This web page reviews common questions people have regarding male impotence. We discuss natural male Impotence treatment and the various causes of impotence and offer suggestions for herbal remedies. A highly popular herbal sexual enhancement product is Passion Rx, which is formulated by a medical doctor.

Passion Rx for a natural way to enhance sexuality --  Formulated by Dr. Ray Sahelian, M.D.
After several years of research, a medical doctor has found a combination of aphrodisiac herbs that works extremely well to enhance sexuality in the vast majority of users. Passion Rx is one of the most popular herbal aphrodisiac products sold on the internet. Please read on...

How quickly does Passion Rx enhance sexuality?
Passion Rx improves blood flow, sensation, stamina, and sexual urge within a few days of use. Some people may notice the effects within a day or two, for others it may take several days. Feedback from users indicates more than 80% user satisfaction by the end of the first week, and higher by the end of two weeks. There are two versions of Passion Rx: with, and without, yohimbe.

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Male Impotence cause information
Impotence (the medically preferred name is erectile dysfunction) can be classified simply under two headings. Psychological Impotence; or Organic Impotence: that is, due to some form of physical problem. Organic impotence becomes more common as men get older.
   Impotence can be due to physical causes (from high blood sugar, hardening of the arteries, high blood pressure, medication use), or due to psychological causes (from marital problems, stress, lack of confidence, insecurity, guilt, memories of poor performance in the past).
   All men with physical cause of impotence, particularly older men who are more likely to have physical impotence than younger men, need a medical evaluation, detailed cardiac assessment, blood pressure measurement, lipid profile and blood sugar tests, as well as lifestyle advice regarding weight management, diet improvement, smoking cessation, sleep quality improvement, stress reduction, and exercise. If you have impotence, make sure to have a full medical evaluation before starting therapy, whether with an herbal product or a drug. Some herbs are very potent and have a tendency to accelerate heart rate or increase blood pressure which may not be well tolerated by those who have cardiac or cardiovascular problems. Even though herbs are safer than prescription medications, they do have side effects in high doses. There is a higher rate of heart disease in men with physical impotence.
   See the bottom of this page for a full discussion of the causes of male impotence.

Q. What is the most common cause of impotence in young men?
   A. In older men, a common cause of impotence is vascular problems. Impotence in young men is often due to psychological or emotional stress.

Natural impotence cure
Q. Can some sex herbs be a natural impotence cure?
   A. Impotence causes are many. Some sex herbs can be a natural impotence cure for some people but it is difficult to predict which herbs, in what combination, in what dosages and in which people would lead to an impotence cure.

Impotence natural remedy
Q. Do you think there is such a thing as a natural impotence remedy? I am involved in an impotence forum. There is a big debate whether a natural remedy exists for impotence. Any information on impotence you can shed would be helpful.
   A. We are 100 percent convinced that there are herbs and nutrients that have a positive effect on sexuality. Impotence is caused by many factors, and there are some of these causes that can be addressed by diet and herbs, but not all of them. There are hundreds of herbs and impotence products, and some of them do offer a real herbal impotence remedy or cure. For instance, certain herbs can promote nitric oxide which helps with impotence by dilating blood vessels. Other herbs help release hormones or dopamine and hence improve impotence symptoms.

Impotence herbs
There are dozens of male impotence herbs available over the counter that have sex enhancing properties, including horny goat weed, catuaba, ashwagandha, tribulus, ginseng, maca, mucuna pruriens, muira puama, yohimbe, and tongkat ali. It is nearly impossible to predict which single herb will be effective in any particular person. These herbs take several days to work best, not an hour like Viagra or other impotence drugs. Often, products that have combinations of several herbs are more effective since they take advantage of the benefits from the various herbs.

Q. Is saw palmetto helpful for male impotence?
   A. Perhaps to a small degree, but there are other herbs more potent that saw palmetto.

