New treatment for ED

Avanafil is a new drug in the US for the treatment of erectile dysfunction in adult men. It is a modern new PDE5 inhibitor with a molecular formula, which has been approved by the FDA in 2012. Avanafil supplier in the US is the company Vivus.

Avanafil is produced under the brand name Stendra in tablets of 50 mg, 100 mg and 200 mg. This new drug for increasing potency is a situational erection stimulant. Several recommendations should be follower to improve sexual function, when using Avanafil:

  • Avanafil tablets are recommended to be taken in a dose of 100 mg per day, when necessary, about half an hour before the upcoming sexual intercourse.
  • Avanafil dose should be reduced to 50 mg per day in low personal tolerability.
  • Sexual stimulation is required for achieving an erection after the intake of Avanafil pills.
  • Avanafil dose may be increased to 200 mg per day, if the erection is not achieved in excitation, or when its strength is not sufficient for a full sexual intercourse.

Avanafil tablets are designed for improving sexual function in adult males only. Avanafil tablets are contraindicated in boys and young men under 18 years, as well as in men with severe renal or hepatic impairment.

Men with mild or moderate renal or hepatic insufficiency, as well as geriatric patients, are advised to take Avanafil in the minimum dose of 50 mg per day.

Avanafil tablets do not have any therapeutic effect on women and do not contribute to strengthening of women’s sexual desire. However, high doses of Avanafil may cause adverse reactions, when used in women.

Avanafil is safe for erectile dysfunction mono-therapy. However, caution is recommended, when using it with some other drugs. This is due to the fact that Avanafil can interact with drugs of different pharmacological groups:

  • Just like vasoactive drugs of previous generations, Avanafil is contraindicated in combination with antianginal drugs (Nitroglycerin) and an alpha-blockers (Doxazosin aka Cardura).
  • Antianginal drugs are recommended to be taken not earlier than 12 hours after Avanafil intake.
  • Avanafil should not be taken jointly with other medicines for potency improvement, such as Tadalafil (Cialis), Sildenafil (Viagra) and Vardenafil (Levitra).
  • Avanafil tablets may increase the hypotensive effects of certain drugs, such as Clonidine (brand name – Catapres) or Riociguat (Adempas).
  • Avanafil dose should be lowered to 50 mg, when used in combination with moderate inhibitors of the enzyme CYP3A4 (Fosamprenavir aka Lexiva). Avanafil is contraindicated for use together with potent inhibitors of the enzyme CYP3A4 (Itraconazole aka Onmel).
  • Alcohol may increase the hypotensive effect of Avanafil and cause headache, heart palpitations or dizziness. Therefore, it is not recommended to consume alcohol-containing beverages, foods or medicines, while using Avanafil.

Avanafil helps restore sympathetic innervation of the penis vessels, resulting from  the organic or psychological disorders, caused by endocrine and cardiovascular diseases, surgical interventions on the urogenital system organs, stress, and trauma of the pelvic organs.

Avanafil is effective in the treatment of male sexual dysfunction, caused by the use of drugs, containing the female hormone estrogen. Therefore, Avanafil is recommended for improving erections in men after the treatment of benign prostatic hyperplasia.

A special feature of Avanafil therapeutic effect is the suppression of PDE5 synthesis in the male body, which leads to:

  • increased rigidity of the penis,
  • increased blood flow to the cavernous bodies of the penis,
  • improved quality, duration, and hardness of erection,
  • improved process of nitric oxide synthesis in the cavernous bodies of the penis,
  • increased concentration of the enzyme guanylate cyclase in the cavernous bodies.

Changes in lifestyle, giving up bad habits, adherence to a healthy diet and daily regimen may not only increase the efficiency of Avanafil. They may also have a positive impact on the overall health of men and improve the treatment results of the root causes for the potency deterioration.

The root causes of erectile dysfunction should be identified and treated to improve the efficiency of Avanafil. Avanafil may increase the risk of some diseases exacerbation. Therefore, patients are recommended to read carefully the instructions for this medication before using it.

  • Avanafil has vasoactive properties just like drugs for the erection improvement of previous generations. It not only promotes blood circulation in the genital organs, but also may have a slight hypotensive effect.
  • Therefore, men with low blood pressure are advised to take Avanafil with caution, especially in combination with antihypertensive drugs (Verapamil aka Verelan).
  • Physical load during sexual activity increases the risk of cardiovascular complications. For this reason, patients with a history of severe heart diseases (aortic stenosis, myocardial infarction, coronary revascularization) are not recommended to use Avanafil.

The new medicine, intended for restoring male reproductive function, Avanafil is widely used in medical practice in the United States. It has many advantages over the vasoactive drugs of previous generations:

The results of three clinical trials demonstrate that Avanafil has a higher efficiency and a higher safety profile than Vardenafil, Sildenafil and Tadalafil.

The therapeutic effect of Avanafil onsets a lot faster – within 15-20 minutes after the pills intake.

The risk of Avanafil adverse reactions is very low. It may rarely cause nasal congestion, headaches, swelling or pain in the back.

Avanafil may be taken at any time, even during meals. Food does not affect the onset speed of Avanafil therapeutic effect or its effectiveness.

Today, Avanafil in the US is considered one of the most effective and safest vasoactive drugs for the treatment of erectile dysfunction. Avanafil is widely recognized by experts in the field of urology and sexology, as well as by their patients.

Natural ED treatment

Despite the huge variety of powerful prescription drugs for the improvement of sexual function in men, tablets for the treatment of erectile dysfunction based on medicinal herbs are very popular in the United States.

