For ages, men have attempted all sorts of natural therapies for erectile dysfunction (ED) — the recurring inability to develop or maintain an erection hard enough for sexual intercourse. But do they really work? It is just not scientifically understood at this moment. Furthermore, you use these medicines at your own risk, because their safety profiles have not been proven. What follows are remarks by specialists and evaluations in the realm of alternative therapies that are available over the counter for erectile dysfunction and impotence. Erectile dysfunction medicines Experts consider that treating erectile dysfunction on your own, without contacting a doctor, is dangerous. "If you have ED, the first thing you need is a diagnosis," says impotence specialist Steven Lamm, MD, a New York City doctor and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He adds men with severe ED need prescription ED medications like Levitra (vardenafil), Cialis (tadalafil), and Sildenafil Citrate, as well as Viagra which are easily available online at ourmedicines.com. Minor ED, including the impression that "you're not as hard as you could be," responds to natural therapies, he adds. Erectile dysfunction therapy without medicines Acupuncture. Though acupuncture has been used for millennia to treat male sexual issues, the scientific evidence for erectile dysfunction is mixed. A systematic review of trials on acupuncture for ED was published in 2009. Acupuncture is not an effective treatment for ED, they concluded, citing severe problems in all of the research. Arginine. This chemical helps erections by dilating blood vessels and boosting blood flow to the penis. Studies on L-anti-impotence arginine's effects have shown inconsistent findings. Men with impaired nitric oxide metabolism, such as those with cardiovascular disease, can benefit from large doses of L-arginine, according to research published in BJU International in 1999. (a disease that damages blood vessels). According to a 2003 Journal of Sex & Marital Therapy research, ED patients who took L-arginine with the pine extract pycnogenol observed significant improvements in sexual performance with no adverse effects. Arginine can assist, says Geo Espinosa, ND, head of NYU Langone's Integrative Urological Center. Men with recognized cardiovascular issues should only take it under medical supervision, according to Espinosa. DHEA (Dehydroepiandrosterone) Patients with erectile dysfunction who have low testosterone respond well to testosterone replacement treatment. Similarly, using over-the-counter DHEA pills, which the body converts to testosterone and estrogen, has been reported to benefit certain causes of ED. But, notes McCullough, DHEA has adverse effects include pituitary suppression, acne, and hair loss, and its long-term safety is uncertain. As a result, several specialists advise against taking them. Ginseng It's been used for centuries to boost male sexual function, but few studies have sought to prove it. In a 2002 trial of 45 men with serious ED, the herb improved penile tip stiffness and reduced erectile dysfunction symptoms. Red ginseng is supposed to stimulate nitric oxide formation, however, how it does so is unknown. "I would prescribe ginseng for ED," Espinosa adds. Consult your doctor before using ginseng since it might mix with medications and cause adverse reactions. POM juice Drinking antioxidant-rich pomegranate juice has been linked to a lower risk of heart disease and high blood pressure. Is pomegranate juice anti-ED? No proof exists, however, a 2007 study's findings were encouraging. Researchers suggest further trials may confirm pomegranate juice's benefits against erectile dysfunction. "I inform my patients," Espinosa adds. "Even if it doesn't treat ED, it has other health advantages." Yohimbe. Before Viagra and other prescription ED medications were available, physicians recommended a yohimbine derivative (yohimbine hydrochloride) to ED patients. Experts claim the drug is ineffective and can induce jitteriness and other issues. "It's a bad drug," McCullough adds. "And I doubt the weed is as strong as the drug." Yohimbe is also linked to high blood pressure, anxiety, headaches, and other health issues. Experts advise against it. Goat weed Years ago, horny goat weed (Epimedium) and similar medicines were claimed to heal sexual dysfunction. The major ingredient in horny goat weed, icariin, functioned like sildenafil, according to Italian researchers. Ginkgo Ginkgo has been used to treat erectile dysfunction, notably sexual dysfunction induced by some antidepressant medicines. But the evidence is weak. A 1998 Journal of Sex & Marital Therapy research found it effective. This conclusion was not replicated by a 2002 Human Pharmacology research. "Ginkgo has gone out of style," says Ronald Tamler, MD, assistant professor of medicine and co-director of the men's health department at New York's Mount Sinai Medical Center. "It's because it's so little. In my profession, I have never seen ginkgo work." Many herbals, nutritional supplements, and natural ED therapies are untested. There's also pomegranate, Rhodiola Rosea, golden root (Rhodiola tinctoria), Indian ginseng (ginseng Shatavari), and ashwagandha. Lifestyle adjustments can help ED Experts advise men to eat properly, avoid smoking and excessive drinking regardless of the erectile dysfunction medication they choose. Exercise, stress reduction, and sleep can also help many men with erection issues. Also, notes Lamm, "Unconditional love and receptivity are a home run. After all, this is a marital matter." If you want instant result you can use cenforce 100 mg / Vidalista tablets @ Unitedmedicines.
