Natural dietary supplement to improve erection: doctors’ reviews
Section 1: Erectile dysfunction (ED) — Review of the problem
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- Definition and prevalence: Erectile dysfunction (ED), previously known as impotence, is defined as a persistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity. The prevalence of ED increases significantly with age, although it can affect men of any age. Studies show that up to 50% of men aged 40 to 70 years experience ED to one degree or another. These figures can be underestimated, since many men are shy about seeking medical help on this subject. The factors contributing to the prevalence of the ED include aging of the population, an increase in the prevalence of diseases associated with ED, such as diabetes and cardiovascular diseases, as well as increased awareness and readiness of men to report their problems with erection.
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- Physiological mechanisms of erection: An erection is a complex physiological process that includes the interaction of the nervous, vascular and hormonal systems. With sexual stimulation, nerve impulses release neurotransmitters, such as nitrogen oxide (no), into the cavernous bodies of the penis. No activates the enzyme guanilatziclase, which increases the level of cyclic guanosine monophosphate (CGMF). The CGMF causes relaxation of the smooth muscles in the arteries and cavernous bodies, which leads to an increase in blood flow to the penis. The expansion of the cavernous bodies squeezes the veins, preventing the outflow of blood, which leads to an erection. Maintaining an erection requires a continuous blood flow and maintaining the level of the CGMF. The enzyme of phosphodesterosis type 5 (FDE-5) breaks down the CGMF, which leads to a decrease in blood flow and a weakening of an erection.
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- Causes of ED: Physiological and psychological factors: ED can be caused by many physiological and psychological factors, often acting in combination.
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Physiological reasons: Cardiovascular diseases, such as atherosclerosis, hypertension and coronary heart disease, can disrupt blood flow to the penis, leading to ED. Diabetes is a significant risk factor, since it can damage nerves (diabetic neuropathy) and blood vessels. Hormonal disorders, such as low testosterone levels (hypogonadism), thyroid diseases and prolactinoma, can also affect erectile function. Neurological disorders, such as multiple sclerosis, Parkinson’s disease, stroke and spinal cord injuries, can violate the nervous paths that control the erection. Operations or radiation therapy in the pelvic area, for example, with prostate cancer, can damage the nerves and blood vessels necessary for erection. Some drugs, such as antidepressants, antihypertensive drugs, antipsychotic and some anti -cancer drugs can cause ED as a side effect.
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Psychological reasons: Stress, anxiety and depression can significantly affect sexual function. Problems in relationships, such as conflicts, lack of communication and unresolved problems, can also contribute to Ed. Anxiety about sexual performance, a negative body image and past sexual injuries can also play a role. In some cases, ED can be primarily psychogenic, that is, not having a clear physical reason. In these cases, psychotherapy and counseling can be effective treatment methods.
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- Diagnstica tissue: Diagnosis of ED usually includes a detailed history, physical examination and, possibly, laboratory tests. The doctor will ask questions about the patient’s sexual history, any concomitant diseases, drugs and lifestyle factors. A physical examination can identify signs of vascular diseases, neurological disorders or hormonal disorders. Laboratory tests may include blood tests to assess the level of testosterone, glucose, lipid profile and thyroid function. In some cases, special tests can be carried out, such as a night test of a penis, a penis (NPT), dopplerography of a penis or cavernozography, to evaluate the function of blood vessels of the penis and nerves. It is important to exclude the reversible causes of ED, such as drugs or the main diseases, before considering treatment options.
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- Traditional treatment methods ED: Traditional methods of treatment of ED include a change in lifestyle, medicines, vacuum devices, injections and surgery. Change in lifestyle, such as refusal of smoking, weight loss, regular physical exercises and restriction of alcohol use, can improve erectile function. Medicines, such as FDE-5 inhibitors (Sildenafil, Tadalafil, Wardenafil and Avanafil), are an effective remedy for the treatment of ED for many men. These drugs enhance the effect of no, increasing blood flow to the floor dick. Vacuum devices include placing a cylinder over the penis and using a pump to create a vacuum that attracts blood to a penis, causing an erection. Injections of Alprodil in the penis can directly relax smooth muscles and increase blood flow. Surgical intervention, such as implantation of a penis prosthesis, may be an option for men who do not respond to other types of treatment.
