Table of ContentsView AllTable of ContentsNatural SupplementsHome RemediesTalking TherapiesIf Natural Treatments for ED Don’t WorkRisks to Treating ED NaturallyWhen to See a Healthcare ProviderFAQ
Table of ContentsView All
View All
Table of Contents
Natural Supplements
Home Remedies
Talking Therapies
If Natural Treatments for ED Don’t Work
Risks to Treating ED Naturally
When to See a Healthcare Provider
FAQ
Erectile dysfunction (ED)is a condition causing an inability to get or keep an erection. The condition affects around 30 million natal males in the United States and is more common in people who are older, take certain medications, and have certain health conditions.
While treatment for ED may include medication, devices, and surgery, there are many possible treatments for ED, including natural remedies. Erectile dysfunction self-care can include supplements—some of which are more promising than others—as well as lifestyle changes such as eating a healthy diet, getting better sleep, and reducing stress.
While natural remedies for ED have gained popularity, many have not been well researched and are not regulated for safety or effectiveness. This article will discuss natural treatment options, including which have been shown to work and which carry risks.
The Good Brigade / Getty Images
Natural supplementsare not FDA-approved for treating ED, although preliminary studies suggest that some may be helpful. However, these products are unregulated and may contain undisclosed ingredients, inappropriate doses of prescription drugs, or different doses of ingredients than the label suggests.
This underscores the importance of discussing all medication changes and supplements you are taking with a healthcare professional.
The following dietary supplements and natural remedies are alternative—albeit scientifically unproven—treatments for erectile dysfunction and impotence:
Remember that these substances should not replace standard care.
Modifying your behavior and habits using these erectile dysfunction self-care tips may help not only reduce ED symptoms, but also improve your health in other areas.
Get Regular Exercise
Exercise lowers blood pressure and blood sugar, increases blood circulation throughout the body, and improves heart health. It is also one of the best natural ways to raise testosterone levels. Burning fat also decreases the risk of vascular disease and diabetes—two majorcauses of ED.
Curing your ED doesn’t necessarily mean that you have to make drastic changes. Even small increases in activity can make a difference. Research suggests that middle-aged people with ED who have obesity may be able to restore sexual performance with moderate exercise.
The Health Benefits of Exercise
Eat a Healthy Diet
Eating a diet rich in natural, nutrient-rich foods like fruits, vegetables, whole grains, and fish—with fewer red and processed meats and refined grains—has been shown to decrease the likelihood of ED.
A study of over 21,000 people found those with the greatest adherence to aMediterranean dietor an Alternative Healthy Eating Index 2010 (AHEI-2010) diet—which emphasizes the consumption of vegetables, fruits, nuts, legumes, and fish or other sources of long-chain fats, and avoidance of red and processed meats—were least likely to develop erectile dysfunction.
In fact, people under 60 who most closely adhered to the Mediterranean diet were 40% more likely to maintain normal sexual function. Of note, eating a heart-healthy diet also lowers your cardiovascular risk factors such as blood pressure, blood sugar, and cholesterol levels. These health issues are known to greatly contribute to the development of ED.
Reduce Alcohol Use
Drinking large amounts of alcohol can make it difficult to get or keep an erection, because alcohol interferes with the messengers that tell the penis to fill with blood. One study looking at nearly 50,000 men found that over half of those who reported they were alcohol dependent had some type of sexual dysfunction, with one-quarter citing ED as their main problem.
Chronic alcohol use also interferes with testosterone production, the hormone that governs male sexual functioning. Lower testosterone levels affect sperm production and sexual desire.
Heavy alcohol use has also been associated with:
If alcohol use is the sole culprit of ED, symptoms will usually resolve once alcohol use is stopped.
Stop Smoking
Smoking is an independent risk factor for ED, because it causes vascular changes to the endothelium of blood vessels which interfere with nitric oxide production and signaling, affecting erectile control.Nitric oxide is a molecule that signals the surrounding muscles to relax in order for the blood vessels to dilate and create an erection.