Natural drugs for erections improvement have a more versatile and gentle therapeutic effects than many prescription drugs. The advantages of herbal remedies include:

  • greater availability,
  • good tolerability,
  • absence of complications,
  • minimum adverse reactions,
  • absence of contraindications,
  • possibility of long-term use,
  • affordable prices for the majority of men.

Herbal ingredients in phyto-drugs for erections improvement may enhance the effectiveness of other ingredients. They may also have an impact on the mechanisms, causing dysfunction of the sexual glands.

In addition, herbal drugs for the sexual function improvement in men are sold without a prescription and have a broad spectrum of action. These medications help:

  • reduce sperm viscosity,
  • stimulate spermatogenesis,
  • enhance and restore erection,
  • stimulate sexual desire,
  • enhance sexual pleasure,
  • increase the duration of sexual intercourse.

Natural drugs have such various effects on the male reproductive system, like: androgenic, tonic, stimulant, health-promoting, and anti-inflammatory.

Drugs, used in herbal therapy of male sexual dysfunction contain such natural ingredients, as: Ginkgo biloba, Tribulus terristeris, Asparagus racemosus, Myristica fragrans houtt, Turnera aphrodisiaca, Withania somnofera.

Despite the huge number of positive factors of herbal therapy, the use of natural products for the treatment of erectile dysfunction has a number of disadvantages. Disadvantages of drugs based on plant components are:

  • long-term use required,
  • difficulty of choosing the most suitable product,
  • less effective as compared to prescription medications.

The most popular and effective herbs, which make part of drugs for male sexual function improvement, are the root of ginseng, yohimbine and arginine.

Drugs containing ginseng root extract are the most effective herbal remedies for improving the erections in men. This plant has a high clinical efficacy, which is proved by the results of several independent laboratory tests.

Ginseng root is a donor of nitric oxide, which plays an important role in causing an erection. Drugs, containing this herb extract, have a combined effect:

  • normalize hormone levels, required for maintaining male sexual health;
  • contribute to improving the quality, intensity, hardness and duration of erections;
  • activate male sexual function and help restore sexual potency;
  • help reduce the stress and anxiety in men, caused by fear of sexual failure.

Another natural ingredient, yohimbine, has been used to improve male sexual function long before the advent of such prescription drugs, as Viagra, Levitra or Cialis. It activates the autonomic centers of the spinal cord that are responsible for ejaculation and erection, as well as:

  • regulates the potency,
  • has antidiuretic action,
  • improves blood circulation in the genital organs,
  • reduces anxiety and fear of failure during an intercourse.

Yohimbine-containing drugs are often prescribed to men with psychogenic sexual dysfunction, caused by such factors, as stress, anxiety, neurasthenia, and hysterical disorders.

Yohimbine acts on receptors in the brain, so it may cause mild transient adverse reactions, including tremor, arrhythmia, hypertension, and irritability.

Another highly effective component of natural products for the normalization of erectile function is Arginine. It has anti-inflammatory, antibacterial, nootropic and vasoactive effects.

This conditionally essential amino acid:

  • slows down the development of tumors of the genitourinary system,
  • helps improve erectile function in men,
  • improves blood circulation in the body,
  • reduces the risk of cardiovascular and endocrine disorders.

Arginine reduces the growth of pathogenic microflora of the urogenital organs, thus preventing infections. Arginine-containing plant-based drugs are often prescribed to men with erectile dysfunction, caused by any infectious disease, including:

  • prostatitis,
  • urethritis,
  • cystitis,
  • pyelonephritis.

The efficacy of natural products for the treatment of male androgenic disorders based on natural components depends on the right mix of ingredients.

Natural medications for the improvement of sexual function in men have a high safety profile, so you can use them for a long time. They rarely cause adverse reactions and have no contraindications.

Thus, herbal medicine is not only effective, but also the safest method of prevention and treatment of various pathologies of the male reproductive system, including the erectile dysfunction.

Longer erections

Adequate sexual life is an integral part of our existence, and a good erection is an indicator of male health, both psychological and physical.

Unstable erection or lack of long erection during a sexual intercourse may greatly erode a man’s self esteem and confidence. Sexual failure and erectile dysfunction may lead to emotional distress and even depressive states, since they are laid in the man’s subconscious for a long time and interfere with further sexual life.

Erection problems may manifest at any age, even in young men (aged 18 and over). However, the question of how to keep an erection for longer time and remain virile as long as possible, tortures men of all ages.

One of the ED varieties is premature ejaculation (PE), which reduces the duration of sexual intercourse, and gives little pleasure to both partners.

In this violation, the sexual act may last not more than 60 seconds after the vaginal penetration. A man is not able to give pleasure to his partner, and he does not feel it, as well.

In addition, problems associated with the PE, subsequently lead to psychological trauma, neurosis based on the expectation of sexual failure, which in turn negatively affects potency and further sexual life of the man.

Therefore, appropriate therapy is recommended starting from the very first PE events. There are various treatment methods, which differ depending on the causes and symptoms of the disease.

If the non-drug PE treatment methods (like psychosexual therapy) proved ineffective, modern medicine recommends special drugs, which may promote ejaculation delay.

In fact, antidepressants are used for the PE treatment and for achieving longer erections, including selective serotonin reuptake inhibitors.

One of the first serotonin reuptake inhibitors, which were approved for the PE treatment, is Dapoxetine. This medication comes in the global pharmaceutical market under the brand name Priligy in form of 30 and 60 mg film-coated tablets.

