Natural dietary supplement to improve erection: review and comparison - Yes Global продукция

Natural dietary supplement to improve erection: review and comparison

Section 1: Understanding of erectile dysfunction (ED)

Erectile dysfunction (Ed), also known as impotence, is defined as constant or repeated inability to achieve and/or maintain an erection sufficient for satisfactory sexual activity. This is a common condition that affects men of all ages, although its prevalence increases with age. Understanding the mechanisms underlying an erection is crucial for understanding the causes of Ed and how natural dietary supplements can potentially help.

1.1 Erection Mechanisms:

An erection is a complex physiological process that includes the interaction of several systems:

Nervous system: Sexual excitement causes nerve impulses that are transmitted from the brain to the penis. These impulses stimulate the release of neurotransmitters, such as nitrogen oxide (No).
Vascular system: Nitrogen oxide (No) relaxes the smooth muscles in the arteries of the penis, allowing a larger amount of blood to enter the cavernous bodies (Corpus Cavernosum) and the spongy body (Corpus spongiosum) – two cylindrical bodies of erectile tissue.
Endocrine system: Hormones, in particular testosterone, play an important role in sexual desire and maintaining the health of erectile tissue. The low level of testosterone can contribute to ED.
Muscle system: Relaxing the smooth muscles of the caves and the spongy body allows them to be filled with blood, which leads to an erection. The compression of these tissues holds blood, maintaining an erection.

1.2 causes of erectile dysfunction:

ED can be caused by a wide range of factors that can be divided into physical and psychological.

Physical reasons:
- Cardiovascular diseases: Atherosclerosis (arteries hardening), high blood pressure (hypertension) and a high cholesterol level can limit blood flow to the penis.
- Diabetes: Diabetes can damage the nerves and blood vessels, which leads to Ed. The high level of blood sugar can damage the endothelium – the inner shell of blood vessels, violating the production of no.
- Neurological disorders: Parkinson’s disease, multiple sclerosis, stroke and spinal cord injuries can damage the nerves that control the erection.
- Hormonal disorders: The low level of testosterone (hypogonadism), an increased level of prolactin and thyroid disease can contribute to ED.
- Medicines: Some drugs, such as antidepressants, antihypertensive drugs, antihistamines and drugs for the treatment of prostate cancer, can cause ED as a side effect.
- Surgical interventions: Operations on the prostate gland, bladder or rectum can damage the nerves necessary for erection.
- Peyroni disease: This is a state in which a fibrous plaque forms in the penis, causing painful erections and the curvature of the penis.
- Smoking: Smoking damages blood vessels and reduces nitrogen oxide, which leads to ED.
- Alcohol abuse and drugs: Excessive consumption of alcohol and drugs can damage nerves and blood vessels, which leads to ED.
Psychological reasons:
- Stress: Stress, anxiety and depression can interfere with sexual excitement and erection.
- Relationships problems: Conflicts, the lack of proximity and problems in communication can contribute to Ed.
- Anxiety about performance: Fear cannot cope with the task in bed can cause anxiety and lead to ED.
- Feeling guilt or shame: Negative feelings about sex or sexual orientation can affect erectile function.
- Trauma: The experienced sexual trauma can contribute to ED.

1.3 Diagnostics of erectile dysfunction:

Diagnostics ED usually includes:

Medical history and physical examination: The doctor will ask about your medical history, the medicines that you take, and your lifestyle. A physical examination will also be carried out to exclude the physical causes of Ed.
Psychological assessment: The doctor may ask about your emotional state, problems in relationships and sexual history.
Laboratory tests: Blood tests can be prescribed to check the level of testosterone, blood glucose, lipids and other indicators that may indicate the main cause of ED.
Specialized tests: In some cases, specialized tests can be carried out, such as the night tinsquation of the penis (NPT) to evaluate the erections occurring during sleep, or dopplerography of the penis to assess the blood flow to the penis.

Section 2: Natural dietary supplements: review and action mechanisms

Natural dietary supplements are becoming more and more popular as an alternative or addition to traditional methods of treatment Ed. They usually contain plant extracts, vitamins, minerals and amino acids, which are believed to improve sexual function. It is important to note that the effectiveness of these additives can vary, and additional studies are needed to confirm their advantages. In addition, before taking any additives, it is necessary to consult a doctor in order to make sure their safety and the absence of interaction with other drugs.

