DESCRIPTION

The three major forms of male sexual dysfunction are erectile dysfunction, ejaculatory dysfunction and decreased libido. Erectile dysfunction is a common problem in men over the age of 40 due to hormonal abnormalities, medications, psychological problems, neurologic disease, or vascular insufficiency. Men with this disorder experience significant psychological distress which improves if treatment successfully restores erectile function. Premature ejaculation (or rapid ejaculation) may be an even more common form of sexual dysfunction.

While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and health care provider.

There are different types of ejaculation disorders, including:

• Premature ejaculation: This refers to ejaculation that occurs before or soon after penetration.
• Inhibited or retarded ejaculation: This is when ejaculation is slow to occur.
• Retrograde ejaculation: This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis.

Male sexual dysfunction involving Premature Ejaculation (PE), also known as rapid ejaculation, early ejaculation, or by the Latin term ejaculatio praecox. It is described as male orgasm and ejaculation following brief sexual stimulation, and prior to satisfactory arousal and orgasm in the sexual partner in more than 50 percent of his sexual encounters (Masters & Johnson). Other sex researchers have defined premature ejaculation as occurring if the man ejaculates within 2 minutes of penetration, however, a survey by Alfred Kinsey in the 1950s demonstrated that 3/4 of men ejaculated within 2 minutes of penetration in over half of their sexual encounters. Today, most sex therapists understand premature ejaculation as occurring when a lack of ejaculatory control interferes with sexual or emotional well-being in one or both partners. Definition criteria vary, e.g., inability to maintain an erection of sufficient duration to satisfy a partner, or ejaculation that occurs before individual wants it to.

This is a common sexual disorder affecting all age groups of men affecting 20% to 30% of men. It is characterized by a constant inability or lack of voluntary control over the ejaculatory reflex. In some cases, premature and inhibited ejaculation are caused by psychological factors, including a strict religious background that causes the person to view sex as sinful, a lack of attraction for a partner and past traumatic events. Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well he will perform during sex. Certain drugs, including some anti-depressants, may affect ejaculation, as can nerve damage to the spinal cord or back.

Retrograde ejaculation is common in males with diabetes who suffer from diabetic neuropathy (nerve damage). This is due to problems with the nerves in the bladder and the bladder neck that allow the ejaculate to flow backward. In other men, retrograde ejaculation occurs after operations on the bladder neck or prostate, or after certain abdominal operations. In addition, certain medications, particularly those used to treat mood disorders, may cause problems with ejaculation.

---

FREQUENT SIGNS AND SYMPTOMS

Repeated episodes of premature ejaculation.

Feelings of self-doubt, inadequacy and guilt.

---

CAUSES

Poor relationship or communications with the sexual partner.

Fear of impregnating the partner.

Fear of contracting a sexually transmitted disease (STD).

Anxiety about sexual performance.

Cultural or religious conflicts.

Belief that sex is sinful or dirty.

Rarely may be due to underlying neurological disorders (e.g., prostatitis).

---

RISK

Listed with causes.

---

PREVENTIVE MEASURES

No specific preventive measures.

---

EXPECTED OUTCOME

Usually curable in most people within 6 months after recognition and treatment.

---

POSSIBLE COMPLICATIONS

Low self-esteem.

Damage to marital or interpersonal relationships.

TREATMENT

GENERAL MEASURES

Laboratory test results are usually normal, since most males with this problem are healthy individuals.

Work to improve communications with your partner. Sexual and/or marriage-partner counseling may be necessary to improve communication skills between partners.

Try to reduce your performance anxiety.

The following methods are recommended by sex researchers and therapists Masters and Johnson. These methods will usually lead to ejaculatory control for 5 to 10 minutes or longer:

1. Sensate-focus exercises, in which each partner caresses the other's body without intercourse to learn the relaxed, pleasurable aspects of touching.

2. Mutual physical examination of each other's bodies to acquaint both partners thoroughly with anatomy. This helps reduce shameful feelings about sex.

3. Stop-and-start technique, in which the man is stimulated through controlled intercourse or masturbation until he feels an impending ejaculation. Stimulation is stopped, then resumed in 20 to 30 seconds.

4. Squeeze technique, in which the woman squeezes her partner's penis with her thumb and forefinger when he feels an impending ejaculation. When ejaculatory feelings pass, intercourse is resumed. This is repeated as often as necessary until the man can control ejaculation to the satisfaction of both partners.

5. Individual psychotherapy may be recommended for some men, and marital therapy for couples may be helpful.

6. Counseling from a qualified sex therapist if other methods are not successful.

---

MEDICATION

Medicine usually is not necessary for this disorder.

Some Studies Regarding Drug Treatment for PE:

Source: University Of Minnesota Academic Health Center
Date: September 10, 2006

Drug Treatment For Premature Ejaculation Is Effective

University of Minnesota researchers have shown that the drug dapoxetine is a safe and effective drug treatment for premature ejaculation.

The drug, dapoxetine, is a selective serotonin re-uptake inhibitor (SSRI) that was developed specifically to treat premature ejaculation. SSRIs, normally used to treat depression, have been prescribed "off-label" for treatment of premature ejaculation, but those drugs need to be taken regularly in order to be effective. Dapoxetine, however, is a short-acting drug that has an effect within about one hour.

This multicenter trial took place at 121 sites across the United States. Men in stable, heterosexual relationships took part in the trial, which divided the men into three groups. One group received a placebo, the second received 30 milligrams of the drug, and the third group received 60 mg of the drug. Both the study participants and medical personnel overseeing the trial were unaware who was assigned to each group. Both groups who received the drug increased their time to ejaculation. Jon Pryor, M.D., professor and chair of urological surgery, was the primary investigator of this clinical trial. The research will be published in the Sept. 9, 2006, issue of The Lancet.

At the start of the study, the men ejaculated less than one minute after intercourse began. After the 12-week study, the time to ejaculation increased to 1.75 minutes for the placebo group, 2.78 minutes for the group on the lower dose, and 3.32 minutes for the higher dose. The time to ejaculation was measured by the use of a stopwatch by the men's partners. "Dapoxetine also improved patients' perceptions of control over ejaculation, satisfaction with sexual intercourse, and overall impression of the change in their condition," Pryor said. "The patients' partners also benefited through improved satisfaction with sexual intercourse."

Premature ejaculation is thought to be the most common male sexual dysfunction, effecting between 21 and 33 percent of men. The underlying physical reason for PE is not well understood.

The study was funded by ALZA Corporation, the company that developed the drug dapoxetine. Pryor has served on advisory boards for ALZA advisory boards in the past.

Monday, 17 April 2006

DAPOXETINE FOR THE TREATMENT OF PREMATURE EJACULATION: LACK OF INTERACTION WITH PDE5 INHIBITORS

Mark Dresser*, Mountain View, CA; Riadh P Jazrawi, London, United Kingdom; Dhaval Desai, Nishit B Modi, Mountain View, CA

INTRODUCTION AND OBJECTIVE: Dapoxetine is a medication currently in development for the treatment of premature ejaculation (PE), the most common male sexual dysfunction. The pharmacokinetics (PK) of dapoxetine make it well suited for on-demand treatment of PE. Dapoxetine is quickly absorbed, with peak concentrations occurring ~1.5 h after dosing, followed by a rapid decline in plasma concentrations, which decrease to ~5% of peak concentrations by 24 h post dosing. The objective of this study was to determine if dapoxetine has drug interactions with PDE5 inhibitors.

