Are you searching for a vitamin or herbal impotence cure or remedy? Many people can improve their sexual pleasure through the use of natural supplements. Although there are several effective prescription medications, many people are seeking a non-drug alternative. Drugs such as Viagra and its cousins Levitra and Cialis have helped many men. They have an effectiveness rate of up to 70 percent as a treatment for male impotence; but, in rare cases, they cause serious adverse reactions. Several cases of blindness have been reported from the use of these prescriptions medications. 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. Natural supplements address the whole area of sexual enhancement. They improve blood flow, help maintain stronger and longer erections, increase sex drive, enhance sensation, and increase stamina. The advantage of the drugs is that they often work within an hour or two whereas the impotence herbs take several days to be most effective.

Which natural remedy to choose?
There are dozens of female and male impotence herbs available over the counter including horny goat weed, catuaba, ashwagandha, tribulus terrestris, 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, not an hour or two 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. One such effective product is Passion Rx which works within 2 to 3 days. There is no doubt that these natural products are effective and its too bad the medical profession is not aware of their benefits.

Passion Rx with Yohimbe is a natural way to enhance sexual pleasure, erectile function and libido
I am glad to report that after several years of research, I have found a combination of herbs that works very well to enhance sexual pleasure, sensation, and sex drive.
This sexual enhancer improves blood flow, sensation, stamina, and sexual urge within a few days of use. Some people may notice the effects within a few hours, for others it may take a week or two. Dr. Sahelian, bestselling author of Natural Sex Boosters, and his research staff have tested various doses and extracts of exotic herbs from a number or raw material suppliers to determine the ideal dose and combination for optimal libido enhancement with fewest side effects. After years of trial and error, a unique proprietary blend with 15 herbal extracts, has been created. You will only find this exact combination in Passion Rx.

In recent years science has made breakthroughs in the understanding of impotence and sexual dysfunction. But, for hundreds of years, civilizations around the world have known about locally grown herbs that achieve wonderful results with far fewer side effects than prescription drugs. Now a combination of exotic herbal extracts from the Amazon jungle, India, China, Malaysia, and Africa, has been formulated to provide a natural solution for those seeking an alternative to synthetic drugs. The potent impotence herb extracts in Passion Rx include ashwagandha, catuaba, horny goat weed, maca, mucuna pruriens extract, muira puama extract, passion flower, rhodiola herb, tribulus terrestris, and yohimbe. This natural impotence formula also has a potent herbal extract called Tongkat Ali.
   There are literally hundreds or more herbal impotence products sold online or in stores. I have only taken a few and some did work to improve erection function and sexual interest. Herbal impotence treatment by doctors is likely to increase within a few years as more physicians find out about their potential benefits as alternatives to medications. Natural pills with yohimbe can work within hours while most herbal impotence pills with gentler herbs may take several days to provide their full benefits.

Caution: 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 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. See diet for suggestions. If you have problems with maintaining an erection, make sure to have a full medical evaluation before starting therapy, whether with an herbal product or a prescription 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.

Q. I have heart disease and take several heart medications, can I take Passion Rx? What herbal regimen would you recommend for ED?
   A. One has to address all risk factors for heart disease particularly diet, and make lifestyle changes and then discuss with your health care provider the safety of using these herbal products based on the stability of your heart rate, rhythm, blood pressure, and a host of other factors that influence cardiac health. Most herbal products for impotence treatment can stimulate the heart to beat faster.

Role of food, does diet play a role?
I am not aware of any foods you can eat that can have an immediate effect on sexual function, for instance within hours. However a life long healthy diet can prevent or reduce the occurrence of male impotence. If due to vascular problems, eating cold water fish, such as salmon on halibut, or taking fish oil capsules could perhaps make a difference after a week or two by thinning the blood or improving circulation. Eating fish, particularly cold water fish such as halibut, salmon, sardines, etc., can improve sexual potency. Ginger and garlic are root spices that can help dilate blood vessels and help some people with improved blood flow. Ginger and garlic have a number of health benefits.
   Cocoa has flavonoids that dilate blood vessels, but I don't think cocoa or chocolate 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. Unless deficient in vitamins, taking a regular multivitamin pills will not have much of an effect on sexual arousal or performance.
   Eating foods that are rich in flavonoids may reduced the risk of erectile dysfunction in men according to research from Harvard University and the University of East Anglia published in The American Journal of Clinical Nutrition, 2016. Of the different flavonoids, anthocyanins (found in blueberries, cherries, blackberries, radishes and blackcurrant), and flavanones and flavones (found in citrus fruits) were found to offer the greatest benefits in preventing the condition.