Dapoxetine is approved for the treatment of PE in men aged 18 to 64 years and may be prescribed in the event that:

  • the patient experiences premature ejaculation with minimal sexual stimulation intermittently or continuously
  • PE brings psychological distress and reduces the quality of sexual life
  • latent intravaginal ejaculation time is less than two minutes
  • PE occurred in the majority of intercourses within the six-month

It is assumed that the therapeutic effect of Dapoxetine in the treatment of PE is associated with the inhibition of serotonin reuptake (neurotransmitter, good mood hormone).

This hormone controls the sensitivity of brain receptors for stress hormones (norepinephrine and epinephrine), as well as the affects sexual function and sexual desire of men.

Accumulation of serotonin under Dapoxetine influence leads to ejaculation delay. Clinical studies have shown that Dapoxetine significantly increases the duration of sexual intercourse, and helps keep longer erection.

The therapeutic effect of the drug for the PE treatment develops within an hour after the tablet ingestion, and the maximum plasma concentration is reached in about 1-2 hours.

The final half-life period is about 19 hours. Sapoxetine is excreted primarily by the kidneys within 24 hours.

It should be noted that this drug is not suitable for a continuous daily use. It is recommended for use only when necessary, immediately one to two hours before anticipated sexual intercourse.

The recommended starting dose of Dapoxetine is 30 mg (1 Priligy tablet per day). If the desired effect was not achieved, when using 30 mg of Dapoxetine, the therapeutic dose should be increased to 60 mg.

However, increasing the therapeutic dose is not recommended when the starting dose results in orthostatic hypotension, because this may lead to a serious reduction in blood pressure.

The maximum daily dose should not exceed 60 mg per day. It should be noted that increasing the dose at the same time increases the risk of side effects (including long-lasting erection).

Therefore, all patients are advised to adhere to the recommended dosage regimen to avoid adverse reactions, which may cause syncope and discomfort.

Dapoxetine pills have quite a bitter taste, so they should be swallowed whole without chewing or dividing into parts to avoid an unpleasant taste in the mouth.

You may take this medication regardless of meals with a glass of pure water.

Dapoxetine requires particular caution, when used in patients with impaired liver and kidney functions. The drug for the PE treatment is not recommended for patients with severe renal and hepatic failure.

To avoid the reduction of tolerance to orthostatic hypotension, Dapoxetine should not be used in men with erectile dysfunction, which take PDE5 inhibitors.

Abrupt withdrawal of the drug after its long-term use may cause irritability, headache, insomnia and dizziness. For this reason, the discontinuation of the drug should be made gradually.

Dapoxetine is well tolerated, if you follow all of the recommendations. It helps delay ejaculation and promotes longer erections, which in turn prolongs the time of sexual intercourse.

Premature ejaculation is a serious problem for many men. Dapoxetine, used by men with sexual problems, enables them to live a normal sexual life.

This drug does not cause addiction and helps coping with the fears, caused by short intercourse and lack of longer erections.

Harder erections

In the US, the most popular prescription drugs for the treatment of the reproductive function disorders in men are Viagra, Levitra and Cialis. They effectively contribute to the achievement and maintenance of high-quality hard erection, which is required for a full sexual intercourse.

The composition of these drugs for the potency improvement contains different active ingredients: Sildenafil (Viagra), Vardenafil (Levitra) and Tadalafil (Cialis). Despite this, they have similar therapeutic effect, and the efficacy of these agents varies to only a small extent.

Besides, in hypersensitivity to one of these three active ingredients, men may use the drug with another active agent. It is very convenient for patients, genetically predisposed to drug allergy.

These drugs help men of any age category get firmer erections back, thus enhancing the pleasure of sexual activity. They are highly effective in the treatment of reproductive dysfunction, caused by one or more disorders:

  • psychogenic,
  • endocrine,
  • neurogenic,
  • infectious
  • organic,
  • involutional,
  • cardiovascular.

Cialis, Viagra and Levitra also help to maintain a firm erection in men with medication dysfunction of the reproductive function, caused by the antidepressants, tranquilizers, hormone pills, antihypertensive, or antihistamine drugs, and narcotic substances.

Clinical studies confirm that erection becomes more solid and strong, when a man is going through the treatment with Viagra, Cialis or Levitra pills. Furthermore, these drugs have a high safety profile and are convenient to use.

The treatment method of the reproductive function disorders must be individualized for each man, depending on the underlying cause of the disease. This approach helps to increase the effectiveness of Viagra pills, Cialis or Levitra, and extend a firm erection for a long time.

These drugs are not effective only when the inability to achieve or maintain a firm erection is caused by anatomical damage or deformation of genitals. Such structural defects include:

  • hypospadias,
  • epispadias,
  • micropenis,
  • Peyronie’s disease,
  • fracture of the penis,
  • congenital curvature of the penis.

Cialis, Levitra and Viagra are vasoactive drugs. They contribute to the improvement of blood circulation in cavernous tissues of genitals. This leads to saturation of the penis with blood, oxygen, and chemical substances, which are required for maintaining a firm erection.

One of these important substances is guanylatecyclase. It helps maintain a firm erection for a long time. Viagra, Cialis and Levitra inhibit the PDE5 synthesis, which destroys guanylate cyclase in the erectile tissues of the penis.

Due to this effect of these drugs, guanylate cyclase is permanently stored in the corpora cavernosa of the penis during sexual arousal, thus helping to maintain a firm erection. However, these drugs have no therapeutic effect without a pre-stimulation.

