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You might want to believe twice before picking up a “male enhancement” product.

Want to get savvier from the sack? There are plenty of things you can try — healthful lifestyle changes, prescription drugs, alternative therapies.

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However, it is not unusual for guys to also encounter androgenetic erection problems. In actuality, these erotic flubs are not considered “uncommon” unless they happen more than once out of every five occasions.

Since only men with long-term erectile dysfunction should take ED drugs, will alternative ED therapies work for the remainder of those?

“Psychological causes account for approximately 90 percent of irregular impotence, and also any safe alternative treatment that gives a guy confidence may help,” says urologist Bruce Gilbert, MD, PhD, director of reproductive and sexual medicine in the North Shore-Long Island Jewish Health System in New York.

What’s safe — and which ones actually make a difference?

“The issue with alternative therapies for any medical issue, including erectile dysfunction, is that until you have about 20 well-controlled research over several years, you really don’t understand what you are working with,” cautions Richard Harris, MD, a urologist in Gottlieb Memorial Hospital, part of the Loyola University Health System in Chicago.

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Ginkgo biloba. Ginkgo is a herb which is used in Chinese medicine that’s thought to improve blood circulation. “Any ED therapy that enhances blood circulation might help,” describes Dr. Harris. “An erection is merely blood in and blood out.” On the other hand, the proof that ginkgo can enhance blood circulation in ED is restricted, and most experts say the jury remains out. In addition, ginkgo can increase the risk for bleeding problems if combined with certain drugs, such as warfarin (Coumadin).

Bottom line: It may help, but speak with your doctor before trying it.

L-arginine. L-arginine is an important amino acid the body needs to build proteins. Because L-arginine was proven to improve blood circulation, some alternative practitioners have recommended the supplements be used to treat ED. The Natural Medicines Comprehensive Database, that is a reliable authority on alternative drugs, says L-arginine is potentially effective for treating erectile dysfunction. However, Harris warns that “but this nutritional supplement could improve blood circulation, side effects can be dangerous” L-arginine can result in an allergic reaction or worsen asthma in some individuals; it can also decrease blood pressure.

Bottom line: Just like ginkgo biloba, you should speak with your health care provider before trying this alternative therapy.

Acupuncture. A recent review of research on acupuncture for erectile dysfunction was released in the British Journal of Urology International. After reviewing four studies, the authors reasoned there wasn’t sufficient evidence to state that acupuncture worked. However, some specialists think it is well worth trying. “Acupuncture can work,” says Gilbert. “It probably works best to treat the emotional component of ED. There is very little downside to trying it .”

Bottom line: Give it a shot.

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 urged to treat ED caused by an enlarged prostate. But several recent clinical trials did not demonstrate that saw palmetto works any better on an enlarged prostate compared to a placebo does. “There is no proof that saw palmetto ought to be used to treat erectile dysfunction,” says Dr. Gilbert. Like ginkgo biloba, saw palmetto may interact with some prescription drugs.

Bottom line: You may not see the results you were hoping for.

DHEA. DHEA, or dehydroepiandrosterone, is a natural hormone which the body uses to create the male hormone testosterone. DHEA and testosterone decrease with age, just as ED increases with age, so it seems that taking DHEA may protect against ED. However, Harris claims that “it is unlikely that taking DHEA will increase your testosterone enough to make much difference…

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Post time: Jun-27-2017