Sports, exercise benefit, movement
Physical activity levels improves a man's ability to have better erections and orgasms, the quality and frequency of erections, and overall sexual function, possibly due to the deeper sleep it provides and perhaps improved body image.

Daily exposure to bright light early in the morning improves sexual satisfaction scores and boosts testosterone levels in men with reduced libido or erection problems.

Cause, why it happens, reasons for weal erections
Some chemicals involved in the human sexual response include dopamine, acetylcholine, and nitric oxide. All these three natural chemicals and others can be easily manipulated or influenced with natural supplements in the treatment of impotence.

Erectile dysfunction can be classified simply under two headings. Psychogenic: that is, due to mental factors; or organic, due to physiological factors: that is, due to some form of bodily malfunction. A symptom is the inability to maintain an erection long enough to have satisfactory penetration. Libido and ejaculatory disturbances are the most frequently encountered type of sexual dysfunction seen in office practice.
    Organic male impotence becomes more common as men get older. Is there a natural male impotence remedy, medication, treatment or herbal cure? Although I cannot promise a cure, you should take a close look at Passion Rx, a highly evolved, medical doctor formulated, and time tested herbal sex product which can be considered an herbal alternative to prescription drugs, particularly since some drugs such as Viagra may have detrimental effects on vision.

A third of older men have impotence and the problem only gets more common with age. Physical inactivity and obesity are major culprits. Men who exercise are less likely to have problems. Other risk factors include smoking, excessive alcohol, and watching television for long hours at a time. Those with severe gum disease are more likely to have this condition.

Psychological Impotence - Mental causes are common
Most often psychological impotence is related to depression, performance anxiety, marital stress or relationship problems, life crisis, financial difficulties, religious repression, or some type of mental illness. Treatment in these cases depends on the cause. Anxiety is a very common reason for impotence, so is depression. Psychotherapy may help some individuals overcome psychological impotence. Herbal products may also help. Psychogenic impotence is diagnosed more commonly in the young, whereas, after age 40, a vascular etiology becomes more common.

I am a 24 year old young man who has difficulty when in bed with a woman, I think it may be psychological. Or perhaps I masturbate too much?
   A. Difficulty with performance in teens and young adults is most often due to stress or psychological reasons. Masturbation - at least too much masturbation - can reduce the sensitivity of the penis to stimulation, and reduce sperm volume. If your penis is not as sensitive, stop masturbating for a few days before intimacy.

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 treatment. Could an herb help with psychological impotence?
   It's worth a try. I know many patients who have noticed improvement using an aphrodisiac herb or a combination herbal product.

Causes of physical Impotence
Depending on the cause, many times it can be reversed if the underlying medical problem is treated. Lack of good sleep is a major cause.

Vascular causes involving blood vessel narrowing or closure
Alterations in the flow of blood to and from the penis is thought to be one of the common causes. 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 erection or genital swelling. A vascular problem in the penis may precede a wider, systemic problem in other blood vessels in the body. Lowering cholesterol and total body weight through diet, supplements, or medicines improves these problems. Additional factors that can impede blood flow include penile injury and surgery in the pelvic and abdominal area. Men who smoke risk developing impotence — and the more cigarettes they smoke, the greater the risk.

