Its validity as an intervention for prostate enlargement is promising but more studies are always beneficial . Ultimately, more research on Pygeum extract is needed to determine its efficacy as a treatment for hypogonadism. Pygeum’s potential to improve testosterone levels in the body is worthy of further research and investigation. Pygeum sits in the upper echelon of men’s health supplements and possibly for good reason. It is this mechanism of smooth muscle relaxation that ameliorates lower urinary tract symptoms and provides relief for the patient.