Eleuthero, a distant relative of Panax ginseng, has been used in Chinese medicine for 2,000 years. Eleuthero, also called Siberian ginseng, has been shown to enhance physical performance in several studies. Research shows it has antioxidant, immune-boosting, and cholesterol-lowering properties. A study in the Journal of Ethnopharmacology concludes that the active constituents, eleutherosides, alleviate both physical and mental fatigue.


Saw palmetto. Saw palmetto comes from the fruit of a small palm tree. It has been used to treat symptoms in men with an enlarged prostate gland, such as difficulty urinating, and it has been recommended to treat ED caused by an enlarged prostate. However, several recent clinical trials did not show that saw palmetto works any better on an enlarged prostate than a placebo does. "There is no evidence that saw palmetto should be used to treat erectile dysfunction," says Dr. Gilbert. Like ginkgo biloba, saw palmetto can interact with some prescription medications.

Pomegranate juice. Drinking antioxidant-rich pomegranate juice has been shown to have numerous health benefits, including a reduced risk for heart disease and high blood pressure. Does pomegranate juice also protect against ED? No proof exists, but results of a study published in 2007 were promising. The authors of this small-scale pilot study called for additional research, saying that larger-scale studies might prove pomegranate juice's effectiveness against erectile dysfunction. "I tell my patients to drink it," says Espinosa. "It could help ED, and even if it doesn't, it has other health benefits."
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"Dan (28 years old) contacted me for online counseling and help with his sexual problems. Although he was in a steady relationship, Dan was afraid that he would lose his girlfriend due to his inability to maintain an erection. Even when he was aroused, Dan's erection was not as strong as he would have liked it to be and it did not last very long. When making love with his girlfriend, Dan would either ejaculate too quickly or his erection would disappear, leaving him embarrassed and his girlfriend unsatisfied. This had led to frustration and the couple were having arguments about lots of things. Dan had felt too ashamed to consult anyone face to face and chose the anonymous nature of online counseling to seek help for his problem. We worked together to draw up a healthy eating plan and a daily exercise routine and I started Dan on a course of Ikawe, three times daily. After about a week, there was a noticeable difference and Dan was beginning to feel aroused more often. A month later, Dan emailed me to say that he was a different man and that he and his girlfriend were making love every night! He felt proud that he was able to make love for longer and could satisfy his girlfriend as well as himself." - Michele Carelse, Clinical Psychologist
However, other studies have highlighted that men who weren’t on antidepressants showed no signs of improvement. With that said, this herb may be great to try if you’re experiencing ED and also on antidepressants. If not, try some of the other herbs on this list first and see if you like them more. You may get better results elsewhere! Also, this herb is not recommended for men who are on blood thinning medication, as this herb has been known to make people bleed more.
Erectile Dysfunction is extremely common in men and the number one herb to treat and heal erectile dysfunction is no doubt Tongkat Ali. The herb is commonly known as Malaysian Viagra or Natural Viagra even Herbal Viagra is known to be the best natural male herb, making it extremely valuable herb to restore manhood, virility and libido plus erection.  It stood the simple test, most lab evidence and experience from uses attest to its benefits vs Viagra like drugs.
The Science: Chemicals inside these plants called ginsenosides are thought to ramp up the physiological pathway that makes nitric oxide, the neurotransmitter that gets the blood flowing during penile erection. Some studies support that idea: one found that ginsenoside-rich ginseng berry extracts relaxed smooth muscle inside rabbit erectile tissue. But so far there haven’t been high-quality double-blind and randomized trials of the chemicals’ effect on humans. The jury’s still out on whether ginsenosides have any effect on people at all, or (if they do) whether they work as well as medications like Viagra.
