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Supplement × Prescription·Evidence index

Testosterone and Tribulus Terrestris: what the research found

PubMed indexes 8 records that name Testosterone and Tribulus Terrestris together, either in the title or in an interaction, co-administration, or pharmacokinetic context. The key findings come first, in the authors’ own words, followed by every study with its design and PubMed link.

A summary of published research, not medical advice. A pharmacist can check any combination against your full list of medicines and supplements.

Key findings

What the studies concluded.

Reviews and human studies first. Each quote is the authors’ own conclusion about their study, not a NutriStack assessment, and a single study is not a consensus.

“Therefore, only 2 studies showed significant intra-group increase in total testosterone levels, which had low clinical magnitude (60-70 ng/dL) and involved subjects with hypogonadism. Conclusions: TT supplementation has a low level of evidence regarding its effectiveness in improving erectile function in men with erectile dysfunction, and no robust evidence was found for increasing testosterone levels.”

Vilar Neto et al. · 2025 · Review or meta-analysis · details

“Scientific evidence supports the use of mucuna and ashwagandha as phytotherapics for improving serum T concentrations and semen parameters. Despite inconclusive evidence for use of tribulus as a T booster, it may provide advantageous effects on sperm parameters in men with idiopathic infertility. Nutraceutical strategies and some phytotherapics may also be effective to promote prostate health.”

Santos et al. · 2019 · Human study · details

“In addition, no statistically significant correlations were observed between testosterone (free and total) and LH and semen parameters before and after the treatment. Tribulus terrestris was ineffective in the treatment of idiopathic infertility.”

The research

8 studies naming Testosterone and Tribulus Terrestris.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Effects of Tribulus (Tribulus terrestris L.) Supplementation on Erectile Dysfunction and Testosterone Levels in Men-A Systematic Review of Clinical Trials.

Nutrients · 2025 · PMID 40219032

Systematic ReviewHuman subjects

“Therefore, only 2 studies showed significant intra-group increase in total testosterone levels, which had low clinical magnitude (60-70 ng/dL) and involved subjects with hypogonadism. Conclusions: TT supplementation has a low level of evidence regarding its effectiveness in improving erectile function in men with erectile dysfunction, and no robust evidence was found for increasing testosterone levels.”

Vilar Neto et al. · From the abstract

Names both Testosterone and Tribulus Terrestris in its title.

Prospective Analysis on the Effect of Botanical Medicine (Tribulus terrestris) on Serum Testosterone Level and Semen Parameters in Males with Unexplained Infertility.

Journal of dietary supplements · 2017 · PMID 27337519

Randomized Controlled Trial

“In addition, no statistically significant correlations were observed between testosterone (free and total) and LH and semen parameters before and after the treatment. Tribulus terrestris was ineffective in the treatment of idiopathic infertility.”

Roaiah et al. · From the abstract

Names both Testosterone and Tribulus Terrestris in its title.

Beyond tribulus (Tribulus terrestris L.): The effects of phytotherapics on testosterone, sperm and prostate parameters.

Journal of ethnopharmacology · 2019 · PMID 30790614

ReviewHuman subjects

“Scientific evidence supports the use of mucuna and ashwagandha as phytotherapics for improving serum T concentrations and semen parameters. Despite inconclusive evidence for use of tribulus as a T booster, it may provide advantageous effects on sperm parameters in men with idiopathic infertility. Nutraceutical strategies and some phytotherapics may also be effective to promote prostate health.”

Santos et al. · Authors' conclusion

Names both Testosterone and Tribulus Terrestris in its title.

Pilot Study on the Effect of Botanical Medicine (Tribulus terrestris) on Serum Testosterone Level and Erectile Function in Aging Males With Partial Androgen Deficiency (PADAM).

Journal of sex & marital therapy · 2016 · PMID 25849625

Human subjects

“Results showed a statistically significant difference in the level of testosterone (total and free) and IIEF-5, but no statistically significant difference in the level of LH before and after treatment. Also, the study showed statistically significant correlation between testosterone (total and free) and IIEF-5, but no statistically significant correlation between the level of LH and the IIEF-5 before and after treatment.”

Roaiah et al. · From the abstract

Names both Testosterone and Tribulus Terrestris in its title.

Free serum testosterone level in male rats treated with Tribulus alatus extracts.

International braz j urol : official journal of the Brazilian Society of Urology · 2007 · PMID 17767762

Animal study

“Tribulus alatus extract appears to possess aphrodisiac activity due to its androgen increasing property.”

El-Tantawy et al. · Authors' conclusion

Names both Testosterone and Tribulus Terrestris in its title.

The Effects of 6 Weeks of Tribulus terrestris L. Supplementation on Body Composition, Hormonal Response, Perceived Exertion, and CrossFit(®) Performance: A Randomized, Single-Blind, Placebo-Controlled Study.

Nutrients · 2021 · PMID 34836225

Randomized Controlled Trial

“TT supplementation did not impact enhance performance or body composition in CrossFit® male athletes. However, TT supplementation may act as a testosterone booster helping the recovery after physical loads and mitigating fatigue.”

Fernández-Lázaro et al. · From the abstract

Names Testosterone and Tribulus Terrestris together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

How to read this page

A literature summary, not guidance.

NutriStack

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NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Testosterone, Tribulus Terrestris, and several hundred other substances.

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