INTRODUCTION AND OBJECTIVE: Dapoxetine is a medication currently in development for the treatment of premature ejaculation (PE), the most common male sexual dysfunction. The pharmacokinetics (PK) of dapoxetine make it well suited for on-demand treatment of PE. Dapoxetine is quickly absorbed, with peak concentrations occurring ~1.5 h after dosing, followed by a rapid decline in plasma concentrations, which decrease to ~5% of peak concentrations by 24 h post dosing. The objective of this study was to determine if dapoxetine has drug interactions with PDE5 inhibitors.

METHODS: This study was a randomized, open-label, 3-period crossover study in which healthy adult male subjects (n = 24; 18-45 years of age) received a single administration of dapoxetine 60 mg, dapoxetine 60 mg + tadalafil 20 mg, and dapoxetine 60 mg + 100 mg sildenafil, each being administered in a separate treatment period. Each treatment was separated by a 6-14-day washout period. Blood samples were collected pre dose and at specified times after dosing for measurement of dapoxetine and its metabolites and tadalafil and sildenafil plasma concentrations. Safety was assessed by adverse event (AE) recording throughout the study and by laboratory tests. Heart rate, blood pressure, and respiratory rate were also measured pre dose and at various time points after treatment, and ECGs were performed at screening, post-dose at every treatment, and at termination.

RESULTS: Tadalafil and sildenafil did not have a clinically significant effect on the PK of dapoxetine. With regard to the effect of tadalafil, the 90% confidence intervals (CIs) for the ratios of Cmaxand of AUCinf for dapoxetine + tadalafil compared with dapoxetine alone were (89.55, 108.23) and (96.21, 114.85), respectively. With sildenafil, the mean AUC of dapoxetine was 22% higher and the 90% CIs for the ratios of Cmaxand of AUCinf for dapoxetine + sildenafil compared with dapoxetine alone were (94.63, 114.37) and (106.90, 132.57), respectively. The magnitude of the change in dapoxetine AUCinf suggests that it is not likely to be clinically significant. Plasma concentrations of tadalafil and sildenafil were comparable to published reports, suggesting that dapoxetine does not affect the PK of these 2 PDE5 inhibitors. No clinically significant changes were observed in ECGs, clinical laboratory test results, or vital signs, and no serious AEs were reported.

CONCLUSIONS: Dapoxetine has no significant PK interactions with tadalafil or sildenafil, and the combinations were well tolerated.

EFFICACY AND TOLERABILITY OF DAPOXETINE IN THE TREATMENT OF PREMATURE EJACULATION

James Barada, Albany, NY; Jon L Pryor*, Minneapolis, MN; Stanley E Althof, Beachwood, OH; Christopher Steidle, Fort Wayne, IN; Maja Miloslavsky, Sherron Kell, Mountain View, CA

INTRODUCTION AND OBJECTIVE: Premature ejaculation (PE) is the most common male sexual dysfunction; however, currently no medications are specifically indicated for PE. The objective of this analysis was to examine the efficacy and tolerability of on-demand administration of dapoxetine, the first medication developed specifically for the treatment of PE.

METHODS: Men with PE (N = 2614), by DSM-IV-TR criteria, were enrolled in 2 randomized, double-blind, placebo-controlled, multicenter, phase III clinical trials of identical design. Each had a 2-week baseline period and a 12-week treatment period. At the end of the baseline period, subjects with mean intravaginal ejaculatory latency time (IELT) = 2 minutes were randomized 1:1:1 to placebo, dapoxetine 30 mg, or 60 mg, and instructed to take study drug 1-3 hours prior to anticipated intercourse. The primary efficacy endpoint was IELT adjusted for baseline, as measured by a stopwatch held by the female partner. Secondary endpoints (subject perception of Control Over Ejaculation and Satisfaction With Sexual Intercourse) were assessed at baseline, 4, 8, and 12 weeks, and rated on 5-point scales of 0=very poor to 4=very good. Tolerability was assessed. Groups were compared using ANOVA analysis.

RESULTS: Preliminary results showed significant (all P<0.0001) differences between placebo and each active treatment group in mean IELT, Control Over Ejaculation, and Satisfaction With Sexual Intercourse. Changes from baseline to study endpoint for mean IELT were 0.90 to 1.75 min (placebo), 0.92 to 2.78 min (30 mg), and 0.91 to 3.32 min (60 mg). Changes from baseline to study endpoint in percentage of subjects giving ratings of fair, good, or very good for Control Over Ejaculation were 3.5% to 26.4% (placebo), 2.5% to 51.8% (30 mg), and 3.3% to 58.4% (60 mg), and for Satisfaction With Sexual Intercourse, 51.8% to 55.2% (placebo), 52.4% to 70.9% (30 mg), and 56.7% to 79.2% (60 mg). Both dapoxetine 30 mg (P=0.0006) and 60 mg (P<0.0001) were more effective than placebo in increasing IELT on first dose. Treatment-related adverse events (AEs) (incidence = 5%) with both 30 mg and 60 mg were nausea (8.7%, 20.1%) and headache (5.9%, 6.8%), and with 60 mg only, diarrhea (6.8%) and dizziness (6.2%). Discontinuation rates due to AEs for placebo, 30 mg, and 60 mg were 0.9%, 4%, and 10%.

CONCLUSIONS: Dapoxetine 30 mg or 60 mg is effective for the on-demand treatment of PE, with increased IELT, improved Control Over Ejaculation, and increased Satisfaction With Sexual Intercourse. Dapoxetine was effective on first dose. Both doses were well tolerated.

TREATMENT OF PREMATURE EJACULATION: A COMPARATIVE VARDENAFIL AND SSRI CROSSOVER STUDY

Frank Sommer*, Cologne, Germany; Theodor Klotz, Weiden, Germany; Michael J Mathers, Remscheid, Germany; German Men's Health Study Group, Cologne, Germany

INTRODUCTION AND OBJECTIVE: Premature ejaculation (PE) is one of the most common male sexual disorders. This condition may be primary or secondary to underlying disease. Control of PE has been focused on behavioral therapy, topical anaesthetics, tricyclic antidepressants and selective serotonin re-uptake inhibitors; however, an approved treatment does not exist. There are several reasons why Phosphodiesterase (PDE)5-inhibitors could have an potential effectiveness in the treatment of PE.

METHODS: Healthy men evaluated for primary and secondary PE graded their ejaculation on a scale of 0 to 8 (0 = almost never, 8 = almost always). Baseline International-Index-of-Erectile-Function (IIEF) scores were obtained. The intravaginal ejaculatory latency time (IVELT) was measured by stop watch. 37 heterosexual men (age 38 ± 5,7, range 26-56) with a stable sexual relationship for at least one year who scored their PE as 4 or greater and IVELT ≤ 1,5 minutes were included in the study. They were randomized to 6 weeks vardenafil (10mg, 30 minutes pre-intercourse) or sertraline, a selective serotonin re-uptake inhibitor (SSRI) (50 mg 4 h pre-intercourse). After a 1-week wash-out period, medication was changed in a cross-over design. During the study PE was graded using the same scales after the initiation of each treatment. Partner sexual satisfaction, IIEF-scores and patient preference were also assessed.

RESULTS: The mean initial PE grade was 6.14 ± 1.6 and that for IVELT was 0.54 minutes (range 0.1 to 1.5) for all participants. With vardenafil PE grade improved 2.9 ± 2.1 (P <0.01) and IVELT 5.23 ± 3.71, (P <0.001). Of the 34 men treated with sertraline improvement was reported (PE grade 1.86 ± 1.31, P <0.01; IVELT 2.87 ± 1.86, P <0.001). Partner sexual satisfaction and IIEF rate were greater with 10 mg vardenafil.

