The ongoing pandemic induced by COVID-19 infection will have an impact on the entire world's population. This has caused many people to have an increase in health conditions. Health factors that can contribute to population numbers including infertility refer to couples who are unable to have children after trying to conceive for 12 months or more. Infertility is a universal health issue that can arise as a result of problems created by one or both partners, or as a result of problems whose cause is unknown. Environmental and lifestyle variables such as smoking, excessive alcohol use, obesity, stress, and exposure to pollution can affect fertility rates in both men and women. Specifically, factors that contribute to infertility in women include ovulation disorders, endometriosis, pelvic adhesions, fallopian tube obstruction, uterine tube/cavity abnormalities and hyperprolactinemia.

Moreover, at an older age, a woman's reproductive years are at their height. Fertility (the capacity to become pregnant) begins to drop about the age of 30. Once you reach your mid-30s, your decline accelerates. Fertility has fallen to the point where most women will be unable to conceive naturally by the age of 45.

Hence, suitable and high quality ingredients (usually in supplements) are among the options that can provide benefits to consumers. In fact, some findings of studies show that herbal-based supplements can help support fertility in women. 

With that, Tongkat Ali extract is a premium ingredient in supplements that has been proven to improve fertility rate. A Wdowiak study from 2020 discovered that an increase in the stress hormone cortisol can disrupt ovulation. The study's findings revealed that lowering cortisol levels can improve a woman's chances of becoming pregnant. 

Besides, androgen is produced in the ovary, adrenal glands, and peripheral tissues in women. Aromatase activity in the peripheral compartments converts testosterone to oestrogen. The level of testosterone in the blood is a good indicator of ovarian androgen production. Hormones such as progestins, testosterone, and dehydroepiandrosterone (DHEA) have been utilised as therapy for controlling menopause-related symptoms in the past, in addition to estrogen. Although testosterone replacement therapy may have beneficial effects on bones, muscles, and cognitive function, it was utilised in menopausal women to boost passion. 

‍

With that being said, the premium Tongkat Ali extract is a great supplement for women because of its high concentration of superoxide dismutase, and has been shown to have antioxidative effects. By reducing the elevation of type I collagen's C-terminal telopeptide, it was able to prevent an increase in bone resorption rate after orchiectomy. Plus, Tongkat Ali extract may be protective and useful in the regulation of reproductive hormones and bone indicators. As a result, it could be used to treat hormonal imbalances, menopause symptoms, and infertility.