Doctor Explains: Do Male enhancement pills WORK?! | Erectile Dysfunction

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Guys veena malik. Urologist and pelvic surgeon here did you know that 52 of men men between the ages of 40 to 70 experienced erectile dysfunction and what that means that they are unable to have penetrated intercourse every time they want to so no wonder. There are a number of sexual enhancement pills available on the market or sex pills for men to try do these actually work whats in them and should you try were gonna delve deep into that and if you like what you see dont forget to hit that subscribe button and give me a big thumbs up as a disclaimer.
I do not recommend any of these supplements. But i do know that there are people out there who are using them. And i want you to know what youre putting in your body.
Also i think. Its extremely important to see a physician to get a diagnosis and be evaluated for your erectile dysfunction. It can be a sign of other really serious problems like heart disease or problems with your blood vessels.
It can also help us find other problems like low testosterone. So its important to do that and also we can prescribe you medication that is fda regulated for erectile function. And there is no such thing as a medication or supplement without side effects so i know people think that these supplements are all natural and they are but we dont know what goes into them and they all also have side effects.
So thats not a reason to forego seeing a physician. So i see a lot of guys who come into my office. Whove tried some sort of gas station pill.
Some rhino pill. Something over the counter for their rectal dysfunction before they finally come see me so before you try anything over the counter get on the fda website. They have an entire list of medications that are on the naughty list are on the warning list.
Because they have undeclared ingredients or they have ingredients that arent supposed to be taken under the supervision of a physician like the medications that we prescribed for erectile dysfunction. So please avoid those medications. They are not safe.
The biggest issue with all of these supplements is they are not regulated by the food and drug administration. So there is no body of govern looking at what ingredients theyre putting on the label and comparing it to whats actually in the tablet that youre taking so while the ingredients themselves that im gonna go over today may be safe for you it may not be actually whats in the tablet itself. So you have to be very very careful also some of these are quite costly.
I know back in the day that the cost of medications like sildenafil or cabella. Fell. Which are commonly known as viagra or the blue pill were more expensive and so it was cost prohibitive to get those medications.
But now they are available in generic form. So if you see a physician you can get a generic prescription for these medications and very often there are coupon programs or compounding pharmacies that can give you even better discounts. So it shouldnt be cost prohibitive to get medications to help with your erections.
The first medication. Were going to discuss is called libido. Max and right on the cover of this medication.
It says. It as dr developed male enhancement pills. But i went on the website.
And i couldnt find any information about a physician that actually claims to have developed this medication. So im not sure if that claim is actually true also on the website. Im gonna read it directly from the website.
It says this product contains a chemical known in the state of california to cause cancer and or birth defects or other reproductive harm. So i would immediately say please dont take this medication. Because there is a chance that there are some medication thats been linked to cancer somewhere the first active ingredient in this medication is l.
Arginine. Youre gonna see this in a lot of the medications review. And this is actually a precursor for whats called nitric.
Oxide and nitric oxide is a key component of the ability for someone to obtain an erection. So what happens is when you have nitric oxide. It allows the blood vessels to open up so that blood can actually flow into the penis and cause tumescence or erection and so without nitric oxide.
You cant have an erection. So in theory. This sounds.
Like yes. L. Arginine is an important part and could potentially improve erections.
They have done studies on this specific component. They found that the data is mixed probably a dose of five milligrams of l. Arginine.
A day may be helpful. But its most likely helpful in people who already have some vessel disease so that it helps open up those vessels. So patients who have cardiovascular disease or other blood vessel diseases.
This may be good for them. Theres also a number of side effects that actually none of these pills seem to describe any side effects. But when you look at the individual ingredients.
They are listed as having some side effects. Including cramping. Nausea abdominal pain or bloating.
And so you might get some abdominal. Discomfort or belly discomfort.