CONCLUSIONS: There is a potential usefulness of vardenafil as a promising line of therapy in PE.

---

ACTIVITY

No restrictions. Regular exercise is always beneficial to a healthy life-style and personal well-being.

---

DIET

No special diet. However, a healthy diet is always beneficial to a healthy sexual life-style. Suggested dietary supplements are given below with helpful links, when possible, to help in ordering.

NUTRITIONAL SUPPLEMENTS

Vitamin B-1 (Thiamin HCl): Vitamin B-1 (thiamin) is the precursor to the active metabolite thiamin diphosphate, which is essential for the conversion of glucose into energy. Vitamin B-1 also provides proper energy production and fat metabolism. Glucose is the body's chief source of energy. Thiamin also assists in the conversion of carbohydrates into energy reserves and provides nutrients for proper energy production and fat metabolism. Vitamin B-1 (Thiamin HCl, 100% Natural, 100 mg, 100 Caps

Riboflavin (B-2): Vitamin B-2 (riboflavin) is a precursor to coenzymes involved in the growth and repair of skin and tissues lining the gastrointestinal tract, as well as the synthesis of amino acids. It is also necessary for the formation of pigments essential to vision. Vitamin B-2 (Riboflavin, 100% Natural, 100 mg, 100 Caps

Niacin (B-3): Niacin or vitamin B-3, is necessary for normal breakdown of fats and fatty acids and the release of energy from carbohydrates. It is also an excellent vasodilator and may be useful in maintaining proper cholesterol levels. Vitamin B-3 (Niacin, 100% Natural, 100 mg, 100 Caps

Pantothenic Acid (B-5): Pantothenic Acid, or Vitamin B5, is converted in the body to coenzyme A, which is involved in the biochemical cycles responsible for conversion of fats, proteins and carbohydrates into energy. It also plays a role in the synthesis of hormones by the adrenal glands. Vitamin B-5 (Pantothenic Acid, 100% Natural, 250 mg, 100 Caps

Vitamin B-6: Vitamin B-6 (pyridoxine) is converted in the body to the main coenzyme responsible for amino acid and protein metabolism. The central nervous system also relies heavily on pyridoxine to assist in the production of serotonin, a critical neurotransmitter. Vitamin B-6 (Pyridoxine, 100% Natural, 100 mg, 100 Caps

Vitamin B-8 (Inositol): Inositol is a direct precursor of phospholipids which are a major component of cellular membranes. It helps to maintain proper electrical energy and nutrient transfer across the cell membrane. It also acts as a lipotropic which converts fats into other useful products. Inositol (Vitamin B-8, Nature's Way, 100% Natural Pure Crystalline, 500 mg, 100 Caps)

Folic Acid (Vitamin B-9): is necessary precursor for the manufacture of genetic material like RNA and DNA. It also assists in the growth and repair of tissues and in the conversion of fats and amino acids into other useful products in the body. Folic Acid (Vitamin B-9, 100% Natural, Nature's Way, 800 mcg, 100 Caos)

Vitamin B-12: B-12 is an essential nutrient that functions as a coenzyme. Cobalmin is critical to maintain healthy nerves and nerve function. Vitamin B-12 is also critical to maintain healthy red blood cells and homocystein levels. Vitamin B-12 (California Natural, 1000 mcg, 60 Tabs

Beta-Carotene: Beta Carotene is a potent and popular antioxidant found in plants and vegetables. Antioxidants help combat free radicals and molecules which damage cells and DNA. Beta carotene may be converted to Vitamin A in the liver. Beta Carotene (Natural Dunaliella salina, Natures Way, 100% Natural, 25,000 IU, 100 Softgels

Isoflavones (Soybean): Soy has been shown to promote cell growth and promote long term health, wellness and longevity. The health benefits of soy are being reported worldwide. Scientific interests in Soy centers on the key phytoestrogens, isoflavones. Soy Isoflavones with Digestive Enzymes (NON-GMO SoyLife, 500 mg, 100 Caps

Gamma Linolenic Acid: Gamma Linolenic Acid (GLA) is a popular essential omega fatty acid with numerous health benefits. Omega 3-6-9 from NOW® is an optimal blend of essential fatty acids sourced from organic Flax Seed, Evening Primrose and Olive Oils and expeller-pressed Wheat Germ Oil. This balanced vegetarian supplement is high in Omega-3 and Omega-6 fatty acids, dietary components vital for numerous bodily processes including the maintenance and production of new cells. Dosage: 1 Tablespoon contains - Omega-3 Fatty Acids (Alpha Linolenic Acid), 6g (6,000 mg); Omega-6 Fatty Acids (Linoleic Acid), 3 g (3,000 mg); Gamma Linolenic Acid (GLA), 180 mg; & Omega-9 Fatty Acids (Oleic Acid), 3 g (3,000 mg). Omega 3-6-9 Liquid (NOW Foods, Organic, 25,000 IU, 16 fl. oz.) Spirulina (Arthrospira platensis) rests atop the green superfood pantheon. This blue-green vegetable plankton has been a source of nutrition for humans since the Aztecs harvested it from Lake Texcoco in Mexico centuries ago. Spirulina very well may have been the first photosynthetic life form created by nature over 3.6 billion years ago. Algae such as Spirulina is believed to have produced the oxygen in our atmosphere that allowed the development of higher life forms, and it still contains the rich nutrient content that supports the diversity of life we have on Earth today. Spirulina contains the highest protein and beta-carotene levels of all green superfoods, and is also a rich source of GLA (Gamma Linolenic Acid), a popular fatty acid with numerous health benefits. In addition it is the highest known vegetable source of B-12 and provides optimum levels of vitamins, minerals, trace elements, cell salts, amino acids and enzymes. NOW® Spirulina is 100% pure, Certified Organic, and cultivated/harvested in Hawaii, where ideal weather conditions allow for year-round growth and excellent nutritional content. Spirulina Powder (100% Natural, NOW Foods 1 lb.)

Vitamin C (Ascorbic Acid): Vitamin C provides antioxidant protection for many of the body's important enzyme systems. White blood cells (neutrophils) utilize vitamin C to help produce cytotoxic enzymes which they use to eliminate foreign matter. It also helps strengthen collagen, a major connective protein. Vitamin C also plays an important role in the P450 enzyme detoxification system. Vitamin C with Rosehips (100% Natural, 500 mg, 250 Caps) Vitamin C with Rosehips (100% Natural, 1000 mg, 250 Caps) Vitamin C Buffered Ascorbate Acid (100% Natural, 500 mg, 250 Caps)

Vitamin E: Vitamin E is a potent well researched and publicized antioxidant necessary in human nutrition. Antioxidants in Vitamin E help combat free radicals and oxidants, molecules which damage fats and cells. Specifically, Vitamin E is helpful in preventing oxidation of LDL cholesterol. Vitamin E, d-alpha tocopherol (100% Natural, 400 IU, 100 Softgels)

