PlainPill

Cistanche vs Tribulus for libido

Short answer: For libido, more users report improvement with Tribulus — 86% of 51 reports, versus 80% of 51 for Cistanche.

Cistanche has 4 meta-analyses and 6 randomized trials on PubMed; Tribulus has 13 and 34.

Based on 321 reports about Cistanche and 216 about Tribulus. Not medical advice.

Cistanche
Supplement
Tribulus
Supplement
Users say it helped66%helped132 reports · high confidence41%helped99 reports · medium confidence
Verdict
Mostly positive
Mixed
ResearchBResearch: ModerateAResearch: Strong
Meta-analyses / RCTs4 / 613 / 34
Mainly used for
Libido
% reporting improvement
80% (51)86% (51)
Mood
% reporting improvement
73% (41)75% (24)
Hormones
% reporting improvement
82% (40)60% (20)
Energy
% reporting improvement
67% (30)100% (16)
Anxiety
% reporting improvement
88% (25)20% (5)
Common side effectsfatigue, anhedonia, drowsiness, hair lossanxiety, aggression, irritability, insomnia
Typical dose reported210 mg / daily1 Cap / daily
Cistanche
Latest review conclusion

Dietary supplements have a positive impact on hair density, terminal hair density, and blind doctor evaluations in patients with androgenetic alopecia, with good tolerability. They may serve as beneficial adjuncts or alternatives to conventional treatments. Future large-scale, high-quality RCTs are needed to verify these findings.

Front Nutr, 2025 ↗
What a user said
“Cistanche extract increases my drive, energy and vigor. It makes me want to attack life. I get better sleep...My work ethic has improved. My memory. my attitude towards life. Every facet of my life has been altered in a positive meaningful way.”
Full Cistanche profile →
Tribulus
Latest review conclusion

Based on the scoring system, 2 (8%) supplements matched with the cluster of higher expected efficacy, 3 (12%) with the lower efficacy cluster and 20 (80%) matched with the criterion of no expected efficacy. DSs marketed in Italy are usually blends of many substances that are frequently employed at a negligible dose or without any evidence.

Nutrients, 2023 ↗
What a user said
“i feel good on nd trib, even double dose and no sleep issue.”
Full Tribulus profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate