Most physicians suggest that impotence treatments proceed from least
to most invasive. Cutting back on any drugs with harmful side
effects is considered first. For example, drugs for high blood
pressure work in different ways. If you think a particular drug is
causing problems with erection, tell your doctor and ask whether you
can try a different class of blood pressure medicine.
Psychotherapy and behavior modifications in selected patients are
considered next if indicated, followed by oral or locally injected
drugs, vacuum devices, and surgically implanted devices. In rare
cases, surgery involving veins or arteries may be considered.
Impotence Psychotherapy Treatments
Experts often treat psychologically based ED using techniques that
decrease the anxiety associated with intercourse. The patient's
partner can help with the techniques, which include gradual
development of intimacy and stimulation. Such techniques also can
help relieve anxiety when ED from physical causes is being treated.
Impotence Drug Therapy Treatments
Drugs for treating ED can be taken orally, injected directly into
the penis, or inserted into the urethra at the tip of the penis. In
March 1998, the Food and Drug Administration (FDA) approved
Viagra, the first pill to treat ED. In
August 2003, the FDA gave approval to a second oral medicine,
vardenafil hydrochloride (Levitra) and
Cialis (tadalafil). Additional oral
medicines are being tested for safety and effectiveness.
Taken an hour before sexual activity, Viagra (Sildenafil Citrate),
Cialis and Levitra work by enhancing the effects of nitric
oxide, a chemical that relaxes smooth muscles in the penis during
sexual stimulation and allows increased blood flow.
While oral medicines improve the response to sexual stimulation,
they do not trigger an automatic erection as injections do. The
recommended dose for Viagra is 50 mg, and the physician may adjust
this dose to 100 mg or 25 mg, depending on the patient.
The recommended dose for Levitra is 10 mg, and the physician may
adjust this dose to 20 mg if 10 mg is insufficient. Lower doses of 5
mg and 2.5 mg are available for patients who take other medicines or
have conditions that may decrease the body's ability to use Levitra.
The recommended dose for Cialis is 20mg and the effect lasts up to
None of these drugs should be used more than once a day. Men who
take nitrate-based drugs such as nitroglycerin for heart problems
should not use either drug because the combination can cause a
sudden drop in blood pressure. Also, Levitra should not be taken
with any of the drugs called alpha-blockers, which are used to treat
prostate enlargement or high blood pressure.
Oral testosterone can reduce ED in some men with low levels of
natural testosterone, but it is often ineffective and may cause
liver damage. Patients also have claimed that other oral
drugs--including yohimbine hydrochloride, dopamine and serotonin
agonists, and trazodone--are effective, but the results of
scientific studies to substantiate these claims have been
inconsistent. Also Yohimbe has potentially toxic effects.
Many men achieve stronger erections by injecting drugs into the
penis, causing it to become engorged with blood. Drugs such as
papaverine hydrochloride, phentolamine, and alprostadil (marketed as
Caverject) widen blood vessels. These drugs may create unwanted side
effects, however, including persistent erection (known as priapism)
and scarring. Nitroglycerin, a muscle relaxant, can sometimes
enhance erection when rubbed on the penis.
A system for inserting a pellet of alprostadil into the urethra is
marketed as Muse. The system uses a prefilled applicator to deliver
the pellet about an inch deep into the urethra. An erection will
begin within 8 to 10 minutes and may last 30 to 60 minutes. The most
common side effects are aching in the penis, testicles, and area
between the penis and rectum; warmth or burning sensation in the
urethra; redness from increased blood flow to the penis; and minor
urethral bleeding or spotting.
Research on drugs for treating ED is expanding rapidly. Patients
should ask their doctor about the latest advances.
Impotence Herb Treatments
Herbal Nutrients That Promote All Aspects of Male Health
Naturally Treat Many of The Conditions That Cause ED
There are multiple causes of sexual dysfunction and low sex drive
which may range from mild (low sex drive, weak erections, lack of
energy, slow and weak ejaculation) to severe (total inability to
achieve erection and complete lack of sexual desire).
- Renal or urological
- Nutritional (malnutrition,
- Endocrine (hormonal, i.e. low
testosterone or high prolactin)
- Psychological (stress, anxiety,
- Pharmacological (alcohol,
smoking, recreational and prescription drugs)
- Environmental toxins (lead,
- General systemic health problems
By increasing your health in the
above areas you are often able resolve sexual dysfunction issues.
This is perhaps where the greatest benefit that natural herbal
supplements provide to a mans total sexual performance.
Three Herbs That Work Like Viagra
If you are looking for herbal alternatives to Viagra backed up by
research studies here are two that work like Viagra.
The anti-stress and adjuvant effects were evaluated through a
battery of tests. Shilajit provided a anti-oxidant defense against
several reactive oxygen types. Processed Shilajit provided complete
protection to methacrylate against hydroxyl radical induced
polymerization and acted as a reversible nitric oxide-captodative
agent. These findings are consistent with the therapeutic uses
of Shilajit as an Ayurvedic (rejuvenator) against oxidative
stress and geriatric complaints of erectile dysfunction.
Horny Goat Weed (Viagra effect)
Horny goat weed has been used for for over 2000 years as an sexual
and reproductive tonic. It's acts in multiple ways to increase
erection ability, size, and fullness.
Horny goat weed contains a prominent flavonoid called icariin.
