Home Supplements How We Rate Blog
Tribulus terrestris

Tribulus Terrestris

Research reviewed: up until 03/23

Tribulus Terrestris (Tribulus terrestris) is a dietary supplement with 7 published peer-reviewed studies involving 540 participants, researched for Low Testosterone & Erectile Dysfunction, Sexual Function (postmenopausal women), Blood sugar.

7
Studies
540
Participants
2014–2019
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Strong Evidence

Low Testosterone & Erectile Dysfunction

Strong
5 studies 3 of 5 positive 382 participants

Sexual Function (postmenopausal women)

Moderate
1 study 1 of 1 positive 60 participants

Blood sugar

Moderate
1 study 1 of 1 positive 98 participants

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

5/7
Randomised
4/7
Double-Blind
5/7
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2019)
70
Study 2 (2016)
30
Study 3 (2017)
152
Study 1 (2017)
65
Study 2 (2017)
65
Study 1 (2014)
60
Study 4 (2016)
98

Research Timeline

When the studies were published

1
2014
2
2016
3
2017
1
2019

All Studies

Detailed breakdown of each trial. Click to expand.

Low Testosterone & Erectile Dysfunction

1

To evaluate the efficacy and safety profiles of Tribulus terrestris in ageing males with partial androgen deficiency, erectile dysfunction and lower urinary tract symptoms. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

2019 70 participants 3 months 750 mg/day
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled clinical trial

Purpose

To evaluate the efficacy and safety profiles of Tribulus terrestris in ageing males with partial androgen deficiency, erectile dysfunction and lower urinary tract symptoms. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

Dose

750 mg/day

Participants

70 men with erectile dysfunction

Duration

3 months

Results

A significant association was found between Tribulus supplementation and increased total testosterone and erectile function. The placebo group did not experience any significant change in any parameter.

Read full study
2

To assess the effects of Tribulus terrestris in males with partial androgen deficiency. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

2016 30 participants 3 months 750 mg/day
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled clinical trial

Purpose

To assess the effects of Tribulus terrestris in males with partial androgen deficiency. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

Dose

750 mg/day

Participants

30 men with partial androgen deficiency, erectile dysfunction, and low libido

Duration

3 months

Results

A significant association was found between Tribulus supplementation and increases in testosterone and free testosterone. Erectile dysfunction scores also improved after Tribulus supplementation.

Read full study
3

To compare the efficacy of Tribulus terrestris extracts for the treatment of men with erectile dysfunction. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

2017 152 participants 12 weeks 750 mg/day
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled clinical trial

Purpose

To compare the efficacy of Tribulus terrestris extracts for the treatment of men with erectile dysfunction. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

Dose

750 mg/day

Participants

152 men aged between 18 and 65 years with mild or moderate erectile dysfunction

Duration

12 weeks

Results

Erectile function improved significantly in the group taking Tribulus. This was based on their questionnaire answers. A statistically significant difference was found between the Tribulus and placebo groups for intercourse satisfaction, orgasmic function, sexual desire and overall satisfaction, in favour of Tribulus.

Read full study
1

Body fat percentage, lean muscle mass gain, fluctuation in steroid hormone levels and all semen parameters were analysed during the period of treatment. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

2017 65 participants 12 weeks 750 mg/day
Human Study Positive

Study Type

Clinical trial (uncontrolled)

Purpose

Body fat percentage, lean muscle mass gain, fluctuation in steroid hormone levels and all semen parameters were analysed during the period of treatment. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

Dose

750 mg/day

Participants

65 men with abnormal semen evaluation

Duration

12 weeks

Results

At the end of treatment, there was a significant increase in sperm concentration, motility and liquefaction time. No significant difference in sperm morphology or ejaculate volume was observed. The study also found an association between Tribulus supplementation and a significant increase in lean tissue and a reduction in body fat percentage. Serum DHT (dihydrotestosterone) also increased significantly. DHT has been found to increase erectile function in rats.

Read full study
2

Body fat percentage, lean muscle mass gain, fluctuation in steroid hormone levels and all semen parameters were analysed during the period of treatment. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

2017 65 participants 12 weeks 750 mg/day
Human Study Mixed

Study Type

Clinical trial (uncontrolled)

Purpose

Body fat percentage, lean muscle mass gain, fluctuation in steroid hormone levels and all semen parameters were analysed during the period of treatment. Measurement methods: A questionnaire was used to evaluate erectile function and blood samples were used to establish testosterone levels.

Dose

750 mg/day

Participants

65 men with abnormal semen evaluation

Duration

12 weeks

Results

6g of tribulus root daily for 60 days in persons with low sperm count appeared to improve erectile properties and frequency of coitis as well as reducing weakness (improving fatigue). In these men, an increase in testosterone was noted (16.3%) but failed to reach statistical significance.

Read full study

Sexual Function (postmenopausal women)

1

To evaluate the effect of Tribulus on women with hypoactive sexual desire disorder. Measurement methods: A questionnaire was used to evaluate sexual function.

2014 60 participants 4 weeks
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled clinical trial

Purpose

To evaluate the effect of Tribulus on women with hypoactive sexual desire disorder. Measurement methods: A questionnaire was used to evaluate sexual function.

Participants

60 women of childbearing age

Duration

4 weeks

Results

At the end of the 4th week, women taking Tribulus reported significant improvement in the sexual function questionnaires regarding desire, arousal, lubrication, satisfaction and pain. Only 1 patient reported mild abdominal cramp.

Read full study

Blood sugar

4

To evaluate the efficacy of Tribulus terrestris on the serum glucose and lipid profile of women with diabetes. Methods of evaluation: Patients were evaluated in terms of the fasting blood glucose, glucose 2 hours after meals, glycosylated haemoglobin (which indicates the average level of blood sugar over the past 2 to 3 months) and the lipid profile (blood lipid levels are generally used as indicators of the risk of cardiovascular disease).

2016 98 participants 3 months 1000 mg/day
Human Study RCT Placebo Positive

Study Type

Randomised placebo-controlled clinical trial

Purpose

To evaluate the efficacy of Tribulus terrestris on the serum glucose and lipid profile of women with diabetes. Methods of evaluation: Patients were evaluated in terms of the fasting blood glucose, glucose 2 hours after meals, glycosylated haemoglobin (which indicates the average level of blood sugar over the past 2 to 3 months) and the lipid profile (blood lipid levels are generally used as indicators of the risk of cardiovascular disease).

Dose

1000 mg/day

Participants

98 diabetic women

Duration

3 months

Results

Tribulus supplementation was associated with a significant reduction in blood glucose compared to placebo. It was also associated with a significant reduction in total cholesterol and low-density lipoprotein (reductions in low-density lipoprotein are correlated with a lower risk of cardiovascular disease).

Read full study

Frequently Asked Questions

Common questions about Tribulus Terrestris research

What does the research say about Tribulus Terrestris?

There are currently 7 peer-reviewed studies on Tribulus Terrestris (Tribulus terrestris), involving 540 total participants. Research covers Low Testosterone & Erectile Dysfunction, Sexual Function (postmenopausal women), Blood sugar. The overall evidence strength is rated as Strong.

How strong is the evidence for Tribulus Terrestris?

The evidence is currently rated as "Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (7 human studies), and reported outcomes.

What health goals has Tribulus Terrestris been studied for?

Tribulus Terrestris has been researched for: Low Testosterone & Erectile Dysfunction, Sexual Function (postmenopausal women), Blood sugar. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Tribulus Terrestris based on human trials?

Yes, 7 out of 7 studies are human trials. Human trials carry more weight in our evidence scoring system.