Neural causes and surgery
Nerve damage from disorders such as multiple sclerosis, Parkinson’s disease, diabetes, and stroke affect the brain’s ability to respond to sexual stimulation. In women, abdominal or pelvic operations can occasionally lead to nerve damage. Impotence is common in men undergoing surgical treatment for prostate enlargement or prostate cancer. This often occurs after prostate surgery - prostectomy. Sexual dysfunction rarely occurs after vasectomy.
   There is a significant relationship between cycling-induced perineal compression leading to vascular, endothelial, and neurogenic dysfunction in men and the development of ED. Research on female bicyclists is very limited but indicates the same impairment as in male bicyclists. Preventative measures including use of a properly fitted bicycle, a riding style with a suitable seat position and an appropriate bicycle seat can help prevent impairment.

Hormonal cause such as changes in testosterone, DHT, androstenedione and DHEA levels
Testosterone levels decline about 1 percent each year in meng. Testosterone also declines with age in women leading to a decrease in female libido. Impotence treatment by replacement of androgens can be helpful. 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 in some cases. Pregnenolone is another over the counter hormone that may increase testosterone levels. 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 they can have significant side effects.

Drug induced Impotence is quite common
Drugs that cause impotence include some anti-hypertensives, SSRIs (like Prozac), sedatives, narcotic pain meds, and beta-blockers. Impotence can be caused by a beta blocker medication such as propranolol or atenolol. I'm not sure about statins such as Lipitor or Zocor. Impotence due to steroids is a possibility.
   SSRIs cause erectile dysfunction mostly due to their effect on serotonin metabolism. Serotonin has an inhibitory effect on erectile function and sexuality. Therefore, impotence treatment in those who are on SSRIs may require switching to another drug or natural herb or supplement. An impotence cure can be as simple as stopping an impotence causing drug or changing to another medicine that does not have sexual side effects.
   Examples of beta-blockers include: acebutolol, atenolol, betaxolol, bisoprolol, carvedilol, esmolol, labetalol, metoprolol, and propranolol.
I am not sure if ACE inhibitors have an influence.
   Caffeine does not have a major influence whereas alcoholism does lead to impotence, without a doubt. Alcohol is an anesthetic and numbs the senses leading to a lesser sensation of genital organs. Nicotine can have negative effects, also.

Proscar and Propecia
Finasteride, a drug used to treat enlarged prostate and to stimulate hair growth, decreases libido, and in some individuals causes male impotence and ejaculatory dysfunction. Finasteride is known as Propecia at 1 mg or Proscar at 5 mg. Few doctors realize that impotence and finasteride use are related since the loss of sexual interest happens so gradually. Avodart another DHT inhibitor, also causes erectile problems. In many cases Propecia induced impotence can be reversed by herbal sex formulas such as Passion Rx.

Medical conditions are a common cause of this condition
Certain medical conditions cause 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 chronic insomnia or sleep apnea. Diabetic impotence is first addressed by trying to keep optimal blood sugar levels. With obesity, one solution is exercising and losing weight.
   Men who log several thousand miles a year on their mountain bikes suffer scrotal damage that could reduce their fertility or cause impotence. When cycling, find a bicycle seat that has space for the nerves leading to the penis not to be crushed and take frequent breaks off of the bike. Bicycle seats with "cutouts" designed to relieve pressure could actually put certain men at greater risk for the problem.
   Sleep problems are a common cause.

Most of the impotence herbs stimulate heart tissue and would not be advised to those with heart disease. Perhaps a capsule of Prostate Power Rx every other day may be a gentler but slower approach. Also, eating fish or taking fish oil capsules could help, along with eating ginger herb and garlic.

Cardiac patients
Impotence is common in cardiac patients and shares the same risk factors - smoking, hypertension, high lipid and cholesterol levels and diabetes mellitus. Sexual activity is not unduly stressful to the heart and sexual intercourse can be enjoyed without increased risk. Impotence in asymptomatic patients may be a marker of silent vascular disease or increased vascular risk factors and should alert the physician to the need for cardiac risk screening.
   Moderate exercise may help boost sexual function in men with heart failure.