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how long does it take for extenze to work-0

When you take this medication. You also want to be careful taking this in if you have a history of asthma so asthma or a reactive airway disease can actually be worsened by taking anything with l arginine in it also if you have low blood pressure. Liver disease or any genetic conditions.
This can be concerning and so you want to avoid these medications. If you have any of those problems. The next active ingredient in this medication.
Is horny goat weed. You may sometimes seem to see. This ingredient labeled horny goat.
Weed or you may sometimes see it labeled with the first word being at the medium. What this is is an herb that has an active ingredient called urine and this active ingredient helps to increase nitric oxide synthesis. So that you have more nitric oxide.
Available to then obtain an erection. There have been no randomized controlled trials. Meaning.
That they havent tested this particular. Herb extract with other sugar pills or placebo pills to see. If theres really truly a benefit.
So we dont really know if this is effective. But in theory. Thats how it works.
So horny goat weed has low bioavailability poor absorption and a short half life. And what does that mean well that means that when you take this medication or this particular ingredient. It doesnt stick around very long in the bloodstream.
It doesnt really get absorbed into the bloodstream. So that its useful and in that case. Its probably not very effective.
Theres also some concern that over long periods of time you could get some dizziness with taking it some vomiting dry mouth and in really severe circumstance. If youre taking a large quantity of it it can cause muscle spasms or difficulty breathing. So you do have to be careful with all these medications i keep saying medications.
But what i really mean is supplements because these are not medications. They are not regulated by the food and drug administration. Again you want to be careful taking anything with horny goat weed.
In it. If you have low blood pressure. If youre taking blood thinning.
Medications or if you have any clotting disorder. The next active ingredient in this particular supplement is yohimbe and yohimbe is extracted from the bark of an african tree and it actually works in two ways. It has a central effect meaning it works on the brain and it blocks the receptors that decrease sexual arousal.
It also works to increase nitric oxide this has been studied but it only enrolled a small number of patients so it wasnt powered or it wasnt large enough to detect a true difference between taking yohimbe versus taking just a regular sugar pill. So we dont know if its completely effective. If youre taking any supplement with yohimbe in it you need to be careful if you have any sort of psychologic to sword err.
If you have i already have anxiety if you are having any prostate problems if you have diabetes or heart problems. These sorts of things can make it dangerous for you to take this sort of ingredient in a supplement the next supplement that were going to review is called the male extra. And this has two particular active ingredients.
The first one is pomegranate and so does pomegranate actually improve erections. So there was a study done looking at men drinking pomegranate. Juice daily for four weeks compared to people who didnt drink pomegranate juice.
Because the thought is that pomegranate is an antioxidant and this antioxidant can improve the bioavailability. Which means that your body can see more nitric oxide. When you need to have an erection but in this study.
They didnt really find any difference in a reptile function after drinking pomegranate juice daily for four weeks. So i dont think it really works also if youre taking anything with pomegranate in it you need to be careful. If you have certain medications that are processed by the liver or if you have high blood pressure.
Because it can counteract with a lot of blood pressure medication. The next ingredient. Something we already covered in that l arginine so mail extra.
I dont think youre all that the next supplement. Were gonna look at is verectin and verectin has a disclaimer on its website. Which says exactly the fda has not evaluated any statements that are made by the company and the supplement product is not intended to diagnose treat cure or prevent any disease.
So again. I think use this with caution because theyre trying to protect themselves obviously from any sort of liability. But again these supplements are not regular by the fda so far.
Im not really that impressed by any of them. Although the ingredients you know may show some promise in some studies. Nothing is a homerun and nothing is conclusive.
So lets see what this one has this one has l. Arginine.