Yohimbe (Pausinystalia yohimbe): again an Asian favorite which originates from an evergreen tree native to the West African Countries of Congo, Cameroon and Gabon, it is the only herb listed in the Physician’s Index Reference as supporting sexual function. Its Latin name is Pausinystalia yohimbe. The USA FDA approved yohimbe as the first plant derived drug for treating impotency long ago and was dubbed the herbal viagra II in the February 1999 edition of Environmental Nutrition. Alkaloid in yohimbe i.e., Iso Yohimbine, allo-yohimbine, yohimbinine, yohimbane, yohimbenine and corynantheine blocks alpha-2 adrenergic activity allowing vasodilation. It also acts as a monoamine oxidase inhibitor increasing serotonin in the brain. Yohimbine has a dual aphrodisiac function: it improves sexual function (10) by displacing epinephrine from alpha-2 adrenergic receptors in the pelvic area and it increases proneness to arousal thru supplying the epinephrine from the alpha-2 receptors to the central nervous system (brain) where it is active as a neurotransmitter. Side effects include nervousness, anxiety, insomnia, and possibly mild hypertension (5).
Gingko biloba: this is an example of a tonic herb that equilibrates our body systems. When tired it energizes and when stressed it relaxes the individual. It increases blood circulation which better prepares the male for the heart-racing excitement of sex. Early reference to its medicinal use was in 2900 BC Chinese Materia medica which believed it increased sexual energy. Gingko’s circulation enhancer called terpene lactone increases cerebral as well as genital blood flow and its significantly increased production of dopamine, adrenaline and other neurotransmitters in the brain improves pleasure arousal and alertness (5).
Prescription drugs called “oral phosphodiesterase-5 (PDE5) inhibitors” are considered the “first-line non-invasive treatment” options for patients with ED. These include the drugs that go by brand names: Sildenafil, Vardenafil or Tadalafil. They work by helping the smooth muscle cells lining the blood vessels that supply the penis with blood to work properly. This allows a man to maintain an erection more easily.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Animal testicles: derived from bulls and wild boars, the orchic substance has been used as a way to possibly increase testosterone levels and sperm counts. In Singapore, testis soap was once very popular (Figure 2). It is still sold in parts of China and Japan. The dried Dog testis and penis (canis familiaris) is believed to tonify the kidneys and strengthen the yang II. Kidney deficiency is believed to be the cause of impotency in Chinese literature.
To avoid such a frustrating situation, you should make sure that you receive all essential vitamins, fatty acids, minerals, and micronutrients. This will help your body perform its functions normally. And erectile function is not an exception. If you adhere to a well thought-out nutrition plan which is suitable for the men of your age, your body will get important building materials to support your sexual activity.
If getting older is taking a toll on your manhood, you are not alone. About 30 million males in the U.S. frequently have problems developing or maintaining an erection, a condition commonly known as erectile dysfunction (ED). There are numerous pharmaceuticals to temporarily treat this issue (side effects included), or you could try using one of many Eastern herbs that treat ED.
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Gecko (Gejie): this toad-headed lizard (Gekko gecko L.) is caught in summer. The internal organs are removed, and the eyes are cut and drained. Pieces of bamboo are used to fix the body, and then the gecko is baked and put in a dry place. It is used to treat Impotence due to kidney efficiency. Gecko (Gejie) is used with Ginseng (Renshen), Pilose antler (Lurong) and Epimedium (Yinyanghuo). It can be used alone for this treatment.

