Kapikachchu helps in the management of male sexual dysfunction by increasing sperm count and testosterone levels. Gokshura functions as an aphrodisiac, which augments semen count and enhances libido. The herb is beneficial in erectile dysfunction as it strengthens the penile tissue. Protodioscin, a precursor of testosterone, found in Small Caltrops, is converted to dehydroepiandrosterone (DHEA). This improves flow-mediated vasodilatation of the penile arteries.