FAQ: The Benefits and Mechanism of Tongkat Ali

Tongkat Ali is a natural herbal medicine that has received a lot of attention from researchers and those who want to improve testosterone hormone.

Not only has it shown positive results in supporting the improvement of this hormone level, this ingredient can also improve mood, increase insulin sensitivity and many other uses.

The following article shares in detail the benefits and mechanism of action of Tongkat Ali.

1. Does Tongkat Ali Increase Testosterone?

Tongkat Ali may help boost testosterone levels. Studies show that patients taking Tongkat Ali for a few weeks experienced improvements [1].

This effect is linked to its ability to lower cortisol, supporting more stable testosterone production. Research also suggests it can release free testosterone from binding proteins, increasing available testosterone in the body [2].

2. How Long Does Tongkat Ali Take to Increase Testosterone?

Tongkat Ali’s testosterone-boosting effects are not immediate; results may take weeks to months depending on factors like body type, gender, and health.

For example, a 2014 study by Ralf R Henkel found that 13 men and 12 women aged 57–72 who took 400mg of Tongkat Ali extract daily for 5 weeks showed a clear increase in hormone levels [3].

3. How Much Does Tongkat Ali Increase Testosterone?

A 2021 study showed Tongkat Ali could raise testosterone levels in men by 37% after 4 weeks of use (Shawn M Talbott, 2013) [2].

Another study confirmed total testosterone increased by up to 15%, while free testosterone rose by 34% compared to baseline [4]. However, actual results vary depending on individual physiology, usage, lifestyle, and daily nutrition.

4. How Quickly Does Tongkat Ali Increase Testosterone?

Testosterone doesn’t increase immediately after taking Tongkat Ali—it takes at least 2 weeks (Sasikala M Chinnappan, 2021). Most studies show results within 4–8 weeks, with stronger effects after 12 weeks [4].

5. What Is the Best Tongkat Ali to Help Produce Testosterone?

There’s no single answer to which Tongkat Ali is the best. For safety, choose supplements made with pure, natural Tongkat Ali—check ingredient labels carefully for unnecessary fillers.

Also, prioritize products with verified sourcing, transparent origins, and safety certifications such as FDA approval and third-party testing.

6. Does Tongkat Ali Actually Increase Testosterone Levels or Just Release Bound Testosterone?

Tongkat Ali may influence both total and free testosterone, though research has yet to confirm which effect is more significant.

In older adults (50–70), a study found that taking 100–200mg of extract daily for 12 weeks increased total testosterone and reduced SHBG levels—a liver-produced protein that binds sex hormones like testosterone, DHT, and estradiol [5]. However, in healthy individuals, the effect was less noticeable [4].

7. Why Did My Free Testosterone Rise Again After Stopping Tongkat Ali?

Testosterone levels may remain elevated even after stopping Tongkat Ali because it naturally lowers sex hormone-binding globulin (SHBG).

As SHBG levels return to normal, free testosterone stays higher. At the same time, this herb supports the hypothalamus–pituitary–gonadal axis, helping the body maintain testosterone production.

8. How Can I Check My Testosterone Levels While Taking Tongkat Ali?

You should get a blood test at a trusted laboratory to measure total testosterone, and possibly free testosterone as well. For the most accurate results, fast overnight before the test.

9. Can Abusing Tongkat Ali Lower Your Natural Testosterone Levels if You’re Young?

There’s no evidence that Tongkat Ali lowers testosterone in younger people, but research also doesn’t confirm it boosts levels in those already healthy.

Tongkat Ali isn’t a “magic” ingredient that makes the body produce more testosterone—it mainly works by releasing existing hormones from the gonads. That’s why it’s most effective for older adults or those with low testosterone caused by lifestyle, diet.*

10. Does Tongkat Ali Actually Increase Both Total and Free Testosterone?

It’s possible, but the results depend on individual factors, dosage, diet, and lifestyle.

A 2022 study by Kristian Leisegang showed that older men with high stress and low testosterone who took 200–600mg daily for 12 weeks experienced improvements [6]. However, studies on young healthy men found no significant effects [4].

11. Should I Track My Testosterone Levels While Taking Tongkat Ali or Fadogia Agrestis?

Absolutely. You should track your response to see which product works best for your body. If testosterone rises steadily, stays stable, and you feel fine, you can continue under medical guidance.