Amino Acid Complex: Amino acids are necessary for muscle growth, cellular replenishment and proper metabolic function. Spectrum Shake is a total body fuel that tastes good! It's easy to mix, digests quickly and is free of the common food allergens. SPECTRUM is a complete, low calorie, low fat food concentrate in a convenient, ready-to-blend powder. Spectrum provides: 24 balanced amino acids for muscle growth, cellular replenishment and proper metabolic function. Energy-releasing complex carbohydrates with no added sugars or artificial sweeteners. Energy-sustaining, muscle-sparing medium chain triglycerides (MCTs). Meta-C a highly assimilable and buffered vitamin C. Full complement of 32 vitamins and minerals in an easily digested FoodMatrix* form. 72 trace elements from ancient sea beds. 4 enzymes to optimize digestion and utilization Intestinal friendly dietary fiber. * FootMatrix. A unique process whereby all the vitamin and mineral structures have been fully reacted with a fresh water phytoplankton (algae) for improved bio-availability and increased nutritional value. Spectrum Shake, Vanilla Flavor (100% Natural Amino Acids + other supplements, 1 lb. 3 oz.) Now Amino 1500 contains a balanced blend of the following 20 essential and non-essential amino acids: L-alanine, L-arginine, L-aspartic acid, L-carnitine, L-cysteine, L-glutamic acid, L-glycine, L-histidine, L-isoleucine, L-leucine, L-lysine, L-methionine, L-ornithine, L-phenylalanine, L-proline, L-serine, L-threonine, L-tryptophan, L-tyrosine, L-valine. Amino 1500 (Chewable Blend of 20 Amino Acids, Predigested, NOW Foods, 150 Tabs)

L-Glutathione: L-Glutathione is a tripeptide amino acid produced in the liver primarily from cysteine. L-Glutathione acts as a cellular antioxidant by inhibiting free radical proliferation.* Glutathione (GSH) is a key element of the livers detoxifying process, and also the precursor for glutathione peroxidase, a major free radical scavenging enzyme. Recent scientific research indicates that molybdenum, a trace mineral that activates the enzymes aldehyde oxidase and sulfite oxidase, may provide necessary nutritional support for chemically sensitive individuals. Coenzymated vitamin B-2 (riboflavin) is the precursor for FAD, a coenzyme that recycles used GSH. L-Glutathione (250 mg, 60 Caps)

N-Acetyl-Cysteine (NAC): Protein synthesis is one of the most vital functions taking place in each and every human body. In order for us to utilize our protein intake in an efficient manner, an ample supply of the amino acid glutathione must be present in our cells. NAC (N-Acetyl Cysteine) is essential in the formation of glutathione, as it directly impacts our ability to synthesize the proteins we ingest. NOW NAC (with added trace elements of molybdenum and selenium) acts as a precursor to the production of glutathione, helps ward off infections through its antioxidant/detoxification properties and facilitates the production of several digestive enzymes. NAC (N-Acetyk Cysteine, NOW Foods 600 mg, 100 Caps)

Acetyl-L-Carnitine (ALC): Acetyl-L-Carnitine (ALC) is a stabilized form of the amino acid metabolite L-Carnitine and is utilized in the same manner in the body. L-Carnitine is the train that fats ride when it's time for them to go and be burned up for energy. In addition to perking the ears of exercise and weight loss enthusiasts, this statement should catch the interest of individuals concerned about cardiovascular health. Two thirds of the heart's energy comes from fats. It also plays a role in taking out the byproducts or toxins of the fatty acid oxidation process. In addition, Acetyl-L-Carnitine supports neurological health by enhancing the production of neurotransmitters involved in memory, as well as the production nerve growth factors in the brain. Acetyl L-Carnitine Powder (NOW Foods, Vegetarian Formula, 635 mg, 3 oz.)

L-Citrulline: Citrulline is a non-essential amino acid that is an important intermediate in the urea cycle, functioning along with Arginine and Ornithine to rid the body of ammonia, a byproduct of protein metabolism. Because Citrulline is a precursor of Arginine, it provides a readily available source material for Arginine production, which in turn, can be used for the production of Nitric Oxide (NO). NO plays a fundamental role in vascular function and blood flow. Citrulline therefore, not only supports detoxification pathways, but also supports NO production and a healthy cardiovascular system. L-Citrulline High Potency (NOW Foods, 750 mg, 90 Caps)

Gamma Amino Butyric Acid (GABA): GABA (gamma aminobutyric acid) is a non-essential amino acid found mainly in the human brain and eyes. It is considered an inhibitory neurotransmitter, which means it regulates brain and nerve cell activity by inhibiting the number of neurons firing in the brain. GABA is referred to as the "brain's natural calming agent". By inhibiting over-stimulation of the brain, GABA may help promote relaxation and ease nervous tension. NOW® provides only the naturally occurring L-form as found in food and in the body. GABA Powder (Gamma Aminobutyric Acid, NOW Foods, 100% Pure Vegetarian Formula, 500 mg, 6 oz.)

L-Arginine: L Arginine is a conditionally essential basic amino acid involved primarily in urea metabolism and excretion as well as DNA synthesis. L-Arginine (Pharmaceutical Grade, Free Form, NOW Foods, 500 mg, 100 Caps)

L-Glycine: L Glycine is a non-essential (vegetarian) amino acid and has the simplest structure of all amino acids, allowing L Glycine to fit easily within protein chains and make space for structurally larger amino acids. This feature makes it very important for specific bodily function. L-Glycine Powder (Free Form, NOW Foods, 1000 mg, 1 lb.)

L-Glutamic Acid: Glutamic acid is an amino acid used by the body to build proteins. It increases the firing of neurons in the central nervous system, and is converted into either glutamine or GABA. The brain can use Glutamic acid as fuel, and it is important in the metabolism of sugars and fats. Glutamic acid detoxifies ammonia by picking up nitrogen atoms, and in the process creates glutamine, another amino acid. Glutamic acid is found in high-protein foods, such as meat, poultry, fish, eggs, and dairy products. Glutamic acid may play a role in the normal function of the prostate because large amounts of this amino acid is found in the fluid produced by the prostate gland. GABA Powder (Gamma Aminobutyric Acid, NOW Foods, 100% Pure Vegetarian Formula, 500 mg, 6 oz.) L-Glutamine (Amino Acid Supplement, NOW Foods, 500 mg, 120 Caps)

L-Alanine: Alanine is a nonessential amino acid that is an important source of energy for the muscles, brain, and central nervous system. It is used by the body to build protein and was first isolated in 1879. The alpha-carbon in Alanine is substituted with a levorotatory-methyl group, making it one of the simplest Amino acids with respect to molecular structure and is one of the most widely used protein construction. It is a critical component in building protein and it helps regulate the metabolism of sugars and organic acids. This amino acid also produces antibodies which boost the immune system. Alanine is found in meats, poultry, fish, eggs, and dairy products. Some protein-rich plants like avocado also supply Alanine.

L-Taurine: L-Taurine is considered a Non-Essential Amino Acid that helps stabilize the excitability of membranes. This means that L-Taurine is very important in the control of epileptic seizures. L-Taurine and sulfur are considered to be factors, necessary for the control of many biochemical changes that take place in the aging process and aids in the clearing of free radical wastes. L-Taurine (Free Form Amino Acid Supplement, NOW Foods, 500 mg, 100 Caps)

DiMethylAminoEthanol (DMAE): Taken as a maintenance supplement, DMAE Supplement works synergistically with other smart nutrients like Ginkgo Biloba, GABA, Phosphatidyl Serine and L-Tyrosine, or can be taken alone. DMAE (dimethylaminoethanol) is a natural amino alcohol that is found in minute quantities in the brain. It is generally regarded as a precursor to choline, which is needed for the brain to produce acetylcholine, a neurotransmitter involved in nerve signal transmission and healthy brain function. DMAE is a memory enhancing substance common to a number of drugs that are known to stabilize cell membranes. Cell membrane degradation has been proposed as one of the prime mechanisms of aging. DMAE is a precursor to choline and acetylcholine. However, DMAE has been shown to cross the blood-brain barrier faster than choline. It is the choline inside cells that is converted to phosphatidylcholine, used in the building and repair of cell membranes, especially in the brain. In Europe, the drug Centrophenoxine, which combines DMAE with a synergistic chemical called p-chlorophenoxyacetate, is prescribed to boost cognitive function, which may be helpful with the early onset of Alzheimer's, dementia, senility, and memory loss. It is likely that all the benefits of Centrophenoxine may be obtained more inexpensively from DMAE. DMAE Supplement (Dimethylaminoethanolt, Vegetarian, NOW Foods, 250 mg, 100 Vcaps)

