A systematic appraisal of emerging alternative therapies in men's health and wellness

The use of alternative therapies for men's health continues to grow in popularity, as claims of their urologic and overall health benefits become more widespread. This study aimed to evaluate commonly purported therapies (intravenous [IV] nutrient infusions, saunas, ice baths, light therapy, and condensed nutritional supplements) in the treatment or improvement of men's urologic health.

A scoping review was conducted using the databases PubMED and SCOPUS to identify literature discussing each intervention. Outcomes of interest were urologic parameters in men aged 18 and above.

Overall, the results were often conflicting or inconclusive. IV therapy lacked any supportive evidence for the claims regarding its benefits in erectile dysfunction, sperm quality, or testosterone enhancement. Sauna had mixed outcomes, with some temporary increases in testosterone and reversible adverse effects on sperm parameters. Similarly, cold water immersion showed inconsistent benefits for testosterone, with improvements in fatigue and soreness. Light therapy showed non-significant changes in hormone levels, while improvements in sexual satisfaction and hair regrowth were noted. While some herbal products showed benefits for sexual function, testosterone levels, and sperm quality, others had negligible or inconsistent outcomes.

There is a discordance between media claims and scientific literature regarding the impact of alternative therapies for men's health. The data are significantly limited by small sample sizes and a lack of long-term followup. There is a need for larger-scale trials to better inform patient counseling.