Pharmacognosy · Adaptogen · Libido & Erectile Support

Maca

Lepidium meyenii Walp. (or the closely related Lepidium peruvianum L.) — a root vegetable grown at extreme altitude in the Peruvian Andes, traditionally used for energy and fertility, studied as an adaptogen with effects on libido and sexual function, and at the center of a documented case of agricultural biopiracy.

34 Primary Refs
15 Properties
Root Parts Used
Researched
Last Updated
Family Brassicaceae
Andean Root · Extreme-Altitude Crop

Biological Overview

Maca grows in the Andes Mountains at an altitude of roughly 5,000 meters, mainly in Peru — one of the world records for a cultivated crop grown at altitude. Its edible part is a tuber resembling a large white radish.

Life CycleBiennial root crop
HabitatPeruvian Andes, ~5,000 m
Traditional UseMultiple millennia (Inca)
Marker CompoundsMacamides, Macaenes

Taxonomy & Identification

Latin Name
Lepidium peruvianum L.
Closely Related Species
Lepidium meyenii Walp.
Family
Brassicaceae (Cruciferae)
Common Name
Maca
Parts Used
Roots (tubers)
Habitat
Andean highlands, Peru

History & a Biopiracy Case

The Inca used maca to toughen their warriors, and it has likely been cultivated and used for several millennia in the Andean highlands, where it remains one of the world's highest-altitude cultivated crops.

Maca's modern history includes a documented, often-cited case of biopiracy: the root was exported from Peru by a university ethnobotanist and sold to a company that filed patents on its effects — patents later ruled illegitimate. The United States has never signed the Convention on Biological Diversity, and the root was reportedly resold at roughly 100 times its original purchase price, with no share of those profits returned to Peru, the country of origin.

⚠ A Patent, and a Conflicting Independent Finding

A U.S. patent specifically claims maca raises testosterone. Independent research has since found maca does not exert direct androgenic activity, and a separate human trial found no relationship at all between maca's effect on sexual desire and serum testosterone. See Mode of Action and Safety & Precautions.

Timeline

Traditional Era

Inca Use

Used to toughen Inca warriors; cultivated for likely several millennia.[1]

2000

The Disputed Patent

A U.S. patent is filed claiming maca and antler velvet augment testosterone levels.[22]

2006

No Direct Androgenic Activity

Independent research finds maca does not exert direct androgenic activity, contradicting the commercial claim.[31]

2023

Modern Randomized Trial

A randomized, double-blind, placebo-controlled trial evaluates maca for late-onset hypogonadism symptoms.[12]

Macamides & Macaenes — Deep Dive

Two compound families named directly after the plant itself — unique to maca and central to its research story.

🧬

Plant-Specific Alkamides

Macamides — including N-benzyl-5-oxo-6E,8E-octadecadienamide and N-benzylhexadecanamide — are a class of alkamides found specifically in maca.[3]

⚗️

Macaene Fatty Acid Derivatives

Macaenes are unique unsaturated fatty acid derivatives also specific to this root.[3]

🧪

Steroid-Like Structures

Maca additionally contains steroids structurally similar to sex hormones — part of the basis for its traditional and commercial reputation around sexual function.

🔬

Alkaloid Marker: Macaridine

Macaridine (1,2-dihydro-N-hydroxypyridine) is a specific alkaloid marker compound, alongside lepidilines A and B and lepidine.[3]

⚠ Effects on Desire Without a Hormonal Signature

Maca's effect on sexual desire has been shown to be independent of testosterone.

A human trial found maca improved sexual desire with no relationship at all to serum testosterone levels — meaning whatever maca's active compounds are doing, raising this particular hormone does not appear to be how they're doing it.[15]

Parts Used & Available Forms

Only the root is used, prepared as a flour from carefully selected tubers.

Maca is processed into a flour made from the tubers, which must be hard and free of cracks. Commercial products are most commonly sold as gelatinized powder (the form used in most clinical trials) or as a dry extract in capsule form.

Dosages

Documented across three separate human trials, each targeting a different outcome.

Form Dose Duration
Gelatinized Maca (Low Testosterone Symptoms) 1,000 mg, 3 times daily (3 g/day total) 12 weeks[12]
Dry Extract (Erectile Dysfunction) 2,400 mg/day 12 weeks[13]
Gelatinized Powder (Sexual Desire) 1.5–3.0 g/day 8 weeks[15]

These are the specific doses used in the trials cited above, targeting different outcomes — not one universal recommendation. Confirm dosing with a healthcare provider.