These vasoactive drugs contribute to the vascular tone improvement. A firm erection occurs within about 30 minutes and can last up to five hours, when a man is sexually aroused after using Levitra or Viagra tablets.

The therapeutic effect of Cialis can last even longer – from one to one and a half days. This medication can be taken daily to achieve constant solid erections. Thus, it is convenient for men, who do not like to plan ahead for the upcoming sexual intercourse.

A healthy blood flow to the genitals is required for achieving a strong firm erection. The therapeutic effect of Viagra, Cialis and Levitra is aimed at the penis muscles relaxation, which helps to improve blood circulation in it, and to provide a firm erection.

For the treatment of psychogenic reproductive dysfunction, Viagra, Cialis or Levitra pills are usually prescribed in conjunction with advice from a psychologist or a sexologist. This complex therapy helps:

  • improve the quality of erectile response,
  • better control the hardness of erections,
  • increase the male sexual confidence,
  • eliminate the suspense of sexual failure syndrome,
  • restore the ability to perform full-fledged sexual acts,

Adhering to a healthy lifestyle and a proper diet, abstinence from alcohol, nicotine or drugs may also increase the effectiveness of these pills for potency improvement. Following these simple tips will help men to achieve a firm erection and maintain it for long.

Drugs that inhibit PDE5 may rarely cause indigestion, flushing, headache, nasal congestion, dizziness, nausea, rash, back pain, and myalgia. They are also contraindicated in young men less than 18 years of age.

The adult males are recommended to use Viagra, Levitra or Cialis as needed, about half an hour before a sexual intercourse. This helps reduce the risk of adverse reactions and significantly improves the quality and hardness of an erection during sexual activity.

Proper use of vasoactive drugs helps adult and older men to return a strong firm erection. Recommended daily therapeutic doses of these drugs for the reproductive function improvement are:

  • Cialis – 10 mg
  • Viagra – 50 mg
  • Levitra – 10 mg

These drugs do not affect the sensitivity of the penis during sexual activity, or at the time of ejaculation. However, they help to effectively maintain a qualitative firm erection during the time, required for starting and finishing a sexual intercourse.

Holistic remedies erectile dysfunction

Holistic medicine is not only science, but also the art of healing. It is based on the basic concepts of Chinese, Indian and other traditional medicine.

Modern clinical research and the wisdom of ancient cultures revealed the enormous potential of holistic methods for erectile dysfunction and maintain good health. Today, such drugs are common and are becoming increasingly popular.

Using holistic agents for the treatment of erectile dysfunction has many peculiarities:

  • Basing on the principle of healing the body, spirit, mind and emotions.
  • Treatment of erectile dysfunction causes, not only a relief of symptoms.
  • Restoring the relationship between the sexual organs, systems and human energy.
  • Combined effects on the body, and not just one single organ or system.
  • Combining modern and alternative medicine.

Various holistic tools are used to help men improve erectile function, achieve optimal health and find harmony with nature. Note that they may be used alone or in combination with each other.


Today, acupuncture is considered one of the best options for the treatment of psychogenic erectile dysfunction. This treatment involves placing very thin needles in various parts of the body and the return of energy flows in proper balance.

Acupuncture is one of the few effective holistic tools for erectile dysfunction, which eliminates the psychological or emotional reasons for the disease.

The results of medical studies have shown that acupuncture reduces stress and restores the erectile function in about 70% of men with psychogenic erectile dysfunction.

Acupuncture is also used in the combined treatment of erectile dysfunction, caused by physical and psychogenic causes. You may achieve positive results with regular acupuncture and the use of prescription drugs for the treatment of erectile dysfunction (e.g., Sildenafil).


Just like acupuncture, reflexology is one of the oldest holistic tools. Erectile dysfunction was treated with the help of reflexology in ancient cultures of China, India, Egypt, Greece, North and South America, and other regions of the world.

Today, reflexology based on the ancient Chinese knowledge of the body, mind, spirit and balance with nature is mostly used for the treatment of erectile dysfunction.

The principles of reflexology are based on exerting pressure (massage) on the reflex points located on the ears, hands, feet and other body parts. This exposure stimulates blood circulation, nervous system and restores sexual health.

  • Reflex points that enhance the cardiovascular system are selected, if erectile dysfunction is associated with blood disorders.
  • If difficulties with erectile dysfunction are associated with depression, the stimulation is aimed at the reflex points, which are responsible for the mental health improvement.

Polarity therapy

Polarity therapy, also known as energy medicine, is based on the fundamental principle of the energy movement in the universe, the Earth and around people. From the perspective of modern science, the efficacy of this therapy form has not been proven. However, it is included in the list of the most popular holistic tools.

Erectile dysfunction may be caused by an imbalance in the energy flow. All the ancient teachings claim this about the healing of the body, achieving harmony and maintaining the rhythm of nature around people.

Men, experiencing problems with erection, use polarity therapy to correct the imbalance in the flow of energy, restore sexual activity and satisfaction. This requires an energy shift from positive to negative poles of the male reproductive system in harmony with the surrounding world.

Typical polarity therapy session begins with a survey and evaluation of energy flow through the genitals and other body systems. This is followed by a special massage and relaxation techniques that affect the energy of the reproductive system.

The energy flow normalization results in improved erectile function. Holistic tools of this type do not suppose achieving immediate effect in overcoming all difficulties with the erection, so repeated treatments may be required.