Maca is a plant root that comes from Peru, where it has a history dating all the way back to the Incan empire. According to Peruvian myths, it can restore sexual vitality and increase energy in all aspects of your life. In our present day, Maca is one of many ingredients in Moon Juice’s notorious “Sex Dust” powder that’s marketed as an aphrodisiac for both men and women. The Moon Juice website encourages customers to sprinkle and mix the dust in their “coffee, milk, water, smoothies, or ice cream.” Is there any scientific proof backing this magical herb?

It should be noted that Panax ginseng doeshave one major side effect: insomnia. However, compared to the side effects of other erectile dysfunction medications have, such as Viagra, many may consider this side effect to be worth it. Also, ginseng may react negatively if you’re taking any other medications, and with caffeine, so you should always talk to your doctor about your options before taking this step.

Yohimbe (Pausinystalia yohimbe): again an Asian favorite which originates from an evergreen tree native to the West African Countries of Congo, Cameroon and Gabon, it is the only herb listed in the Physician’s Index Reference as supporting sexual function. Its Latin name is Pausinystalia yohimbe. The USA FDA approved yohimbe as the first plant derived drug for treating impotency long ago and was dubbed the herbal viagra II in the February 1999 edition of Environmental Nutrition. Alkaloid in yohimbe i.e., Iso Yohimbine, allo-yohimbine, yohimbinine, yohimbane, yohimbenine and corynantheine blocks alpha-2 adrenergic activity allowing vasodilation. It also acts as a monoamine oxidase inhibitor increasing serotonin in the brain. Yohimbine has a dual aphrodisiac function: it improves sexual function (10) by displacing epinephrine from alpha-2 adrenergic receptors in the pelvic area and it increases proneness to arousal thru supplying the epinephrine from the alpha-2 receptors to the central nervous system (brain) where it is active as a neurotransmitter. Side effects include nervousness, anxiety, insomnia, and possibly mild hypertension (5).
There is growing evidence that acupuncture which is an ancient treatment method is helpful for rebuilding the men’s sex life. This treatment option implies the insertion of needles into the special points on skin in order to reduce pain, as well as to overcome stress and depression. There are points responsible for the men’s sexual health. According to different researches, acupuncture can be successfully used as an ED cure. For example, the study conducted in 1999 has indicated that the application of this treatment technique helped revive erectile function and increased the frequency of sexual activity in 39% of men. Acupuncture cures mild to moderate ED caused by psychological factors.
In the East, many herbal tonics and preparations are used to assist the aging male improve his sexual drive or ability to perform penetrative sex by increasing sexual stimulation, erectile, ejaculatory, orgasmic and other responses for sexual function and satisfaction. The herbs and tonics act as or as “pick-me-ups” and energizing tonics which help the tired and fatigued male and those with sexual asthenia. The myths and realities concerning Tongkat Ali, sea horse, cobra meat and blood, animal penises and testicles amongst many other herbs and portions for oral intake or local application used by traditional “medical” practitioners and village doctors will be discussed.
Tongkat Ali (Eurycoma longiflora) (Figure 7): this native plant found through SE Asia is used as an Aphrodisiac since 1996 (5). It has to be used regularly and works by enhancing the testosterone and cGMP production. Benefits are felt gradually over a period of time, mainly because it enhances the natural biological synthesis of testosterone. When the level is increased, health and vitality are restored. In studies on Mice, Tongkat Ali increases the number of times and duration of sexual performance of the animals under study (8) with testosterone levels increasing up to 440% in some animals. In a recent study on humans, 62% of subjects showed an increase of the free testosterone index indicating it’s biostimulatory effect on steroidogenesis. It has also been shown to increase sperm concentration and motility and increases energy in the individual by enhancing ATP production by 60% thru oxidative phosphorylation.
Acupuncture. Acupuncture has been used for centuries to treat ED and impotence in China. A recent review of studies on acupuncture for erectile dysfunction was published in the British Journal of Urology International. After reviewing four studies, the authors concluded that there was not sufficient evidence to say that acupuncture worked. However, some experts believe it's worth trying. "Acupuncture can work," says Gilbert. "It probably works best to treat the psychological component of ED. There is very little downside to trying it."
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A combination of yohimbine and L-arginine is shown to significantly improve erectile function in people with ED. L-arginine is an amino acid that helps expand blood vessels. It’s regarded as safe and effective for ED but can cause side effects like nausea, diarrhea, and stomach cramps. Avoid taking L-arginine with Viagra, nitrates, or any high blood pressure medications.

ED can also occur as a side effect of some medications, for example some high blood pressure medications such as certain diuretics and beta blockers. If you think that a medication you are taking has a negative effect on your sex life, you should discuss this with your prescribing doctor. Your doctor may be able to recommend an alternative treatment.
Ashwagandha (Withania somnifera), used widely in Ayurvedic medicine, holds a similar role to that of ginseng in Chinese medicine. Though unrelated to ginseng, it appears to share similar properties and actions. Ayurveda considers this herb to be a rasayana, or particularly powerful rejuvenative. The name ashwagandha means “like a horse,” connoting that it is regarded as a premier sexual tonic.
The men often underestimate the power of medications they have to take for different reasons. But a wide range of prescription medications such as corticosteroids, diuretics, hypertension drugs, beta-blockers, cardiovascular medications, cholesterol medications, hormone drugs, chemotherapy, antipsychotic drugs, male pattern baldness drugs, etc. can really harm your sexual function.
For many men, stopping smoking is an erectile dysfunction remedy, particularly when ED is the result of vascular disease, which occurs when blood supply to the penis becomes restricted because of blockage or narrowing of the arteries. Smoking and even smokeless tobacco can also cause the narrowing of important blood vessels and have the same negative impact. 
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