Composition

A genuinely food-like nutritional profile alongside several plant-specific bioactive compound families.

Nutritional Constituents

Amino Acids, Sugars, Proteins & LipidsEssential fatty acids, uridine, malic acid
Major
PolysaccharidesComposed of rhamnose, arabinose, glucose, galactose[2]
Present
MineralsMagnesium, calcium, phosphorus, iron, copper, zinc
Present

Plant-Specific Bioactives

AlkaloidsMacaridine, lepidilines A/B, lepidine[3]
Present
Macamides & MacaenesPlant-specific alkamides and fatty acid derivatives
Present
GlucosinolatesGlucotropaeoline, m-methoxyglucotropaeoline
Present
Sex-Hormone-Like SteroidsStructurally similar to sex hormones
Present

Plant Properties — Pharmacodynamics

15 properties documented, spanning adaptogenic, neurological, and sexual health research.

15 Properties Adaptogenic Aphrodisiac Neuroprotective
🛡️

Adaptogenic

Documented adaptogenic activity for the root.[4]

😌

Antidepressant & Learning Support

Antidepressant effect and improved learning ability in ovariectomized mice.[5]

🧠

Uncertain
Neuroprotective

Neuroprotective activity is documented, with research exploring possible relevance to Parkinson's disease specifically flagged as uncertain in the primary literature.[6][7][8][9]

⚗️

Polysaccharide Activity

Maca polysaccharides are antioxidant, anti-fatigue, antitumoral, immunomodulating, and hepatoprotective.[2][10][11]

❤️

Late-Onset Hypogonadism Symptoms

An extract improves symptoms associated with age-related androgen deficiency, including erectile function, without prostate-related adverse effects, and improves subjective general and sexual well-being in treated patients.[12][13]

📋

Uncertain
Sexual Function Claims Need Confirmation

A systematic review concludes that maca's sexual-function-stimulating properties require further confirmation.[14]

💚

Improves Sexual Desire

Increases sexual desire in adult healthy men, in a trial that specifically found no relationship between this effect and serum testosterone levels.[15]

🐭

Spermatogenesis & Fertility (Animal)

Improves spermatogenesis in male rats, improves fertility, inhibits altitude-induced spermatogenesis alterations, stimulates progesterone and testosterone in mice, and increases sexual performance in male rats.[16][17][18][19][20][21]

📜

Commercial Claim
Patented Testosterone Claim

A U.S. patent claims oral maca powder combined with deer or elk antler velvet (used in Traditional Chinese Medicine) raises testosterone levels in men.[22]

🦴

Antler Velvet Components (Combination Product)

The antler velvet component of that combination contains glycosaminoglycans, epidermal growth factor, and polypeptides that support fracture healing by stimulating chondrocyte and osteoblast precursor proliferation — properties of the antler, not maca itself.[23][24][25]

Uncertain
Hypothalamic Hormone Regulation

Alkaloids are proposed as possible hypothalamic regulators modulating LH, FSH, HCG, and prolactin secretion, and possible stimulants of calcitonin, parathyroid hormone, and testosterone — all explicitly flagged as uncertain in the primary literature.

🩸

No Direct Androgenic Activity

An independent study found that maca does not exert direct androgenic activity — a finding that sits in direct tension with the patented commercial claim above.[31]

⛰️

Altitude Sickness Prevention

Oral administration of black or red maca extract is associated with safety and efficacy for altitude-sickness prevention, normalizing polycythemia in highland residents when hemoglobin levels are abnormal.[28][29]

🌸

Polycystic Ovary Syndrome

Reviewed among herbal medicines studied for polycystic ovary syndrome (PCOS).[26][27]

Clinical Indications

From menopause and fatigue to altitude sickness — a genuinely varied indication list for a single root.

🌸
Menopause & Hormonal Health
Primary Indications
  • Menopause and hot flashes; an ethanol extract also reduces ovariectomy-induced bone loss in an animal model.[32]
  • Polycystic ovary syndrome. [26][27]
Energy & Cognition
Adaptogenic Use
  • Fatigue.
  • Memory decline.
❤️
Sexual Health
Best-Studied Use
  • Low libido.
⛰️
Altitude Sickness
Practical, Region-Specific Use
  • Prevention of altitude sickness and normalization of abnormal hemoglobin levels in highland residents. [28][29]

Mode of Action

A proposed hypothalamic-hormonal mechanism, explicitly marked as uncertain in the primary literature.

