Phytotherapy belongs to the area of CAM and the definition of phytotherapy is the use of plants or plant extracts for medicinal uses. Phytotherapy is used by a number of patients with urological disease, and urologists need to have accurate knowledge about phytotherapy as well as keep a cautious approach. No solid evidence showing better effective treatment modality for ED than placebo has been found yet for phytotherapy. Phytotherapy for BPH including saw palmetto, pygeum, and nettles, is under vigorous research for the therapeutic effect. Interest in phytotherapy is growing in both Asian and western countries for its use in the prevention and management of disease, improvement of general health and anti-aging. Phytotherapy belongs to the area of complementary and alternative medicine (CAM) and the definition of phytotherapy is the use of plants or plant extracts for medicinal uses. However, it’s important to note that this study was conducted on rodents and its findings may not apply to humans. They have shared its effectiveness for improving libido and erectile function, remedying polyuria (excess urinary output), and for supporting general prostate health. I would argue we should consider and evaluate any and all vectors available to us for supporting healthy levels of testosterone. With low testosterone being a primary cause of decreased sexual health, we can now see the mechanisms with which Pygeum may assist in supporting a healthy libido and optimal T levels. If Pygeum has the potential to gently and mildly inhibit this vector of steroid metabolism, it could potentially support healthy levels of testosterone. Pygeum is thought to support healthy testosterone levels through the mechanism of 5 alpha-reductase inhibition and aromatase inhibition. The bark has been used to treat wounds, fever, mental health distress, urinary disruption, kidney dysfunction, and countless other ailments. Keep in mind that the safety profile of pygeum extract is relatively unknown, given the lack of well-designed clinical studies. By blocking the production of dihydrotestosterone and the interaction of male sex hormones with their receptor, pygeum extract may reduce the incidence of acne 44, 16, 15. Because pygeum extract decreases dihydrotestosterone production by blocking 5 alpha-reductase, it may prevent hair loss caused by this sex male hormone . The global prostate health supplement market is projected to surpass $2.8 billion by 2026, per Allied Market Research, reflecting the growing demand for natural alternatives to pharmaceutical interventions that often come burdened with unwanted sexual and urinary side effects. Most of us understand that maintaining healthy levels of testosterone is essential for male wellbeing. Compared with the pygeum extract, saw palmetto produces a greater reduction of symptoms and is better tolerated by the body. So, pygeum extract is good for the treatment of erectile dysfunction. The pygeum extract enhances the testosterone production and reduces testicular inflammation.