Other holistic tools

The list of other in-home holistic tools for erectile dysfunction includes:

  • Healing with crystals.
  • Bioresonance therapy.
  • Spiritual therapy.

Today, men may choose the holistic tool that suits them best. If the man had never used a holistic method before, he may address to specialists, who will help him find a way to develop self-awareness, increase vitality and improve erectile function.

Holistic methods are an incredible healing power. These tools have already helped millions of men to regain sexual life and make it more harmonious and rich. There is no reason to doubt, whether they will help you, or not.

ED supplements

There is probably not a single man in the world, which hasn’t faced the problem of sexual dysfunction at least once in his life. Current approaches to address the weak erection involve not only synthetic drugs, but also supplements for erectile dysfunction. In the US, a huge amount of nutritional supplements for the potency improvement is available to be purchased in regular and online pharmacies.

One advantage of using ED supplements is that they promote not only the onset of an erection. ED supplements also improve the general condition of the body, increase the tone, and relieve stress and tension.

All supplements for the sexual function improvement may be divided into two groups by the principle of their action:

  • improve blood circulation;
  • increase testosterone levels.

One of the most common causes of erectile dysfunction is poor blood circulation in the penis. Inadequate blood flow may cause a long and slow erection onset. Another reason for sexual dysfunction is a very intensive outflow of blood. In this case, the man has a normal erection, but it quickly passes.

Imbalance of blood supply to the penis, which interferes with a normal erection, may be caused by several reasons:

  • inactive, sedentary lifestyle leads to blockage of blood vessels;
  • injuries of the musculoskeletal system, for example, damage to the pelvic bone;
  • bad habits, like smoking and alcoholism.

Potency 3X is one of the most popular ED supplements, which restore sexual function due to blood flow into the penis. Regular use of this drug leads to a visible improvement in sexual function.

When using Potency 3X, normalization of blood circulation in the penis is achieved through such active ingredients, like Ginseng, Yohimbe, Orchid and Royal Jelly. These components improve the elasticity of blood vessels, which contributes to the flow of blood into the erectile tissue of the penis and causes erections.

It should be remembered that such a supplement, like Potency 3X, promotes blood flow in the penis only. Potency 3X will not improve sexual function, if a man has an impaired blood circulation in the pelvic organs or serious diseases of internal organs.

In addition to circulatory disorders, erectile dysfunction may be caused by hormonal disorders in the male body. Typically, the deficiency of testosterone and other male hormones occurs in males over the age of 40 years. Endocrine disorders are a common cause of sexual dysfunction in men.

The reasons for the male hormonal imbalance can be:

  • busy schedule;
  • bad habits;
  • stressful situations;
  • disruption of the endocrine and sexual glands.

Testosterone Booster supplement, which you can buy in the United States, increases testosterone to normal levels, thus helping restore sexual function. This product contains such ingredients, like Horny Goat Weed, Tongkat Ali and Maca, which increase testosterone levels in the male body.

The advantages of using supplements for the treatment of sexual dysfunction:

  • contain only natural ingredients;
  • almost complete absence of side effects;
  • possibility of applying for the prevention of problems with potency;
  • supplements improve sexual life including in healthy men;
  • no adverse reaction from an overdose or a missed dose;
  • supplements cost much less than the drugs for the erectile dysfunction;
  • sold in pharmacies without a prescription, thus allowing to maintain full anonymousness, when you buy them.

No supplements for erectile dysfunction, including Potency 3X and Testosterone Booster, are able to give you an instant effect. You should remember to obligatory comply with several conditions, if you wish to improve the potency through the use of supplements:

  • supplements are only intended for the systemic, protracted use;
  • when you start using such drugs, you should abandon bad habits, lead a healthy lifestyle and practice good nutrition;
  • supplements for the potency improvement will not be effective, if the erectile dysfunction was caused by such co-morbidities, as diabetes, hypertension, or excessive weight.

In the US, a few drugs that were marketed as supplements for the erectile dysfunction were banned because of the hidden ingredients. Thus, six supplements contained Sildenafil, which is a synthetic substance used for medicines.

Supplements may cause health problems because of the ingredients that are used in medicines. Recommendations for the use of supplements differ from those for the drugs. Therefore, supplements with Sildenafil or other ingredients may cause side effects.

To protect yourself from health problems, it is important to verify the authenticity of the following information before using supplements:

  • the packaging should contain a direct indication that the supplement is not a drug;
  • biologically active additives are only recommended for a protracted application;
  • recommendations for use should include accessible and understandable information.

According to statistics, about 30 million men in the United States suffer from sexual health problems. The use of supplements for erectile dysfunction is an alternative to more expensive medicines, which not everyone can afford.

Erectile dysfunction in men under 30

Middle-aged men older than 40 years are most often prone to sexual disorders. But these days, younger men in many countries, including the United States, started seeking assistance from andrologists and sexologists. Erectile dysfunction in men younger than 30 years may manifest for several reasons.

There are three main types of erectile dysfunction in men:

  • physical;
  • psychological;
  • iatrogenic (drug).

The causes of physical sexual dysfunction are serious diseases (incl. atherosclerosis, diabetes, etc.), hormonal disorders or the central nervous system damages. Psychological sexual disorders may result from problematic relationship with the opposite sex, trauma, etc.

Iatrogenic erectile dysfunction develops because of long-term use of certain drugs, whose side effect is the potency inhibition. Drug-induced erectile dysfunction also may be caused by the surgery on the prostate or perineum area.