🧠

Proposed Hypothalamic Regulation

Maca's alkaloids are proposed to act as hypothalamic regulators, modulating the secretion of luteinizing hormone (LH), follicle-stimulating hormone (FSH), human chorionic gonadotropin (HCG), and prolactin.

Calcitonin, Parathyroid Hormone & Testosterone — Marked Uncertain

The same alkaloids are also proposed to stimulate calcitonin, parathyroid hormone, and testosterone — but the primary literature itself flags each of these specific claims with a question mark, reflecting genuine scientific uncertainty rather than established fact.

Safety & Precautions

A favorable safety profile, helped by centuries of use as an actual food.

⚠️

Documented Toxicology

  • Low potential for acute and subacute oral toxicity, per the primary toxicological review of this plant. [30]
  • Long food history: maca has been consumed as a dietary staple in the Peruvian Andes for centuries, supporting its general safety profile at food-level intake.
📋

What's Still Unsettled

  • Concentrated supplement use has not been studied as extensively over the long term as maca's traditional food-level consumption.
  • Hormonal claims remain contested: a commercial patent claims a testosterone-raising effect, while independent research has found no direct androgenic activity and no relationship between maca's effect on libido and testosterone levels.
Clinical Disclaimer: This monograph is for educational and professional reference only. It does not constitute medical advice, diagnosis, or treatment guidance. Always consult a qualified healthcare provider before initiating any phytotherapeutic regimen, particularly if you are pregnant, breastfeeding, or have a hormone-sensitive condition.

Frequently Asked Questions

What is maca used for?
Maca is used traditionally and studied for menopause symptoms and hot flashes, fatigue, memory decline, low libido, polycystic ovary syndrome, and prevention of altitude sickness. It is also widely marketed for sexual function and as an energy-boosting adaptogen.
Does maca increase testosterone?
The evidence is genuinely mixed and is the subject of an underlying commercial dispute. A U.S. patent claims maca powder raises testosterone, but an independent study found Lepidium meyenii does not exert direct androgenic activity, and a separate human trial found maca improved sexual desire with no relationship to serum testosterone levels at all. The most defensible summary is that maca's effects on desire and sexual function do not appear to depend on raising testosterone.
What is the recommended dose of maca?
Human trials have used a range of doses depending on the outcome studied: 1,000 mg three times daily (3,000 mg/day total) for 12 weeks in a trial on low testosterone symptoms, 2,400 mg per day for 12 weeks in an erectile dysfunction trial, and 1.5 to 3 grams per day for 8 weeks in a trial on sexual desire. Always confirm dosing with a healthcare provider.
Is maca an example of biopiracy?
This is a real, documented case. Maca was exported from Peru by a university ethnobotanist and sold to a company that filed patents on its effects, later ruled illegitimate. The United States has not signed the Convention on Biological Diversity, and the root was reportedly sold at roughly 100 times its purchase price with no profits returned to Peru, its country of origin.
Is maca safe?
The primary toxicology literature describes a low potential for acute and subacute oral toxicity. Maca has also been consumed as a food staple in the Peruvian Andes for centuries, which supports a generally favorable safety profile, though it has not been studied as extensively as a concentrated supplement over the long term.
Can maca help with menopause?
Menopause symptoms and hot flashes are among its traditionally documented indications. The plant's broader hormonal research, however, centers more on male sexual function and fertility than on menopause specifically, so this use is less extensively studied than some of maca's other indications.
What is the difference between Lepidium meyenii and Lepidium peruvianum?
These names refer to the same or very closely related plants; the scientific literature uses both names, with Lepidium peruvianum sometimes treated as the preferred name and Lepidium meyenii as a closely related species used interchangeably in most research.