Q. What is your opinion of ginseng for impotence remedy option?
   A. Ginseng can help impotence symptoms in some people. We find other herbs more potent that ginseng. These include horny goat weed, tongkat ali, and tribulus terrestris.

Male impotence drugs - impotence medications
Viagra, Cialis, and Levitra are the three major male impotence medications available by prescription.  These impotence medicines usually work within an hour or two and provide a strong erection in about 60 percent of users.

Q. What's your opinion of the impotence drug Viagra?
   A. Viagra drug works for impotence, but the herbs over time are more holistic, meaning they improve erection, sensation, libido, and orgasm, not just erection. We prefer the herbal impotence remedy approach.

Q. Viagra improved my impotence but did not help my libido. Is there a natural impotence treatment that could improve my libido?
   A. Yes, many herbal products can help with libido. Some of these herbs are found in Passion Rx.

Q. Can an herbal impotence pill be combined with an impotence drug like Cialis?
   A. Cialis is an impotence drug by Eli lilly co. Caution is advised when mixing herbs and impotence drugs such as Cialis. Herbs can be quite potent and they have side effects. It would be best to take an herbal impotence pill and an impotence drug on separate days. Often, though, and fortunately, an herbal impotence pill can have a positive effect on erection and sexuality even a day or two after taking it, so on the off day, if your doctor approves, you could take less of the dose of the impotence drug.

Male Impotence drug danger - Viagra, Cialis, Levitra and eye disease
Male impotence drugs such as Viagra and Cialis can increase the risk of vision loss in men who have a history of heart disease or high blood pressure. In a small study, scientists at the University of Alabama in Birmingham found that men who had suffered a heart attack were 10 times more likely to have optic nerve damage if they had been taking male impotence pills.

New impotence drug
Besides Viagra, Cialis, and Levitra, are you aware of a new impotence drug on the market?
   A. As of January 2008, no new impotence drugs have been introduced to the public.

Testosterone impotence treatment
Q. Is testosterone an effective impotence treatment?
   A. Testosterone can help some men and women enhance sexual pleasure and performance. However testosterone has many side effects and should be used for brief periods of time. During the off times, natural impotence treatment options with herbs can be substituted.

Impotence pill information
Q. How long does it normally take for a male impotence pill to work? Is there such a thing as an herbal impotence cure, I am looking for an alternative to Viagra.
   A. It depends on the formula. An impotence pill with yohimbe can work within hours while some herbal impotence pills with gentler herbs may take several days for a full effect. We have seen great results including herbal impotence cure with good products.

Prevent impotence
You can prevent impotence by eating a healthy diet with lots of fruits, vegetables, and fish. Another way to prevent impotence is to lead a low stress life, exercise frequently, and have a deep sleep. A very important way to prevent impotence is by not smoking.

How to overcome impotence - Impotence exercise
Exercise and weight loss can improve the sexual performance of obese men suffering from impotence. Therefore exercise and weight loss could be considered a natural impotence treatment.
   A third of older men have impotence and the problem only gets more common with age. The good news is that there are many things men can do to reduce their risk of impotence. The figures come from a survey of nearly 32,000 men, 53 to 90 years of age, who participated in the Health Professionals Follow-up Study. The results are reported in the Annals of Internal Medicine. Dr. Constance G. Bacon, from Harvard School of Public Health, and associates found that 33 percent of the men reported erection problems in the previous 3 months. Moreover, for each decade beyond 50 years of age, overall sexual function, desire, and orgasm frequency decreased sharply. Physical inactivity and obesity had a lot to do with impotence. Men who ran for at least 3 hours per week or engaged in a similar amount of exercise were 30 percent less likely to have erectile dysfunction than men who barely exercised at all. Similarly, non-obese men were 30 percent less likely to develop these problems than obese men, the researchers note. Other "risk factors" for impotence included smoking, drinking alcohol, and watching television. SOURCE: Annals of Internal Medicine August 5, 2003.

