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Treating and Preventing Impotence Naturally
Impotence may be used to describe several problems that interfere with sexual performance such as lack of libido, as well as erectile dysfunction, which is the repeated inability to achieve an erection firm enough for sexual intercourse.
Erectile Dysfunction affects 50% of men ages 40-70 in the US and is considered an important public health problem by the National Institute of Health.
There are a myriad of natural products that promise miraculous and safe results, but many have no clinical trials to back any claims of restoring sexual vitality. The natural remedies listed below have some degree of evidence to support effectiveness in treating impotence.
Natural Remedies for Impotence
1. Side effects reported using yohimbine include: nervousness, irritability, insomnia, headache, skin flushing, anorexia, nausea, gastric distress, diarrhea, vomiting, palpitations, tachycardia, dysuria, pain, increased blood pressure, dizziness, sweating, weight gain, constipation, and anxiety. Always consult your doctor when using yohimbine-containing products.
2. The purity of some yohimbe extract products is questionable. References:
1. McKay D. Nutrients and botanicals for erectile dysfunction: examining the evidence. Altern Med Rev. 2004 Mar;9(1):4-16. PMID: 15005641.
2. Ernst E, Pittler MH. Yohimbine for erectile dysfunction: a systematic review and meta-analysis of randomized clinical trials. J Urol. 1998 Feb;159(2):433-6. PMID: 9649257.
3. Lebret T, Hervé JM, Gorny P, Worcel M, Botto H. Efficacy and safety of a novel combination of L-arginine glutamate and yohimbine hydrochloride: a new oral therapy for erectile dysfunction. Eur Urol. 2002 Jun;41(6):608-13; discussion 613. PMID: 12074777.
4. Betz JM, White KD, der Marderosian AH. Gas chromatographic determination of yohimbine in commercial yohimbe products. J AOAC Int. 1995 Sep-Oct;78(5):1189-94. PMID: 7549534.
5. Ang HH, Lee KL, Kiyoshi M. Sexual arousal in sexually sluggish old male rats after oral administration of Eurycoma longifolia Jack. J Basic Clin Physiol Pharmacol. 2004;15(3-4):303-9. PMID: 15803965.
6. Ang HH, Sim MK. Eurycoma longifolia Jack enhances libido in sexually experienced male rats. Exp Anim. 1997 Oct;46(4):287-90. PMID: 9353636.
7. Ang HH, Ikeda S, Gan EK. Evaluation of the potency activity of aphrodisiac in Eurycoma longifolia Jack. Phytother Res. 2001 Aug;15(5):435-6. PMID: 11507738.
8. Farouk AE, Benafri A. Antibacterial activity of Eurycoma longifolia Jack. A Malaysian medicinal plant. Saudi Med J. 2007 Sep;28(9):1422-4. PMID: 17768473.
9. Tee TT, Azimahtol HL. Induction of apoptosis by Eurycoma longifolia jack extracts. Anticancer Res. 2005 May-Jun;25(3B):2205-13. PMID: 16158965.
10. Nakaki T, Kato R. L-arginine is a naturally occurring amino acid and a precursor for nitric oxide, a potent vasodilator, which is used for treating erectile dysfunction. Jpn J Pharmacol. 1994 Oct;66(2):167-71. PMID: 7532730.
11. Chen J, Wollman Y, Chernichovsky T, Iaina A, Sofer M, Matzkin H. Effect of oral administration of high-dose nitric oxide donor L-arginine in men with organic erectile dysfunction: results of a double-blind, randomized, placebo-controlled study. BJU Int. 1999 Feb;83(3):269-73. PMID: 17707054.
12. Gur S, Kadowitz PJ, Trost L, Hellstrom WJ. Optimizing nitric oxide production by time dependent L-arginine administration in isolated human corpus cavernosum. J Urol. 2007 Oct;178(4 Pt 1):1543-8. Epub 2007 Aug 16. PMID: 10233492.
13. Cohen AJ, Bartlik B. Ginkgo biloba for antidepressant-induced sexual dysfunction. J Sex Marital Ther. 1998 Apr-Jun;24(2):139-43. PMID: 9611693.
14. Gades NM, Nehra A, Jacobson DJ, McGree ME, Girman CJ, Rhodes T, Roberts RO, Lieber MM, Jacobsen SJ. Association between smoking and erectile dysfunction: a population-based study. Am J Epidemiol. 2005 Feb 15;161(4):346-51. PMID: 15692078.
15. Tostes RC, Carneiro FS, Lee AJ, Giachini FR, Leite R, Osawa Y, Webb RC. Cigarette smoking and erectile dysfunction: focus on NO bioavailability and ROS generation. J Sex Med. 2008 Jun;5(6):1284-95. Epub 2008 Mar 4. PMID: 18331273.
16. Choi HK, Seong DH, Rha KH. Clinical efficacy of Korean red ginseng for erectile dysfunction. Int J Impot Res. 1995 Sep;7(3):181-6. PMID: 8750052.
17. Hong B, Ji YH, Hong JH, Nam KY, Ahn TY. A double-blind crossover study evaluating the efficacy of korean red ginseng in patients with erectile dysfunction: a preliminary report. J Urol. 2002 Nov;168(5):2070-3. PMID: 12394711.
18. de Andrade E, de Mesquita AA, Claro Jde A, de Andrade PM, Ortiz V, Paranhos M, Srougi M. Study of the efficacy of Korean Red Ginseng in the treatment of erectile dysfunction. Asian J Androl. 2007 Mar;9(2):241-4. Epub 2006 Jul 11. PMID: 16855773.
19. Thomas Ito, Kaye Kawahara, Anurag Das. A Double-Blind Placebo-Controlled Study on the Effects of ArginMax, a Natural Nutritional Supplement for Enhancement of Male Sexual Function. (Unpublished)
20. Gonzales GF, Córdova A, Vega K, Chung A, Villena A, Góñez C, Castillo S. Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men. Andrologia. 2002 Dec;34(6):367-72. PMID: 12472620.
21. Engelhardt PF, Daha LK, Zils T, Simak R, König K, Pflüger H. Acupuncture in the treatment of psychogenic erectile dysfunction: first results of a prospective randomized placebo-controlled study. Int J Impot Res. 2003 Oct;15(5):343-6. PMID: 14562135.