Bibliography

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2. Zha S, Zhao Q, Chen J, Wang L, Zhang G, Zhang H, Zhao B. Extraction, purification and antioxidant activities of the polysaccharides from maca (Lepidium meyenii). Carbohydr Polym. 2014 Oct 13;111:584-587. PubMed PMID:25037390 →
3. Piacente S, Carbone V, Plaza A, Zampelli A, Pizza C. Investigation of the tuber constituents of maca (Lepidium meyenii Walp.). J Agric Food Chem. 2002 Sep 25;50(20):5621-5625. PubMed PMID:12236688 →
4. Wang Y, Wang Y, McNeil B, Harvey LM. Maca: An Andean crop with multi-pharmacological functions. Food Research International. 2007 Aug;40(7):783-792.
5. Rubio J, Caldas M, Dávila S, Gasco M, Gonzales GF. Effect of three different cultivars of Lepidium meyenii (Maca) on learning and depression in ovariectomized mice. BMC Complement Altern Med. 2006;6:23. Full text (PMC1534053) →
6. Rodríguez-Huamán Á, Casimiro-Gonzales S, Chávez-Pérez JA, Gonzales-Arimborgo C, Cisneros-Fernández R, Aguilar-Mendoza LÁ, Gonzales GF. Antioxidant and neuroprotector effect of Lepidium meyenii (maca) methanol leaf extract against 6-hydroxy dopamine (6-OHDA)-induced toxicity in PC12 cells. Toxicol Mech Methods. 2017 May;27(4):279-285. PubMed PMID:28007001 →
7. Pino-Figueroa A. In vivo and in vitro neuroprotective effects of the pentane soluble compounds from Lepidium meyenii (Maca). Doctoral dissertation, Massachusetts College of Pharmacy and Health Sciences, 2010.
8. Pino-Figueroa A, Nguyen D, Maher TJ. Neuroprotective effects of Lepidium meyenii (Maca). Ann N Y Acad Sci. 2010 Jun;1199:77-85.
9. Pino-Figueroa A, Vu H, Kelley CJ, Maher TJ. Mechanism of Action of Lepidium meyenii (Maca): An Explanation for Its Neuroprotective Activity. American Journal of Neuroprotection and Neuroregeneration. 2011 Jun;3(1):87-92.
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11. Wang S, Zhu F. Chemical composition and health effects of maca (Lepidium meyenii). Food Chem. 2019 Aug 1;288:422-443. PubMed PMID:30902313 →
12. Shin D, Jeon SH, Piao J, Park HJ, Tian WJ, Moon DG, Ahn ST, Jeon KH, Zhu GQ, Park I, Park HJ, Bae WJ, Cho HJ, Hong SH, Kim SW. Efficacy and Safety of Maca (Lepidium meyenii) in Patients with Symptoms of Late-Onset Hypogonadism: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. World J Mens Health. 2023 Jul;41(3):692-700. PubMed PMID:36593713 →
13. Zenico T, Cicero AF, Valmorri L, Mercuriali M, Bercovich E. Subjective effects of Lepidium meyenii (Maca) extract on well-being and sexual performances in patients with mild erectile dysfunction: a randomised, double-blind clinical trial. Andrologia. 2009 Apr;41(2):95-99. PubMed PMID:19260845 →
14. Shin BC, Lee MS, Yang EJ, Lim HS, Ernst E. Maca (L. meyenii) for improving sexual function: a systematic review. BMC Complement Altern Med. 2010 Aug 6;10:44. PubMed PMID:20691074 →
15. Gonzales GF, Cordova A, Vega K, Chung A, Villena A, Góñez C, Castillo S. Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men. Andrologia. 2002 Dec;34(6):367-372.
16. Gonzales GF, Ruiz A, Gonzales C, Villegas L, Cordova A. Effect of Lepidium meyenii (maca) roots on spermatogenesis of male rats. Asian J Androl. 2001 Sep;3(3):231-233. PubMed PMID:11561196 →
17. Ohta Y, Yoshida K, Kamiya S, Kawate N, Takahashi M, Inaba T, Hatoya S, Morii H, Takahashi K, Ito M, Ogawa H, Tamada H. Feeding hydroalcoholic extract powder of Lepidium meyenii (maca) increases serum testosterone concentration and enhances steroidogenic ability of Leydig cells in male rats. Andrologia. 2016 Apr;48(3):347-354. PubMed PMID:26174043 →