Impotence diet - obesity and impotence
Diet plays an important role in reducing the risk of impotence. Consider eating lots of healthy, organic vegetables and adding fish to the diet. A healthy diet can offer a gradual natural impotence remedy by lowering blood sugar, reducing the risk for hardening of the arteries, and by lowering blood pressure. Obesity increases the risk for impotence.

Male impotence natural cure
Q. My doctor says he does not believe there is such a thing as an alternative natural impotence cure for a man. Why don't doctors keep up with herbal medicine?
   A. There are lots of reasons, including economics and money that steer education towards drug therapy for impotence. Herbs are a wonderful alternative impotence treatment for a man and a woman. They may take a little longer to work, but we prefer them to Viagra and the other impotence drugs.

Q. Does the mineral zinc help provide a natural impotence remedy?
   A. Unless a person is severely deficient in zinc, we doubt zinc supplements will offer an help to a male with impotence.

Overcoming impotence or erectile dysfunction in a man
Q. I am dealing with impotence and depression and I need impotence help. Is there anything I can eat that can help me to overcome impotence? Is there a natural impotence remedy for a man?
   A. If we were to choose one food, it would be fish, particularly wild salmon or halibut. Diet and impotence are related. Eating junk food for many years clogs arteries reducing blood flow. I guess you could say your kitchen is your natural home impotence remedy.

impotence symptom - impotence definition
Impotence is a sexual dysfunction characterized by the failure to develop or maintain an erection of the penis sufficient for vaginal penetration and performance. Dealing with impotence can put a lot of stress in a male, leading to performance anxiety. An herbal impotence remedy can offer help to many men with this problem.

Impotence vitamin
Q. What do you think of chocolate as an impotency remedy? Also, is there an impotence vitamin?
   A. Cocoa has flavonoids that dilate blood vessels, but I don't think cocoa is a potent impotence remedy, at least not if you expect a quick result within hours or days. The common vitamins A, B, C, D, E, are not considered impotence vitamins.

Impotence product information
Q. There are so many impotence products on the market, do any of them work?
   A. There are literally hundreds or more herbal impotence product sold online or in stores. I have only take a few and some of them did work to improve erection function and sexual interest. A reliable future treatment for impotence may be herbal. Herbal impotence treatment by doctors is likely to begin within a few years as more physicians find out about their potential.

Impotence and masturbation
Q. Is masturbating too much a male impotence cause?
   A. Masturbation - at least too much masturbation - can reduce the sensitivity of the penis to stimulation, and reduce sperm volume, but it is not a cause for impotence since the penis should recover after a couple of days of rest. If your penis is not as sensitive, stop masturbation for a few days and your impotence (weak erection) will improve.

Impotence information
About one third of older men with impotence will experience natural remission, with symptoms becoming less severe but not necessarily going away completely. However, another third will experience a worsening this condition over time. Impotence, which affects more than 150 million men, has received increased attention in recent years due to its high prevalence and the development of drug treatments, such as Viagra. However, little is known about the natural course of erectile dysfunction after onset. Researchers analyzed data for 401 men between 40 and 70 years old with varying degrees of impotence who were followed for about 9 years as part of the longitudinal Massachusetts Male Aging Study. The chance of remission declines with age and is lower among heavier subjects. Smoking and poor general health are associated with worsening of impotence symptoms. The Journal of Urology, January 2007.

Prostatectomy impotence
Prostate cancer patients who have an operation called a bilateral nerve-sparing retropubic radical prostatectomy have a very high risk of postsurgical impotence. Prostate cancer treatment is a common cause of impotence in a male.

Male impotence and depression
Male impotence can be caused be depression and low self esteem. It can also be caused by medications that treat depression such as the SSRI drugs. These drugs increase serotonin levels in the brain which lead to sexual suppression and dampening of sexual pleasure. Sometimes using natural anti-depressants instead of the SSRI drugs can restore sexual pleasure. Some natural herbs for depression that do not cause impotence are St. John's wort and SAM-e. 5-HTP is not a good supplement for depression in those who have impotence since 5HTP converts into serotonin and can cause impotence.