Icariin is a cGMP-specific PDE5 inhibitor like Viagra, Cialis and
Levitra. This was demonstrated in a 1984 University of Peking
Also it functions like an adaptogen by
increasing levels of epinephrine, norepinephrine, serotonin, and
dopamine when they are low - promoting energy, but reduces cortisol
levels when they are elevated (an anti-stress effect). High stress
conditions, increase cortisol levels causing fatigue and depressing
Finally, horny goat weed can restore low levels of both testosterone
and thyroid hormone back to normal - improving sex drive.
Allium Sativum (Garlic)
Yes, Good old garlic. In two different 1998 studies from the
National University of Mexico and one from the Institute of
Pharmacology, Toxicology and Pharmacy, Munich, Germany to Garlic was
show "activate nitric oxide synthase" or enhances the nervous
systems ability to react to nitric oxide.
Also there are multiple studies compiled at the Sloan-Kettering
Cancer Institute which demonstrate Garlic’s assistance in both
preventing and assisting in curing several medical conditions which
are often the cause of ED. These include high blood pressure, heart
disease, hypertension and artherosclerosis.
Two Herbs Shown to Be Highly Effective Treating ED
Mucuna Pruriens works to increase testosterone, a prolactin
inhibitor and as a growth hormone stimulant.
A U.S. patent was filed in 2002 on the use of mucuna pruriens to
stimulate the release of growth hormone in humans. The high levels
of l-dopa in the mucuna seed are converted to dopamine which
stimulates the release of growth hormone by the pituitary gland.
L-dopa and dopamine are effective prolactin inhibitors
Increased levels of prolactin are considered responsible for 70% of
erection failure in males. In one study, oral intake of the seeds in
56 human males was able to improve erection, duration of coitus, and
post-coital satisfaction after only four weeks of treatment. It also
has fertility promoting and spermatogenic effects in men, improving
sperm count and motility.
Tribulus is a natural testosterone enhancer and also said to be
an excellent circulatory system tonic and can help build muscle and
Clinical studies on the sexual activity-enhancing effect of tribulus
have shown the herb to contain protodioscin, a saponin constituent,
improving libido in men with impotence due to various causes; libido
in women with menopausal symptoms; and sperm motility in infertile
and subfertile men.
In another study involving 59 men, ages 22-67, suffering from a
range of sexual dysfunctions. An increase of sexual desire and
fantasies, as well as sexual self-confidence, were reported in
almost all of the patients. The subjective experience of pleasure,
joy and satisfaction was reported in 80% of the men; erection
improved in over 75% of the men; and the duration of intercourse
before ejaculation was prolonged in 25% of the men.
See Reviews of Herbal Supplement Products
Impotence Vacuum Device Treatments
Mechanical vacuum devices cause erection by creating a partial
vacuum, which draws blood into the penis, engorging and expanding
it. The devices have three components: a plastic cylinder, into
which the penis is placed; a pump, which draws air out of the
cylinder; and an elastic band, which is placed around the base of
the penis to maintain the erection after the cylinder is removed and
during intercourse by preventing blood from flowing back into the
body (see figure 2).
Figure 2. A vacuum-constrictor
device causes an erection by creating a partial vacuum around the
penis, which draws blood into the corpora cavernosa. Pictured here
are the necessary components: (a) a plastic cylinder, which covers
the penis; (b) a pump, which draws air out of the cylinder; and (c)
an elastic ring, which, when fitted over the base of the penis,
traps the blood and sustains the erection after the cylinder is
variation of the vacuum device involves a semi rigid rubber sheath
that is placed on the penis and remains there after erection is
attained and during intercourse.
Impotence Surgery Treatments
Surgery usually has one of three goals:
- to implant a device that can
cause the penis to become erect
- to reconstruct arteries to
increase flow of blood to the penis
- to block off veins that allow
blood to leak from the penile tissues
Implanted devices, known as
prostheses, can restore erection in many men with ED. Possible
problems with implants include mechanical breakdown and infection,
although mechanical problems have diminished in recent years because
of technological advances.
Malleable implants usually consist of paired rods, which are
inserted surgically into the corpora cavernosa. The user manually
adjusts the position of the penis and, therefore, the rods.
Adjustment does not affect the width or length of the penis.
Inflatable implants consist of paired cylinders, which are
surgically inserted inside the penis and can be expanded using
pressurized fluid (see figure 3). Tubes connect the cylinders to a
fluid reservoir and a pump, which are also surgically implanted. The
patient inflates the cylinders by pressing on the small pump,
located under the skin in the scrotum. Inflatable implants can
expand the length and width of the penis somewhat. They also leave
the penis in a more natural state when not inflated.
Figure 3. With an inflatable
implant, erection is produced by squeezing a small pump (a)
implanted in a scrotum. The pump causes fluid to flow from a
reservoir (b) residing in the lower pelvis to two cylinders (c)
residing in the penis. The cylinders expand to create the erection.
to repair arteries can reduce ED caused by obstructions that block
the flow of blood. The best candidates for such surgery are young
men with discrete blockage of an artery because of an injury to the
crotch or fracture of the pelvis. The procedure is almost never
successful in older men with widespread blockage.
Surgery to veins that allow blood to leave the penis usually
involves an opposite procedure--intentional blockage. Blocking off
veins (ligation) can reduce the leakage of blood that diminishes the
rigidity of the penis during erection. However, experts have raised
questions about the long-term effectiveness of this procedure, and
it is rarely done.
||Studies Show Two
NaturalHerbs to Have a
Effect as Viagra- Read