It can be difficult to seek help for your sexual health issues. The number of appointments you have with a doctor is now half as many due to the pandemic.
Many new online and pharmacy products promise help. Caroline Jones asked some experts to rate the best options. Then, we rated them.
The Fertility Test for Men
The Spermcheck Male Fertility Testing
£29.99, boots.com
The Spermcheck Male Fertility Testing
Claim: This test promises to be ‘as accurate as the test you’d have at a clinic — but in the privacy of your own home’. The test involves taking a sample of sperm from the cup, putting it in a container and mixing it with some solution. Six drops are then added to an open-ended window for pregnancy testing. Positive results indicate a high sperm count. Negatives are low.
Expert verdict: ‘This works by detecting a protein found only in sperm and will adequately assess a man’s sperm count,’ says Professor Pacey. ‘However, it is a less accurate method than that used in a clinical laboratory, where sperm are manually counted using a microscopic lens to magnify them.
‘Nor will this test be able to tell if the sperm are swimming normally or whether they are the right size and shape — both of which are important for egg fertilisation.
‘However, if it helps overcome the initial anxiety or embarrassment of having a fertility test then it will have served a good purpose as a first-line investigation for men to try at home themselves.’
5/10
Male Libido Capsules
Male Boost
£59.99 for 180 capsules, lamuscle.com
Male Boost
Claim: Containing a blend of the herbs ginseng and maca root, plus vitamin E and zinc, this supplement promises to be a ‘natural testosterone booster’. Consume one to two capsules three times daily.
Expert verdict: ‘I can’t find any robust research to suggest that any of these ingredients actually boost testosterone levels, although there is some evidence that getting enough vitamin E and zinc is important for healthy male fertility,’ says Allan Pacey, a professor of andrology (male fertility and sexual health) at the University of Sheffield.
‘Taking six capsules a day will be expensive and men would be better off buying some fresh fruit and vegetables.
‘Men with a low libido should see their GPs to rule out medical problems — it can be an indicator of diabetes, heart disease or a side-effect of depression. Also, increased testosterone levels won’t help men who are trying to start a family because taking testosterone in any form decreases sperm production.’
2/10
Female Fertility Testing
Medichecks Female Hormone Blood Test
£79, hollandandbarrett.com
Claim: For this ‘hormone MOT’ test, take a fingerprick blood sample at home and send it to a lab for a report on levels of oestrogen, testosterone, follicle-stimulating hormone (FSH, a useful indicator of ovarian health) and thyroid function.
According to the maker, this will identify potential period-related imbalances.
Expert verdict: ‘Hormone levels fluctuate throughout the menstrual cycle, so a one-off blood test reading is just a snapshot of what is going on during that particular day,’ says Dr Adib.
‘I would be concerned that this test could either worry a patient unnecessarily or give a false sense of security. Hormone tests are complex and best done in consultation with your GP.’
1/10
Medichecks Female Hormone Blood Test
Sex Drive Supplement
NHP Libido Support For Women
£21.69 for 60 capsuleswww.amazon.co.uk
NHP Libido Support For Women
Claim: A blend of the herbs damiana, maca, ginseng, ginger and rhodiola, plus vitamin B3 and the amino acid L-arginine, which claims to ‘put the passion back and create an enjoyable sex life’. Take two capsules per day.
Expert verdict: ‘Maca root powder is from a South American herb thought to be helpful for male and female libido, although a 2010 review found there were not enough robust studies to prove this benefit,’ says Dr Adib.
‘Vitamin B3, L-arginine and ginseng are thought to help with energy and blood circulation, while rhodiola root (from a flowering plant) may help ease stress, which is known to improve female libido.
‘It’s safe to take and may boost your energy a bit, but is quite expensive for a monthly supply.’
4/10
Pelvic floor exerciser
Vivify Pelvic Toner
£349.99, stressnomore.co.uk
Vivify Pelvic Toner
Claim: The wand vibrates to help strengthen the pelvic floor muscles and combat incontinence. It promises to ‘rejuvenate vaginal tissue’ by emitting red LED light, and uses blue LED light to kill any harmful bacteria. You can use it up to ten minutes each day.