If physical sexual disorders are more characteristic to middle or old aged men, psychological and iatrogenic erectile dysfunction is most often seen in men younger than 30 years. Unlike physical and iatrogenic sexual dysfunction, which develop gradually, psychological erectile dysfunction occurs suddenly.

The causes of psychological erectile dysfunction are:

  • psychological trauma inflicted at an early age;
  • frequent stress or strong emotion;
  • indifference from the sexual partner;
  • fear of contracting any sexually transmitted disease or an unwanted pregnancy;
  • fear of fail in satisfying the partner;
  • low or high self-esteem.

Signs of psychological sexual dysfunction are fairly obvious. Men may easily recognize them on their own. If a man has occasional night and morning erections or impotence directly during a sexual intercourse, it is the first signs of psychological erectile dysfunction.

Possible additional indicators of psychological erectile dysfunction include:

  • unexpressed sexual desire, or total lack of willingness to engage in sexual relations;
  • early ejaculation, or lack thereof;
  • difficulty in achieving an orgasm.

The first treatment stage of psychological erectile dysfunction in men younger than 30 years involves a professional therapist advice. Psychological assistance in sexual disorders includes three main stages:

  • individual interviews with the man;
  • psychotherapeutic work with the partner’s involvement;
  • group psychotherapy with other couples.

The first stage of psychological assistance usually does not take much time. A few conversations with a man are usually enough for an experienced psychotherapist to reveal the psychological causes of sexual dysfunction. All the problems and complexes are often conquered in 5-10 psychotherapy sessions.

The primary task of the doctor-therapist in the first stage is the formation of personal, trusting relationship with a man. The quality of care that a doctor can provide depends on how truly patient talks about his problems.

The sexual partner of the man starts attending counseling psychotherapy in the second phase of treatment. At this stage, psychotherapist encourages the couple to analyze their relationship. The main objective of the work in tandem is improving mutual understanding between the partners.

Counseling at the second stage is carried out in an atmosphere of security and anonymity. Typically, partners will need to abstain from sexual intercourse during the entire period of the second psychological assistance stage.

At the partners’ request, psychological help in the treatment of erectile dysfunction may also include a third stage. Other couples are involved at this stage of the psychological counseling. They share the necessary experience and give advice to each other on the most effective way in overcoming the crisis of sexual relations.

Professional psychotherapists’ assistance in overcoming the psychological erectile dysfunction is effective in 90% of cases. However, if sexual problems have not disappeared, you may proceed with the drug treatment.

Anti-anxiety are the first drugs, prescribed in the drug treatment, since the psychological erectile dysfunction is mainly caused by stresses and neuroses. The use of anxiolytics and tranquilizers helps relieving stress, eliminating fear and anxiety.

You may try using drugs for erection improvement, if the sedatives turn ineffective. These popular in the US drugs include Viagra, Cialis and Levitra. They act only during sexual arousal, and their long-term use may improve the potency and quality of sexual life.

For men younger than 30 years, it is essential to cope with the first signs of erectile dysfunction. Other risk factors for sexual disorders, besides psychological, accumulate during the age of 30 to 50 years:

  • metabolic disorders;
  • diabetes;
  • bad habits.

The main factor of sexual disorders emergence in middle age is the depletion or loss of spinal cord nerves that are responsible for the occurrence of erection and ejaculation. The neuro-receptor or spinal erectile dysfunction is characterized by:

  • presence of sexual desire;
  • spontaneous and short-term erections;
  • rapid ejaculation;
  • frequent nocturnal emissions.

The treatment of spinal erectile dysfunction involves the use of electrical stimulation of debilitated muscles through a special apparatus. Variable pulsed electric currents help to improve blood circulation and stimulate the weakened muscles.

Inflammation of the prostate is possible in spinal sexual dysfunction. Electrical stimulation method is also used in this case, providing an effect over the prostate, as well. The procedure is done through the rectum. It helps improve blood circulation and relieves inflammation.

According to statistics, about 30 million. men in the United States suffer from erectile dysfunction. These include about 5% – between the ages of 20 and 39, 4% – men from 50 to 60 years, 17% – over 60 years, and 47% – over 75 years. Methods for the treatment of sexual disorders vary depending on the man’s age.

Injections for ED

The injections for erectile dysfunction treatment are used when other methods for potency restoration proved ineffective. Injections or intracavernosal therapy with the drug Alprostadil is one of the most popular methods for the recovery of potency in the United States and other countries.

Intracavernous therapy consists in the introduction of Alprostadil drug directly into the penis. Alprostadil is a derivative of biologically active substances that influence the tonus of penis smooth muscle.

Alprostadil injections for erectile dysfunction relax the smooth muscles of the corpus cavernosum of the penis. The main purpose of corpus cavernosum is providing erection. Blood vessels of the corpus cavernosum dilate under the influence of Alprostadil, which results in an erection.

Alprostadil dose should be selected individually. The treatment with this drug is recommended to start with 2,5 mg per day. Then the drug dose is doubled for achieving the maximum therapeutic effect. The daily dose of Alprostadil should not exceed 60 mg. The recommended interval between Alprostadil injections is two days (three times a week).

Alprostadil is used as needed. The erection occurs in about 15-20 minutes and lasts about an hour after you inject Alprostadil. The patient may make an injection on his own, but only after the necessary instruction from the attending physician.

Alprostadil contributes to the onset of an erection, regardless of the reasons that led to erectile dysfunction. The drug injections can be used in contraindication to other agents for achieving erection. Alprostadil may be used if the patient has such co-morbidities, as diabetes or after a surgery for the prostate removal (prostatectomy).

