Passion Rx for a man and woman, Sexual Enhancer Formulated by Dr. Ray Sahelian, M.D., bestselling author of Natural Sex Boosters

This natural provides sexual enhancement in a man sometimes noticed within a day or two, but most often fully appreciated over several days of use. More than 80% of users notice a powerful libido enhancement by the end of the week, and higher by the end of two weeks.

Click here to learn about the ingredients in this product or to buy Passion Rx, tongkat ali, tribulus terrestris, muira puama, horny goat weed, maca, and additional herbs that increase sexual pleasure and performance.

This natural male and female product enhances:
Libido and sexual thoughts
Dilation of blood vessels
Orgasms and climaxes 
Sensation of genital organs in men and women

Caution: ED can be due to physical (or organic) causes (from high blood sugar, hardening of the arteries, high blood pressure, medication use), or due to psychological causes (from marital problems, stress, lack of confidence, insecurity, guilt, memories of poor performance in the past). All men with physical Erectile dysfunction, particularly older men who are more likely to have physical Erectile dysfunction than younger men, need a medical evaluation, detailed cardiac assessment, blood pressure measurement, lipid profile and blood sugar tests, as well as lifestyle advice regarding weight management, diet improvement, smoking cessation, sleep quality improvement, stress reduction, and exercise. If you have erectile dysfunction, make sure to have a full medical evaluation before starting therapy, whether with an herbal product or a drug. Some herbs are very potent and have a tendency to accelerate heart rate or increase blood pressure which may not be well tolerated by those who have cardiac or cardiovascular problems. Even though herbs are safer than prescription medications, they do have side effects in high doses. There is a higher rate of heart disease in men with physical erectile dysfunction.

Physician Formulated products
Consider highly popular all natural products formulated by a world famous medical doctor, Ray Sahelian, M.D. These top quality products include Mind Power Rx for better mental focus, concentration, and mood; Eyesight Rx for better vision, often within days; MultiVit Rx a daily comprehensive multivitamin for more energy and vitality; Joint Power Rx for healthy joints; Prostate Power Rx with beta sitosterol for a healthy prostate gland and also an erection enhancer; and Passion Rx for erection enhancement, better libido, and improved performance and stamina in men and women.

Treatment with herbs
ED and premature ejaculation (PE) are the two most prevalent male sexual dysfunctions. ED is highly prevalent, and 5-20% of men have moderate to severe ED. ED shares common risk factors with cardiovascular disease. Diagnosis is based on medical and sexual history, including validated questionnaires. Physical examination and laboratory testing must be tailored to the patient's complaints and risk factors. Treatment is based on phosphodiesterase type 5 inhibitors (PDE5-Is), including sildenafil, tadalafil, and vardenafil. PDE5-Is have high efficacy rates, even in difficult-to-treat populations such as patients with diabetes mellitus. Treatment options for patients who do not respond to PDE5 or those who wish to try natural cures are herbal aphrodisiacs. There are countless herbs and natural products that are helpful as a treatment for erectile dysfunction. Below you will find a few examples of recent studies.

Ginseng benefit
Study of the efficacy of Korean Red Ginseng in the treatment of erectile dysfunction.
Asian J Androl. 2007. Sector of Sexual Medicine, Division of Urological Clinic of Sao Paulo University, Sao Paulo, Brazil.

Panax Ginseng benefit for sexual dysfunction
Effects of tissue-cultured mountain ginseng (Panax ginseng CA Meyer) extract on male patients with erectile dysfunction.
Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea.
Korean ginseng and mountain ginseng (Panax ginseng CA Meyer) are important traditional herbal plants whose ginsenosides are generally accepted as serving to improve sexual functions, such as penile erection. We investigated the effects of tissue-cultured mountain ginseng extract on male patients with erectile dysfunction. A double-blind, placebo-controlled study was conducted with 143 patients. Over the course of 8 weeks, one group took 1,000 mg of ginseng extract twice a day, and the other group took placebo twice a day. Erectile function and overall satisfaction scores after medication were significantly higher in the ginseng extract group than in the placebo group.

