off!

Moreover, the controversy regarding undeclared ingredients and a lack of scientific and clinical studies supporting the efficacy of ExtenZe make the product seem potentially doubtful and harmful, with the possibility of interacting adversely with your body and other medications.

My take would be to try it out first, but if you notice little to no changes in your sex life and performance, ask for a refund immediately!

As we’ve seen, the product has worked for some but not for others.

So I’d recommend you try it out and see if it’s gonna work for you.

I believe the product works in most cases, even though individual results may vary…


If you’re really struggling with erectile difficulties and decreased sexual performance, I would HIGHLY suggest going to a doctor or certified clinician who can prescribe precise treatments to address the cause of your problems…

…and also help improve your symptoms by effectively restoring blood flow and/or nerve function to your penile area for genuinely better and harder erections.

If you still want to try out a male sexual enhancement supplement like ExtenZe, don’t lose hope!

Consult your physician for a more clinically approved and reliable option.

Is ExtenZe Right For You?

If you’re dealing with issues such as low testosterone levels, decreased libido, and a general lack of sexual excitement, then ExtenZe is the product for you.

However, if you begin to experience any adverse side effects, discontinue use straight away…

Personally, I DON’T recommend it.

Instead, try VigRX Plus. It has received a ton of rave reviews lately.

Frequently Asked Questions about ExtenZe (FAQs)

What Is ExtenZe?

ExtenZe is a male sexual enhancement supplement developed by Biotab Nutraceuticals. It contains an exclusive blend of 26 scientifically proven ingredients that have been used in therapeutic medicine for over 16 years.

How Does ExtenZe Work?

ExtenZe increases testosterone production within the body, which helps increase sexual performance and stamina. The active ingredients in ExtenZe also boost nitric oxide production, which helps increase blood flow within the body, especially to the penis, for bigger, harder and longer erections.

What Does ExtenZe Contain?

The original ExtenZe male enhancement formula is an exclusive blend of the following active ingredients:

• Zinc
• Folate
• Black Pepper
• Horny Goat Weed
• Tribulus Terrestris
• Korean Red Ginseng
• Turnera diffusa (Damiana)
• Muira Puama
• Astragalus Root
• Stinging Nettle
• Hops
• Yohimbe or Yohimbine
• L-arginine
• Pregnenolone
• Dehydroepiandrosterone (DHEA)

How Often Should I Take ExtenZe?

Just take a single pill every day and see results within a month. For liquids, you can take them whenever you want to attain an erection for enhanced pleasure and performance.

Remember: ExtenZe is not a magic pill that can provide an immediate erection just before having sex.

The pills work overtime to enhance blood flow to the penis so that you can attain and sustain an erection whenever and wherever you want.

What Should I Do for Best Results?

Since it is a dietary supplement, taking one tablet every day in the morning with breakfast will produce best results. Store at 59-86 degrees Fahrenheit (15-30oC).

When Will I Start To See Results From ExtenZe?

Every individual is different; some experience results straight away, and for others, it can take up to eight weeks for the supplement to take maximum effect.

But as a general rule, the pills should be taken regularly every day.

Does ExtenZe Work for Everyone?

Yes, we believe the product works in most cases, even though individual results may vary. ExtenZe was developed for men above the age of 18 to enhance sexual performance and easily attain and sustain erections.

Are there Any Side Effects?

No clinical studies have been performed to validate whether ExtenZe is completely safe and free of any adverse side effects.

Always consult a physician before using the product, and also read the label carefully to make sure you’re not allergic to any active ingredient(s).

Does ExtenZe Come with a Guarantee?

Yes, there’s a 100% money-back guarantee. If you’re not satisfied with the results of the supplement, you can simply contact customer service from the official website and avail a full refund – no questions asked.

Can ExtenZe Make My Penis Bigger?

No, at least not permanently. Here’s why.

The penis consists of two tubes of spongy tissue known as the corpus cavernosum, and this amount of spongy tissue is fixed once puberty ends.

During an erection, these tubes fill with blood, making the penis stiff and enlarged. Once the blood drains, the penis relaxes and shrinks.

The amount of spongy tissue is what determines the size of an erection, and since it is already set, there is nothing any pill can do to increase it.

ExtenZe contains ingredients that help you get in the mood for sex, attain an erection faster, and achieve one that is firmer than normal.

But it cannot enlarge the corpus cavernosum and make your penis permanently bigger.

How Can I Contact You?

We are committed to providing only the best quality products and friendliest customer service.

If you have any questions about ordering, or a query about any of our male enhancement products, feel free to contact a customer service representative from the information provided on the official website.

David Kessler, MD

David is a certified personal trainer, a licensed clinical pharmacist, and a practicing rheumatologist and immunologist for 7 years.



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