If results are weak, consider switching to another option. Ideally, get tested once before starting and again after at least 4 weeks of use.

12. Does Tongkat Ali Maintain Testosterone Levels Over Several Years of Use?

Currently, there isn’t enough evidence to confirm whether Tongkat Ali can maintain stable testosterone levels over years of continuous use.

Most studies only show results after weeks or months, but not how long they last. For this reason, it’s best to consult your doctor for guidance on safe dosage and duration.

13. How Does Tongkat Ali Affect Testosterone, Estrogen, SHBG, and Cortisol Levels?

When consumed, Tongkat Ali works by lowering SHBG, cortisol, and estrogen, which helps increase both total and free testosterone.

Research also shows it may enhance the HPG axis, stimulate Leydig cells to produce more testosterone, and inhibit aromatase—the enzyme that converts testosterone (Gulnur Kizilay, 2021).

14. Does Tongkat Ali Free Up Bound Testosterone or Stimulate New Testosterone Production?

Tongkat Ali is especially effective at releasing testosterone bound to SHBG, thereby increasing free testosterone.

It has also been shown to stimulate the hypothalamus–pituitary–gonadal (HPG) axis, boosting overall testosterone production. This helps explain why its impact is limited in healthy individuals with already stable testosterone levels.

15. How Much of an Increase in Testosterone Is Realistic With Tongkat Ali?

In reality, testosterone increases vary widely—most people see a rise of about 30–65%, while some experience no change at all. Results also depend heavily on individual diet and exercise habits.*

16. Why Does Tongkat Ali Seem to Reduce Sugar Cravings—Could That Be Linked to Higher Testosterone?

Tongkat Ali may partly increase pancreatic beta cells—the source of insulin—thereby improving insulin sensitivity.

It also helps lower and stabilize blood sugar, reducing the risk of insulin resistance [2, 8]. These effects suggest it may curb cravings, especially during fatigue or stress.

17. Does Tongkat Ali Give You Energy?

Yes. Tongkat Ali can improve endurance and help the body use stored energy more efficiently, thanks to its quassinoid compounds [15, 4].

In 2016, a study by Thasanee Khanijo on 12 recreational athletes found that taking two 150mg E. longifolia capsules daily for 5 weeks increased lean mass, muscle strength, and size—without causing any adverse effects on liver or kidney function [9].

18. Will the Surge of Energy From Tongkat Ali Last or Is It Just Temporary?

Since Tongkat Ali takes time to show effects, benefits may last for a while rather than disappearing immediately after stopping. However, no research confirms whether results are permanent or only temporary.

Recommendations suggest using it for at least 2–4 weeks, ideally 6–8 weeks, to fully experience its benefits [4].

19. Does Tongkat Ali Help With Energy Levels and Sleep Quality?

There’s no formal research yet, but Tongkat Ali may ease fatigue and stress, making it easier to fall asleep and improve sleep quality. Balanced hormones also support better rest and reduce insomnia.

A Reddit discussion even noted some users experienced better sleep after just one week, though results vary by individual.*

20. Does Tongkat Ali Actually Help With Energy, Libido, and Confidence, or Is It Overhyped?

Current research is limited, so nothing can be confirmed yet. However, since testosterone is primarily produced in the testes, stable levels—along with mood improvements from Tongkat Ali—can enhance sexual health and naturally boost men’s confidence.

21. Does Tongkat Ali Boost Energy or Recovery for MMA or High-Intensity Sports?

The review Ergogenic Effect of Long Jack, Eurycoma Longifolia found that Tongkat Ali can boost muscle strength without harming the liver in athletes [9].

However, whether long-term use over several years is truly safe and effective for athletes remains uncertain, as results vary depending on individual physiology.

22. Can Tongkat Ali Help Reverse Libido or Testosterone Issues Caused by Finasteride?

There’s no direct evidence that Tongkat Ali can reverse sexual desire or testosterone issues caused by finasteride.

However, most studies show it supports improved testosterone levels, so if reduced libido is linked to low testosterone, it may help address the problem [1].