The advantages of Alprostadil use by injections for erectile dysfunction are:

  • rapid onset of action;
  • timely persistent erection, sufficient for a full sexual intercourse;
  • there is no need for the active substance to be absorbed in the gastro-intestinal tract;
  • allows adjusting the duration of erection, depending on the dose;
  • Alprostadil injection does not increase blood pressure;
  • Alprostadil injections cause no acute pain, when properly administered into the right place;
  • no effect on spermatogenesis and fertility;
  • brings an erection without an additional sexual stimulation.

In addition to the main drug Alprostadil, you may also buy Caverject and Edex injectable solutions in the United States. Alprostadil is also sold in the form of urethral suppositories, called Muse. In most cases, Alprostadil-based drugs require a physician’s prescription.

Recommendations for the most effective use of Alprostadil injections for erectile dysfunction are:

  • it is desirable that the first Alprostadil injection is done by an attending physician. The healthcare worker should show you, how to use a syringe;
  • empty your bladder before the injection;
  • wipe the injection place with a swab dipped in alcohol;
  • injection should be done only in the corpus cavernosum of the penis. Otherwise, you will not get an erection;
  • Alprostadil should be administered slowly, within 5-10 seconds;
  • after the syringe removal, push the injection place with your finger for 2-3 minutes.

The vast majority of clinical trials have demonstrated a high percentage of Alprostadil efficacy for the treatment of potency disorders. The rate of successful sexual acts reaches 90-95% in men, who used Alprostadil by injection for erectile dysfunction.

Most men who used Alprostadil intracavernosal injections for erectile dysfunction did not experience any adverse reactions. Alprostadil was ineffective only in those patients, whose sexual problems were caused by the violation of the veins occlusion (patency).

Despite the simplicity of application, Alprostadil injections for the treatment of potency disorders may cause some complications, like:

  • minor pain at the site of the needle introduction, especially after the first injection;
  • slight bruising or swelling at the injection site;
  • prolonged use of Alprostadil injection may lead to the formation of scar tissue on the penis (fibrosis);
  • the urethra may very rarely be slightly damaged due to improper needle insertion;
  • prolonged erections or priapism.

Alprostadil was not the first drug that has been applied for the injection treatment of erectile dysfunction. The first method of intracavernous treatment of sexual dysfunction was developed by the vascular surgeon R.Virag in 1982. Papaverine was the first agent to be administered into the penis through injection.

Subsequently, in addition to Papaverine, other drugs were used for the erectile dysfunction treatment by injection, for example, Phentolamine. However, the injection of these drugs into the penis is often accompanied by side effects, the most serious of which were fibrosis and priapism.

Frequent occurrence of prolonged erection and scar tissue formation due to the injections in the penis has been avoided after the appearance of Alprostadil. It is currently the drug of choice for intracavernous injection in the treatment of erectile dysfunction.

Combined drugs for intracavernous injection Bimix and Trimix are quite wide-spread in many countries, including the United States. They contain three active ingredients: Papaverine, Phentolamine and Alprostadil.

Phentolamine is no longer used as a monotherapy in the sexual disorders treatment today. Most often, it is used in combined therapy with Alprostadil and Papaverine.

Monotherapy with intracavernous Papaverine injections has a limited period of use due to the drug toxicity. Alprostadil injection may be used throughout the entire life, although the majority of patients noted improvement in potency after one year of the drug use.

Indian remedy for erectile dysfunction

More and more men, unsatisfied with modern treatments, are using natural Indian remedies for erectile dysfunction today. This is due to the fact that such remedies safely restore the erectile function, and also improve health, strength of mind and quality of life.

Traditional Indian methods of sexual disorders treatment are based on Ayurvedic principles. This science of life and longevity originated several thousand years ago and still is relevant in today’s world.

Ayurveda is based on ancient wisdom and traditions. Unlike modern medicines for the treatment of erectile dysfunction, the use of Ayurvedic remedies allows you to get to the root of the disease and to eliminate its causes.

People using the principles and philosophy of Ayurveda are experiencing amazing results. Indian remedies for erectile dysfunction make it possible to achieve and maintain an erection, as well as:

  • To improve the quality of orgasm.
  • To prolong the time of sexual intercourses.
  • To increase the frequency of sexual intercourse.
  • To increase sexual desire.
  • To improve performance in the bedroom.
  • To improve satisfaction from sexual intercourses.

The action mechanism of Indian remedies for erectile dysfunction

Positive therapeutic effects of Ayurvedic remedies are not in doubt, but their principle of action is not fully understood. Recent studies point out the effectiveness of Indian herbal remedies, but today, it is not always possible to explain how they work from a scientific point of view.

Treatment of sexual dysfunction, based on traditional Indian concepts, aims to revitalize the dhatus. Dhatus is seven fundamental elements that support the functioning of the entire body.

Dhatus is in equilibrium in a healthy body. Dhatus is in imbalance, if a man has a sexual disorder or any other disease.

Ayurvedic treatment for erectile dysfunction affects various organs and systems of the body, including the hypothalamus and the limbic system. This results in restored dhatus balance, improved reproductive system and sexual function.

Indian agents for the treatment of sexual problems also possess an anti-stress effect. Reducing anxiety before or during a sexual intercourse has a positive effect on sexual function.

