Sexual enhancement supplements, natural products, herbs for men and women
Herbs and natural pills - Find out about effective natural herbs and supplement pills that work for a man and woman
October 22 2017 by Ray Sahelian, M.D., bestselling author of Natural Sex Boosters, a guide to aphrodisiacs

Supplements, herbs and vitamins that are effective in a man and woman
Is male and female sexual enhancement possible with natural herbs and nutrients as opposed to a prescription drug? Without a doubt. There are quite a number of natural herbal pills that may just do the trick, and many of them are currently sold without a prescription. It is truly amazing that so many of these herbs that have been known for centuries in their local region and countries have yet to be studied or accepted by Western medical doctors. While the media focuses on Viagra and its cousins, Levitra and Cialis, dozens of potent and effective herbs from China, India, Africa and South America are ignored. Some of these herbs are found in an effective herbal mix product called Passion Rx that I have formulated. Some people combine low doses of the herbal products with low doses of the prescription impotence meds.

What's the best male or female sexual enhancement supplement product or vitamin?
This is impossible to say since each person is unique. Some people may respond to one herbal pill while others may respond to a completely different one, or a combination formula.

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Passion Rx -- Medical Doctor formulated to work in men and women
This all natural herbal formula improves sexual enjoyment sometimes within two to three days, but the best results are often noticed by the end of the first week. Our feedback thus far indicates more than 80% user satisfaction, both male and female, within one week and higher by the end of the second week. Although the prescription drugs such as Viagra and Levitra work quicker, they mostly focus on vascular effects, such as engorgement, whereas the herbal products influence erection, stamina, sensation, and desire.

Ingredients in the potent formula
The potent herbal extracts in this formula include ashwagandha, catuaba, cnidium, herba cistanches, horny goat weed, maca, muira puama, passion flower, tongkat ali, LJ100, and tribulus. A version without yohimbe is also available.
In my experience, I have not found arginine to be an effective supplement for this purpose, at least in the short term and in dosages smaller than 5 grams. Long term use may have an effect. Some people find the increased dopamine from mucuna pruriens to have a positive effect.

Passion Rx enhances healthy:

Foods that help, diet
Onions and garlic can help. So does cold water fish or fish oils but they do not have a quick effect.

Exp Biol Med. 2013. Fresh onion juice enhanced copulatory behavior in male rats with and without paroxetine-induced sexual dysfunction. This study demonstrates that fresh onion juice improves copulatory behavior in sexually potent male rats and in those with paroxetine-induced sexual dysfunction by increasing serum testosterone levels.

Sexual enhancement natural products with fewest adverse reactions
Thanks for providing such great information, it is tough to find a site that actually admits there are unpleasant side effects to natural supplements. My question is since there are such a host of side effects for sexual enhancing herbs, which are the ones that have the fewest uncomfortable side effects (heart racing, insomnia, anxiety, irritability) but still produce solid results?
    A. This is not an easy question to answer since many researchers working on natural products for libido improvement are looking for such herbs to make a best selling formula. Each herb has its own benefits and side effects and it takes a lot of trial and error to find a combination that works best with the fewest adverse effects. We are not aware of single herb that fulfills the promise of best acting with low side effects and provides improvement in all aspects of sexual enhancement including erectile function, sensation, libido ad orgasm enhancement.

Biomed Res Int. 2014. Sexual enhancement products for sale online: raising awareness of the psychoactive effects of yohimbine, maca, horny goat weed, and Ginkgo biloba. The use of unlicensed food and herbal supplements to enhance sexual functions is drastically increasing. This phenomenon, combined with the availability of these products over the Internet, represents a challenge from a clinical and a public health perspective. A comprehensive multilingual assessment of websites, drug fora, and other online resources was carried out with exploratory qualitative searches including 203 websites. A comprehensive literature search was carried out using PsycInfo and PubMed. The most common sexual enhancement products available on the Internet were identified. Their active ingredients included yohimbine, maca, horny goat weed and Ginkgo biloba. These four substances were reported with the occurrence of adverse events and the induction of psychological symptoms, such as mood changes, anxiety, and hallucinations as well as addictive behaviours. Uncontrolled availability of sexual enhancement products that contain potentially harmful substances is a major public health concern. The possible impact on population health, particularly among subjects with psychiatric disorders, usually at risk for sexual dysfunction, may be significant. This new trend needs to be extensively studied and monitored.

Combining Cialis with herbal remedies
Do you know of any reason why, if a male takes Cialis, he should not also take one of the supplements you recommend on your website that may assist in sexual performance or fertility such as maca, carnitine, lipoic acid, and, of course, ginseng? Which of your supplements, regardless, do you think most helpful to a man in his late 50s or early 60s to enhance sexual stamina?
    A. Cialis, Viagra and Levitra are effective in many people in improving erectile function, but they can cause serious side effects, therefore one should be careful in combining them with other medications or herbal products. The sexual enhancing herbs can be taken 2 or 3 days before but not the same day as the prescription ED medications.

