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Experts feel that treating erectile dysfunction on your own, without consulting a doctor, is unsafe.

"If you have ED, the first thing you need is a diagnosis," says impotence expert Steven sildenafil online for sale Lamm, MD, a New York City internist and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He says men with severe erectile dysfunction probably need one of the prescription ED drugs, viagra cialis for sale which include the PDE-5 inhibitors Levitra (

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Natural treatment of erectile dysfunction without drugs. Though acupuncture has been used to treat male sexual problems for centuries, the scientific evidence to support its use for erectile dysfunction is equivocal at best. In 2009, South Korean scientists conducted a systematic review of studies on acupuncture for ED.

They found major design flaws in all of the studies, concluding that "the evidence is insufficient to suggest that acupuncture is an effective intervention for treating ED." Arginine . The amino acid L-arginine, which occurs naturally in food, boosts the body's production of nitric oxide, a compound that facilitates erections by dilating blood vessels, increasing blood flow to the penis.

Studies examining L-arginine's effectiveness against impotence have sildenafil online for

sale

A 1999 trial published in the online journal BJU International found that high doses of L-arginine can help improve sexual function, but only in men with abnormal nitric oxide metabolism, such as that associated with cardiovascular disease (a disease that damages blood vessels).

In another study,

published

cardiovascular

Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that

taking

the

But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough.

For this reason, many experts discourage use of the supplements.

Korean red ginseng has long been used to stimulate male sexual function, but few studies have tried systematically to confirm its benefits. In one 2002 study involving 45 men with significant ED, the herb helped alleviate symptoms of erectile dysfunction and brought "enhanced penile tip rigidity." Experts aren't sure how red ginseng might work, though it's thought to promote nitric oxide

synthesis

Discuss with your doctor before taking it since ginseng can interact with drugs you may already be taking and cause allergic reactions.

Drinking antioxidant-rich pomegranate juice has been shown to have numerous health benefits, including a reduced risk for heart disease and high blood pressure. No proof exists, but results of a study published over the counter sildenafil cvs 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.

"It could help ED, and even if it doesn't, it has other health benefits." Yohimbe . Before Viagra and the other prescription erectile dysfunction drugs became available, doctors sometimes prescribed a derivative of the herb yohimbe (yohimbine hydrochloride) to their patients suffering from ED. But experts say the medication is not particularly effective, and it can cause jitteriness and other problems. "And I suspect the herb is not as potent as the pharmaceutical version." What's more, evidence

shows

with

These medications boost the effects of a chemical your body makes called nitric oxide, which relaxes the muscles in your penis. That improves your blood flow and helps you get an erection. For the drugs to work, you need to be sexually aroused.

The International Society for Sexual Medicine defines erectile dysfunction as a man’s inability to achieve or maintain an erection suitable for satisfactory sex.

In order to understand erectile dysfunction, it is important to understand how erections occur. When a man is sexually aroused, nerves and chemicals work together to relax smooth muscle tissue and widen arteries so that the penis can fill with blood.