The variety of Indian remedies for erectile dysfunction

Today, hundreds of Indian Ayurvedic remedies are used for coping with erectile dysfunction. Their composition may include from one to several tens of ingredients. The most effective and commonly used ones include:

  • Asparagus racemosa.
  • Velvet bean.
  • Aloe vera.
  • Ashwagandha.

More often, combined ayurvedic drugs are used for the erectile function improvement in men. They contain a variety of herbal and mineral mixtures, which supplement each other’s effect.

Indian remedies for erectile dysfunction and premature ejaculation are selected depending on the etiology and severity of erectile problems. Consideration should also be given to the risk factors that contribute to the sexual problems progression:

  • Psychological – associated with self-doubt and lack of sexual experience.
  • Hormonal – result from testosterone deficiency.
  • Cardiovascular – arise from damaged inner walls of blood vessels.
  • Neurogenic – are associated with the central nervous system disorders.
  • Unhealthy lifestyle – smoking, physical inactivity, excessive alcohol consumption.

Treatment of sexual dysfunction, based on Indian concepts, involves some lifestyle changes. Some simple recommendations should be followed for achieving a maximum benefit from  Indian agents for erectile dysfunction, such as:

  • Proper combination of relaxation and physical activity.
  • Eating balanced and warm food.
  • Using meditation and other stress reduction techniques.
  • Regular Ayurvedic body massage.

Indian herbal remedies for erectile dysfunction are used more than 5000 years. Their advantages are manifold and include the treatment of erectile dysfunction and other common sexual dysfunctions, such as premature ejaculation and infertility.

The ancient wisdom of Ayurveda is a powerful therapeutic tool. Indian remedies for the treatment of erectile dysfunction allow obtaining sexual satisfaction, as well as help achieving harmony with nature.

Chinese herbal remedy for erectile dysfunction

Treatment of sexual dysfunctions based on traditional Chinese concepts has developed over several thousand years, during which huge progress has been made. Now, you also may join the traditional Chinese medicine, and choose from a variety of methods for solving male sexual problems.

Theoretical basis of traditional Chinese medicine is based on achieving harmony between opposing forces: yin and yang. The use of Chinese herbal remedies for erectile dysfunction treatment will get you rid of the yin and yang imbalance and will help you regain confidence in bed.

Men who want to not only get rid of the erectile dysfunction symptoms, but also to cure this disease, may use a variety of Chinese herbal remedies.


Fo-Ti is a perennial plant, also known as Fallopia multiflora, originally growing in China and is now cultivated in many countries around the world. Powder or the roots extract of this plant has many medicinal properties, including use for the treatment of erectile dysfunction.

Chinese herbal products, containing Fo-Ti, relax the walls of blood vessels and increase blood flow in the pelvic area. Due to the increased blood flow, man achieves an erection sufficient for a sexual intercourse.

Fo-Ti has a mild stimulating effect, which increases the performance in the bedroom. Fo-Ti is also used as a means for longevity, so herbal products, containing this plant, are recommended for older men, who experience difficulty with erections.

Schisandra chinensis

Schisandra chinensis plant has been used in traditional Chinese medicine for centuries, and offers many advantages for men, experiencing poor sexual stamina.

Men are often experiencing severe stress, which may cause the erectile dysfunction. Chinese herbal products, containing Schisandra chinensis, will quickly and safely get you rid of such problems.

Based on an ancient set of practices from China, it is fair to say that regular consumption of Schisandra chinensis is an effective drug for the erectile dysfunction treatment, as well as for:

  • Body relaxation.
  • Enhancement of sexual strength and stamina.
  • Increase in the production of sexual fluids.
  • Relief of sexual fatigue.

It should be noted that the extracts of various parts of Schisandra chinensis plant are included in many Chinese herbal remedies. Extracts from the berries of Schisandra chinensis are used for the treatment of erectile dysfunction.

Tribulus Terrestris

If erectile dysfunction is associated with low sexual desire, you can also use Chinese herbal remedies. Tribulus Terrestris is perfect for the treatment of erectile dysfunction, caused by low libido.

  • Traditional Chinese medicine says that regular consumption of Tribulus Terrestris increases male sexual potency.
  • Recent clinical studies have shown that Tribulus Terrestris increases testosterone levels.

Testosterone plays a decisive role in the social life of man and his libido. Therefore, namely the level of this hormone is being checked in the first place, when a man goes through the sexual problems diagnostication.

Chinese herbal products that contain Tribulus Terrestris can help you quickly and safely increase testosterone levels and increase your sexual desire. For these purposes, you can use extracts of Tribulus Terrestris leaves or fruits.

It should be noted that testosterone is responsible for many male characteristics. Therefore, when the level of this hormone reaches a normal level, men become more attractive to women.

One study showed that the use of Tribulus Terrestris increases the production of nitric oxide. The same principle of operation is used in the medical treatment of erectile difficulties (for example, when taking Viagra). Therefore, Tribulus Terrestris helps men, who have erectile dysfunction, which is not associated with low libido.

Other Chinese herbal remedies for the treatment of erectile dysfunction.

Treatment of difficulties with erection, based on the Chinese traditional concept, involves the use of hundreds of different plants and animal resources. If it is difficult for a man to choose one of them, he may use combined products.

Most Chinese herbal remedies for the treatment of sexual and reproductive dysfunction are combined and include up to several tens of extracts nutrients. These herbal remedies are effective and most importantly safe, due to which they are available without a prescription.

Chinese herbal remedies for the domiciliary treatment of erectile dysfunction will return you the harmony of yin and yang. Today, these products are used by millions of people, being a real blockbuster among the means for maintaining and restoring sexual health.