23. Does Tongkat Ali Actually Help With Low Libido or Erectile Function?

Yes. Tongkat Ali directly influences testosterone, the key sex hormone, so low libido caused by reduced levels may be improved [10]. Additionally, by easing stress and enhancing mood, it helps users feel more relaxed—further supporting better sexual desire.

24. Can Tongkat Ali Help Restore Libido After Lifestyle Improvements Like Better Sleep, Diet, and Exercise?

Yes. Alongside proper use of this herb, combining it with a balanced diet and healthy lifestyle can make the effects faster and more noticeable, as all these factors support testosterone production and stability in the body [2].

25. Why Do I Feel More Confident, Energetic, and Motivated When Taking Tongkat Ali?

This herb helps improve mood by lowering cortisol—the hormone tied to stress, low energy, and poor confidence—while also providing eurypeptides.

With the right daily dosage and consistent use under medical guidance, you’ll likely feel more energized, confident, and relaxed over time.

26. Does Tongkat Ali Help Lose Weight?

Yes. Tongkat Ali indirectly supports weight management by reducing cortisol, a hormone that drives stress, sugar cravings, and fat storage. When combined with a healthy diet and exercise, it can help you achieve and maintain a stronger, leaner physique.

27. Does Tongkat Ali Increase Bone Density?

Yes. This herb has been shown to stimulate bone-forming cells (such as osteocalcin [OCN], RUNX-2, and BMP-2) while promoting apoptosis in bone-resorbing cells. Its strong antioxidant properties also help protect against osteoporosis [11].

28. Does Tongkat Ali Increase Fertility?

Absolutely. Tongkat Ali may boost fertility by improving sperm quality and restoring testosterone—key for male sexual health, reducing risks of low libido and erectile dysfunction [12].

However, avoid overuse, as excessive intake could interfere with the body’s natural hormone production.

29. Does Tongkat Ali Have Any Long-Term Impact on Fertility or Reproductive Hormones?

Current scientific evidence shows no strong or conclusive long-term effects of Tongkat Ali (Eurycoma longifolia) on fertility or reproductive hormones in humans.

For those concerned about long-term fertility or hormonal health, it is advisable to consult healthcare professionals and use herbal supplements with caution, especially at high doses or over extended periods.

30. Is Tongkat Ali Good for the Heart?

Although Tongkat Ali contains many good antioxidants, it is not enough to confirm that it is good for the heart.

If you have cardiovascular problems, you should consult your doctor or a reputable nutritionist about using products containing this ingredient to ensure safety.

31. Does Tongkat Ali Increase Growth Hormone?

Although it does not directly affect growth hormone, Tongkat Ali has some impact on bones and mood. When bones are strong and muscles are toned, users can improve their height and physique.

At the same time, a good mood also improves the ability to absorb nutrients, so it is favorable for physical development.

32. Does Tongkat Ali Increase Size?

Tongkat Ali does not directly increase body size, but contributes to improving bone and muscle strength. Thereby, users can support the training process to increase height, increase muscle,...

Moreover, Tongkat Ali has the ability to increase testosterone - an important hormone for the development of muscle mass in men, indirectly maintaining muscle and developing height and weight.

33. Does Tongkat Ali Increase Testicular Size?

Tongkat Ali does not show any effect on the size of male reproductive organs, but only supports activity and function. Normally, testicular size depends on many factors such as each person's constitution, genetics, environmental temperature, age, health status,...

34. Does Tongkat Ali Increase Libido?

Tongkat Ali helps increase sexual desire, especially in men, when it helps increase testosterone levels. At the same time, this herb also limits stress - a common cause of decreased sexual desire or erectile dysfunction.

35. Why Don’t I Feel a Boost in Sex Drive From Tongkat Ali Even Though I’m Young?

There are many reasons why you don't have sexual desire. Typically, psychological, underlying health conditions, poor diet leading to sperm production, testicular function problems,...

And testosterone deficiency and stress are just some of them. If related to these two factors, using Tongkat Ali can partially support, but other reasons may not give the expected results.

36. How Strong Are the Libido and Sexual Performance Effects Reported With Tongkat Ali?

Tongkat Ali is not a definitive solution that works best if you have problems with sexual desire or performance, but rather a supportive approach. To improve, it is best to consult a doctor to determine the exact cause, from which to have an appropriate treatment.