Impotence and erectile problems
Q. Is impotence or erectile dysfunction in a man final. What I mean is, once you have erectile problems, can this be reversed?
   A. Depending on the cause of impotence, many times erectile problems can be reversed if the underlying medical problem is treated.

Male impotence cure
Q. Do you consider arginine to be a male impotence cure? I am a young man with impotence. It may be psychological due to my youth.
   A. Arginine, by itself, does not work well enough to have a strong influence on erections. There are other impotence herbs that are more effective. Teenage Impotence is most of due to stress or psychological reasons.

Impotence and acupuncture
Q. Does acupuncture help impotence?
   A. We have not come across any information regarding acupuncture treating impotence then again I am sure Chinese doctors have tried it, perhaps successfully.

Psychological Impotence - Mental causes of male impotence
The causes of psychological male impotence are numerous, and it is difficult to list them all, but most often impotence is related to depression, marital stress or relationship problems, life crisis, financial difficulties, religious repression, poor body image, or some type of mental illness. Impotence treatment in these cases depends on the cause. Anxiety is a very common reason of female impotence, so is depression. Psychotherapy may help some men overcome psychological impotence. Herbal products may also help.

Q. I have psychological impotence since my doctor told me that I am healthy and young and he could not find a medical cause of my impotence. He recommended therapy. I saw a psychologist a few times but my penis is still sleepy. I want to try a natural impotence treatment. Could an herb help with psychological impotence?
  A. It's worth a try. I know a few patients with psychological impotence who have noticed improvement using an aphrodisiac herb or a combination herbal product.

Cause of organic Impotence in a male

Vascular causes of male Impotence
Alterations in the flow of blood to and from the genital region are a common cause of impotence in men, and less so in women. For instance, medical conditions such as atherosclerosis (hardening of the arteries), high cholesterol, hypertension, or diabetes reduce blood flow to the penis and genital organs thus leading to difficulty with genital swelling. 

Neural causes of Impotence
Nerve damage from disorders such as multiple sclerosis, Parkinson’s disease, diabetes, and stroke affect the brain’s ability to respond to sexual stimulation and cause female impotence. In women, abdominal or pelvic operations can occasionally lead to nerve damage.

Hormonal Impotence cause
Low levels of androgens, such as testosterone, are a major component of impotence. Testosterone levels decline with age, which may contribute to male impotence. Women who have had surgical removal of the ovaries notice a drop in sexual interest. Impotence treatment by replacement of androgens can be helpful in some women and men. Testosterone is available by prescription only. An over the counter hormones, such as DHEA, converts into testosterone and thus has a positive influence on impotence and in some cases can be considered an impotence treatment. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus improve impotence. Many herbal aphrodisiacs also have a positive influence on impotence, with some having an effect on hormonal output. Prominent diseases of the endocrine system, such as diabetes mellitus, hypogonadism, and hyperprolactinemia, may cause impotence. The problem with hormones is that even though they may offer a good impotence treatment, they can have significant side effects.

Drug induced male Impotence
Drugs that cause impotence include certain medications for high blood pressure, SSRI drugs (like Prozac, Paxil, Zoloft), sedatives, and beta-blockers. SSRIs cause sexual dysfunction mostly due to their effect on serotonin metabolism. Serotonin has an inhibitory effect on sexuality. Therefore, impotence treatment in those who are on SSRI drugs may require switching to another drug or natural herb or supplement. Impotence can be caused by a beta blocker such as propranolol or atenolol.
   Some chemicals involved in the human sexual response include dopamine, acetylcholine, and nitric oxide. All these three natural chemicals and others can be manipulated n the treatment of impotence. Lipitor and some statin drugs may cause impotence in some users.

