Yohimbe and impotence

please note: impotence and erectile dysfunction will be used interchangeably.

Yohimbe and impotence

1) Yohimbe - (Pausinystalia Johimbe) is a native to South Africa that contains Yohimbine, an alkaloid which may increase libido and blood flow to the erectile tissue.

2) L-Arginine - is an amino acid; it is believed that nitric oxide facilitates smooth muscle relaxation in corpus cavernosum tissue which permits an erection. L-Arginine is a precursor of nitric oxide which may improve erections.

3) DHEA - (Dehydroepiandrosterone) men with ED may have lower levels of DHEA. A study in "urology" indicates that supplementation with DHEA may help.

4) Tribulis Terrestris - a study in the international journal of andrology shows that an active compound in tribulis terrestris called "Protodioscine" has been clinically shown to improve sexual desire via conversion of protodioscine to DHEA. It is a native of India known as "Gokhsura".

5) Ginkgo Biloba - may stimulate the peripheral circulation and prevent clotting in microcapillaries especially in the genitalia to decrease erectile dysfunction symptoms.

6) Ginseng - studies indicate regular use may provide energy and stamina.

7) Muira Pauma - (Ptychopetalum olacoides) is a Brazilian shrub and is revered as a powerful aphrodisiac and nerve stimulant in South American folk medicine. It may effectively increase libido.

8) Horny goat weed - (Epimedium grandiflorum)

9) Maca (Lepidium meyenii) is from Peru and since pre-inca times has been prized as a potent aphrodisiac enhancing stamina, energy and libido.

10) Ashwagandha - (Withania sonifera) is from India and is regularly used in ayurvedic treatments. It is considered a good aphrodisiac in traditional medicine.

Impotence conventional treatment

Discussing your medications with your Physician or Pharmacist should be the first step to determine if any of your medications are causing ED. For example, drugs for high blood pressure work in different ways and some may cause erectile dysfunction as a side effect. If you think a particular drug is causing problems with erection, tell your Doctor. Psychotherapy and behavior modifications in selected patients may be considered next if indicated, followed by oral (such as Viagra) or locally injected drugs.

Vacuum devices are another route, these devices cause erection by creating a partial vacuum, which draws blood into the penis, engorging and expanding it. The devices have three components: a plastic cylinder, into which the penis is placed; a pump, which draws air out of the cylinder; and an elastic band, which is placed around the base of the penis to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body.

Finally, surgically implanted devices may be used. In rare cases, surgery involving veins or arteries may be considered. Discuss the options with your Doctor.

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