37. Does Tongkat Ali Improve Libido and Sexual Performance Consistently?

The results of how Tongkat Ali affects each person's sexual health depends on many factors. At the same time, the number of studies confirming the benefits of improving sexual desire and ability with this herb is also quite limited.

38. Does Tongkat Ali Increase Sperm Count?

Maybe. Tongkat Ali contains many bioactives that have the effect of improving the quantity, even the quality and viability of sperm.

A 2010 study on 350 patients with spontaneous infertility, using 200mg of extract/day, 3 times/month and for 9 months, gave quite positive results when 75 patients improved this condition [12].

39. Does Tongkat Ali Increase Dopamine?

Yes, studies suggest that compounds in Tongkat Ali may positively influence dopamine levels — a neurotransmitter closely associated with mood and motivation.

One study found that Tongkat Ali extract administered to rats increased dopamine concentrations in the cerebral cortex and hippocampus (Ezzat, et al. 2019) [13].

This effect is attributed to a compound called eurycomanone, which supports dopamine production, potentially enhancing mood and focus.

However, most of these findings are derived from experimental models, and the specific effects in humans still require further confirmation through controlled investigation.

40. Does Tongkat Ali Increase Nitric Oxide?

So far, there is no clear evidence that Tongkat Ali directly increases nitric oxide (NO) in the body. Therefore, its vascular effects, particularly those related to vasodilation, appear to occur through different pathways rather than the NO-mediated mechanism.

An animal model confirmed this, showing that NO elevation was not associated with Tongkat Ali (RH, et al. 2014) [14].

This suggests that the health-related benefits of Tongkat Ali, such as improved erectile function, testosterone regulation, and antioxidant activity, are likely achieved through other mechanisms, including enzyme inhibition, modulation of calcium ion release, and hormone regulation — rather than through direct NO enhancement.

However, more human studies are needed to confirm whether Tongkat Ali affects nitric oxide levels.

41. Does Tongkat Ali Block Estrogen?

Yes, Tongkat Ali appears to influence estrogen activity in men by reducing its synthesis and metabolism. This occurs indirectly through inhibition of aromatase, an enzyme that converts testosterone into estrogen.

In other words, compounds in Tongkat Ali exhibit anti-estrogenic properties, suppressing the activity of this enzyme, helping balance androgen and estrogen levels, supporting testosterone concentrations, and potentially aiding male reproductive function (Low et al. 2013) [3].

For example, an animal study showed that standardized Tongkat Ali extract demonstrated anti-estrogenic activity by reducing the risk of uterine hypertrophy induced by synthetic estrogen (Rehman et al. 2016) [4].

This indicates that Tongkat Ali may counteract some estrogenic effects through aromatase inhibition and resistance to exogenous estrogen, contributing to hormone balance.

That said, most available data are centered on hormone changes in men or deficiency models. In humans, there is not yet sufficient evidence to confirm a direct reduction of estrogen levels by Tongkat Ali.

42. Does Tongkat Ali Lower SHBG?

Yes, but the effect is generally minimal. Most human investigations to date indicate that Tongkat Ali does not significantly impact SHBG (sex hormone-binding globulin) levels in the blood.

A review summarizing available data reported that in 6 out of 9 trials, no meaningful change in SHBG was observed after supplementation (Leisegang et al. 2022) [17].

However, 3 out of 9 studies did note a modest reduction or slight variation in SHBG, which could indirectly increase free testosterone.

Still, the overall effect was not consistent or strongly significant. This suggests there may be some potential for Tongkat Ali to influence SHBG, but stronger confirmation is still needed.

43. Does Tongkat Ali Lower Cortisol?

Yes, Tongkat Ali has been associated with lowering cortisol levels. Evidence indicates that Tongkat Ali may help reduce cortisol in individuals experiencing mild stress.

For instance, a study (Talbott et al. 2013) [18] found that daily supplementation of 200 mg for 4 weeks resulted in a roughly 16% decrease in cortisol levels, suggesting a possible role in stress hormone balance.

However, not all findings align. Another investigation (Antonio, et al. 2024) [19] conducted on resistance-trained individuals using 400 mg/day for 4 weeks did not observe any significant difference in cortisol between the Tongkat Ali group and placebo.