Male impotence and medical conditions
Certain medical conditions cause female impotence or reduce libido, performance, or enjoyment. These include hypertension or high blood pressure, diabetes, high cholesterol, cardiovascular or heart disease, obesity, peripheral vascular disease, neurological disorders, and insomnia. Diabetes and impotence are quite common. Diabetic impotence is first addressed by trying to keep optimal blood sugar levels, Obesity and impotence are also related. One solution to impotence is losing weight.

High blood pressure and impotence
Those with high blood pressure have a higher incidence of impotence. Perhaps they do not have enough nitric oxide in the blood vessels to dilate them. Medications used to lower high blood pressure can also cause impotence. The most common of these medications that cause impotence are beta blockers and diuretics.
   Beta blockers are a very common cause of impotence and can effect erectile function and ejaculation within days of use. Atenolol is a commonly used beta blocker that causes impotence.

Diabetes and impotence - diabetic impotence
Diabetes can cause male impotence due to vascular problems and nerve damage or neuropathy of the nerves in the pelvic region.

Impotence and heart disease
Impotence is common in patients with heart disease and shares the same risk factors - smoking, hypertension, high cholesterol, high blood lipids, and diabetes mellitus. Sexual activity is not unduly stressful to the heart and, providing patients are properly assessed using established guidelines, sexual intercourse can be enjoyed without increased heart risk. Impotence in asymptomatic patients may be a marker of silent heart or vascular disease and should alert the physician to the need for cardiac risk screening.

Smoking and impotence
Smoking inhibits the proper dilation of blood vessels in the genital region and can be a cause of impotence. Overcoming or reversing impotence can be achieved by a great deal of will power if a person is able to quit smoking.

Alcohol and impotence
Excess alcohol use can cause male impotence. Alcohol is an anesthetic and reduces genital sensation. Reversing impotence can be achieved by reducing alcohol intake or stopping alcohol use alltogether.

Prostate surgery and impotence
Impotence is a common complication with prostate surgery to remove a prostate cancer. Often the radiation treatment after the surgery can cause additional impotence problems. Treatment with a male impotence drug such as Cialis could offer a benefit. Herbs are another option to try and sometimes they are quite helpful.

Exercise benefits for male impotence
Physical fitness positively influences sexual desire and performance. A third of older men have impotence and the problem only gets more common with age. The good news is that there are many things men can do to reduce their risk of impotence. Dr. Constance G. Bacon, from Harvard School of Public Health found that 33 percent of the men reported impotence problems in the previous 3 months. Moreover, for each decade beyond 50 years of age, overall sexual function, desire, and orgasm frequency decreased sharply. Physical inactivity and obesity had a lot to do with impotence. Men who ran for at least three hours per week or engaged in a similar amount of exercise were 30 percent less likely to have impotence problems than men who barely exercised at all. Annals of Internal Medicine August 5, 2003.

Pomegranate juice and impotence problem - the results are not overwhelming
Efficacy and safety of pomegranate juice on improvement of impotence problem in male patients with mild to moderate impotence : a randomized, placebo-controlled, double-blind, crossover study.
Int J Impotence Research. 2007 Nov-Dec. Forest CP, Padma-Nathan H, Liker HR. The Male Clinic, Beverly Hills, CA, USA.
This study evaluated the benefit of wonderful variety pomegranate juice versus placebo in treating impotence problems in 53 subjects. Of the 42 subjects who demonstrated improvement in impotence scores after beverage consumption, 25 reported improvement after drinking pomegranate juice. Further, 17 subjects showed preference of one beverage to the other. Subjects were more likely to have improved scores when pomegranate juice was consumed. Although overall statistical significance was not achieved, this pilot study suggests the possibility that larger cohorts and longer treatment periods may achieve statistical significance for men with an impotence problem.