18. Sánchez JML, Serrano ZA, Durán JA, Morales HSG, Álvarez PBM. Peruvian maca and possible impact on fertility. J Nutr Health Food Eng. 2017;6(5):00217.
19. Gonzales GF, Gasco M, Córdova A, Chung A, Rubio J, Villegas L. Effect of Lepidium meyenii (Maca) on spermatogenesis in male rats acutely exposed to high altitude (4340 m). J Endocrinol. 2004 Jan;180(1):87-95.
20. Oshima M, Gu Y, Tsukada S. Effects of Lepidium meyenii Walp and Jatropha macrantha on blood levels of estradiol-17 beta, progesterone, testosterone and the rate of embryo implantation in mice. J Vet Med Sci. 2003 Oct;65(10):1145-1146. PubMed PMID:14600359 →
21. Cicero AF, Bandieri E, Arletti R. Lepidium meyenii Walp. improves sexual behaviour in male rats independently from its action on spontaneous locomotor activity. J Ethnopharmacol. 2001 May;75(2-3):225-229. PubMed PMID:11297856 →
22. DeLuca DL, Sparks WS, DeLuca DR. Maca and antler for augmenting testosterone levels. U.S. Patent No. 6,093,421. Washington, DC: U.S. Patent and Trademark Office, 2000.
23. Sunwoo HH. Glycosaminoglycans from growing antlers of wapiti (Cervus elaphus). Can J Anim Sci. 1997;77:715-721.
24. Ko KM, Yip TT, Tsao SW, Kong YC, Fennessy P, Belew MC, Porath J. Epidermal growth factor from deer (Cervus elaphus) submaxillary gland and velvet antler. Gen Comp Endocrinol. 1986 Sep;63(3):431-440.
25. Zhou QL, Guo YJ, Wang LJ, Wang Y, Liu YQ, Wang BX. Velvet antler polypeptides promoted proliferation of chondrocytes and osteoblast precursors and fracture healing. Acta Pharmacol Sin. 1999 Mar;20(3):279-282.
26. Jazani AM, Nasimi Doost Azgomi H, Nasimi Doost Azgomi A, Nasimi Doost Azgomi R. A Comprehensive Review of Clinical Studies With Herbal Medicine on Polycystic Ovary Syndrome (PCOS). Daru. 2019 Dec;27(2):863-877. PubMed PMID:31741280 →
27. Pachiappan S, Matheswaran S, Pushkalai P. Medicinal plants for polycystic ovary syndrome: a review of phytomedicine research. Int J Herb Med. 2017;5:78-80.
28. Gonzales-Arimborgo C, Yupanqui I, Montero E, Alarcón-Yaquetto DE, Zevallos-Concha A, Caballero L, Tacusi C, Campos M, Gonzales GF. Acceptability, safety, and efficacy of oral administration of extracts of black or red Maca (Lepidium meyenii) in adult human subjects: A randomized, double-blind, placebo-controlled study. Pharmaceuticals (Basel). 2016 Sep 1;9(3):49. DOI:10.3390/ph9030049 →
29. Li L, Lin L, Wen B, Zhao PC, Liu DS, Pang GM, Wang ZR, Tan Y, Lu C. Promising Natural Medicines for the Treatment of High-Altitude Illness. High Alt Med Biol. 2023 Sep;24(3):175-185. PubMed PMID:37504973 →
30. Valerio LG Jr, Gonzales GF. Toxicological aspects of the South American herbs cat's claw (Uncaria tomentosa) and Maca (Lepidium meyenii): a critical synopsis. Toxicol Rev. 2005;24(1):11-35. PubMed PMID:16042502 →
31. Bogani P, Simonini F, Iriti M, Rossoni M, Faoro F, Poletti A, Visioli F. Lepidium meyenii (Maca) does not exert direct androgenic activities. J Ethnopharmacol. 2006 Apr 6;104(3):415-417.
32. Zhang Y, Yu L, Ao M, Jin W. Effect of ethanol extract of Lepidium meyenii Walp. on osteoporosis in ovariectomized rat. J Ethnopharmacol. 2006 Apr 21;105(1-2):274-279. Full text →

Additional Reference Literature

Valentová K, Ulrichová J. Smallanthus sonchifolius and Lepidium meyenii - prospective Andean crops for the prevention of chronic diseases. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2003 Dec;147(2):119-130.
Gonzales GF, Córdova A, Vega K, Chung A, Villena A, Góñez C. Effect of Lepidium meyenii (Maca), a root with aphrodisiac and fertility-enhancing properties, on serum reproductive hormone levels in adult healthy men. J Endocrinol. 2003 Jan;176(1):163-168.