This article reviews common questions people have regarding male impotence. We discuss natural treatment and the various causes and offer suggestions for herbal remedies. Although there are several medications that are prescribed for male sexual dysfunction, most doctors are not aware that there are dozens of natural herbs that have a positive influence on erectile function. A highly popular herbal sexual enhancement product is Passion Rx, which is formulated by a medical doctor and has a high rate of customer satisfaction.

Are you a male searching for a male impotence drug, vitamin, or herbal impotence remedy or treatment? If so, you're on the right page. Many men can improve their sexual pleasure through the use of natural supplements. There are many effective prescription medications on the market. Drugs such as Viagra sildenafil, and its cousins Levitra vardenafil and Cialis tadalafil, have helped many men but they have side effects and can sometimes be dangerous. Although very effective in improving blood flow to the penis, these drugs do not have much of an influence on libido, and they certainly do not enhance genital sensation. They treat male impotence but have little effect on overall sexual enjoyment and pleasure.
   Many men are seeking a natural alternative to treat sexual dysfunction. Natural supplements address the whole area of sexual enhancement. They improve blood flow, increase sex drive, enhance sensation, and increase stamina.

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...


This all natural male enhancement formula improves blood flow, sensation, stamina, and sexual urge within a few days of use. There are two versions of Passion Rx: with, and without, yohimbe.

Click here for more details on Passion Rx, additional aphrodisiac herbs, Prostate Power Rx, doctor formulated nutritional products

Male Impotence cause information
Erectile dysfunction can be classified simply under two headings. Psychological or Organic: that is, due to some form of physical problem. Organic impotence becomes more common as men get older often due to poor circulation and lower androgen hormone levels.
   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 older men with physical cause of impotence 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.

Natural impotence cure and remedy
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 effective treatment.

Natural remedy
Q. 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.

Male 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, also known as eurycoma. 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. Saw palmetto may be of benefit but there are more potent herbs.

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

Combinations of herbs
2009 - German researchers are testing an impotency treatment for men using only natural ingredients that in some cases works better than Viagra. "In clinical trials, 50 men had much better sex afterwards, more fun in bed and just generally felt better about themselves," the Sueddeutsche Zeitung daily cited Olaf Schroeder from Berlin's Charite hospital as saying. "Their libido was even higher than the control group taking Viagra," he said. The herbal combination includes tribulus terrestris, maca and grape juice extract. The product is called Plantagrar.

Male impotence drugs, benefits and risks - 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. Mounting evidence indicates that erectile dysfunction medications have become increasingly used as a sexual enhancement aid among men without a medical indication. Recreational ED medications use has been associated with increased sexual risk behaviors, an increased risk for sexually transmitted diseases, including incident HIV infection, and high rates of concomitant illicit drug use. 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.

Can an herbal impotence pill be combined with Cialis?
    Cialis is an impotence drug by Eli lilly co. Caution is advised when mixing herbs and 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.

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?
    As of 2011, no new impotence drugs have been introduced to the public that we are aware of.

BPH, benign prostatic enlargement
Impotence drugs may be able to help reduce the symptoms caused by enlarged prostates, such as trouble urinating. Men who took Eli Lilly and Co's Cialis every day had fewer symptoms, such as urinary frequency, urgency, intermittence, straining, incomplete emptying or a weak urinary stream. However, long term side effects of using impotence drugs for prostate enlargement may be of concern, including damage to the retina.

Testosterone impotence treatment
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? 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, the benefit of 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, 2003.

Impotence diet - obesity as a cause
Diet plays an important role in reducing the risk. 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.

Does the mineral zinc help provide a natural impotence remedy?
   Unless a person is severely deficient in zinc, we doubt zinc supplements will benefit.

Overcoming impotence or erectile dysfunction in a man
Q. I am dealing with impotence and depression and I need help. Is there anything I can eat that can help me to overcome it? Is there a natural 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 vitamin
What do you think of chocolate as an impotency remedy? Also, is there an impotence vitamin?
   Cocoa has flavonoids that dilate blood vessels, but we 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
There are literally hundreds or more herbal impotence product sold online or in stores.

Is masturbating too much a male impotence cause?
   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.

Prostatectomy as cause
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.

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 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.

Psychological Impotence - Mental causes
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, effect of medications
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, hypertension, elevated BP
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 cause
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.
   Impotence is associated with certain diseases and life style habits with a cause-effect relationship, including diabetes mellitus, hypertension, high cholesterol or high lipids in the bloodstream, and cigarette smoking. Through atherosclerotic narrowing, these diseases may cause coronary artery disease (CAD) and impotence, with impotence featuring earlier due to the small size of the pudendal artery. The common denominator in impotence and coronary artery disease is endothelial dysfunction. Men presenting with impotence should be evaluated for cardiovascular risk factors, as there is mounting evidence that impotence is a warning sign for coronary artery disease in some middle aged and older men.

Alcohol and impotence
Alcohol is an anesthetic and reduces genital sensation. Reversing impotence can be achieved by reducing alcohol intake or stopping alcohol use all together.

Prostate surgery
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.

What natural products, exercises or diets can improve a man's sexual health after prostate cancer surgery. Which herb works in a way other that testosterone boosting?
   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.

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.
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
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?

Questions
Q.  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. 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

Additional pages on this website
Iceland Moss extract is an herb that grows in Iceland
Ilex pubescens root (Mao-Dong-Qing in Chinese) has been commonly used for treatment of cardiovascular and inflammatory diseases in the Chinese medical system.
Jujubogenin mediates the GABA-A receptor.
Jujuboside information

As a manufacturer of male sex enhancement formula/ finished products, we are supplying male sex capsules and formula. I am contacting you to see if you would be interested in carrying our capsules Jumbo V under private labeling in your product line. The unique formulation of Jumbo V has a demonstrated positive effect on erection, blood flow, and key areas of your overall health. Jumbo V provide nutrients to assist male sexual performance (not just increase blood flow to the penis), as well as prevent many conditions that can cause erectile dysfunction and weakened male sexual performance. It is guaranteed to work within 45 minutes and lasts for 24 hours. We are offering private labeling, even if your order is the minimum 100 bottles or 1000 blister packs. Also, we have bulk capsules for you to do repackaging locally: red, gold, blue, red/black capsules. For more detailed information regarding our services and products, please do not hesitate to let me know. Eva Lee Natural TCM Lab.
   If this product works so quickly, we wonder if it is laced with a prescription medication.