Risk of Chinese impotence formulas
Some Chinese-made impotence herb formulas may contain pharmaceutical drugs. In December of 2007, the FDA advised consumers to stay away from Shangai Chaojimengnan supplements sold under the names Super Shangai, Strong Testis, Shangai Ultra, Shangai Ultra X, Lady Shangai and Shangai Regular. The Chinese-made impotence herb formulas are packaged and distributed by Shangai Distributor Inc. of Puerto Rico. Product testing indicated that some of them contain Viagra's active ingredient, sildenafil, or a compound with a chemical structure that mimics sildenafil. These male impotence drugs could interact with nitrates or other drugs taken for diabetes, high blood pressure, high cholesterol and heart disease. There have been several instances over the years where male impotence herbal formulas made in China have been laced with pharmaceutical medications.

Additional web sites of interest
Female impotence can be treated with several effective natural herbal aphrodisiac plants.
Insomnia cure information. Chronic insomnia can cause male impotence.
Male enhancement pill information. Is it possible to increase the size of the penis?
Penis enlargement pills are sold over the counter that promise not only to treat male impotence, but to increase the size of the penis. Is penis enlargement possible with natural herbs and supplements?
Ray Sahelian, M.D. web site for various medical and health issues including male impotence treatment.

Questions regarding natural impotence treatment
Q.  I suffer from male erectile impotence problem. Are there safe erectile impotence herbs that could replace the penis impotence pill that I take called Cialis? Cialis helps my erectile impotence problem but I get a headache and blurred vision when I use it. What is the most effective male potency herb?
   A. In most cases male impotence can be helped with a natural male impotency pill or herb. It is impossible to predict which herb or herbal combination will help. One can only tell after trying different impotence herbs for a period of one or two weeks each to see which ones are most effective. More often a combination pill works best for male potency.

Q. What natural products, exercises or diets can improve penis impotence after prostate cancer surgery. Which herb works in a way other that testosterone boosting?
   A. It is difficult to predict which impotence herbs will be helpful in any particular person. There are quite a number of natural herbal erection helpers to try. Yohimbe is a good option since it does not seem to have any apparent effect on testosterone. Passion Rx with yohimbe is a great option.

Q. What is a good over the counter impotence drug that I can buy without a prescription?
   A. We are not aware of an effective over the counter impotence drug since as of 2008, impotence drugs are only available by prescription.

Q. Q. I have read a study of using acetyl-L-Carnitine coupled with Viagra as impotence treatment in diabetics. Has any study results revealed that this impotence treatment is effective with those who suffer high blood pressure and are taking high blood pressure meds such as beta blockers, Lisinopril, Valsartan, and hydrochlorothiazide.
   A. We are not aware of any studies that have evaluated the combination of acetyl carnitine or other carnitine supplements in the treatment of impotence in combination with prescription medications for blood pressure or other purposes.

Q. I import male impotence products to Japan and fyi the following are not allowed in Japan.
Yohimbe
Epimedium (Epimedium Sagittatum Horny Goat Weed, Epimedium Sempervirens, Epimeduim Koreanum and Epimedium Grandiflorum var Thunbergianum)
Damiana(Turnera Diffusa),
Sildenafil
)Homosildenafil
Hydroxyhomosildenafil
Tadalafil,
Chloropretadalafil
Vardenafil
Hongdenafil, Hydroxyhongdenafil,
Aminotadalafil
Pseudovardenafil
Xanthoanthrafil
Norneosildenafil
5-(5-Acetyl-2-Ethoxyphenyl)-1-Methyl-3-Propyl-1H-Pyrazolo(4,3-d)Pyrimidin-7(6H)-one
2-(2-Ethoxyphenyl)-5 Methyl-7Propyl-Imidazo(5,1-f)(1.2.4)Triazin-4(3H)-one

The root of Ilex pubescens (Mao-Dong-Qing in Chinese) has been commonly used for treatment of cardiovascular and inflammatory diseases in the Chinese medical system.
Jujuboside information