Therefore, the cortisol-lowering effect may depend on the study population and dosage. Overall, some trials report that Tongkat Ali reduces cortisol, along with feelings of tension, anger, and confusion. Still, to fully establish this effect, more in-depth human research is required.

44. How Much Tongkat Ali for Bodybuilding?

Human studies have applied a wide range of Tongkat Ali doses, typically between 100–600 mg of standardized extract per day. The dosage used often varies depending on the intended purpose.

For investigations related to bodybuilding and the relationship between Tongkat Ali and testosterone levels in men engaged in resistance training, the intake has generally ranged from 200–400 mg per day (Antonio, et al. 2024).

Therefore, to support muscle development, a daily intake of around 200–400 mg of standardized Tongkat Ali is commonly suggested, depending on individual health status and goals.

It is worth noting that some individuals prefer using Tongkat Ali in cycles — meaning they take it for a certain period and then pause. For those who use it continuously, monitoring hormone levels and liver enzymes through testing may be considered to ensure long-term safety.

45. How Much Tongkat Ali per Day for Muscle Growth?

Similar to its role in exercise performance, the upper suggested dosage for muscle growth is about 400 mg/day of standardized extract.

In one report, an intake of 100 mg/day of Tongkat Ali extract for several weeks was associated with improvements in muscle mass and strength (Sareena, 2003).

That said, this finding came from an animal model, so more precise evidence is needed to confirm its effect on human muscle growth.

For safety and effectiveness, it is best to consult with a healthcare professional, start with a safe dose, and then adjust according to individual response.

Importantly, Tongkat Ali serves as a supportive factor and should not be considered a replacement for consistent training.

46. Where to Buy Tongkat Ali Muscle Mass?

To purchase Tongkat Ali safely, it is best to choose reputable suppliers that offer third-party testing and standardized extracts.

These supplements are available from multiple sources, including major online and physical retailers such as Amazon, Walmart, Target, and Instacart.

In addition, specialized supplement shops provide curated options, while official websites of supplement brands ensure authenticity and product transparency.

47. When to Take Tongkat Ali for Muscle Growth?

Currently, there are no specific recommendations on the exact timing of Tongkat Ali intake for optimal muscle growth. Most studies have administered it daily throughout the study period (typically 4–12 weeks) without emphasizing a precise schedule.

However, early morning hours, particularly between 7–10 AM, are when testosterone levels in men naturally peak [21]. For this reason, some may find it practical to take Tongkat Ali during this time window.

Additionally, since Tongkat Ali may have mild stimulating effects on certain neurohormones, daytime usage is preferable, as it helps avoid potential sleep disturbances at night.

48. Why Does My Muscle Tone Seem to Improve Faster When I Work Out While Using Tongkat Ali?

When training while taking Tongkat Ali, muscle results may appear faster due to its supportive effects on hormones.

Specifically, Tongkat Ali has been associated with increasing testosterone and reducing cortisol [15,18]. Elevated testosterone enhances muscle protein synthesis, fat reduction, and recovery after exercise, while lower cortisol reduces muscle stress and fatigue.

Moreover, some findings suggest that Tongkat Ali may increase strength and explosive power. For example, certain studies noted that Tongkat Ali supplementation was linked to greater “peak power” during resistance training (Atousa Hakamifard et al. 2019).

Combined, these mechanisms — higher testosterone and better exercise output — help explain why muscle development might seem quicker.

49. Does Tongkat Ali Help With Muscle Gains and Gym Performance for People With a Fast Metabolism?

At present, there is no specific evidence evaluating Tongkat Ali in individuals with a faster metabolic rate compared to others. Its known actions mainly involve increasing testosterone, lowering cortisol, and supporting strength and endurance.

Exercise results, however, depend heavily on multiple factors, including training style, nutrition, and baseline hormone levels. Therefore, Tongkat Ali plays a supplementary role rather than being the key determinant of muscle gains or exercise performance.

In short, while there is no scientific confirmation of differences in effect based on metabolic speed, there is also no evidence disputing the supportive role of Tongkat Ali in muscle health and exercise.

