If you think you have ED, a good first step is to talk with your doctor. The treatment you need – ranging from lifestyle changes to medication to surgery – will depend on what’s causing it. First and foremost, Donnelly thinks that regulators should probably start requiring herbal products to demonstrate the authenticity of their ingredient and dosage listings, given the problems vagueness in this realm has created. From there he hopes that regulators and watchdog groups can fund and pursue more aggressive tracking and prosecution policies to wipe detrimental products out of the market faster and make the business costly for no-goodniks. Short of that, Barrett suggests that regulatory agencies try to restrict the advertising channels and retail venues through which these tainted products are sold. But all of that would require massive changes in the way America treats the herbal industry, which officials don’t seem to have the will or inclination to push.
If you have thrush, practising good personal hygiene can help clear up the infection. Wash the affected area carefully using warm water. Showers are a better option than baths. Avoid using perfumed soaps or shower gels on your genitals, because they can cause irritation.
Given the complicated situation surrounding this drug, it seems to me that the best way to go is to use Yohimbe bark extract, but to standardize the strength based on a testable compound in it, which is conveniently provided by that main active compound, yohimine HCl. That is what the producer of this product has done. Among all the various Yohimbe-related products available on the Internet, I think there is a very real risk of buying stuff that doesn’t actually have much of the active compounds. But I this company definitely has the real stuff.
The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric. The penis is placed in a cylinder to which a tension ring is attached. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. The cylinder is removed, leaving the tension ring at the base of the penis to maintain the erection.
The bark of the yohimbe plant is traditionally used as an aphrodisiac in Africa. A standardized form of the chemical extracted from this plant — yohimbine hydrochloride — became the first FDA-approved impotence pill. Until Fildena came on the market, it was widely prescribed by doctors. Exactly how yohimbine works is not known, but scientists surmise that it increases blood flow to the penis and prevents blood from leaving too quickly.
A recent study estimated that 30 million American men suffer 15 from various degrees of ED (erectile dysfunction) ranging from mild to severe 3 It is clearly an age-related phenomenon since the prevalence of ED increases significantly with age. However, it may occur at any age and Dr. Werner has treated a significant number of men in their teens, twenties and thirties.
American Association of Clinical Endocrinologists Male Sexual Dysfunction Task Force: American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: A couple’s problem-2003 update. Endocr Pract, 2003;9:77-95.