L-Tyrosine: L-Tyrosine is an essential amino acid and a precursor of the neurotransmitters dopamine, norepinephrine, epinephrine (adrenaline) and the thyroid hormones. L-Tyrosine (Pharmaceutical Grade, Free Form, NOW Foods, 500 mg, 120 Caps)

L-Lysine: L-Lysine is an essential amino acid, which means your body cannot manufacture it. It must be obtained through the diet or by supplementation. Lysine is one of the most well known amino acids and is an essential component of all proteins. L-Lysine (Vegetarian, NOW Foods, 500 mg, 100 Tabs)

Biotin: Biotin is an enzyme cofactor which assists in the release of energy from carbohydrates and in the production of fatty acids. It also assists in activating the energy transfer molecule ATP. Biotin is also necessary for folic acid to be converted into its biologically active form. Biotin is active in many enzyme systems in the body. Biotin assists zinc and extends the effectiveness of this mineral. It is necessary for production of normal skin and scalp secretions. Biotin Coenzyme (100% Natural, Nature's Way, 1000 mcg, 100 Sublingual Lozenges)

Zinc Citrate/Chelated: Zinc is present in all tissues, organs and secretions of the body. It is essential for cellular reproduction which, is the process of growth and repair. Zinc is found in particularly high concentrations in the prostate and reproductive fluids. It also helps prevent the buildup of Vitamin A in the liver. Zinc (Chelated, 100% Natural, Nature's Way, 30 mg, 100 Caps)

Copper: Is most concentrated in the liver, heart, kidneys, brain, bones, and muscles and is essential in the blood. Trace amounts are present in all body tissues. Copper increases iron assimilation; iron and copper work together in the formation of hemoglobin and red blood cells. Anemia can be a copper deficiency symptom. Various enzyme reactions require copper. Copper influences protein metabolism and general healing, improves vitamin C oxidation and is integral in the formation of RNA. Low or high copper levels can be found in those with mental and emotional problems. Copper helps rid the body of parasites, and is beneficial for graying and thinning hair. Copper excess is not common because only a small percentage is assimilated, but toxicity problems can present serious disease states. Copper (Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm 16 fl. oz.)

Selenium: Selenium is an essential component of glutathione, the body's most potent natural antioxidant system. Yeast-free selenomethionine is an advanced chelated from with superior absorption. Selenium (100% Natural, 200 mcg, 100 Caps)

Magnesium: Magnesium is essential for the production of ATP, the body's primary energy producing molecule, as well as for the manufacture of protein by cellular ribosomes. It also mediates proper muscle function, providing the mechanism for relaxation of muscles including the heart muscle. Magnesium Citrate Complex (Nature's Way, 250 mg, 100 Caps)

Potassium: Potassium is a key nutrient in maintaining the electrolyte balance which regulates heart and muscle contraction. It also plays an important role in maintaining proper fluid exchange. Potassium (100% Natural, Nature's Way, 99 mg, 100 Caps)

Calcium: Calcium plays a key role in many of the bodies biochemical processes, including strengthening bones and connective tissue, aiding metabolism , oxygen exchange and synthesis of proteins. Calcium needs to be taken with Magnesium for proper absorption in a 2:1 ratio. Calcium (with Magnesium, 1200 mg/600 mg, Just An Ounce, Almond Flavor Liquid, 16 fl. oz.)

Iodine (from Kelp): Kelp is a large, leafy brown algae that belongs to the seaweed family and grows in the colder waters of the world's oceans. It is a good source of marine minerals, including potassium, magnesium, calcium and iron. It is also an excellent source of iodine, which has been shown to support healthy thyroid function. Your thyroid gland is responsible for producing the hormones that support normal cellular metabolism. As with most green foods, kelp also contains vitamins and cell salts essential for good nutrition. Kelp Seaweed (Norwegian, NOW Foods, 100% Natural acophyllum nodosum, 550 mg, 250 Caps

Mucuna Pruriens: Mucuna pruriens, commonly known as velvet bean or cowitch, is used as a minor food crop and medicinal bean in India, West Africa, and Central America. Toasted ground seeds are used as a coffee substitute. It is regarded as anodyne, antidotal, diuretic, nervine, psychedelic, and powerfully aphrodisiac. It is used as a tea, a strong decoction and a smoke. According to Ayurveda, this herb is a powerful nervine tonic and aphrodisiac, applicable to the treatment of disorders of the male or female reproductive tract, and the spasms associated with Parkinson's or Bell's Palsy. A clinical study confirmed the efficacy of the seeds in the management of Parkinson's disease by virtue of their L-Dopa content, the precursor to the neurotransmitter dopamine. Mucuna pruriens, recognized as an aphrodisiac in Ayurveda, has been shown to increase testosterone levels, leading to deposition of protein in the muscles and increased muscle mass and strength. It is also known to enhance mental alertness and improve coordination. Isolated chemicals include bufotenine and DMT. Kapi Kacchu (Mucuna pruriens, 450 mg, 120 Vcaps

Bioperine: The clinically supported ingredients in Irwin Naturals Steel Libido create a powerful one-two punch to your sexual performance and enjoyment. This Bioperine enhanced Steel Libido is the first product to support both erectile function and libido (sexual drive). Irwin Naturals Steel Libido for Men, Sexual Enhancer, 75 GelCaps

Male Sexual Enhancer Veroxin: Includes 2 Free CD's - "How To Live Longer and Feel Better" Vol. I & II. MALE SEXUAL ENHANCER Veroxin 7 from Nature's Secret sets a new standard of effectiveness for male performance enhancers. This potent two-part solution increases both sexual desire (libido) and sexual performance. Ultra Fast Absorption and High Bioavailability with Liquid Gel Caps. When libido and sexual performance are on the line, nothing is more important than fast absorption into the bloodstream with minimal waste of nutrients. Tests show that liquid gel caps have superior absorption speed and bioavailability. Male Sexual Enhancer Veroxin 7, 2 Bottles - 60 SoftGels

Stamina Rx Sexual Stimulant For Men: A revolutionary sexual stimulant for men engineered to increase sexual stamina and arousal. Only the highest grade nutraceuticals and extracts available throughout the world are used by Stamina-Rx. By demanding the highest quality raw materials, Hi-Tech is able to ensure that the consumer gets only the best products available. The ground breaking formula in Stamina-Rx can work for you when everything else has failed. The rare and exotic compounds that are used in formulating the amazing Stamina-Rx makes it apparent why it is so popular with men. Stamina Rx Sexual Stimulant For Men, Pharmaceutical Grade, 550mg - 30 Tabs

Eros Rx Ultra Sex Drive Enhancer: Formulated to enhance nutritional support for the male and female sex drive. Eros Rx is the most complete sex drive formula on the market. Key ingredients include Arginine, Muira Puama, Yohimbe Extract, Taurine, Tunera Aphrodisiaca, Deer Antler, Saw Palmetto and other nutrients essential for the promotion of good sexual health. Eros Rx Ultra Sex Drive Enhancer - 60 Tabs