2.1 L-arginine:

The mechanism of action: L-Arginine is an amino acid that is the predecessor of nitrogen oxide (No). NO is a vasodilator, which means that it relaxes blood vessels, allowing a larger amount of blood to enter the penis. This improvement of blood flow is necessary to achieve and maintain an erection.
Scientific data: Some studies have shown that L-Arginine can improve the erectile function in men with mild and moderate ED, especially in combination with other additives, such as pycnogenol. However, other studies did not show significant advantages.
Dosage: Typical doses of L-Arginine for the treatment of ED are from 3 to 6 grams per day, divided into several tricks.
Side effects: L-Arginine is usually safe, but can cause side effects, such as nausea, diarrhea and bloating, especially in high doses. It can also interact with some drugs such as antihypertensive drugs.

2.2 PANAX GINSENG (ginseng):

The mechanism of action: Ginseng is a plant adaptogen, which is believed to improve the sexual function in several ways. It can enhance the production of nitrogen oxide, improve blood flow, reduce stress and increase energy. Some studies also show that ginseng can improve the function of the endothelium, the inner shell of blood vessels.
Scientific data: Several studies have shown that ginseng can improve erectile function. The meta-analysis of research showed that ginseng is more effective than a placebo for the treatment of Ed. In particular, the red ginseng was studied most widely.
Dosage: Typical doses of ginseng for the treatment of ED are from 600 to 1000 mg per day, divided into several tricks. The standardized ginseng extracts containing a certain percentage of ginzenosides (active components) are preferable.
Side effects: Ginseng is usually safe, but can cause side effects, such as insomnia, nervousness and headaches. It can also interact with some drugs such as warfarin and antidepressants. Long -term use can lead to “ginseng abuse syndrome”, characterized by high blood pressure, diarrhea and skin rashes.

2.3 Tribulus Terrestris.

The mechanism of action: Tribulus Terrestris is a plant that is traditionally used to improve libido and sexual function. It is believed that it increases the level of testosterone, although scientific data on this subject are contradictory. He can also have a vasodilative effect, improving blood flow to the penis. Some studies show that Tribulus Terrestris can increase the release of nitrogen oxide.
Scientific data: Some studies have shown that Tribulus Terrestris can improve sexual desire and satisfaction, but its influence on the erectile function is less studied. Some studies did not show significant advantages for testosterone levels or erectile function.
Dosage: Typical Tribulus Terrestris doses are from 250 to 750 mg per day, divided into several tricks. It is important to choose additives standardized for the content of saponins (active components).
Side effects: Tribulus Terrestris is usually safe, but can cause side effects, such as stomach disorder. It can also interact with some drugs such as anticoagulants. Some studies on animals have shown potential problems with high doses.

2.4 MACA (Peruvian poppy):

The mechanism of action: MACA is a Peruvian root crime, which is traditionally used to increase libido, fertility and energy. It is believed that it has an adaptogenic effect, helping the body adapt to stress. Its exact mechanism of action on the sexual function is not completely understood, but may include the effect on neurotransmitters and hormonal balance. MACA contains unique compounds called Mamamies and Macaacs, which can contribute to its favorable effects.
Scientific data: Some studies have shown that the MACA can improve sexual desire and function in men. A review of research showed that the MACA can be effective for improving sexual function in men with easy ED. However, additional studies are needed to confirm these results.
Dosage: Typical doses of MACA are from 1,500 to 3000 mg per day, divided into several receptions. MACA is available in various forms, including powder, capsules and extracts.
Side effects: MACA is usually safe, but can cause side effects, such as stomach disorder and insomnia. Allergic reactions can rarely occur.

2.5 Ginkgo Biloba (ginkgo biloba):

The mechanism of action: Ginkgo Biloba is a plant extract, which, as you know, improves blood flow and cognitive functions. It is believed that it improves blood flow to the penis, which can be useful for Ed. Ginkgo Biloba also has antioxidant properties and can improve endothelium function. He can inhibit phosphodiester-5 (FDE-5), although to a lesser extent than pharmaceuticals, such as sildenafil (Viagra).
Scientific data: Some studies have shown that Ginkgo Biloba can be useful for ED caused by antidepressants. However, studies in public without ED caused by medicines are limited.
Dosage: Typical doses of Ginkgo Biloba are from 120 to 240 mg per day, divided into several techniques. It is important to choose additives standardized for the content of flavonoids and terpenoids (active components).
Side effects: Ginkgo Biloba is usually safe, but can cause side effects, such as headaches, stomach disorder and dizziness. It can also interact with some drugs, such as anticoagulants and antiplatelets, increasing the risk of bleeding.

