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This article was medically reviewed by Jason R. McKnight, MD, MS, a family medicine physician and clinical assistant professor at the Texas A&M School of Medicine.
Our stories are reviewed by medical experts to ensure you have the most accurate and useful information about your health and well-being. For more information, visit the Medical Review Board.
Angled Down Icon This is an icon that looks like an angle pointing down. Ginseng is used in oriental medicine to treat erectile dysfunction. RunPhoto/Getty Images
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Erectile dysfunction (difficulty getting or maintaining an erection) is the most common sexual health problem men see a doctor about.
The risk of erectile dysfunction increases by about 10% every 10 years. This means that 20% of 20-year-olds, 50% of 50-year-olds and 70% of 70-year-olds experience erectile dysfunction.
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Many people use drugs like Viagra to help them get and stay healthy. However, prescription erectile dysfunction drugs have side effects such as headaches, nasal congestion, and indigestion, which may lead people to seek natural alternatives.
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IMPORTANT: Erectile dysfunction can be a sign of serious medical conditions, including cardiovascular disease and diabetic neuropathy. If you have erectile dysfunction, it’s important to talk to your doctor to rule out serious health problems and make sure you’re healthy enough to have sex, says Peter Stahl, MD, senior vice president of men’s sexual health and urology and director of male reproduction and urology at Hims & Hers says: Sexual Medicine at NewYork-Presbyterian Hospital and Columbia University Irving Medical Center.
Arginine (or l-arginine) is an amino acid found in animal products, beans and whole grains. Several studies have shown that it can significantly improve erectile dysfunction, making it one of the most commonly used natural alternatives to Viagra.
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Arginine increases blood flow to the penis by increasing levels of nitric oxide (NO), a compound that causes muscle relaxation. Dr. Deborah Mathew, a physician at Signature Wellness, says this increased blood flow makes erections possible.
How to use: Medical studies show that doses of 1500 mg to 5000 mg of arginine are effective in the treatment of ED. Arginine supplements are generally safe, but can be risky for people with heart disease, low blood pressure or herpes, Matthew says.
Horny goat weed refers to a group of herbs called epimedium. It has been used for centuries in traditional Chinese medicine to treat sexual health problems in men and women.
Modern research shows that icariin, a component of the cornea, inhibits the production of the enzyme phosphodiesterase type 5 (PDE5), says Stahl. This allows for more NO and stronger erections.
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It mimics some of the effects of first-line prescription erectile dysfunction drugs, including the PDE5 inhibitors Viagra, Cialis, Levitra, and Stendra.
How to use: Horny goat weed can be taken in doses of 2000 mg daily. Alternatively, you can take 3000 to 4000 mg 90 minutes before sex.
Avoid taking horned goat grass if you have an estrogen-sensitive health condition, such as cardiovascular disease or breast cancer. Stahl says:
So while there hasn’t been any specific research on beet juice and erectile dysfunction, it’s possible there are benefits, Matthew says.
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How to use: Consult your doctor, as there is no confirmed information on the dosage of beet root. Consider eating more beets or including a beet juice powder supplement in your diet.
Red ginseng, also known as Asian ginseng, is a root used in oriental medicine to treat erectile dysfunction.
Recent research and small studies have shown that men who took red ginseng may have a stronger sex drive and fewer erectile problems compared to men who took a placebo.
For example, a 2012 study of 119 men found that consuming 1,400 mg of red ginseng per day for eight weeks slightly reduced erectile dysfunction compared to men taking a placebo.
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How to use: Stahl recommends taking 600-1000 mg of red ginseng daily. Do not try this method if you are taking:
Tribulus terrestris is an herb that has shown some promise in the treatment of ED because it does not affect NO levels.
A 2017 study on the topic of Tribulus terrestris and ED looked at 180 men and found that those who took 250 mg of Tribulus terrestris six times a day for 12 weeks had increased sexual satisfaction and lower rates of erectile dysfunction , than the men who took the placebo. No side effects were found in this study.
How to use: Men in the study took 250 mg six times daily, but there is no FDA-approved dosage for tribulus terrestris. Talk to your doctor about what is right for you.
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Do not take Tribulus Terrestris if you are taking medication for diabetes or high blood pressure, or if you are taking clopidogrel, a diuretic, or a medication to treat cardiovascular disease.
Psychological and emotional problems, such as stress, relationship problems or anxiety, can cause or worsen erectile dysfunction. In these cases, treatment is a helpful natural treatment, Stahl says.
A small 2020 study found that cognitive-behavioral sex therapy was helpful in treating ED. Other types of therapy can also be helpful, Stahl says.
How to use: Contact a qualified mental health provider experienced in working with ED patients. At the same time, use the Erection Confidence app to help you reduce performance anxiety and have better sex.
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Dealing with erectile dysfunction can be frustrating and embarrassing, but it is very common. It is always important to consult your doctor if you have erectile dysfunction, as it may be a sign of a serious health condition, such as cardiovascular disease or diabetic neuropathy.
Although over-the-counter medications are effective in treating erectile dysfunction, there are also options for those looking for a natural alternative to Viagra. The herbal supplement works in a similar way to Viagra and other drugs, but increases blood flow to the penis by increasing nitric oxide levels. It is safe for most people, but not for everyone.
The first step in finding a natural treatment for ED is to consult your doctor. While the conversation may be uncomfortable, it’s something doctors have heard many times before. Plus, talking can help you maintain a healthy sex life for years to come.
“People shouldn’t suffer in silence,” says Matthew. “Help is available, and in many cases libido and erection problems can be solved safely and effectively.”
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Kelly Burchis is a New Hampshire-based freelance journalist who writes about finance, health, family and more. Her work has appeared in the Washington Post, Chicago Tribune, Forbes and elsewhere. Follow her on Facebook or Twitter or learn more here.
We may earn a commission when you buy through our links, but our reports and recommendations are always independent and objective. Viagra, steroids and more appear in products marketed as ‘natural’: injections – Health News Hundreds of dietary supplements contain unapproved pharmaceutical ingredients. According to the FDA database. So why aren’t agencies doing more about seizures?
Studies show that the Food and Drug Administration (FDA) has identified hundreds of supplements contaminated with pharmaceuticals since 2007. Provided by FDA Flickr Hide Captions
Studies show that the Food and Drug Administration (FDA) has identified hundreds of supplements contaminated with pharmaceuticals since 2007.
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They claim it can help you sleep, help your hair grow, promote weight loss, improve your sex life, and prevent nasty office colds. Although it is often impossible to determine whether dietary supplements are effective, consumers are generally confident that dietary supplements do not cause harm.
Since 2007, the U.S. Food and Drug Administration has identified hundreds of supplements contaminated with pharmaceuticals, ranging from antidepressants and erectile dysfunction drugs to weight loss drugs, according to a study released Friday. The analysis found that many products continue to be marketed and sold even after FDA testing proves the supplements contain unapproved or recalled drugs.
“The FDA didn’t even bother to recall more than half of the potentially dangerous supplements,” says Dr. AD, a professor of medicine at Harvard Medical School and an internist at Cambridge Health Alliance in Boston. Peter Cohen said: He wrote a related comment in the journal.
“Why aren’t our top public health agencies taking the time and money to find these hidden ingredients and then take clear next steps to remove them from the market?” he asks.
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The FDA does not comment on specific studies, but “evaluates them as part of a study.”