Male Enhancement natural supplement vitamins, herbs, pills, herbal products, and how they compare to pharmaceutical medications prescribed by doctors
March 14 2014, by
Ray Sahelian, M.D.

In the past several decades, advances in basic science have been instrumental in the evolution of male sexual health treatment from a psychosexual model to a new model, which includes oral and intracavernosal injection pharmacotherapy, oral herbal formulations, vacuum constriction devices and penile prostheses for the treatment of erectile dysfunction. Many men are aware of prescription medications for ED that work but are searching for non-drug substances available over the counter without a doctor's visit. The public, in general, is becoming aware that there are effective products on the market that do work to improve sexual pleasure and performance without the need to visit the doctor's office.
  
Herbal supplement versus pharmaceutical
Natural pills work quite well in improving desire, erectile function, sensation and stamina, but they are not as potent as the prescription ED drugs in terms of purely penile engorgement. The downside of the ED drugs is that they cause headache, malaise, stuffy nose, muscle aches, and a sense of not feeling well, and fatigue. Many people have also reported side effects of visual disturbances.

Definition
Male enhancement is not a clearly defined term. Some people use this term to claim that their product increases the size of the penis (be skeptical of such claims), whereas others use it to refer to overall sexual improvement through the use of herbs, which is easily done.   Many people are searching the internet for a variety of associated terms. Some of these include:

Natural male enhancement pill and product or drug
These refer to either pharmaceutical pills such as Viagra, Cialis, and Levitra, or herbal products.  There are many such products on the market but be careful since some of them can have side effects on high doses. There are literally hundreds of such products on the market and we are sure some of them work in terms of improving sexual pleasure and performance while others may be promoted unethically.
   Some men are searching for a free male enhancement pill to try before they decide to purchase the product. Free samples of male enhancement are available by certain companies. If you order a free male enhancement pill, don't be surprised if they ask you for your credit card number for the shipping cost and days or weeks later you may be charged for a full bottle and shipped a full bottle on autoship.
   This term has been made very well known by the makers and promoters of Enzyte, which was frequently seen on TV infomercials in the early 2000s. There are hundreds of different herbal formulations promoted for a non-pharmacological way to improve stamina and performance. These products are available in health food stores, pharmacies, online and in sex shops. Some of the promoters of male enhancement pills or products are either referring to general sexual enhancement, or a promise that the male penis will grow. Enzyte was probably the most successfully marketed natural sex product. The company marketing Enzyte has had its share of problems with the FTC and the FDA.
   It is difficult to say which is the best male enhancement pill since no studies have been done comparing them. Furthermore, some people may prefer one product whereas others may prefer another. This is true of pharmaceutical drugs. Some people prefer Viagra while others prefer Cialis or Levitra.

Herbal male enhancement pills that work
Men either search for pharmaceutical male enhancement or herbal male enhancement product. There are many herbs that are effective as male enhancement pills in terms of overall sexual enhancement. For instance tribulus terrestris extract, mucuna pruriens, catuaba, muira puama, horny goat weed, maca, avena sativa, yohimbe, etc. For a list of male enhancement herbs, see the book Natural Sex Boosters.

I would like to know if it is safe to take sexuality improving herbs with doxepin hcl, Sinequan, as this medication effects my libido, I take 25 mg at night.
    Each person is different on how they respond to sexually enhancing herbs in combination with medications used for depression. If your doctor approves you can use half a capsule of the product every other day for a week and then determine whether to use less or more.

Male enhancement vitamin, amino acid
We are not aware any of the traditional vitamins, such as vitamins A, B, C, or D that have a significant or quick influence on male enhancement.

Q. Does arginine lead to male enhancement?
     A. In our experience, we have not found arginine to be effective, at least in the short term and in dosages smaller than 5 grams.

Male enhancement drug
Viagra, Cialis, and Levitra. These work quite well to improve engorgement of the penis and can often be used, in lower dosages, in combination with herbal sex pills.

Male enhancement review
Most of the sites that claim to provide an objective Male Enhancement review are actually just a front for the companies who sell the top listed or top recommended product. For example, The Best Male Enhancement Pills Supplement Review Guide. Many websites are set up to appear independent, yet they are often a front for the company that sells the top listed product.

Questions
Q. I receive spam email regarding a product called online male enhancement Man XL. Can you tell me more about Man XL?
   A. According to online male enhancement their website, Max XL contains cuscuta seed, ginkgo biloba, panax ginseng, inosine, and cayenne fruit. None of these herbs lead to enlargement of the penis.

Q. I'm thinking of buying a male sex enhancement product called Vipra. What attracts me is that the website for Vipra claims it has no side effects. Is it true that Vipra has no side effects?
   A. A look at the male sex enhancement Vipra web site indicates that it has yohimbe, tribulus, maca, saw palmetto, epimedium, avena sativa, ginseng and ginkgo biloba. All of these herbs have side effects, particularly yohimbe. Therefore it is difficult to accept the claim that Vipra has no side effects.

I was looking on line for a free sample of male enhancement, a free male enhancement pill. I called one site and gave them my credit card since they said they needed it to cover the 5 dollar shipping charge. A month later they charged my credit card 39.95.
    Be very careful about getting a free sample of a male enhancement pill. Never give your credit card number if they are offering a free male enhancement pill.

kindly would you please advise what kind of men enhancement do you recommend / suggest for a man with Diabetic type 2, High blood pressure, and high Cholesterol (all under control by medications and exercises).
    We can't make any specific suggestions. The best option is to try to improve overall health and reduce blood pressure, blood sugar and high cholesterol through natural ways so that medication usage is reduced.