2.6 Yohimbe (Yohimbe):

The mechanism of action: Yohimbe is a plant extract obtained from the cortex of the African wood of Yohimbe. It contains yochimbin, which is alpha-2 as an adrenergic antagonist. This means that it blocks alpha-2 adrenergic receptors, which can lead to an increase in blood flow to the penis and an improvement in erectile function. Yohimbe can also strengthen the release of adrenaline and norepinephrine, which can increase sexual arousal.
Scientific data: Some studies have shown that Yohimbe can improve erectile function. However, it is associated with a large number of side effects compared to other additives.
Dosage: Typical Youhimbe doses are from 5 to 10 mg of yochimbin 3 times a day. It is important to start with a low dose and gradually increase it in order to evaluate tolerance.
Side effects: Yohimbe can cause side effects, such as anxiety, nervousness, rapid heartbeat, high blood pressure, headaches and insomnia. It is not recommended for people with cardiovascular diseases, anxiety disorders or high blood pressure. It can also interact with some drugs such as antidepressants and antihypertensive drugs. Due to its potential side effects and interactions, a doctor needs consultation with a doctor before using Youhimbe.

2.7 L-Citrullin:

The mechanism of action: L-Citrullin is an amino acid that is converted into L-Arginine in the body. Since L-Arginine is the predecessor of nitrogen oxide (NO), L-Citrullin can help improve blood flow and erectile function. It is interesting that L-Citrullin can be more effective than L-Arginine, in increasing the level of arginine in the blood, since it is not broken down by the liver so quickly.
Scientific data: Some studies have shown that L-Citrullin can improve the erectile function in men with mild and moderate ED. Studies also have shown that L-Citrullin can be a safe and effective alternative to sildenafil (Viagra) for the treatment of ED.
Dosage: Typical doses of L-cyrollin are from 1.5 to 3 grams per day, divided into several tricks. L-Citrullin Malat, a combination of L-cyrollin and apple acid, is also widely used.
Side effects: L-cyrollin is usually safe, but can cause side effects, such as stomach disorder, especially in high doses.

2.8 pycnogenol (pycnogenol):

The mechanism of action: Pycnogenol is an extract of the crust of the French sea pine, rich in antioxidants. It is believed that it improves blood flow, protects blood vessels and enhances the production of nitrogen oxide. Pycnogenol can also have anti -inflammatory properties.
Scientific data: Some studies have shown that Pycnogenol in combination with L-arginine can improve erectile function. The Pycnogenol and L-Arginine combination can synergically increase the production of nitrogen oxide and improve blood flow to the penis.
Dosage: Typical doses of Pycnogenol are from 40 to 120 mg per day.
Side effects: Pycnogenol is usually safe, but can cause side effects, such as stomach disorder and headaches. It can also interact with some drugs such as anticoagulants.

Section 3: Comparison and choice of natural dietary supplements

The choice of the correct natural dietary supplement to improve the erection requires a thorough consideration of various factors, including the causes of ED, general health, potential side effects and interaction with other drugs. There is no universal solution, and what works for one person may not work for another.

3.1 factors that should be considered when choosing a dietary supplement:

The reason Ed: It is important to determine the main reason for ED in order to choose the most suitable supplement. For example, if Ed is caused by stress or anxiety, adaptogens, such as ginseng or poppy, can be more useful. If Ed is caused by poor blood flow, additives, such as L-arginine, L-cyrollin or pycnogenol, can be more effective.
General health: It is important to take into account the general state of health and any related diseases before taking any additives. Some additives can be contraindicated in people with certain diseases, such as cardiovascular diseases, anxiety disorders or high blood pressure.
Potential side effects: All additives have potential side effects, and it is important to know about them before taking any additives. Some additives, such as Yohimbe, are associated with a large number of side effects than others.
Interactions with other drugs: It is important to consider any drugs that you take before taking any additives. Some additives can interact with certain drugs, which can lead to undesirable side effects.
Scientific data: It is important to evaluate scientific data confirming the effectiveness of each additive. Some additives have more scientific evidence than others.
The quality and reputation of the brand: It is important to choose additives from respected brands that adhere to strict quality standards. Look for additives that were tested by the third party to cleanliness and efficiency.