Section 2: Natural Bades: an alternative approach to the treatment of ED
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- The attractiveness of natural dietary supplements: Natural dietary supplements attract men looking for alternative approaches to the treatment of ED for several reasons. Many men are concerned about side effects associated with traditional drugs from ED, such as headaches, redness of the face, nasal congestion and visual impairment. Natural dietary supplements are often perceived as safer and have less side effects. In addition, some men are embarrassed to seek medical help about ED and prefer to use natural remedies in private. Cultural and personal beliefs can also affect the choice of natural dietary supplements. Many men consider natural remedies more integral and appropriate for their ideas about health and well -being.
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- Legal status and regulation of dietary supplements: It is important to understand the legal status and regulation of dietary supplements before using it. In most countries, dietary supplements are not subject to the same strict regulation as medicines. This means that the quality, safety and effectiveness of dietary supplements can vary widely. In some cases, dietary supplements may contain ingredients not indicated on the label, or contain pollutants, such as heavy metals or pesticides. It is important to choose dietary supplements from respected manufacturers who adhere to quality control standards, such as proper production practice (GMP). It is also useful to look for dietary supplements that were tested by the third side for cleanliness and efficiency. Consumers must realize that applications made about dietary supplements were not evaluated by regulatory authorities, and that dietary supplements are not intended for the diagnosis, treatment or prevention of any diseases.
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- Risks and side effects: Natural dietary supplements are not always safe and can have side effects and interact with other drugs. It is important to consult a doctor before using any dietary supplements, especially if you have any concomitant diseases or you take medications. Some dietary supplements can interact with drugs, antidepressants and blood pressure drugs. Side effects of dietary supplements can vary depending on the ingredient and dose, but may include stomach disorder, headache, dizziness and allergic reactions. In rare cases, dietary supplements can cause more serious side effects, such as liver damage or heart problems. It is important to report any side effects to the doctor.
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- The importance of consulting a doctor: Consultation with a doctor is necessary before using any dietary supplements for Ed. The doctor can help determine the main cause of ED and recommend the most suitable treatment method. The doctor can also evaluate potential risks and advantages of dietary supplements and advise by the correct dosage and use. It is important to inform the doctor about all medicines, dietary supplements and herbs that you take to avoid potential interactions. The doctor can also control your condition and adjust the treatment plan as necessary.
Section 3: Specific natural dietary supplements for ED and reviews of doctors
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- L-Arginin: L -Arginine is an amino acid that is the predecessor of nitrogen oxide (NO). No plays a decisive role in relaxing blood vessels and improving blood flow to the floor dick.
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The mechanism of action: L-Arginine is turning into no no-syntase enzyme. No activates the enzyme guanilatziclase, which increases the level of cyclic guanosine monophosphate (CGMF). The CGMF causes relaxation of the smooth muscles in the arteries and cavernous bodies, which leads to an increase in blood flow to the penis.
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Scientific research: Some studies have shown that L-arginine can improve the erectile function, especially in combination with other ingredients such as pycnogenol. However, other studies did not show significant improvement. Additional studies are needed to confirm the effectiveness of L-Arginine with ED.
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Reviews of doctors: Many doctors with caution relate to the use of L-Arginine with Ed. They admit that L-Arginine can help improve blood flow, but emphasize that its effectiveness can be limited, especially in men with heavy ED. Some doctors may recommend L-Arginine in combination with other treatment methods such as FDE-5 inhibitors or a change in lifestyle. Doctors also warn of possible side effects of L-arginine, such as stomach disorder, nausea and diarrhea.
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- Ginseng: Ginseng — grass that has been used in traditional Chinese medicine for centuries. It is believed that it has various beneficial properties, including improvement of energy, reducing stress and strengthening sexual function.