Griffonia Seed Extract (5-HTP): 5-HTP / Hydroxy Tryptophan is an Amino Acid and precursor to serotonin, a brain chemical responsible for regulating mood, appetite, behavior, and sleep and may help elevating mood, encouraging relaxation, controlling appetite, promoting sleep and may prove beneficial in the treatment of depression, obesity, insomnia, and migraine headaches. Griffonia simplicifolia is an African plant which is extracted to produce 5-HTP, the intermediate metabolite between the amino acid L-tryptophan and serotonin. 5 HTP (Hydroxy Tryptophan, Vegetarian, NOW Foods, 100 mg, 120 Vcaps)

Mexican Wild Yam: Wild Yams are used for its anti-inflammatory and antioxidant abilities, which may help prostatitis and reduce some of the risk factors for prostate related problems. The saponins found in wild yams have estrogenic effects, which help to regulate the testosterone imbalance for men. Wild Yams have also been reputed to have an aphrodisiacal quality and have traditionally been used in cases of impotence, weak erections, and ejaculation control. Wild (Mexican) Yam Tincture, 100% Organic, 2 fl. oz.

Chinese Yam: Tones and supplements the spleen, stomach, lungs and kidneys. Chinese Yam helps restore tone to tissues. It is used to treat digestion, diarrhea, fatigue, weakness, frequent urination, decreased appetite, leukorrhagia (excessive vaginal discharge), and premature ejaculation. Chinese Yam is also useful in treating the symptoms associated with diabetes, and chronic wheezing and coughing. Chinese Yam comes in various forms and is an ingredient in many products. An infusion can be used by steeping slices of the root in boiling-hot water. The standard dosage is 10-30 g of root or 6-10 g of powder. For other formulations, or for other products that contain Chinese Yam, read and follow product label directions. U I Check, 100% Natural, 500 mg, 60 Caps (with 38 herbs including Chinese Yam) - Used for urinary incontinence problems, lack of Qi/energy, metabolism changes, lack of libido, low sex drive, men's impotence, men's premature ejaculation. No known side effects.

Horny Goat Extract: (Epimedium) Horny Goat Weed is useful in combination formulas as both a sedative and a dilator of peripheral blood vessels, producing a warm and almost euphoric effect on the body. Horny Goat Weed stimulates the production of androgens (sex hormones) and has been used successfully in men suffering from premature ejaculation and a low sperm count. Horny Goat Weed (Epimedium grandiflorum), also known as Epimedium or Yin Yang Huo, was first described in ancient classical Chinese medicinal texts an aphrodisiac which was used to increase libido in men and women, and improve erectile function in men. Used by practitioners for over 2,000 years, Horny Goat Weed not only holds an important place in Traditional Chinese Medicine, but is gaining popularity around the world. Horny Goat Weed could provide a serious boost to those who need it as an all herbal aphrodisiac. Safe & highly potent it stimulates sexual activity in both woman and man. Even though the exact way that Horny Goat Weed works remains unknown, the plant has long been employed to restore sexual fire, boost erectile function, decrease fatigue and lessen menopausal discomfort. It produces a warm almost euphoric effect on the body. Horny Goat Weed Express, Liquid Extract, 2 fl. oz.

Cinnamon: Having the power to promote circulation and relieve blood stasis, cinnamon invigorates the body. Its ability to relieve pain and relax muscles can help to achieve a firmer erection to better control orgasms. The increased blood flow to the penis will also bring more nutrients and hormones needed to maintain a longer and harder erection. Cinnamon Bark (Cinnamonium verum, NOW Foods, 600 mg, 240 Caps)

Cnidium Fruit: The astringent qualities found in Cnidium Fruit help to relieve problems associated with premature ejaculation by tightening the muscles needed for ejaculation control and a firm erection. Its antibacterial and circulatory stimulant abilities help to keep unused testosterone from building up and being converted in the prostate. Stamina Rx Sexual Stimulant For Men, Pharmaceutical Grade, 550mg - 30 Tabs

American Ginseng: It functions as an energy booster and benefits those with slow circulation. Those who complain of tiredness, lethargy, and mental sluggishness have seen positive results from American Ginseng. It promotes the secretion of sexual hormones in men and women and promotes blood production. Chemical constituents known as "ginsenosides" have been shown to actually slow down the aging process, recover the damage from over masturbation, delay the problems of premature ejaculation, and build endurance to prolong sexual activity. American Ginseng Root, Nature's Way, 550 mg, 50 Caps

Asian Ginseng (Korean Ginseng, Panax Ginseng): Asian Ginseng has the amazing ability to correct a host of problems associated with sexual dysfunctions and age. Rejuvenated organs help the body function better, increased energy provides more endurance for sex, while restorative capabilities help repair worn sexual nerves and tissues often the cause for premature ejaculation and a weak erection. Increased blood flow and sexual hormone production will power the sex drive while maintaining proper levels of testosterone. Korean Ginseng Root, Nature's Way, 560 mg, 100 Caps

Siberian Ginseng: Much like the popular and well-known Asian ginseng, Siberian ginseng helps to heal the entire body. The abilities of this herb boost the immune and nervous system to provide more energy, stamina, and sexual control. Replacing nutrients, vitamins, and hormones lost through increasing age, over masturbation, or sexual exhaustion can return the health of abused and battered bodies. Siberian Ginseng Root Extract, Nature's Way, 485 mg, 60 Caps

Ginkgo Biloba: Contains several unique chemicals that are known to increase blood flow to the brain, hands, feet, and genitals. It also improves the tone and elasticity of blood vessels. Several studies involving men suffering from Impotence and Premature Ejaculation have shown that Ginkgo specifically boosts blood flow to the penis. Ginkgo Biloba Extract, Standardized, Nature's Way, 60 mg, 120 Vcaps

Saw Palmetto: Saw Palmetto has been known to relieve prostate enlargement and inflammation by removing the excess DHT built-up through such things as masturbation. It also prevents as well as helps fight cancer. This herb contains a compound that inhibits an enzyme that changes testosterone hormones into a form that causes prostate growth and assists the development of parasympathetic nerve cells for better ejaculation control needed for those suffering from premature ejaculation or for those who just want to increase their stamina. Saw Palmetto Extract with Pygeum, Standardized, Nature's Way, 410 mg, 30 SoftGels

Evening Primrose Oil: Evening Primrose contains prostaglandin E-1 (PGE-1), which is usually depleted through masturbation and sex. By returning this needed hormone, it enhances the body's parasympathetic nervous system - responsible for maintaining a hard erection to seal off the ejaculation valve, aiding in problems of premature ejaculation. Evening Primrose Oil, Cold Pressed, Nature's Way, 500 mg, 250 SoftGels

Huperzia Serrata, (Chinese Club Moss) Huperzia Serrata is a natural booster of the body's level of acetylcholine, which is responsible for such things as brain and motor functions. Putting back this depleted enzyme helps to prolong erections and aids in ejaculation control. Containing Huperzine A (HupA), effective in improving cognitive abilities and memory, it has been used in the treatment of Alzheimer's and poor memory. Brain Elevate Formula w/Huperzine, NOW Foods, 560 Vcaps

Black Cohosh: It is perhaps best known as an excellent option for hormone replacement therapy without the negative side effects that conventional methods possess. Performance anxiety and sexual stress is usually alleviated as hormone levels are returned and balanced. The herb also shows promises of improving the central nervous system and dilating blood vessels, providing more blood and energy for a stronger control over ejaculation. Black Cohosh, Standardized Extract, Nature's Way, 40 mg, 60 Tabs

Herba Cistanchis: Cistanche has long been used in Asian herbal medicine to treat premature ejaculation and impotence by improving kidney functions and repairing damaged nerves used to erect the penis and delay orgasm. The sexual vigor accompanied by the herb will improve mood, creativity, and general health. Manhood Herbal Tea w/Cistanche, 20 Tea Bags

Gardenia: The compounds found in Gardenia are known to help calm the body. Soothing muscles, curing insomnia, and alleviating mental irritability and stress helps sufferers of premature ejaculation and performance anxiety to relax and regain control. Gardenia also aids blood circulation, cleanses the blood of toxins, and acts as an anti-inflammatory, which may possibly ease suffers of prostatitis and prevent prostate enlargement.