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how long does it take for extenze to work-1

Which we already talked about as well as horny goat weed. Which we talked about as well and it has another thing called maca maca is a peruvian root vegetable. Thats similar to a radish and this has been thought to increase sexual desire and there is one study on maca where they gave it to 57 men and compared it to placebo or taking some sugar pill and they found that it was somewhat effective again small study and may be useful.
But were not really sure and so the nice part about maca is theres really not a lot of side effects or contraindications at least that have been reported with this particular ingredient. The most common ones are usually mild and theyre kind of some moodiness. Some abdominal cramps and occasionally insomnia.
But again there wasnt a whole long litany of things to look out for the next ingredient is ginkgo biloba and ginkgo biloba is extracted from the leaves of the ginkgo tree. Which is a chinese tree and gingko biloba has been used for years in ancient chinese medicine and what they presume the mechanism of action is that also increases the bioavailability of nitric oxide. But there was a study done a randomized study where they used gingko biloba and compared it to placebo and they found that there was really no statistically significant difference in erectile function.
So i dont think this really work that well also theres a lot of reported side effects of ginkgo biloba specifically a lot of anxiety. A risk of spontaneous bleeding and it really can contraindicate with a lot of other medications that impact the central nervous system so medications for psychological disorders anxiety and if its taken with certain things like st. Johns wort or melatonin.
It can cause whats called hypomanic symptoms. So where youre potentially in a detrimental fashion. Really to awake and energetic and doing things theyre out of character for you so you have to take this carefully next.
One is max performer and max performer has the same exact statement on its website is directing. Which is which is exactly that the fda hasnt reviewed or condones. Any of the statements and this is not intended to cure prevent or diagnose.
Any sort of disease so again its done for liability. But it points out that the fda is not regulating this so. This supplement has three main active ingredients.
So it includes maca root powder. Which we talked about it also includes horny goat weed and lastly. It includes korean red ginseng.
Or panax. Ginseng. And this is also thought to increase the production of nitric oxide and interestingly its been studied pretty reasonably well and they only looked at a small number of patients and in all these studies.
They really focused on healthy men with erectile dysfunction. So this may not apply to people who have other comorbidities and in this study. They looked at 90 men and they found that it was 60 effective.
So of those who was effective for they had an increase in penile rigidity girth. The duration of their erection and libido and overall satisfaction so could it be effective potentially its been studied. But there are some really significant side effects here.
The number one and most common side effect is insomnia and have to be really careful when taking this with any sort of stimulus. So caffeine sudafed things like that because it can actually speed up your heart rate. Pretty.
Quickly you also have to be careful when youre taking it if you have any sort of immunosuppressive condition. So if you have lupus transplant. If you have diabetes this can be contraindicated in people with those conditions as well the next supplement is advice and weve already discussed all the main active ingredients in this particular supplement and they include at the medium or horny goat weed.
Ankle biloba pomegranate and ginseng root extract and the last supplement. Were gonna discuss is vague rx interestingly. This particular supplement has undergone an actual clinical trial.
And so there is a one paper. Which goes over this exact formulation and tries. It against men who are taking a placebo medication.
So what they did this particular trial was funded by an indian pharmaceutical company. Called vedic life sciences and they took 76 men. And they randomized them to take either two tablets of veigar x.
Or take a placebo and what they found was they found improvement in five distinct domains. These included erectile function orgasmic function sexual desire intercourse satisfaction and overall satisfaction. So they the nice part about this particular medication or supplement is that its been studied in a systematic way and published in the biomedical literature.
Furthermore. This particular supplement is endorsed by a physician. Who i could actually find in google.
His name is dr. Steven lam. And he is the director of the mens health clinic.
At new york university school of medicine. So i think that there is some validity to this supplement. Its been studied in this exact formulation.
And its being sold presumably in the exact formulation that it was studied and so if youre gonna try one this may be a reasonable one they also didnt find any really significant side effects in this study. But again they only looked at normal healthy men. So you do need to talk to your doctor.
If you have other comorbidities or other medical problems so they can see if this is safe for you to take. But what i do think is important is that mens health and the ability to have normal erections is super important and seeing your doctor is can be very helpful so please dont delay. If youre nervous are concerned.
This is something we do day in and day out and were happy to help you so please go see a doctor. If you have a reptile dysfunction and we can help you if youve taken one of these pills. Please comment below because im curious to know what your experience was always remember to take care of yourself.
Because youre worth it .

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how long does it take for extenze to work-2

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