Natural medication for impotence
There are many natural herbs that help impotence. These include Tongkat-Ali herb, Horny-Goat-Weed herb, and Yohimbe herb.

Passion Rx for a natural way to enhance sexuality --  Formulated by medical doctor Ray Sahelian, M.D.

How quickly does Passion Rx enhance sexuality?
Passion Rx improves blood flow, sensation, stamina, and sexual urge within a few days of use. Some people may notice the effects within a few hours, for others it may take a week or two. Our feedback thus far indicates more than 80% user satisfaction by the end of the first two weeks. There are two versions of Passion Rx: with, and without, yohimbe.

A Unique Formula
Dr. Sahelian, bestselling author of Natural Sex Boosters, and his research staff have tested various doses and extracts of exotic herbs from a number or raw material suppliers to determine the ideal dose and combination for optimal libido enhancement with fewest side effects. After years of trial and error, a unique proprietary blend with 15 herbal extracts, has been created. The exact dosage, potency extracts and raw material sources in this unique blend is a close kept secret known only to Dr. Sahelian and his research staff. You will only find this exact combination in Passion Rx.

Impotence statistics
An estimated 18 million American men suffer from impotence. Dr. Elizabeth Selvin of Johns Hopkins Bloomberg School of Public Health, Baltimore found the overall prevalence of impotence was 18 percent. The prevalence of impotence differed substantially by age, from a 5 percent prevalence in men between 20 and 40 years of age to a 70 percent prevalence in men 70 years or older. There was a high prevalence of impotence in men with diabetes, high blood pressure, a history of heart and vascular disease and other cardiovascular risk factors. The prevalence of impotence was about 50 percent in men with diabetes. Even after controlling for other key risk factors for impotence, diabetic men were more than three times as likely to have impotence compared with non-diabetic men. Men who led a sedentary lifestyle were also much more likely to have impotence than men who led a physically active life. The American Journal of Medicine, February 2007.

Psychological-Mental causes of Impotence
The causes of psychological impotence are numerous, and it is difficult to list them all, but most often impotence is related to depression, performance anxiety, marital stress or relationship problems, life crisis, financial difficulties, religious repression, or some type of mental illness.

Organic Impotence usually has 4 major causes

Vascular causes of Impotence
Alterations in the flow of blood to and from the penis are thought to be a common cause of impotence. For instance, medical conditions such as atherosclerosis (hardening of the arteries), high cholesterol, hypertension, or diabetes reduce blood flow to the penis and genital organs thus leading to difficulty with erection or genital swelling.  Impotence  could be an early indication of oxidative stress and vascular dysfunction. A vascular problem in the penis may precede a wider, systemic problem in other blood vessels in the body. Patients with cardiovascular disease and patients with diabetes represent the largest group of patients with impotence. Lowering cholesterol through diet, supplements, or medicines improves impotence problems.
   Additional factors that can impede blood flow include penile injury and surgery in the pelvic and abdominal area. Smoking can reduce genital blood flow.

Neural causes of Impotence
Nerve damage from disorders such as multiple sclerosis, Parkinson’s disease, diabetes, and stroke affect the brain’s ability to respond to sexual stimulation and cause impotence. In women, abdominal or pelvic operations can occasionally lead to nerve damage. Impotence is common in men undergoing surgical treatment for prostate enlargement or cancer.

Hormonal causes of Impotence
Low levels of androgens, such as testosterone, are a major component of impotence. Testosterone levels decline about 1 percent each year in men, which may contribute to erectile dysfunction with aging. Testosterone also declines with age in women leading to a decrease in female libido. Women who have had surgical removal of the ovaries notice a drop in sexual interest. Replacement of androgens can be helpful in those with age related erectile dysfunction. Testosterone is available by prescription only. An over the counter hormones, such as DHEA, converts into testosterone and thus has a positive influence on impotence. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus improve impotence. Many herbal aphrodisiacs also have a positive influence on impotence, with some having an effect on hormonal output.

Drug induced Impotence
Drugs that interfere with erectile function include some anti-hypertensives, SSRIs (like Prozac), sedatives, and beta-blockers. SSRIs cause erectile dysfunction mostly due to their effect on serotonin metabolism. Serotonin has an inhibitory effect on erectile function and sexuality.
   Some chemicals involved in the human sexual response include dopamine, acetylcholine, and nitric oxide. All these three natural chemicals and others can be manipulated n the treatment of impotence. Alcohol's negative affect on sex drive increases with age.

The seven herbs in Passion Rx include Ashwagandha, Catuaba, Cnidium, Muira Puama, Tribulus, Tongkat ali, and Yohimbe.

Impotence and Medical conditions
Certain medical conditions cause impotence or reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, obesity, peripheral vascular disease, neurologic disorders, and insomnia. Sitting on a bicycle too long. Men who log several thousand miles a year on their mountain bikes suffer scrotal damage that could reduce their fertility or cause impotence.

