Natural, herbal sexual enhancers for a man and woman
Do male and female herbal sexual enhancers work? Absolutely! I have personal experience with these products for over two decades and I can tell you, without a doubt, that they are effective. There are quite a number of natural herbal pills that do the trick... and many of them are currently sold without a prescription. It is truly baffling to me that so many of these herbs that have been known for centuries in their local region and countries have you to be studied or accepted by Western medical doctors. While the media focuses on Viagra, Cialis and Levitra, dozens of potent herbs from Africa, China, India, and South America are ignored, and they work equally well in men and women. Some of these herbs are found in an excellent combination product called Passion Rx.

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Passion Rx sexual enhancer for men and women
Passion Rx is an herbal formula with provides results that are noticed by the third or fourth day and continue to improve with use. Dr. Sahelian and his research staff have tested various doses and extracts of dozens of herbs from a number or raw material suppliers to determine the ideal dosage and combination for optimal female and male sexual enhancers with the fewest side effects. After years of research, a unique proprietary blend with more than a dozen herbal extracts from the best raw material suppliers has been created. The exact dosages and extract potencies of this sexual enhancer product is a close kept secret only known to the doctor and his research staff.
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Safety fo the natural products
Q. Are natural sexual enhancers safe for men who have mild or moderate hypertension, high blood pressure?
   A. Many herbs would not be recommended in those with severe high blood pressure, particularly yohimbe and tongkat ali. You may consider a gentler approach with ashwagandha, saw palmetto or Prostate Power Rx.

How sexual enhancer work
Q. I am a healthy senior in my late seventies. Do some herbs induce the body to produce more testosterone or is their effect largely due to inhibiting PDE-5?
  A. Herbs have dozens or more of active substances in them and therefore they rarely have a single mechanism of action as do pharmaceutical medications which are basically one molecule or substance. A formula such as Passion Rx has more than a dozen herbs with hundreds of chemicals each working in their own way. Therefore, a number of body effects are likely to occur on brain chemistry, hormone influence, blood vessel dilation, and other changes. It is difficult to pinpoint the exact mechanism.

Medical conditions and diseases
Certain medical conditions reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, peripheral vascular disease, and neurological disorders, and insomnia. Exercise and weight loss may lead to sexual enhancement in obese men, researchers in Italy report. In a study of more than 100 obese men with erectile dysfunction, nearly a third regained normal sexual function after participating in an intensive weight loss program. High caloric intake increases inflammation within blood vessels or reduce the ability of blood vessels to dilate properly.

I am diabetic and was done angioplasty. I am 40 years old, please suggest a safe natural medicine as a sexual enhancer.
    Those with diabetes and heart problems need to be cautious since most herbal sexual enhancers have heart stimulating properties that can make the heart beat faster and perhaps increase the risk for heart rhythm problems in those with weak hearts.

Prescription drugs that interfere with optimal erectile function or desire
Drugs that interfere with libido or sexual function include some anti-hypertensives, SSRIs, sedatives, sleeping pills, and beta-blockers. Alcohol's negative affect on libido increases with age. Smoking can reduce genital blood flow.

Pharmaceutical sexual performance enhancers 
There are several prescription sexual enhancers including Viagra, Cialis, and Levitra. These drugs work very well in dilating blood vessels leading to a strong erection, however they do little else for sexual pleasure, such as libido, sensation, and sexual stamina. Plus, they have side effects. It has been reported that Viagra in rare cases can cause permanent blindness. Herbal sexual enhancer supplements are, as a rule, much safer. Sometimes doctors are the last people to learn about the potency of natural herbs. There are quite a number of sexual performance enhancers that are extremely effective, even more so than Viagra, Cialis, and Levitra. Actually, modern science has yet to invent a drug that works safely as a sexual enhancer in women.

Risk in those with heart disease
Current antianginal therapies include beta blockers, calcium channel blockers, short- and long-acting nitrates, and ranolazine, a late sodium current inhibitor. Short- and long-acting nitrates remain a contraindication with phosphodiesterase-5 inhibitors commonly used to treat patients with ED, and the benefits of the other therapies used for angina treatment must be weighed against their effects on cardiovascular health and erectile function. Patients with coronary artery disease and ED who wish to initiate phosphodiesterase-5 inhibitor therapy and need to discontinue nitrate therapy need treatment options that manage their angina pectoris effectively, maintain their cardiovascular health, and provide the freedom to maintain their sexual function.

J Pharm Biomed Anal. 2012. Analysis of herbal dietary supplements for sexual performance enhancement: identification of sildenafil, thiosildenafil, phentolamine and tetrahydropalmatine as adulterants. Nine herbal dietary supplements intended to be beverages for enhancing sexual performance were analyzed before their possible launch on the market. Four of them contained a sildenafil analog reported for the first time as an adulterant. One formulation was tainted with thiosildenafil, another unapproved PDE-5 inhibitor. Sildenafil along with the natural alkaloid tetrahydropalmatine that has no documented effect for enhancing erectile dysfunction were identified in two formulations. Another formulation was adulterated with phentolamine, a drug that is not approved for boosting male sexual performance when taken orally. The last formulation containing osthole, a bioactive natural coumarine improving sexual dysfunction, is most probably truly natural.

Use of hormone therapy
The testosterone transdermal patch improves hypoactive sexual desire disorder (HSDD) in postmenopausal women. An alternative is DHEA, an androgen that is available over the counter without a prescription.

Emails
Have received Spam mail and seen on web sites natural sexual enhancers pills or sexual Enhancers products that the vendors say are guaranteed to increase the size of your penis. The ingredients seem to be the common supplements spoken about with regard to penile health.   Is there any substance to these claims and these pills lead to sexual Enhancers?
   I am not aware of any natural sexual enhancer pills that permanently increase the size of a penis, but I am 100 percent certain that many herbal combinations do have sexual Enhancers properties.

Can you tell me about bombyx mori as a sexual enhancer?
    I have not seen human studies to know whether it works for this purpose.

Review sites
I've seen web site that review sexual enhancers but I have the sense that they favor one or two particular products that they sell. What do you think?
    Many of these so called review sites actually are fronts for companies selling their own brand of these natural herbal products.

Are you associated with a site called Sexual Enhancement Review?
    No, we are not associated with the Sexual Enhancement Review web site. We strongly suspect this site to be a front for a company that sells VigRx.