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Ask the <strong>Herbal</strong>ist_questions on Sexual Issues<br />

depression Saint Johnswort is as effective as Prozac and many other prescription drugs.<br />

If it is a "to much lubrication" problem there are herbs for your partner to take. You have not told me if you use a rubber<br />

but they tend to lessen stimulation. If this is your birth control technique you may want to try another. Use of past and<br />

present masturbation techniques can prejudice your penis to certain rhythms and pressure sensation. I would avoid<br />

masturbation and concentrate on having sex with your partner.<br />

Positions, where you have sex and the type of bed you sleep in are also factors.<br />

Your question on Yohimbe use is a good one, Yohimbe can be used to provide sexual arousal for men. The effects<br />

can last a long time. Some describe it as a perpetual hard on. From what I have read, cooking the herb with Vitamin C<br />

increases the potency. The cautions here is, it can cause depression in high doses, and permanent erection called<br />

priapism which is very painful. I would be careful with its use and it is not intended for long-term use.<br />

My biggest concern for you would be why would a young man of your age have a problem like this. I would try to find<br />

out if I were you. Talk to a doctor, healthcare provider, herbalist in your area. Sometimes counseling is very helpful,<br />

find a specialist that deals with this issue, take your girlfriend.<br />

If you would like to pursue this more please call for an appointment. I charge a dollar a minute for the consult,<br />

preparation and re<strong>com</strong>mendation. I am sorry but this is all I can quickly help you with.<br />

p.s. Please keep in touch I would like to hear if any of this has been helpful. If you would like a more personalized<br />

approach please call to set an appointment, face to face - person to person is best but a thorough phone interview<br />

would suffice, plan on a couple hour phonecon.<br />

This is an article I read on the Net, it may provide some insight for you:<br />

The Viagra Alternative<br />

Walk into any health-food store and you'll find countless products that purport to enhance your sex life: Passion Blend,<br />

Man Power, Super Sex, the list goes on. But do these products work? And how do they <strong>com</strong>pare with that hugely<br />

popular little blue pill, Viagra?<br />

The drug Viagra has proved a best-seller for a good reason: For many people, it's effective. Despite side effects such<br />

as headaches and anecdotal reports of possible links to heart attacks, it has helped millions. And although it's<br />

prescribed for impotence, or erectile dysfunction, in men, some ongoing studies are aimed at women as well. One, at<br />

the Women's Sexual Health Clinic at Boston University School of Medicine, suggests that Viagra does indeed improve<br />

female sexual response.<br />

While there's no doubt that popping a pill is convenient, sexual dysfunction is a <strong>com</strong>plex issue, with many causes and<br />

manifestations. And doctors caution against taking a quick-fix approach to symptoms that are often part of a bigger<br />

problem. "The critical thing is to address the underlying cause," says naturopathic physician Michael Murray, N.D., of<br />

Bastyr University in Seattle.<br />

According to the 1994 Massachusetts Male Aging Study, age-associated impotence is frequently tied to chronic<br />

illnesses, such as arteriosclerosis ("hardening of the arteries"), hypertension, diabetes, and depression. And<br />

researchers at the Women's Sexual Health Clinic say many of the same diseases affect female sexual function as<br />

well. Other causes include prostate enlargement (in men); endometriosis, fibroids, and PMS (in women); and<br />

age-related declines in hormone levels in both sexes. Sexual dysfunction is also a <strong>com</strong>mon side effect of many<br />

prescription and over-the-counter drugs, including those for depression, high blood pressure, insomnia, and allergies.<br />

If you're concerned about sexual problems, a good place to start is to review your overall health and current<br />

medications with your doctor. It's also essential to address any psychological or relationship issues through counseling<br />

or other forms of therapy. Exercise, a healthy diet, less stress, and a daily multivitamin can also go a long way toward<br />

preventing problems. "If you take good care of yourself by protecting your blood vessels and nervous system, the<br />

likelihood is sexual function can be preserved in both men and women," notes Steven Lamm, M.D., author of The<br />

Virility Solution.<br />

<strong>Herbal</strong> Jump-Start<br />

"Treating the primary cause should improve symptoms," says Dr. Lamm, "but it will do nothing in one night." While<br />

Viagra is often effective and fast acting-it typically boosts blood flow within 30 minutes to several hours-some people<br />

prefer non-drug alternatives. Several interesting supplements have recently <strong>com</strong>e to light and may provide benefits<br />

within days to weeks, thereby improving outlook. Unfortunately, studies of their effects on sexual response are<br />

limited-especially in women.<br />

The herb ginkgo biloba, <strong>com</strong>monly taken as a memory booster, may provide benefits. It presumably acts by enhancing<br />

blood flow and seems relatively free of side effects. In a pilot study at the University of California at San Francisco,<br />

ginkgo reversed sexual problems in 84% of men and women who were taking antidepressant drugs such as Prozac. A<br />

larger trial is under way.<br />

Another promising supplement is the heart-healthy amino acid arginine, which also enhances blood flow. In a study of<br />

50 men at Tel Aviv University, 31% of those with impotence improved after six weeks of taking arginine, versus only<br />

9% with a placebo. (As with Viagra, you should avoid arginine if you are taking the heart medication nitroglycerin,<br />

because the <strong>com</strong>bination may cause a dangerous drop in blood pressure. For the same reason, you should probably<br />

not take arginine with Viagra.)<br />

The supplement DHEA may also provide benefits in men and women who have low levels of this hormone. DHEA<br />

http://www.herbnet.<strong>com</strong>/ask%20the%20herbalist/as...eherbalist_questions%20on%20Sexual%20Issues.htm (5 of 7) [5/17/2004 9:08:06 AM]

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