St. John's Wort: It stops the depletion of serotonin, much like SSRIs but without the negative side effects. The body needs serotonin for a host of functions: sleep, good mood (to relieve depression and anxiety), and sexual functioning. By feeding the neurotransmitters of the nervous system, testosterone can be more efficiently burnt off and used before having a chance to be converted into DHT, which will help sufferers of premature ejaculation, weak erections, and impotence. St. Johns Wort, Standardized Extract, Nature's Way, 300 mg, 90 Caps

Schisandra: The fruit alleviates and protects against stress, while reducing fatigue to build strength. The increased energy supply to the brain, muscles, liver, kidney, glands, and nerves will help fight insomnia and sexual anxiety. The aphrodisiac qualities of this herb improve blood flow to help with the staying power for an erection and ejaculation control. Schizandra Fruit, Nature's Way, 580 mg, 100 Caps

Muira Puama: By improving circulation to the prostate and stimulating the nervous system, Muira Puama helps to relieve symptoms of premature ejaculation. An improved sexual desire and its anti stress agents will aid in reducing feelings of anxiety and fear over sexual performance. Muira Puama Tincture, 100% Organic, 2 fl. oz

Damiana Extract: Damiana has a relaxing and calming effect used to promote a feeling of well-being, enhance sexual function, and relieve sexual anxiety. Also aiding in the problems of prostate health, this herb increases the ability to prevent early ejaculation and prostate cancer. Nutrients in Damiana increase blood flow to the organs and penis to further serve as a tonic for nervous or sexual debility. Damiana Tincture, 100% Organic, 2 fl. oz

Horny Goat Extract (Epimedium): Horny Goat Weed is useful in combination formulas as both a sedative and a dilator of peripheral blood vessels, producing a warm and almost euphoric effect on the body. Horny Goat Weed stimulates the production of androgens (sex hormones) and has been used successfully in men suffering from premature ejaculation and a low sperm count. Horny Goat Weed Express Liquid Extract, 2 fl. oz

Dong Quai: Chinese Angelica relieves muscle tension, nervousness, and anxiety by soothing the central nervous system and nourishing brain cells. The strengthened sexual nerves and increased blood flow will help to control ejaculation and provide a firmer erection. The tonic qualities cleanse the blood to invigorate and fortify the body. Dong Quai Root, Nature's Way, 565 mg, 100 Caps

Licorice: Works extremely well with other herbs to calm and harmonize the body. Its regulation of hormones help to increase sexual activators used to control ejaculation, provide a full and hard erection, and create a strong sex drive with more energy, all the while balancing levels for those with excessive amounts due to over masturbation or diet. Helping to counteract negative chemicals, reduce inflammation, and soothing most ailments can help you mentally, physically, and especially sexually. Licorice Root, Certified Nature's Way, 450 mg, 100 Caps

Maca: Maca is used to treat impotence, premature ejaculation, and frequent urination as well as ear ringing and aching lower back. Some herbalists considered Maca to be an anti-aging herb. It is used to nourish sperm, increase fertility, and is listed as an aphrodisiac in all traditional Chinese pharmacopoeias. It is widely used to improve vision, nourish the sperm and marrow, and to improve sexual functions. Maca Standardized Extract, Nature's Way, 525 mg, 60 Caps

Avena Sativa (Oat Straw): Considered one of the best sources for feeding the nervous system, Avena Sativa will help to soothe strengthen sexual nerves responsible for ejaculation control. Its ability as a relaxant to reduce both physical and mental stress helps to ease insomnia, exhaustion, and symptoms related to sexual performance anxiety. Oat Straw Tincture, 100% Organic, 2 fl. oz

Tribulus Terrestris (Puncture Vine): It has a renowned reputation for moving energy to the genital area. Tribulus Terrestris is warm and enters the Kidney channel. It has been considered a central nervous system stimulant with aphrodisiacal properties used for sexual impotency, agitation, nervousness, premature ejaculation, and sexual weakness. Clinical studies on Tribulus Terrestris have found very interesting results involving its antibacterial and antiviral properties. Gokshura (Tribulus terrestris), 450 mg, 120 Vcaps

Yohimbe. This bark from the African yohimbe tree has been used for hundreds of years to combat sexual dysfunctions. Long term usage of Yohimbe can result in erections that are firmer, larger and longer lasting. It also encourages permanent gains in penis size. Yohimbe Express, 1000 mg, 60 Caps Yohimbe Express, Liquid Extract, 2 fl. oz. Advanced Yohimbe Plus, Sexual Enhancer, 120 GelCaps

Bee Pollen: The extremely high concentration of complex nutrients in Bee Pollen assists in balancing the endocrine system and the sexual hormones it produces. Replacing the high amount of essential vitamins stress drains from the body eases anxiety. Athletes often use Bee Pollen to strengthen respiration, mental and physical reaction, and endurance for repeated exertion. Do not take if you have allergies to pollen. Bee Pollen Blend, Nature's Way, 580 mg, 180 Vcaps

Fo-Ti has been used for centuries to treat infertility and sexual dysfunctions in both men and women. Its tranquilizing properties aid in insomnia, fatigue, and sexual anxiety, while its ability to invigorate the kidney and liver lowers blood pressure and increases circulation by dilating the vessels. Fo-Ti Root (Ho-shou-wu), Nature's Way, 610 mg, 100 Caps Fo-Ti Root (Ho-shou-wu) Tincture, 100% Organic, 2 fl. oz.

Nacre (Mother of Pearl): Nacre builds and contributes to the health of the nervous system to improve the firmness of erections and the strength to delay climax. Nacre also produces a calming effect with its tranquilizing properties to help relieve tension, reduce irritability, and assist in depression and anxiety. NerveEase, TCM Stress Formula w/Nacre, 100% Natural, 60 Caps

Cornus Fruit: Cornus is famous in China for curing impotence. The astringent acids found in the fruit are used to control seminal discharges from both seminal leaking and premature ejaculation. Antibacterial action and white blood cell stimulation aid in prostate cancer treatment and may prevent cancer in healthy prostates. Super Manhood Male Libido Enhancement, TCM Formula, 100% Natural, 500 mg, 60 Caps

Nettle: Nettle has been shown to directly prevent and improve prostate health. Current research shows the chemicals in Nettle help to inhibit the DHT conversion of testosterone, which is responsible for prostate enlargement. An oversized prostate gives a greater urgency to orgasm, a leading cause for men suffering from premature ejaculation. Nettle Herb, Nature's Way 435 mg, 100 Caps Nettle Tincture, 100% Organic, 2 fl. oz.

Pumpkin Seeds Extremely high in essential vitamins and minerals, pumpkin seeds are perhaps best known for its rich concentration of zinc - used to treat prostate related problems such as BPH and prostatitis. Enlarged prostates create a stronger need to orgasm and can interfere with ejaculation control. Many also consider the mineral rich seeds as an aphrodisiac. Pumpkin Seed Tincture, 100% Organic, 2 fl. oz.

