The Everything Guide to Herbal Remedies

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ED).
    Conventional treatments for ED most often include the prescription drugs sildenafil citrate (Viagra), vardenafil (Levitra), and tadalafil (Cialis). Another option is the drug alprostadil (Caverject), which you inject directly into your penis or insert, in pellet form, into your urethra. Doctors also prescribe mechanical vacuum devices and, in some cases, will surgically implant a prosthetic. Needless to say, each of these options has its own set of drawbacks and potential side effects. For example, sildenafil has been associated with serious cardiovascular and nervous system problems and priapism (prolonged, painful erections), as well as more minor side effects such as headache and excessive sweating.
    Two other common sexual difficulties in men include premature ejaculation and low libido. Premature ejaculation happens when a man reaches orgasm during intercourse sooner than he or his partner wishes. Low libido is a case of lower-than-normal (or lower-than-desired) sex drive. Both are caused most often by psychological stress or anxiety.
    Herbal remedies for ED, ejaculation problems, and low libido include:
• Asian ginseng
(Panax ginseng)
This is a classic remedy for impotence. Modern studies show that Asian ginseng extracts can improve symptoms of ED.
• Ginkgo
(Ginkgo biloba)
Ginkgo is known to improve circulation throughout the body, which might help with ED (it also contains the amino acid arginine, which can help relieve impotence). Ginkgo extracts also can reduce the sexual side effects of certain antidepressant drugs.
• ava
(Piper methysticum)
Kava root can be used to increase sex drive. It’s been shown to directly affect brain chemistry, instilling a sense of well being and alleviating the anxiety that can lead to sexual dysfunction.
• Maca
(Lepidium meyenii)
Extracts of this hardy Peruvian plant have been proven to increase sexual desire in otherwise healthy men.
• Maritime pine
(Pinus pinaster)
Pine bark extracts can improve sexual functioning in men with ED.
• Yohimbe
(Pausinystalia yohimbe)
Research has shown that extracts of the bark of this African evergreen are effective treatments for male sexual dysfunction and impotence and can treat ED that’s caused by structural, circulatory, and psychological problems.
Fertility and Infertility
    For many men, fathering a child is an important, almost essential, part of life, so problems related to fertility can be extremely distressing. Infertility is defined as the condition in which a sexually active couple has had difficulty getting pregnant for several months or longer.
    A difficulty in fertility is referred to as “male factor” infertility if it is traced to a problem with the man’s sperm—either there aren’t enough, they are damaged in some way, or they’re having a problem with motility (the ability to move freely and spontaneously).
    Depending on the diagnosis, conventional medical treatments for male factor infertility can involve drugs (antibiotics to treat an infection, for example), hormones (to treat low testosterone levels), or surgery (to treat a pituitary tumor or an enlargement of the veins in the scrotum, called
varicocele).
    If your doctor can’t trace your problem to any of these conditions, you might want to try an herbal remedy that’s known to boost male fertility.
• Astragalus
(Astragalus membranaceus)
This is a classic remedy in Chinese medicine for male factor infertility. Modern research has shown that extracts can enhance sperm motility.
• Eleuthero
(Eleutherococcus senticosus)
This herb, also known as Siberian ginseng, can enhance the body’s response to stress (and thus can help with stress-related infertility problems). Research has shown that eleuthero extracts can enhance sperm motility.
• Goji-berry
(Lycium barbarum, L. chinense)
The fruits of the lycium plant, also known as wolfberries, are considered a tonic, or superior, medicine in Chinese herbalism and are used to treat impotence, sexual

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