50. Does Tongkat Ali Really Improve Strength, Muscle Gain, and Athletic Performance?

Tongkat Ali shows potential for supporting strength and lean muscle mass, with some studies reporting favorable effects that may be linked to increases in testosterone. In practice, some users also share subjective improvements in strength and speed.*

However, findings remain limited and sometimes inconclusive, with several studies reporting no significant advantages. In particular, there has been no consistent improvement recorded in performance measures such as running, swimming, weightlifting, or pull-ups.

This means that while Tongkat Ali may offer benefits for some individuals, especially those with lower testosterone levels, it is not a guaranteed performance enhancer for everyone, and more extensive research is required to verify its athletic benefits.

51. Why Does Tongkat Ali Improve Strength and Gym Performance?

Tongkat Ali supports strength and exercise performance primarily through hormonal pathways.

First, it promotes higher testosterone levels by inhibiting aromatase, the enzyme that converts testosterone into estrogen (Low et al. 2013). Higher testosterone facilitates greater muscle growth and strength.

Second, Tongkat Ali helps reduce cortisol, the stress hormone, which supports recovery after training and sustains energy (Talbott et al. 2013).

Balanced hormone levels also improve sleep and overall recovery quality. Altogether, increased testosterone and reduced cortisol — combined with enhanced mood and motivation — explain why users often experience better strength and more effective workouts.

52. How Much of a Strength Boost Can I Expect From Tongkat Ali?

In practice, strength gains from Tongkat Ali are not always visibly noticeable, and it is difficult to obtain precise measurements of its effects.

Older individuals or those with low testosterone or hormonal imbalances may experience somewhat greater benefits, but there is still no solid evidence confirming consistent outcomes.

Therefore, the focus should remain on maintaining a healthy lifestyle and consistent training routine. It is unwise to expect immediate or dramatic changes solely from Tongkat Ali supplementation, as this may lead to misplaced expectations.

53. Does Tongkat Ali Help With Recovery and Energy Levels During Workouts?

Yes, Tongkat Ali may support workout energy and recovery by improving testosterone levels and reducing fatigue (Talbott et al. 2013). With lowered cortisol and elevated testosterone, the body experiences less stress, greater alertness, and faster recovery after training.

This balance may also help reduce the risk of overtraining by maintaining a healthier cortisol-to-testosterone ratio, while additionally promoting overall well-being through stress reduction and mood improvement.

The same report noted that Tongkat Ali enhanced the sense of vitality and motivation. Though relatively mild, these effects are worth noting regarding its role in recovery and energy enhancement.

54. Why Do Some People Experience Oily Skin or Restlessness While Using It?

Side effects such as oily skin or restlessness are largely related to the androgenic nature of Tongkat Ali. Since Tongkat Ali boosts testosterone, it may stimulate sebaceous glands, leading to oilier skin and even acne in some individuals (similar to external testosterone use).

As for restlessness, Tongkat Ali’s energizing and stimulating effects (partly through testosterone elevation and cortisol regulation) can cause sleep disturbances or agitation if taken late in the day or in high doses.

To minimize this, it is advisable to take it in the morning, avoid excessive dosing, or consider cycling (taking breaks between use).

In fact, aside from restlessness, some users have reported increased irritability after continuous daily use, prompting them to pause supplementation to restore mental balance.*

55. What Is the Mechanism of Tongkat Ali That Makes Me Feel Calmer and More Focused?

The main mechanism is its adaptogenic effect on stress-related hormones. Tongkat Ali reduces cortisol while raising testosterone, which may create a stronger and more confident mental state (Talbott et al. 2013).

It also interacts with important neurotransmitters, supporting mood regulation and cognitive function.

Furthermore, there is evidence that Tongkat Ali may enhance dopamine release in the brain — dopamine being the neurotransmitter linked to focus, motivation, and reward (Ezzat, et al. 2019).

The combined effect of lower cortisol with higher dopamine and testosterone helps users feel calmer, more alert, and mentally sharper when taking Tongkat Ali.

56. Does Tongkat Ali Burn Fat?

Some preclinical studies suggest that Tongkat Ali may help reduce lipid accumulation and increase fat breakdown.

For example, in a study on mice fed a high-fat diet, Tongkat Ali extract reduced triglyceride and fatty acid accumulation while promoting fat metabolism (Zhang et al. 2021).

These findings also suggested a role in regulating lipid metabolism, reducing fat storage, and supporting liver and blood lipid balance.