Pygeum (Pygeum Africanum): Pygeum helps maintain high levels of sexual hormones by blocking the conversion of testosterone into DHT. Excess amounts of DHT have been linked to prostate enlargement, which can lead to prostate sensitivity, pain, urinary problems, and a loss of ejaculation control. Prostate cancer and hair loss have also been attributed to high levels of DHT. By blocking the conversion of testosterone into DHT, pygeum helps to reduce or prevent male pattern baldness, delay ejaculation, and reduce seminal leakages. The extra testosterone can be better used to create a harder, longer-lasting erection while increasing the sex drive. Pygeum is also used to treat urinary disorders, often associated with prostate issues. Pygeum Extract, Standardized, Nature's Way, 100 mg, 60 SoftGels Pygeum Bark Tincture, 100% Organic, 2 fl. oz.

White Peony root (Bai shao yao): White Peony is highly prized in traditional Chinese medicine to relax the muscles, improve blood circulation, and cleanse the blood. These benefits may help to assist problems with impotence, premature ejaculation, high blood pressure, and prostate health. Certain prostate problems are believed to be a result of poor blood flow through the prostate, resulting in a high conversion of DHT and the collection of toxins. The increased blood flow keeps testosterone from building in the prostate while providing a stronger erection of the penis - aiding ejaculation control and preventing seminal fluids from escaping the prostate prematurely. Mountain Rose Herbs, Bulk Herbs W: White Peony Root

Hawthorn An excellent cardiac tonic, the bioflavonoids found in hawthorn improves blood circulation, resolves blood stasis, and strengthens the contractions of the heart muscles. Studies show that hawthorn can be taken safely with blood pressure medication. Diuretic properties help to cleanse the liver and further relieve hypertension, while the stringent qualities assist the tightening muscles and valves used to prevent an early orgasm. Hawthorn Extract Standardized, Nature's Way, 500 mg, 90 Caps Hawthorn Berry Tincture, 100% Organic, 2 fl. oz.

Jatoba (Hymenaea courbaril): Also known as Brazilian Cherry. Prostatitis is responsible for premature ejaculation and possible seminal leakage - is normally treated as a bacterial infection. But the long usage and success of Jatoba and its anti fungal properties to treat prostate inflammation has lead researchers to believe that fungi can also be a cause. The astringent quality of the herb further helps to tighten muscles and tissues associated with seminal and orgasmic control.

Grape Seed Essential flavonoids found in grape seeds help lower cholesterol while oligomeric proanthocyandin (OPC) promote a healthier blood flow to increase the libido, provide a firmer erection, and strengthen ejaculation valves. Studies have shown grapes to aid in the repair of damaged blood vessels and the antioxidants help to remove toxins to protect you from mental exhaustion and physical harms such as pollution, smoking, pesticides, contaminated water, and even the preservatives and other free radicals from the foods we eat. Grape Seed Extract. Standardized, Nature's Way, 100 mg, 30 Caps Grape Seed Extract. 350 mg, 90 Caps

Gotu Kola The amazing healing abilities of Gotu Kola stimulate mental activity, mollifies stress and anxiety, relieves insomnia, speeds recovery from wounds, promotes healthier skin, detoxifies the blood, and serves as a tonic for the nervous system. Premature ejaculation is greatly reduced by healing and fortifying the sexual nerves and tissues needed for climax control. Negative effects from aging and male menopause are diminished and corrected. Gotu Kola, Nature's Way, 475 mg, 180 Caps Gotu Kola Tincture, 100% Organic, 2 fl. oz.

Lo-Han fruit helps the body protect and nourish the lungs. By acting as an antitussive and expectorant, the body is able to draw more oxygen to fuel blood flow. Analgesic properties help to keep the body relaxed, while providing more endurance and climax control. Uses of the fruit reveal its substitutability of sugar for diabetics and studies show promises of being a source for cancer prevention.

Soybean: Its antioxidants and immune function help to cleanse the body, while lowering harmful cholesterol levels. Phospholipids in soy help to maintain the sexual nervous system responsible for ejaculation control. Soybeans also aid in hormonal imbalances by providing nutrients needed to synthesize essential hormones. Soy has also been noted to free up testosterone by inhibiting 5 alpha-reductase. This enzyme is responsible for lowering testosterone levels and changing them into DHT - believed responsible for BHP and male pattern baldness. Soy Isoflavone Standardized Extract, 100 mg, 60 Caps

NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...

You or a family member has repeated episodes of premature ejaculation after trying recommended methods. If your midwife or health care provider cannot treat the problems, they can often refer you to someone who does.

---

Mountain Rose Bulk Herbs

Mountain Rose Herbs, Bulk Herbs A Mountain Rose Herbs, Bulk Herbs B Mountain Rose Herbs, Bulk Herbs C Mountain Rose Herbs, Bulk Herbs D Mountain Rose Herbs, Bulk Herbs E Mountain Rose Herbs, Bulk Herbs F Mountain Rose Herbs, Bulk Herbs G Mountain Rose Herbs, Bulk Herbs H Mountain Rose Herbs, Bulk Herbs I Mountain Rose Herbs, Bulk Herbs J Mountain Rose Herbs, Bulk Herbs K Mountain Rose Herbs, Bulk Herbs L

Mountain Rose Herbs, Bulk Herbs M Mountain Rose Herbs, Bulk Herbs N Mountain Rose Herbs, Bulk Herbs O Mountain Rose Herbs, Bulk Herbs P Mountain Rose Herbs, Bulk Herbs R Mountain Rose Herbs, Bulk Herbs S Mountain Rose Herbs, Bulk Herbs T Mountain Rose Herbs, Bulk Herbs U Mountain Rose Herbs, Bulk Herbs V Mountain Rose Herbs, Bulk Herbs W Mountain Rose Herbs, Bulk Herbs Y

Mountain Rose Herbs.com: Order Online

Accessories & Tools Aromatherapy Aroma Sprays and Flower Waters Babies/Children Body and Bath Bottles, Jars & Containers Bulk Herbs Bulk Ingredients Bulk Oils Butters Capsules Clays Dental Care Essential Oils Facial Care Green & Black Teas Hair Care Herbal Extracts Herbal Oils Herbal Salves & Balms Herbal Teas Herbs for Pets Incense, Resins and Candles Lotions Massage Oils Medicinal Herb Seeds Tea Brewing Supplies Women's Products

Mountain Rose Aromatherapy Oils

Mountain Rose Herbs, Aromatherapy Oils A-B Mountain Rose Herbs, Aromatherapy Oils C-E Mountain Rose Herbs, Aromatherapy Oils F-L Mountain Rose Herbs, Aromatherapy Oils M-P Mountain Rose Herbs, Aromatherapy Oils Q-Z Mountain Rose Herbs, Aromatherapy Oils: Oil Blends & Resins Mountain Rose Herbs, Aromatherapy Oils: Diffusers, Nebulizers, & Burners Mountain Rose Herbs, Aromatherapy Oils: Oil Kits

Click Here To Visit Herbal Remedies Product Page

MoonDragon's Nutrition Index (Food Guide, Diets, Therapy)

MoonDragon's Alternative Health Therapy Index

MoonDragon's Health Index Page

MoonDragon's ObGyn Information Index by Subject Order

MoonDragon's ObGyn Information Index by Alphabetical Order

MoonDragon's Main Indexlisting

MoonDragon's Homepage