3.2 Comparative dietary supplement table:

Bad	The mechanism of action	Scientific data	Dosage	Side effects	Interactions
L-arginin	The predecessor of nitrogen oxide (No), improves blood flow.	Some studies show improvement, especially in combination with other additives.	3-6 g per day, divided into several tricks.	Nausea, diarrhea, bloating, interaction with antihypertensive agents.	Antihypertensive drugs, anticoagulants.
Panax Ginseng	Enhances NO production, improves blood flow, reduces stress levels, and increases energy level.	The meta-analysis shows the effectiveness for the treatment of ED.	600-1000 mg per day, divided into several tricks.	Insomnia, nervousness, headaches, interaction with warfarin and antidepressants.	Warfarin, antidepressants, stimulants.
Tribulus terrestris	Presumably increases the level of testosterone, has a vasodilative effect.	Some studies show an improvement in sexual desire, the impact on ED is less studied.	250-750 mg per day, divided into several tricks.	Stomach disorder, potential problems with fertility at high doses (in animal studies).	Anticoagulants, anti -agents, hypoglycemic agents.
Maca	Adaptogen, affects neurotransmitters and hormonal balance.	Some studies show an improvement in sexual desire and function.	1500-3000 mg per day, divided into several tricks.	Disorder of the stomach, insomnia, rarely allergic reactions.	No specific interactions have been identified, but caution is necessary when taking hormonal drugs.
Ginkgo Biloba	Improves blood flow, antioxidant, can inhibit FDE-5.	It can be useful for ED caused by antidepressants.	120-240 mg per day, divided into several tricks.	Headaches, stomach disorder, dizziness, increases the risk of bleeding.	Anticoagulants, anti -agents, MAO inhibitors.
Yohimbe	Alpha-2 adrenergic antagonist, increases blood flow to the penis, increases sexual excitement.	Some studies show an improvement in erectile function, associated with a large number of side effects.	5-10 mg yohimbina 3 times in day.	Anxiety, nervousness, rapid heartbeat, high blood pressure, headaches, insomnia, interaction with antidepressants and antihypertensive agents.	Antidepressants, antihypertensive drugs, stimulants.
L-Citrullin	It is transformed into L-arginine, improves blood flow.	Some studies show an improvement in erectile function, may be an alternative to sildenafil.	1.5-3 g per day, divided into several tricks.	Indigestion.	No interactions have been identified, but caution should be observed when taking nitrates.
Pycnogenol	Improves blood flow, protects blood vessels, enhances NO production.	In combination with L-arginine, an erectile function can improve.	40-120 mg per day.	Stomach disorder, headaches, interaction with anticoagulants.	Anticoagulants, anti -agents.

3.3 Recommendations for use:

Consult a doctor: Before taking any additives for the treatment of ED, it is necessary to consult a doctor. The doctor can help determine the cause of ED, exclude the main diseases and determine whether the additives are safe for you.
Start with a low dose: Start with a low dose of the additive and gradually increase it to evaluate tolerance. This will help minimize the risk of side effects.
Be patient: Weeks or months may be required to see the results from taking additives for the treatment of ED. It is important to be patient and continue to take additives for a sufficient period of time in order to evaluate their effectiveness.
Accept the holistic approach: Additives can be useful for the treatment of ED, but they are not a replacement for a healthy lifestyle. It is important to maintain a healthy lifestyle, which includes a balanced diet, regular physical exercises, stress management and abandoning smoking and excessive alcohol consumption.
Buy from reliable sources: It is important to buy additives from reliable sources that adhere to strict quality standards. Look for additives that were tested by the third party to cleanliness and efficiency.

Section 4: Safety and side effects

Despite the fact that natural dietary supplements are often perceived as safe, it is important to remember that they can cause side effects and interact with other drugs. Before using any additives, especially if you have any diseases or you take medicines, you need to consult a doctor.

4.1 General security considerations:

Production standards: Unlike pharmaceuticals, additives are not regulated by FDA (Food and Drug Administration) to the same extent. This means that the quality and purity of additives can vary. Look for additives that were tested by the third party to cleanliness and efficiency to ensure a quality product.
Dosage: It is important to adhere to the recommended doses of additives. Acceptance of too much additive can increase the risk of side effects.
Duration of use: Long -term use of some additives can lead to undesirable side effects. It is important to take breaks in the use of additives or use them only as necessary.
Individual differences: People react differently to additives. What works for one person may not work for another. It is important to listen to your body and stop using the additive if you experience any side effects.