What's your favorite male sexual enhancement pill or female herbal product?
    I have a number of herbs that I like including tribulus, tongkat ali, horny goat weed and mucuna pruriens. Each herb and extract has its advantages and disadvantages. My favorite natural product is actually a blend I created called Passion Rx.

There are several areas involved in female and male sexual enhancement and performance:

Psychological / mental
The causes of psychological sexual dysfunction and low libido are numerous, and it is difficult to list them all, but most often they are related to depression, performance anxiety, marital stress or relationship problems, life crisis, financial difficulties, religious repression, or some type of mental illness. Sexual enhancement is possible through various forms of therapy, stress release, vacation, etc.

Hormonal influence on male and female sexual enhancement
Androgens, such as testosterone, are a major component of libido. Testosterone levels decline about 1 percent each year in men, which may contribute to lower male libido with aging. Testosterone also declines with age in women leading to a decrease in female libido. Women who have had surgical removal of the ovaries notice a drop in sexual interest. Improvement through replacement of androgens can be helpful in those with age related sexual 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 libido. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus lead to sexual enhancement. However, hormones may not be safe to use therefore aphrodisiac herbs are a great alternative.

Do birth control pills interfere with female sexual enhancement?
   Not that I am aware of.

My doctor told me that I need testosterone sexual enhancement ever since I've had my ovaries removed. Do you think herbs can restore libido without resorting to hormones?
  Most doctors don't realize that there certain natural herbs are quite effective and they can reduce the need for hormone treatment.
There are literally hundreds of female and male sexual enhancement pills that are marketed, and if you try a few it is quite likely you will find one that works for you best.

Alterations in the flow of blood to and from the penis are thought to be a common cause of male erectile dysfunction. 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. Proper diet and exercise can reduce the risk. Additional factors that can impede blood flow include penile injury, surgery in the pelvic or abdominal area, and sitting on a bicycle too long. Men who log several thousand miles a year on their mountain bikes suffer scrotal damage that could reduce their fertility.
 Some of these health problems, if treated appropriately, can lead to sexual enhancement.

Chemical influence on female and male sexual enhancement
Some chemicals involved include dopamine, acetylcholine, and nitric oxide. Sexual enhancement is quite likely through manipulation of these brain chemicals by using natural herbs and supplements.

Are the hormones and chemicals involved in women's sexual enhancement much different than in men?
    There are more similarities than there are differences. Testosterone is a sexual enhancement hormone in men and women, and dopamine increases libido in a woman and a man.

Medical conditions, diseases
Certain medical conditions reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, peripheral vascular disease, and neurologic disorders, and insomnia.
Exercise and weight loss may lead to sexual enhancement in obese men. In a study of more than 100 obese men with erectile dysfunction, nearly a third regained normal sexual function after participating in an intensive weight loss program. Exercise can help you sleep deeper which does wonders to increase sex drive and restore or balance hormone levels.

Nutritional factors, deficiencies
Unless a person is very deficient in zinc mineral, additional zinc supplements are not likely to be beneficial.

Dietary supplements that interfere
5-HTP converts into serotonin. Serotonin is a sex drive suppressant. Regular use of tryptophan and kava may also dampen desire.

Drugs and pharmaceutical medications that interfere
Drugs that interfere with libido or sexual function include some anti-hypertensives, SSRIs
such as Paxil, Zoloft and Prozac, sedatives, sleeping pills such as Restoril, and beta-blockers. Alcohol's negative affect on libido increases with age. Smoking can reduce genital blood flow.

Sexual enhancement drug
There are several including Viagra, Cialis, and Levitra. These drugs work very well in dilating blood vessels leading to a strong erection, however they do little for libido, sensation, and sexual stamina. Plus, they have side effects. Which is the best sexual enhancement drug? This is difficult to say since each person has their own preference.

Creams and gels
What's your opinion on women's sexual enhancement cream?
    I have not studied women's sexual enhancement creams so I don't have an opinion whether they work or not.

Questions from readers
Have received spam mail and seen on web sites sexual enhancement pills or products that the vendors say are guaranteed to increase the size of your penis. Is there any substance to these claims and these pills lead to the growth of the penis to a larger size?
   I have gotten similar emails. I am not aware of any sexual enhancement pills that permanently increase the size of a penis, but I am 100 percent certain that many herbal combinations do have sexual enhancement properties.

There are various web sites that claim their product is a better sexual enhancement pill than Passion Rx. For instance Orexis is one that I seen on the internet.
    See Orexis for an explanation.