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The mechanism of action: It is believed that ginseng improves the erectile function in several ways. It can increase the nitrogen oxide level (No), improve blood flow to the penis and have an antioxidant effect. Ginseng can also affect the level of hormones, such as testosterone and prolactin.
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Scientific research: Some studies have shown that ginseng can improve erectile function. The meta -analysis of several studies showed that ginseng can improve the erectile function compared to placebo. However, additional studies are needed to confirm these results and determine the optimal dose and shape of the ginseng.
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Reviews of doctors: Many doctors recognize the potential benefits of ginseng at Ed. They note that ginseng was studied and showed some effectiveness in improving erectile function. However, they also emphasize that ginseng is not a miraculous medicine and that its effectiveness can vary from person to person. Doctors warn about the possible side effects of ginseng, such as insomnia, anxiety and stomach disorder. They also note that ginseng can interact with some drugs such as anticoagulants and antidepressants.
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- Yohimbe: Yochimba is a grass obtained from the bark of the African wood of Yohimbe. It is used in traditional African medicine as an aphrodisiac and treatment of Ed.
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The mechanism of action: Yohimbe acts by blocking alpha-2 adrenergic receptors. Blocking these receptors can increase blood flow to the penis and improve the erectile function. Yochimba can also have a stimulating effect and increase sexual arousal.
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Scientific research: Some studies have shown that Yochimb can improve erectile function. However, other studies did not show significant improvement. In addition, the yokimbe is associated with a number of side effects, such as anxiety, a rapid heartbeat and an increase in blood pressure.
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Reviews of doctors: Many doctors are careful about the use of yocimbe for ED due to its potential side effects and limited evidence of effectiveness. They note that Yochimb can be dangerous for people with heart disease, high blood pressure or anxiety disorders. Doctors rarely recommend a yochimb as a treatment for ED.
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- Trouble: Maca is a root that grows in the Andes in Peru. It is used in traditional medicine to increase energy, fertility and sexual function.
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The mechanism of action: It is believed that poppy affects hormonal balance, increases energy level and improves mood. It can also have an antioxidant effect. The exact mechanism of the action of poppies on the erectile function has not been fully studied.
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Scientific research: Some studies have shown that poppy can improve sexual function and libido. However, other studies did not show a significant impact on the erectile function. Additional studies are needed to confirm these results and determine the optimal dose and form of poppies.
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Reviews of doctors: Many doctors consider Maku relatively safe adding, but they also note that evidence of its effectiveness in ED is limited. They can recommend Mak to people who are looking for a natural supplement to improve sexual function and libido, but they emphasize that it may not be an effective remedy for the treatment of ED.
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- Goryanka (Epimedium): Goryanka, also known as the “grass of the lustful goat”, is grass that is used in traditional Chinese medicine to improve sexual function and the treatment of ED.
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The mechanism of action: Goryanka contains a compound called Ikariin, which is believed to act as FDE-5 inhibitor, like drugs such as sildenafil (Viagra). Inhibiting FDE-5 increases the level of CGMF, which leads to relaxation of smooth muscles and an increase in blood flow to the penis.
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Scientific research: Some studies have shown that Ikariin can improve the erectile function in animals. However, additional studies are needed in public to confirm these results.
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Reviews of doctors: Many doctors with caution relate to the use of Goryanka for ED due to limited evidence of effectiveness and potential side effects. They note that Goryanka can interact with other drugs and may not be safe for people with certain diseases. Doctors rarely recommend Goryanka as a treatment for ED.
Section 4: complex dietary supplements and combinations
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- Synergetic effect of combinations: Some dietary supplements are available in the form of complex formulas containing a combination of several ingredients, such as L-Arginine, ginseng, poppy seeds and other herbs. It is believed that these combinations have a synergistic effect, improving the erectile function more than any separate ingredient.
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- Scientific evidence of combinations: Scientific evidence confirming the effectiveness of complex dietary supplements in ED is limited. Some studies have shown that certain combinations can improve the erectile function, but additional studies are needed to confirm these results and determine the optimal combinations and dose.