Impotence and Cardiac Patients
Impotence is common in cardiac patients and shares the same risk factors - smoking, hypertension, hyperlipidemia and diabetes mellitus. Sexual activity is not unduly stressful to the heart and, providing patients are properly assessed using established guidelines, sexual intercourse can be enjoyed without increased risk. Impotence in asymptomatic patients may be a marker of silent vascular disease or increased vascular risk factors and should alert the physician to the need for cardiac risk screening.
   Physical fitness positively influences sexual desire and performance.

A note about Viagra and Impotence
Viagra (sildenafil), approved by the FDA in 1998, has been the most popular medicine for the treatment of impotence. Viagra works very well in dilating blood vessels in the genital region leading to an erection or increased blood flow to the vaginal tissues, however it does little to directly increase libido or sexual arousal. The effect of Viagra is often noticed within an hour after taking a pill of 50 or 100 mg, and ease of erection may last up to 12 hours. Side effects of Viagra include headache, flushes, nasal congestion or runny nose, malaise, nausea, changes in blood pressure, irregular heart beats, visual disturbances including rare cases of blindness, and chest pain. Viagra may cause stickiness of blood platelets.
    We find natural sex boosters quite effective and preferable to pharmaceutical drugs.

Impotence herbal remedies in some foreign countries may be contaminated
October 2007 - Researchers  tested herbal remedies for impotence sold over-the-counter in Hong Kong and found most of them had untested variants of well-known anti impotence drugs. They evaluated 26 anti impotence products sold in convenience stores and pharmacies. Although their packaging declared that they contained only "herbal ingredients", variants of sildenafil and vardenafil were found in 14 out of the 26. Sildenafil is the generic name for Viagra whereas vardenafil is the generic name for Levitra. Classified as phosphodiesterase-5 inhibitors, sildenafil and vardenafil are known to have side-effects like nausea, headache, facial flushing and visual disturbances. Serious cardiovascular effects have also been reported.

Impotence Research Update
The etiology of erectile dysfunction and contributing factors in different age groups in Turkey.
Caskurlu T.Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
Int J Urol. 2004 Jul;11(7):525-529.
The aim of the present study was to determine the pathophysiological factors which cause impotence, as well as the risk factors in different age groups in Turkey. Methods: A total of 948 patients with erectile dysfunction who were admitted to three andrology clinics were evaluated in terms of etiological factors. They underwent a multidisciplinary diagnostic evaluation. Erectile dysfunction was classified as primarily organic, primarily psychogenic, mixed or unknown in etiology. Results: Psychogenic impotence was diagnosed in 65.4% of the patients and organic impotence was diagnosed in 34.6% of patients overall. In patients under 40 years, the rate of psychogenic impotence was 83% and the rate of organic impotence was 17%, but in the patients over 40 years, the rate of psychogenic erectile dysfunction was 40.7% and the rate of organic erectile dysfunction was 59.3%. The causes of organic impotence were identified as arteriogenic erectile dysfunction, 40.5%; cavernosal factor (venogenic) impotence, 10%; neurogenic impotence, 12.5%; endocrinologic erectile dysfunction, 1.8%; mixed type impotence, 11.8%; and drug induced impotence, 4.5%. Conclusion: Our data represent a higher ratio of impotence in patients under 40, which are mostly psychogenic, This finding potentially results from local social and cultural differences.

Exercise and weight loss can improve the sexual performance of obese men suffering from impotence.

U.S. health regulators have accused Vivus Inc. of misleading consumers by downplaying risks associated with its little-used impotence treatment called Muse. Vivus failed to include risk information and made false claims about the drug's effectiveness both on its Web site and in television advertisements that ran in 2003.

Prostate cancer patients underwent an operation called a bilateral nerve-sparing retropubic radical prostatectomy. More than 90 percent of these men who had the operation suffered from impotence afterwards.

A third of older men have impotence and the problem only gets more common with age. The good news is that there are many things men can do to reduce their risk of impotence. The figures come from a survey of nearly 32,000 men, 53 to 90 years of age, who participated in the Health Professionals Follow-up Study. The results are reported in the Annals of Internal Medicine. Dr. Constance G. Bacon, from Harvard School of Public Health, and associates found that 33 percent of the men reported erection problems in the previous 3 months. Moreover, for each decade beyond 50 years of age, overall sexual function, desire, and orgasm frequency decreased sharply. Physical inactivity and obesity had a lot to do with impotence. Men who ran for at least 3 hours per week or engaged in a similar amount of exercise were 30 percent less likely to have erectile dysfunction than men who barely exercised at all. Similarly, non-obese men were 30 percent less likely to develop these problems than obese men, the researchers note. Other "risk factors" for impotence included smoking, drinking alcohol, and watching television. SOURCE: Annals of Internal Medicine August 5, 2003.
   Comments: Diet also plays an important role in reducing the risk of impotence. We recommend eating lots of healthy, organic vegetables and adding fish to the diet. impotence cure, treatment, drug, cause, medication, pill, impotence diabetes. Eat a healthy diet and take certain supplements.

Impotence questions
Q. What is your opinion on herbal Viagra supplements for impotence help?
   A. See herbal Viagra web page.

Tribulus Terrestris male impotence information.