The 15mg/d they used in that study is just the standard dietary intake (top end, europeans). Looked a number of other studies that also used just regular intake levels as "supplementation". Weird how they all stay small when the no observable adverse effects level is much higher.
>(3) Results: Compared with a placebo, spermidine supplementation significantly increased spermine levels in the plasma, but it did not affect spermidine or putrescine levels. No effect on salivary polyamine concentrations was observed.
Which might be fine if the metabolite is actually the responsible molecule.
Given the concentration, you'd have to drink half a litre of human seminal plasma to match one 15mg supplement pill.
I have no idea what the concentration of seminal plasma is in semen, but even if the latter was pure plasma that's still 135 sessions to equal one pill.