4.2 side effects of specific dietary supplements (repetition and expansion of the previous table):

(An expanded table with more detailed information about side effects, contraindications and interactions with medicines for each dietary supplement mentioned above. It is necessary to avoid repetition of the word word in the word, but it should be punzy and add more details based on existing knowledge.)

Bad	Side effects	Contraindications	Interactions
L-arginin	Nausea, diarrhea, bloating, spasms in the abdomen, decrease in blood pressure. Rarely: exacerbation of herpes.	Hypotonia, renal failure, herpes in the active phase, recent myocardial infarction (caution is required).	Antihypertensive agents (potential enhancing the hypotensive effect), nitrates (increased risk of hypotension), sildenafil (Viagra) and other FDE-5 inhibitors (increased risk of hypotension), anticoagulants and antipodigans (increased risk of bleeding).
Panax Ginseng	Insomnia, nervousness, headaches, rapid heartbeat, increase in blood pressure, diarrhea, skin rashes, mastodinia (chest enlargement). Long -term use can lead to “ginseng abuse syndrome.”	Pregnancy and breastfeeding, autoimmune diseases, acute infections, high estrogen levels, blood coagulation. Caution when taking anticoagulants and antitromobocytic drugs.	Varfarin (decrease in efficiency), antidepressants (MAO inhibitors, SioOS – potential enhancement of the effect, risk of serotonin syndrome), insulin and oral hypoglycemic agents (potential decrease in blood sugar), stimulants (increased risk of side effects).
Tribulus terrestris	Disorder of the stomach, nausea, vomiting, diarrhea, constipation. In rare cases: hepatotoxicity (liver damage) and gynecomastia (breast augmentation in men). In animal studies, high doses showed the effect on fertility.	Pregnancy and breastfeeding, liver disease, kidney disease, hormonal-dependent diseases (prostate cancer, breast cancer).	Anticoagulants and anti -agents (increased risk of bleeding), hypoglycemic agents (potential decrease in blood sugar), diuretics (increased risk of dehydration), ACE inhibitors (possible enhancement of the antihypertensive effect).
Maca	Disorder of the stomach, bloating, nausea, diarrhea. Some people have insomnia, a change in the menstrual cycle (in women). Rarely: allergic reactions.	Thyroid diseases (due to the content of glucosinolates), hormonal-sensitive conditions (breast cancer, uterine cancer, ovarian cancer), pregnancy and breastfeeding.	Specific interactions have not been identified, but due to the potential effect on hormones, care should be observed when taking hormonal drugs (for example, hormonal replacement therapy, contraceptives).
Ginkgo Biloba	Headaches, dizziness, stomach disorder, nausea, vomiting, diarrhea, constipation. Rarely: bleeding (especially with simultaneous intake with anticoagulants), allergic reactions (skin rash, itching).	Violation of blood coagulation, epilepsy, pregnancy and breastfeeding, preparation for surgery (it is necessary to stop taking a few days before surgery).	Anticoagulants (warfarin, heparin – an increase in the risk of bleeding), antiplatelets (aspirin, clopidogrel – increased risk of bleeding), MAO inhibitors (potential enhancement of the effect, risk of side effects), non -steroidal anti -inflammatory drugs (NSAIDs – increased risk of bleeding).
Yohimbe	Anxiety, nervousness, rapid heartbeat, increased blood pressure, headaches, dizziness, insomnia, nausea, vomiting, sweating, tremor, panic attacks. In rare cases: arrhythmia, cramps, myocardial infarction.	Cardiovascular diseases (hypertension, arrhythmia, coronary heart disease), anxiety disorders, depression, kidney disease, liver disease, pregnancy and breastfeeding.	Antidepressants (especially MAO inhibitors and tricyclic antidepressants – the risk of hypertensive crisis and serotonin syndrome), antihypertensive drugs (potentially unpredictable effect on blood pressure), stimulants (increased risk of side effects), clonidine (antagonistic effect).
L-Citrullin	Disorder of the stomach, heartburn, nausea, diarrhea. Rarely: a decrease in blood pressure.	Severe renal failure, hypotension (caution is required).	FDE-5 inhibitors (Sildenafil, Tadalafil, etc.-increased risk of hypotension), nitrates (increased risk of hypotension), antihypertensive agents (potential enhancing the hypotensive effect).
Pycnogenol	Disorder of the stomach, nausea, diarrhea, headaches, dizziness. Rarely: allergic reactions

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