However, human trials confirming its fat-burning effect have not yet been widely published. The prevailing hypothesis is that Tongkat Ali may indirectly aid fat reduction by improving hormonal balance (higher testosterone, lower cortisol).

Still, further research in humans is necessary to validate these effects.

57. Does Tongkat Ali Help With Premature Ejaculation?

Currently, there is no strong scientific evidence that Tongkat Ali delays ejaculation in humans.

Although traditionally used as an aphrodisiac and supported by some studies for improving erectile function and sexual hormones (Rehman et al. 2016), direct evidence of its efficacy in addressing premature ejaculation (PE) remains very limited.

One study identified a compound in Tongkat Ali, 9-hydroxycanthin-6-one, which showed preliminary evidence of relaxing seminal vesicles and potentially delaying ejaculation, but more comprehensive human trials are needed to confirm its effect on PE (Chiou, et al. 2011) [24].

58. Does Tongkat Ali Increase Facial Hair?

There is no scientific data confirming that Tongkat Ali directly stimulates facial hair growth.

Biologically, since it increases testosterone, it may contribute to hair growth if there is an existing testosterone deficiency. However, the effect would likely be minimal unless hormone levels are abnormally low.

Additionally, most studies on Tongkat Ali have been conducted in adult men who already possess normal testosterone levels and facial hair, with no clinical reports of increased beard growth.

Overall, its impact on facial hair development appears limited and is unlikely to be significant except in cases of hormonal deficiency.

59. Does Tongkat Ali Make You Hard?

Tongkat Ali may help improve erectile function by increasing testosterone levels, enhancing libido, and supporting erection quality, particularly in men with low testosterone (Rehman et al. 2016) [4].

The compound 9-hydroxycanthin-6-one has also been shown experimentally to promote vasodilation in penile tissue, helping maintain erections (Chiou, et al. 2011).

That said, scientific evidence remains inconsistent, and findings are still debated in the medical community. Stronger clinical trials are needed to determine its effectiveness and any potential risks associated with its use.

60. Does Tongkat Ali Make You Horny?

Research suggests that Tongkat Ali may have aphrodisiac properties, although its effects vary from person to person. Traditionally, the root has long been used in herbal medicine to boost libido and address erectile dysfunction.

Modern studies provide supporting evidence that Tongkat Ali enhances sexual desire. For instance, in a hormone-monitoring study, it was reported to improve sex drive (Talbott et al. 2013). Users commonly describe feeling more aroused and confident during sexual activity.

Additionally, by increasing testosterone, Tongkat Ali further promotes libido, since testosterone is the key hormone driving male sexual desire. Altogether, many users report a significant rise in sexual interest when supplementing with Tongkat Ali.*

61. Can Tongkat Ali Improve Mood, Focus, and Confidence?

Some studies, as mentioned earlier, indicate that Tongkat Ali may improve mood and reduce stress, though direct evidence for its effects on focus and confidence is limited.

Its benefits are thought to come mainly from modulating stress hormones and supporting testosterone balance.

For example, in Talbott’s 2013 hormone-monitoring study, Tongkat Ali significantly reduced markers of tension, anger, and mood disturbances, while also lowering cortisol and increasing testosterone [18].

These effects suggest that users may feel calmer and more stable emotionally, though more robust data is needed to confirm its impact on focus and confidence.

62. Is There Solid Scientific Evidence Supporting Tongkat Ali’s Effects on Testosterone or Mood?

Yes. There is evidence supporting Tongkat Ali’s effects on testosterone and mood, although the strength of the findings varies across populations and outcomes.

Many of the studies cited earlier show that it can raise testosterone and lower stress hormones, particularly in individuals with low testosterone or chronic stress.

However, the effects may be less pronounced—or absent—in younger, healthy men. Research also suggests potential benefits for mood states such as tension, anger, and confusion, along with improvements in physical strength.

Additionally, a trial combining Tongkat Ali with multivitamins showed improvements in psychological measures (not statistically significant between groups, but with a positive trend), supporting its potential role in enhancing quality of life and mood (George et al., 2018) [25].

63. Can Tongkat Ali Act as a Natural Antidepressant?

No. Current evidence is insufficient to classify Tongkat Ali as a natural antidepressant. While it is not a conventional antidepressant, preliminary research suggests it may provide antidepressant-like effects by influencing mood and stress hormones.