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- Reviews of doctors about complex dietary supplements: Many doctors are careful about using complex dietary supplements for ED. They note that it is difficult to assess the effectiveness and safety of each individual ingredient in a complex formula. In addition, complex dietary supplements may contain ingredients that have not been carefully studied or which can interact with other drugs. Doctors prefer to recommend individual dietary supplements that have been studied and showed some effectiveness.
Section 5: Change in lifestyle and natural dietary supplements
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- The importance of a healthy lifestyle: It is important to emphasize that a change in lifestyle is an important component of the treatment of ED, whether in combination with natural dietary supplements or traditional medicines.
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Diet: A healthy diet, rich in fruits, vegetables, whole grain products and low-fat protein, can improve the general state of health and reduce the risk of cardiovascular diseases that are a common cause of ED. The restriction of the use of processed foods, sweet drinks and unhealthy fats is also useful.
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Exercise: Regular physical exercises can improve blood circulation, reduce blood pressure and improve mood. Aerobic exercises, such as walking, running and swimming, are especially useful.
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Weight loss: Excess weight or obesity can contribute to Ed. Weight loss can improve erectile function and general health.
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Refusal of smoking: Smoking damages blood vessels and can worsen Ed. Refusal of smoking can significantly improve the erectile function.
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Alcohol use restriction: Excessive alcohol consumption can lead to ED. The restriction of alcohol consumption can improve erectile function.
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Stress management: Stress, anxiety and depression can contribute to ED. Stress management methods, such as yoga, meditation and therapy, can help improve erectile function.
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- Synergy changes in lifestyle and dietary supplements: Natural dietary supplements can be more effective when used in combination with a change in lifestyle. For example, L-Arginine can be more effective in men who also adhere to a healthy diet and regularly play sports.
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- The doctor’s view of a change in lifestyle: Doctors usually emphasize the importance of changing lifestyle as the first step in the treatment of ED. They note that a change in lifestyle can improve the general state of health and reduce the risk of other diseases. Doctors can recommend natural dietary supplements as an additional treatment for men who have made changes to the lifestyle, but still experience Ed.
Section 6: Prospects and warnings
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- Individual variability: It is important to remember that the effectiveness of natural dietary supplements with ED can vary from person to person. What works for one man may not work for another.
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- The need for realistic expectations: Men who use natural dietary supplements for ED should have realistic expectations. Bades may not be such effective as traditional medicines, and it may take time to see the results.
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- Awareness of fraud: The market of natural dietary supplements can be full of fraud and false statements. It is important to choose dietary supplements from respected manufacturers and be careful with products that promise unrealistic results.
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- Ethical considerations: It is important to consider ethical considerations when advertising and selling natural dietary supplements for Ed. Manufacturers should not make false or misleading statements about their products.
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- Future research: Additional studies are needed to evaluate the effectiveness and safety of natural dietary supplements in ED. Future research should be focused on specific ingredients, doses and combinations.
Section 7: Final comments from doctors
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- Complex approach emphasis: Doctors emphasize that the treatment of ED should be complex, taking into account both physical and psychological factors.
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- Priority of medical consultation: Doctors emphasize the importance of seeking medical help in ED. The doctor can help determine the main cause of ED and recommend the most suitable treatment method.
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- A balanced approach to dietary supplements: Doctors recommend using natural dietary supplements with ED with caution and under the supervision of a doctor. They emphasize that dietary supplements are not a replacement for traditional drugs and that they can have side effects and interact with other drugs.
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- Optimism and support: Doctors express optimism about the treatment of Ed and emphasize the importance of supporting men with Ed. They note that Ed is a common disease that can be effectively treated.
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- Suppry: Doctors urge men to take responsibility for their health and actively participate in their treatment. This includes amendments to the lifestyle, compliance with the doctor’s recommendations and a message about any problems or side effects.
This article provides a comprehensive and detailed overview of natural supplements for erectile dysfunction, incorporating medical opinions and research findings. It emphasizes the importance of consulting with a healthcare professional and adopting a holistic approach to managing ED.