Expert verdict: ‘There is evidence that red LED light stimulates the production of skin-strengthening collagen inside the vagina, which could have a mild effect on vaginal elasticity. Blue light is antibacterial, which could improve the general health of the vagina,’ says Dr Tania Adib, a consultant gynaecologist at The Lister Hospital in London.
‘But the effect of the vibration on toning the pelvic floor muscles will be minimal compared to devices used in clinics by physiotherapists trained to help women with incontinence or prolapse. The gadget can also be expensive. If you have weak pelvic muscles, then it could be used alongside proper physiotherapy treatments.’
5/10
Spraying prematurely with ejaculation
Stud 100 Desensitizing Spray For Men
£5.99 for 12g, boots.com
Stud 100 Desensitizing Spray For Men
Claim: This spray contains a numbing ingredient and, when used on the penis just before intercourse, is thought to reduce sensitivity ‘to delay ejaculation’. Take three to eight sprays and use them five to fifteen minutes before you have sex. Online shopping requires that you complete and submit a questionnaire about your health.
Expert verdict: ‘Premature ejaculation is a common problem, particularly in younger men who may have penis hypersensitivity or performance anxiety,’ says Dr Amr Raheem, a consultant in andrology at International Andrology London.
‘This spray contains lidocaine — a local anaesthetic and first-line treatment for premature ejaculation. However, it’s important that online pharmacies use a health questionnaire to rule out other causes, such as hormonal disturbances or chronic prostatovesiculitis (inflamed prostate and semen tubes). It can also be caused by psychosexual problems and relationship issues, in which case patients may need to be referred to their GP or a specialist to treat any underlying problem.’
7./10
App Fertility Tracker
Glow Period Fertility Tracker
Get App Store iPhone Apps for Free
Glow Period Fertility Tracker
Claim: The app helps women keep track of their periods and fertility. It records period dates, weight, as well as symptoms like mood swings or headaches. It’s claimed this can help pinpoint when women are most fertile.
Expert verdict: ‘Apps like these are great for helping women get to know their body rhythms,’ says Dr Adib. ‘Hormones fluctuate throughout the month and this can dictate mood and energy levels. Your period can be a guide for your daily life.
‘However, this cannot reliably predict fertility. If trying for a baby, you’re better off using the ovulation sticks that you pee on to detect levels of luteinising hormone (which is released by the ovaries when women ovulate). This is a far more accurate way to identify when you’re at your most fertile.’
4/10
Now you don’t need a prescription to get Pills
Hana Daily Contraceptive
£8.95 for a one-month supply, chemistdirect.co.uk
Claim: Also known as the Mini Pill, it is a daily contraceptive pill to prevent pregnancy. It contains progesterone (75mg desogestrel). It’s up to 99 per cent effective when taken correctly, says the maker. There is no prescription required.
Expert verdict: ‘Because this contraceptive pill contains only the hormone progesterone, it has none of the risks of developing a blood clot that the combined (oestrogen and progesterone) pill has,’ says Dr Adib.
‘Many women feel uncomfortable asking their GPs for the contraceptive pill, so buying it online can be invaluable.
‘However, the same pill would be free on prescription from your GP. Talking to your GP can also help you explore other options for contraception that may be more suitable.
‘To be effective, the progesterone-only pill has to be taken at the same time every day and many women may not realise this. There may also be side-effects such as irregular bleeding, acne and bloating.’
7./10
Hana Daily Contraceptive
Liberize (sildenafil)
£14.99 for four 50mg tablets, boots.com
Claim: Men can achieve and keep an effective erection with this product. One tablet should be taken an hour prior to sex. Before you can order, you must complete an online questionnaire.
Liberize (sildenafil)
Expert verdict: ‘This is the same drug (sildenafil) as Viagra, which is still considered the gold standard treatment for erectile dysfunction (ED),’ says Sultan Dajani, a pharmacist in Hampshire.
‘Buying it online makes it easy to lie or forget to include information about other medication that could interact with it. Worse yet, ED can be linked to more serious conditions such as cancer, diabetes, or heart problems.
‘Sildenafil doesn’t work for everyone — some men find tadalafil (brand name Cialis) has a longer-lasting effect and is less likely to cause headaches, which are a common side-effect.’