A note about Viagra Impotence pill along with Cialis and Levitra pharmaceutical pills
Viagra (sildenafil), approved by the FDA in 1998, has been the most popular medicine and solution as the treatment of male impotence. Viagra works very well in dilating blood vessels in the genital region leading to an erection or increased blood flow to the vaginal tissues, however it does little to directly increase libido or sexual arousal. The effect of Viagra is often noticed within an hour after taking a pill of 50 or 100 mg, and ease of erection may last up to 12 hours. Side effects include headache, flushes, nasal congestion or runny nose, malaise, nausea, changes in blood pressure, irregular heart beats, visual disturbances including rare cases of blindness, and chest pain. Viagra may cause stickiness of blood platelets. I personally find alternative herbal remedies, such as an herb and nutrient combinations, preferable to pharmaceutical drugs and other aids such as pumps. Viagra, Cialis, and Levitra often lead to muscle aches and low back pain.

My doctor says he does not believe in an alternative impotence treatment. Why don't doctors keep up with herbal medicine?
  There are lots of reasons, including funding that steers medical education towards drug therapy. Herbs are a wonderful alternatives. They may take a little longer to work, but I prefer them to Viagra and the other sexual enhancing drugs.

Can an herbal impotence pill be combined with Cialis or Levitra? I have a strong interest in alternative aphrodisiacs, herbs, superfoods and nutrition.
   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 your normal dose of Ciallis, Levitra or Viagra.

Eye disease, vision disorder
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. 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 leading anti-impotence pills. Dr. Gerald McGwin, who headed the study, published the report in the British Journal of Ophthalmology. Non-arteritic anterior ischaemic optic neuropathy (NAION), is the most common cause of acute optic nerve disease in people over 50 years old. It can cause permanent loss of vision in one or both eyes. Dr. Gerald McGwin and his team questioned 76 men, half of whom suffered from NAION, who were treated at a specialist eye clinic in the United States, about their smoking and drinking habits and use of anti-impotence pills. In 2005 the Food and Drug Administration said it had received more than 40 reports of NAION involving impotence drugs but had not determined whether the treatments were responsible.

Alternative treatment
I have not come across any information regarding acupuncture treating this condition. Then again I am sure Chinese doctors have tried it, perhaps successfully.

Review sites
I was doing a search for yohimbe on google and came across a website called Impotence Guide. This website was claiming that Zenerx is a number one pick and claimed that products such as Passion Rx were dangerous since they have yohimbe. Can you tell me more about Zenerx. How does the website Impotence Guide know whether Zenerx is better than other sex products?
    There are several so called sexual product review sites on the internet that make it appear that they are independent but are actually a front for the company that sells the top listed product. One such notorious site is Impotence Guide. In the case of Zenerx, we have not tested this product ourselves, so we don't have a Zenerx review. In our opinion, the information on the website Impotence Guide cannot be relied on. The site is just a front for Zenerx.

Beware of Impotence Pills laced with Viagra or other prescription drugs
FDA routinely checks different brands of natural herbal impotence pills to see if any contain pharmaceutical drugs. Over time FDA has found many products touted on the Internet as natural alternatives to Viagra illegally contain the same active ingredients as the prescription medicines. The list includes a product called Zimaxx, sold by Herbal Remedies, which FDA testing showed contains sildenafila. A message left for Herbal Remedies USA, a Casper, Wyoming-based company that sells Zimaxx on its Web site by the Associated Press was not immediately returned. Besides Zimaxx, the other products warned by the FDA are: Libidus, Neophase, Nasutra, Vigor-25, Actra-Rx and 4Everon. Testing showed these products contain either chemical ingredients that are similar to sildenafil or a second drug called vardenafil, the active ingredient in Levitra. Dr. Steven Galson, Director of FDA's Center for Drug Evaluation and Research, says in a statement, "These products threaten the public health because they contain undeclared chemicals that are similar or identical to the active ingredients used in several FDA-approved prescription drug products. This risk is even more serious because consumers may not know that these ingredients can interact with medications and dangerously lower their blood pressure." A search on google for Zimaxx led to the first listing as Herbal Remedies, but the product Zimaxx could not be found.