Icariin is found in horny goat weed herb
Effects of icariin on erectile function and expression of nitric oxide synthase isoforms in castrated rats.
Asian J Androl. 2005. Andrology Center of Peking University First Hospital, Beijing, China.
We investigated the effect of icariin on erectile function and the expression of nitric oxide synthase (NOS) isoforms in castrated rats. Oral treatment with icariin ( 98.6 % purity) for 4 weeks potentially improves erectile function. This effect is correlated with an increase in percent of smooth muscle and the expression of certain nitric oxide synthase in the corpus cavernosum of castrated rats. These results suggest that icariin may have a therapeutic effect on erectile dysfunction.

Maca erectile dysfunction herb - the brand used was MacaPure
Effect of a lipidic extract from lepidium meyenii on sexual behavior in mice and rats.
Urology. 2000. Pure World Botanicals, Inc., South Hackensack, New Jersey, USA.
To determine the effect of oral administration of a purified lipidic extract from Lepidium meyenii (MacaPure M-01 and M-02) on the number of complete intromissions and mating in normal mice, and on the latent period of erection (LPE) in rats with erectile dysfunction. Mice and rats were randomly divided into several experimental and control groups. A 10% ethanol suspension of MacaPure was orally administered for 22 days. Oral administration of MacaPure enhanced the sexual function of the mice and rats, as evidenced by an increase in the number of complete intromissions and the number of sperm-positive females in normal mice. The present study reveals maca is an aphrodisiac and can be considered an erectile dysfunction herb.

Diet role, are there any foods that help?
Dietary factors in erectile dysfunction.
Int J Impot Res. 2006. Division of Metabolic Diseases, University of Naples SUN, Piazza Miraglia, Naples, Italy.
We investigated the relation of the Mediterranean diet with erectile dysfunction. A total of 100 men with erectile dysfunction were compared with 100 age-matched men without erectile dysfunction. In analyses adjusted for the prevalence of associated risk factors (hypertension, hypercholesterolemia), body mass index, waist, physical inactivity and total energy intake, the intake of fruits and nuts, and the ratio of monounsaturated lipids to saturated lipids remained the only individual measures associated with ED. In conclusion, the results of the present study show that dietary factors may be important in the development of ED: adoption of healthy diets would hopefully help preventing erectile dysfunction.

Mediterranean diet improves erectile function in subjects with the metabolic syndrome.
Int J Impot Res. 2006. Division of Metabolic Diseases, University of Naples SUN, Piazza Miraglia, Naples, Italy.
In the present study, we tested the effect of a Mediterranean-style diet on erectile dysfunction in men with the metabolic syndrome. After 2 years, men on the Mediterranean diet consumed more fruits, vegetables, nuts, whole grain, and olive oil as compared with men on the control diet. Endothelial function score and inflammatory markers (C-reactive protein) improved in the intervention group, but remained stable in the control group. Mediterranean-style diet rich in whole grain, fruits, vegetables, legumes, walnut, and olive oil might be effective per se in reducing the prevalence of erectile dysfunction in men with the metabolic syndrome.

Erectile dysfunction treatment with meds or supplements
Treatment can be achieved by the use of prescription drugs or natural supplements. However, it is important to review causes of erectile dysfunction as discussed below. Sometimes eliminating the cause make erectile dysfunction treatment unnecessary.

I have difficulty with erection and I am looking for an erectile dysfunction treatment. I am not sure whether to just start with Levitra, or to try natural supplements.
    We think it is worthwhile to try erectile dysfunction herbs initially as a treatment, and if that fails then resort to drugs.

Understanding the causes
Psychological causes
The causes of psychological erectile dysfunction are numerous, and it is difficult to list them all, but most often it is related to depression, performance anxiety, marital stress or relationship problems, marital boredom, life crisis, financial difficulties, religious repression, or some type of mental illness. Improving erectile dysfunction in these cases may require addressing the underlying causes.