Its main role appears to be as an adaptogen, helping the body manage and recover from stress.

However, no clinical trials have specifically evaluated it as an antidepressant treatment. Thus, Tongkat Ali should be considered a supportive aid for mental well-being—primarily through cortisol reduction and hormone balance—rather than a replacement for medication or a way to alleviate depression.

64. Why Do Some Users Experience Depression or Low Energy After Long-Term Use?

The exact reason is unclear. Feelings of low energy or depressive symptoms may arise from various factors and are not necessarily caused by Tongkat Ali.

Psychological stress, lifestyle patterns, inadequate rest, or environmental factors may all contribute. Therefore, these symptoms should not automatically be attributed to Tongkat Ali use.

65. Does Low Cortisol or Low Estrogen Cause Depression While Using Tongkat Ali?

Neither low cortisol nor low estrogen directly causes depression in the context of Tongkat Ali use. On the contrary, Tongkat Ali is generally shown to improve mood by lowering cortisol and raising testosterone.

As for estrogen, in men it is normally low, and further reductions caused by Tongkat Ali have not been shown to negatively impact mood.

Depressive symptoms after long-term use are more likely related to complex hormonal adjustments or individual variability, not a single hormone. In any case, if such symptoms occur, discontinuation and professional consultation are advised.

66. How Can I Manage Depression While Maintaining the Positive Effects of Tongkat Ali?

Based on current research, Tongkat Ali can reduce stress and improve mood through lowering cortisol and raising testosterone. However, hormonal changes may trigger side effects in some individuals. To maintain benefits while avoiding drawbacks:

• Follow the manufacturer’s dosage recommendations.

• Avoid overdosing.

• Monitor your body’s response and adjust if adverse effects appear.

• Support supplementation with a healthy diet, regular exercise, sufficient sleep, and stress management practices.
  This holistic approach maximizes Tongkat Ali’s benefits while reducing risks.

67. Can Tongkat Ali Help People Dealing With Anxiety, Paranoia, or Low Motivation?

Tongkat Ali may indirectly support mild stress and low motivation due to its general stress-reducing effects. By increasing testosterone and lowering cortisol (Talbott et al., 2013), it can improve overall energy and vitality.

However, there is no research confirming its effectiveness for paranoia or clinical anxiety. If symptoms of anxiety or paranoia are significant, Tongkat Ali is not an appropriate treatment.

Such conditions require professional medical evaluation and proper interventions.

68. Does Tongkat Ali Help Regulate Hormones for People With Stress-Related Imbalances?

Yes. One of Tongkat Ali’s primary benefits is its ability to regulate hormones under chronic stress.

Multiple studies demonstrate significant reductions in cortisol (the “stress hormone”) alongside increases in testosterone (Talbott et al., 2013). This rebalancing helps reverse some of the negative consequences of long-term stress, such as fatigue and burnout.

For individuals with stress-related hormonal imbalance (chronically elevated cortisol), Tongkat Ali can serve as a supportive aid in restoring healthier hormone profiles.

69. Is Taking Tongkat Ali Similar to the Effects of Semen Retention?

No. Semen retention (abstaining from ejaculation) and Tongkat Ali use are distinct. While semen retention may temporarily increase endogenous testosterone levels, there is no scientific evidence directly comparing the two.

Tongkat Ali increases testosterone through enzymatic and gonadal mechanisms, whereas semen retention works via a different physiological pathway (hormonal accumulation).

Current research does not support the idea that Tongkat Ali mimics the effects of semen retention. Biologically, they are separate processes, though subjective experiences may differ among individuals.

70. What Compound in Tongkat Ali Supports Erections and Delays Ejaculation?

The compound identified is 9-hydroxycanthin-6-one, a β-carboline alkaloid extracted from Tongkat Ali. Medical reports indicate that this molecule relaxes smooth muscle in penile tissue (facilitating erection) and delays ejaculation in rodent models (Chiou et al., 2011) [24].

In animal studies, administration of 9-hydroxycanthin-6-one led to faster erections and prolonged ejaculation latency.

This compound is considered one of the contributors to Tongkat Ali’s sexual health effects, although detailed mechanisms in humans remain under investigation.