Pygeum appears to alleviate disorders obstructing sexual pleasure.

' Symptoms associated with an enlarged prostate include painful urination, incomplete emptying of the bladder, weak interrupted urine flow and dribbling.  Pygeum can reduce an enlarged prostate relieving urinary symptoms without an adverse effect on libido.  Research indicates that pygeum increases in effectiveness if combined with herbs such as saw palmetto and nettle  root . 

Some studies have suggested that herbs like pygeum africanum may help in reducing enlarged prostate by interfering with the receptor sites for dihydrotesterone. According to other studies, active ingredients present in pygeum bark like lipophilec (fat soluble) constituents, phytosterols and especially terpennes may have anti-inflammatory properties which may help in treating enlarged prostates. 

According to some sources, use of pygeum may also be beneficial in the prevention as well as reduction of symptoms related to prostate cancer and chronic prostatis. These conditions impose severe hindrance to the enjoyment of sex and any substance which offers relief from such symptoms indirectly work as an aphrodisiac.

In traditional medicine, pygeum has long been used to treat male infertility as well as impotence. The herb is thought to help in achieving as well as maintaining erection among men, besides alleviating erectile disorders. This may be due to the presence of active ingredients like terpenes, N-docasanol and beta-sitaosterol in the bark of the pygeum tree. Though there have not been sufficient modern research in its effect on humans, some studies have found that among mice, the use of pygeum leads to an increase in the volume and viability of sperm in semen.’

 Pygeum is also not recommended for persons below 18 years of age and may even be harmful if taken by children. Finally pygeum may optimize the action of prescription drugs or other herbal supplements being taken for the treatment of Benign Prostatic Hyperplasia. For this reason, one should be careful while adding pygeum to any medicinal regimen for BPH or other prostate condition.’