Organic causes
There are four major causes of organic erectile dysfunction: Vascular, Neural, Hormonal, and Drug-induced. The type determines the treatment approach.

Blood vessel causes
Endothelial function plays a very important role in the process of erection. Erectile dysfunction and coronary artery disease overlap in risk factors due mostly to endothelial cell malfunction There is growing evidence that patients presenting with this condition should be investigated for heart disease, even if they have no symptoms of cardiovascular problems
   Alterations in the flow of blood to and from the penis are thought to be a common cause. 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.  Erectile dysfunction 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 erectile dysfunction. Lowering cholesterol through diet, supplements, or medicines improves erectile dysfunction.
   Metabolic syndrome can increase inflammatory markers in blood and negatively influence endothelial function resulting in poor vasodilation and a higher incidence of erectile dysfunction.
  
Smoking and erectile dysfunction, and the role of alcohol
The more cigarettes a man smokes, the greater his risk of erectile dysfunction. Heavy alcohol use can cause difficulty with maintaining a rigid state. Alcohol is an anesthetic and has hormonal effects.

Damage to nerves
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 erectile dysfunction. In women, abdominal or pelvic operations can occasionally lead to nerve damage. Erectile dysfunction is common in men undergoing surgical treatment for prostate enlargement or cancer.

Hormonal imbalances
Low levels of androgens, such as testosterone, are sometimes a component of erectile dysfunction. 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. Replacement of androgens can sometimes 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 erectile dysfunction. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus improve erectile dysfunction. Many herbal aphrodisiacs also have a positive influence on erectile dysfunction. Routine hormone blood studies for erectile dysfunction evaluation are not needed during the initial evaluation but perhaps later if treatment modalities are not successful. Prominent diseases of the endocrine system, such as diabetes mellitus, hypogonadism, and hyperprolactinemia, may cause erectile dysfunction. Sometimes erectile dysfunction treatment with hormones such as DHEA or testosterone can be effective.

I am a 39 year old woman. I took 25 mg of Dhea and 50 mg Pregnenolone from Puritan's Pride for 2 weeks and 2 days. I could not sleep, and my heart raced so bad the last week of this that I was sent to the emergency room. The lab results showed nothing. I came home and started looking up my supplement side effects, and came to your site. I am glad I did. I now know what caused my heart to race. I will not take this stuff again. Also high doses of L-carnitine will cause asthma attacks too.
   Thank you for sharing this with us.

Pharmaceutical medications that can cause ED
Drugs that interfere with erectile function include some anti-hypertensives, SSRIs (like Prozac), sedatives, and beta-blockers. SSRIs - treatment for depression - cause erectile dysfunction mostly due to their effect on serotonin metabolism. Serotonin has an inhibitory effect on erectile function and sexuality. Beta blockers such as propranolol, atenolol, and others, are some of the most common medications that cause erectile dysfunction.
   Surprisingly, NSAIDs such as ibuprofen and naproxen also cause erectile dysfunction. Regardless of the reason for taking them, painkillers classified as non-steroidal anti-inflammatory drugs (NSAIDs) apparently increase the likelihood that middle-aged and elderly men will develop erection difficulties. A study involved 1126 men, between 50 and 70 years of age, without erectile dysfunction in 1994 when they completed a questionnaire that included, among other things, questions about erectile function and medication usage. The questionnaire was then re-administered five years later. The investigators found that the erectile dysfunction rate was 93 cases per 1000 persons per year among NSAID users compared with just 35 cases among nonusers.
   Alcohol is a major factor in erectile dysfunction.
   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 erectile dysfunction. Alcohol's negative affect on sex drive increases with age. Heavy smoking is an important risk factor for erectile dysfunction in men.

