Natural Treatment of Erectile Dysfunction

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While many people with ED seek natural remedies and lifestyle changes to promote healthier erections, the reality isn't that simple.

What is Erectile Dysfunction?
Erectile dysfunction (ED) is characterized by the inability to achieve or maintain an erection, resulting in the inability to have penetrative sex. It's a very common condition, so if you're among the nearly 30 million men with ED in the United States, you're not alone. While many people with ED seek natural remedies and lifestyle changes to promote healthier erections, the reality isn't that simple.

Many herbal remedies for ED lack solid research to support their use and often have potentially dangerous side effects.

Causes of Erectile Dysfunction
Erectile dysfunction can occur for many reasons. Sometimes it's simply a side effect of a particular medication. Work stress, relationship problems, or depression can also contribute to ED.

But for approximately 75% of men, the cause is more complex. ED can result from vascular disease, neurological disease, diabetes, or prostate treatments or surgeries.

ED is often caused by insufficient blood supply to the penis due to blocked arteries (atherosclerosis). In fact, up to 30% of men who see a doctor for erectile dysfunction consider this condition the first sign of cardiovascular disease.

Natural Remedies for Erectile Dysfunction
Some herbal remedies have only limited studies demonstrating positive effects on the symptoms of erectile dysfunction. Here are a few you're likely to find related:

  • Ginseng
  • Yohimbine
  • Ginkgo biloba
  • Horny goat weed (epimedium) 

Please note that the term "natural remedies" includes supplements in various forms: herbs, botanicals, vitamins, minerals, amino acids, and others. While these products may be naturally sourced, "natural" does not necessarily mean they are safe.

Ginseng
Panax ginseng, or Asian ginseng, is an adaptogenic plant native to East Asia. Its root has played an important role in traditional Chinese medicine for thousands of years. There are several types of ginseng, each with different effects on improving immune function and varying amounts of active compounds, known as ginsenosides.

Some compounds in ginseng trigger the release of nitrous oxide, which may promote better circulation. Interestingly, ginseng has also been studied as part of a topical herbal formula for premature ejaculation, with some studies showing greater improvement in symptoms than a placebo, but this research is still preliminary.

Yohimbine
Yohimbine is an extract from the bark of trees that grow in West Africa. In ancient African medicine, it was used as an aphrodisiac or libido enhancer. However, in the included studies, researchers found that it improved sexual function only when participants took yohimbine along with other ingredients such as L-arginine.

Ginkgo Biloba
Ginkgo is one of the oldest tree species and has been used for thousands of years to improve memory and promote better circulation. It may also improve blood circulation by dilating blood vessels. This could improve blood flow to the penis, thereby improving the ability to achieve and maintain an erection.

Horny Goat Weed
Some people report that compounds in the leaves of this herb improve sexual performance, but only limited animal studies have demonstrated this potential benefit. There is no evidence that these effects occur in humans.

Horny goat weed may affect breathing and heart function in some people, and there is limited data on its safety as a treatment method.

What is the best way to treat Erectile Dysfunction?

The first step in treating erectile dysfunction is to identify the underlying cause. A doctor will help you determine the best treatment for you. Treatment options may include:

Cardiovascular exercise. Performing vigorous cardiovascular exercise for at least 45 minutes three times a week may help reverse some cases of mild erectile dysfunction. Cardiovascular exercises may include brisk walking, jogging, swimming, cycling, and jumping rope.

Quitting smoking. For men with mild erectile dysfunction, quitting smoking may produce improvement after several months.

Consult a sexologist.

Oral medications that help increase blood flow to the penis, such as sildenafil (Viagra®), vardenafil (Levitra®), tadalafil (Cialis®), or avanafil (Stendra®). Oral medications begin to take effect within one hour.

Low-intensity focused shock wave therapy (LiSWT). This noninvasive treatment improves blood flow using sound waves. Improvement can take up to two months.

Injectable medications directly into the penis to achieve an erection, such as alprostadil (Caverject®), papaverine (Papacon®), phentolamine (Regitine®), or a combination of several medications. Injectable medications begin to take effect within 10 minutes.

Vacuum constriction device (penis pump). Penis pumps begin to take effect almost immediately.

Testosterone replacement therapy, available in gel, injection, patch, and tablet form. Testosterone replacement therapy begins to take effect in four weeks.

Penile implant procedure. A penile implant is a procedure in which a surgeon inserts a device into the penis to increase its erection. The device does not affect sensation, urination, or orgasm.

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