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Erectile dysfunction (ED), or impotence,
is the inability to achieve an erection. Erection occurs when the blood
flow to the penis increases when a man becomes sexually aroused. Blood
vessels going to the penis dilate, and blood fills the penis causing
it to become engorged. This occurs via the secretion of a chemical called
nitric oxide (NO). This will typically last until arousal is diminished,
or orgasm is achieved. Many conditions can affect erection, especially
conditions that can compromise blood flow to the penis. These include
physical conditions such as diabetes and vascular disease. Psychological
conditions may also have a bearing on the initiation and maintenance
of an erection.
Erectile dysfunction is more prevalent than it may seem. It occurs to
some degree in up to 40% of men 40 years old, and up to 67% in those
age 70. It is a significant area of research for the pharmaceutical
industry, with potential sales in the billions of dollars.
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The first aids for
ED were mechanical devices: vacuum pumps that draw blood into the penis and
implantable balloons or rods. Viagra was the first prescription drug for ED,
but it has significant side effects, and should not be used in people with
heart disease. It is also exorbitantly expensive. Recently, more attention
has been focused on natural and herbal remedies, which seem to be effective
yet have fewer side effects. These will be discussed below.
Supplements Useful in the treatment of Erectile Dysfunction:
DHEA:
A study looked at levels of DHEA in men over the age of 60. It was found that
those with ED had lower levels of DHEA then in those without ED. Supplementation
with DHEA at a dose of 50 mg daily improved symptoms of ED in a small group
of patients with this disorder.
L-Arginine:
This amino acid is a precursor to nitric oxide (NO). High dose arginine (5
grams per day given for 6 weeks) has been shown to improve erection in men
with ED. It is generally safe and well tolerated. Doses of 3 grams per day
also seem to be beneficial. Arginine at doses of up to 3 grams three times
daily has beneficial effects on cardiac blood vessel reactivity. It also may
improve cardiac function in those with congestive heart failure. Therefore,
it is much safer than Viagra for treating ED, especially in patients with
a history of heart disease.
Horny Goat
Weed (Yin Yang Huo):
This herbal agent derived its name from the observation that when goats were
grazing on this weed, they became sexually aroused. It has several uses in
Traditional Chinese Medicine, including impotence, involuntary ejaculation,
fatigue, cardiac disease polio and hepatitis. It contains a number of active
constituents, and some of those appear to have both hormonal and blood vessel
dilating properties. There have been no human trials done published in English.
The four available human studies have been published in Chinese. Three of
these were done in people with kidney failure. The studies showed improvement
in men with Erectile Dysfunction (ED) in 76% of cases in the study done on
people with normal kidney function. The usual recommended dosage is 0.5 to
1.5 mg per day of a formulation standardized to 5% icariin flavonoid. Animal
studies have shown it to be basically safe. TCM manuals indicate some side
effects including dizziness, nausea, dry mouth and nosebleed.
Ginkgo Biloba:
Ginkgo appears to help increase arterial blood flow, and may have a beneficial
effect on sexual function in men with impotence. One study in men with ED
secondary to medication revealed a 76% improvement in sexual function. The
dosage used in this study was 200 mg per day in divided doses.
Muira Pauma Root:
This is a shrub native to Brazil, and has a long history of use as an aphrodisiac.
It reportedly improves libido as well as potency. An unpublished study from
France reports that at a daily dose of 1 to 1.5 grams of the extract, 62 percent
of patients with loss of libido had significant improvement while 51 percent
of patients with ED felt that Muira pauma was of benefit.
Other herbs: Damiana and
ginseng
have also been traditionally used for male erectile dysfunction, however this
is based on traditional use, and no scientific studies have been performed.
Yohimbe
has been shown to marginally improve erectile dysfunction compared to placebo,
however it is associated with significant side effects in people with hypertension
and coronary artery disease, and it not be used in people with these medical
problems.
(This article provided by VitaCost.com)
Wellness Plans for Sexual
Health
- Depending on the cause, conventional therapy may include psychological
and behavioral counseling for impotence.
- Avoid certain medications such as cimetidine, antihypertensives, and
MAO inhibitors.
- Avoid smoking and moderate alcohol intake.
- Certain nutritional supplement and herbs may be helpful.
Recommended Supplements for Sexual
Health (Click links above to purchase individual supplements from online
stores)
(Essential in
bold)
|
Nutritional Supplements |
| •
DHEA |
• L-Arginine |
|
Natural Food and Herbal Supplements |
| • Damiana |
•
Gingko
Biloba |
| •
Ginseng |
• Horny Goat Weed |
| • Muira Pauma Root |
•
Yohimbe |
Read Related Links on Sexual
Health
-
Sexual
Health (General) - a great resource links related to sexual health provided
by the American Library of Medicine
-
Reproductive Health (General) - a great resource links related to reproductive
health provided by the American Library of Medicine
-
Sexual Health: Common Questions for Couples - provided by Mayo Foundation
for Medical Education and Research
-
Impotence: Learning the Causes and What You Can Do - provided by American
Academy of family Physicians
-
STDs:
Common Symptoms & Tips on Prevention - provided by American Academy
of family Physicians
-
Genital
Problems in Men: Self-Care Flowcharts - provided by American Academy
of family Physicians
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