Prozac, in which I was taking, 20 MGs and the Atenolol in which I take 50 MG's which are causing my sexual dysfunction. I take this for headaches. I understand this medication is used with people who may have heart problems, but some years ago, maybe 15, I had severe headaches, and the doctors could not find out why. Then, a doctor went to a headache conference, and found out that Atenolol helped stop sever headaches in some people. They tried it with me, and it worked. My heart, as I said before, is in great shape, and always have been. I will speak with my doctor about maybe stopping the Atenolol for awhile, and see if the headaches come back. Although, what I read said it was a blocker only.

there is a high rate of erectile dysfunction in those who are taking finasteride. Much higher than reported in research studies. Many patients don't realize their sexuality is diminished since it occurs slowly over time.

Natural supplements that have a negative effect
5-HTP may be a cause since it converts into serotonin. Serotonin inhibits proper sexual function. Perhaps the amino acid tryptophan can cause sexual problems if used in high dosages for prolonged periods. High doses of kava can numb nerve endings.

Erectile dysfunction and medical conditions
Certain medical conditions cause this condition or reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, obesity, peripheral vascular disease, neurologic disorders, and insomnia.

Prostate cancer treatment
ED is common after external beam radiation therapy for prostate cancer. There are several structures close to the prostate gland that are critical to erectile function and that receive a substantial radiation dose: neurovascular bundles, internal pudendal arteries, accessory pudendal arteries, corpora cavernosa and the penile bulb.

Erectile dysfunction herbal products in some foreign countries may be contaminated
October 2007 - Researchers  tested herbal remedies for erectile dysfunction 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 erectile dysfunction 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 the erectile dysfunction drug Viagra whereas vardenafil is the generic name for Levitra. Sildenafil and vardenafil are known to have side-effects including nausea, malaise, headache, facial flushing and visual disturbances. Serious heart problems have also been reported.

emails
Q. Can you tell me if serious vision problems occur with the erectile dysfunction drugs?
   A. See PDE5 inhibitor information.

Q. Is penile dysfunction same as ED?
   A. We are not aware of the term penile dysfunction being formally used in the medical literature.

Risk of Chinese erectile dysfunction herb formulas
Some Chinese-made erectile dysfunction herb formulas may contain pharmaceutical drugs. In December of 2007, the FDA advised consumers to stay away from Shangai Chaojimengnan supplements sold under the names Super Shangai, Strong Testis, Shangai Ultra, Shangai Ultra X, Lady Shangai and Shangai Regular. The Chinese-made erectile dysfunction herb formulas are packaged and distributed by Shangai Distributor Inc. of Puerto Rico. Product testing indicated that some of them contain Viagra's active ingredient, sildenafil, or a compound with a chemical structure that mimics sildenafil. These erectile dysfunction drugs could interact with nitrates or other drugs taken for diabetes, high blood pressure, high cholesterol and heart disease.

Additional pages on this website
Catuama herb formula
Hypericum perforatum is an herb used for depression, it is commonly known as St. John's wort
Pfaffia paniculata, also known as Brazilian ginseng or suma, is used for energy enhancement and sexual vitality
Treatment of erectile dysfunction with natural herbs and pharmaceutical medications.
Urtica dioica is known as stinging nettle and use for prostate enlargement.
20-Hydroxyecdysone is made by various plants where its purpose is presumably to disrupt the development and reproduction of insect pests.

Natural ED pills
Q. Are there natural ED pills that also improve mood or are good for mild depression?
   A. Yes. Muira puama is a natural ED pill that has mood enhancing benefits.

Ever since my doctor put me on propranolol for hypertension, I have had erectile disfunction. Is there a way to treat this erectile disfunction with natural supplements? Does ginger help with erectile disfunction?
   The best option is to take all natural approaches to reduce blood pressure, including eating more fish and vegetables and taking fish oil capsules in order to reduce the dosage of the propranolol. If the erectile dysfunction problem persists, your doctor may need to switch you to another type of blood pressure medication. Ginger herb is an excellent herb to enhance libido, and may slightly help with erectile dysfunction issues.