Smoking also causes vascular changes that increase your risk of heart disease, hypertension, and diabetes. These conditions are also associated with the development of erectile dysfunction.
In addition, many people smoke to reduce their performance anxiety, unaware that they are exacerbating the problem. Quitting smoking may not fully reverse ED, but it contributes greatly to the improvement of penile function.
Although they have lower levels ofcarcinogens(cancer-causing agents), e-cigarettes can still contribute to ED, but to a potentially lesser degree than normal cigarettes. More research is needed to understand the long-term effects ofvapingon ED.
Reduce Stress
Common types of stress that cause ED include:
While therapy or counseling is beneficial, other stress-reducing therapies can help. To help you relax to get hard, consider trying one of these techniques:
Essential Oils for Erectile Dysfunction
Get Enough Sleep
When you are tired, it is difficult to maintain your sexual desire. Sleep deprivation affects your sex life in several ways, such as:
One explanation is that testosterone is produced while we sleep. Low testosterone results in low sexual performance. Lack of sleep is also associated with obesity, depression, anxiety, and cardiovascular disease—independent risk factors for ED.
Sleep disorders such as obstructive sleep apnea, insomnia, shift work disorder, and restless legs syndrome are common conditions associated with ED and other urological disorders.
Sexual Health
Keep Extra Weight Off
Losing weight is a health goal for many reasons, but it can also help cure erectile dysfunction.
Weight loss has a two-fold advantage of directly alleviating ED and improving your physical health. Dropping a few pounds lowers blood pressure and prevents further narrowing and blockages in your arteries, which allows blood to travel more efficiently.
Even more, carrying excess weight can lower testosterone levels and raise levels of the female hormone estradiol, which further compounds the problem.
Fortunately, reducing yourbeltlinecan reverse your ED. After analyzing five different studies, researchers concluded that losing weight can improve erectile function in natal males with overweight or obesity.
Weight loss typically comes from both reducing your calorie intake and increasing physical activity.
Weight Loss Tips for EDLosing weight, particularly belly fat, is integral to alleviating ED. Here are some ways you can reduce your waist size:Eat regular nutritious meals.Avoid skipping meals, substitute cooked meals for processed foods and takeout, and eat a balanced diet of fruits and vegetables.Emphasize portion control.Keeping portion sizes in check using the MyPlate method is a great way to curtail overeating and ensure that you eat a balanced meal.Replace sugary beverages.Substitute soda, energy drinks, and fruit juices with water, black coffee, or unsweetened tea.Limit alcohol.Alcohol use is often associated with poor eating habits. Also, the liver burns alcohol instead of fat, which results in bigger waistlines.Incorporate more fiber into your diet. Fiber makes you feel fuller for longer, which curtails mindless eating.Exercise daily.The Preventive Services Task Force recommends 30 minutes of sweat-breaking exercise for a minimum of five days a week.
Weight Loss Tips for ED
Losing weight, particularly belly fat, is integral to alleviating ED. Here are some ways you can reduce your waist size:Eat regular nutritious meals.Avoid skipping meals, substitute cooked meals for processed foods and takeout, and eat a balanced diet of fruits and vegetables.Emphasize portion control.Keeping portion sizes in check using the MyPlate method is a great way to curtail overeating and ensure that you eat a balanced meal.Replace sugary beverages.Substitute soda, energy drinks, and fruit juices with water, black coffee, or unsweetened tea.Limit alcohol.Alcohol use is often associated with poor eating habits. Also, the liver burns alcohol instead of fat, which results in bigger waistlines.Incorporate more fiber into your diet. Fiber makes you feel fuller for longer, which curtails mindless eating.Exercise daily.The Preventive Services Task Force recommends 30 minutes of sweat-breaking exercise for a minimum of five days a week.
Losing weight, particularly belly fat, is integral to alleviating ED. Here are some ways you can reduce your waist size:
Talking to a mental health professional about what’s going on may be able to help you get symptom relief. You could also include the person you’re sexually involved with in your therapy if that feels right for you.
Sex Therapy or Couple’s Counseling
If you are suffering from erectile dysfunction, you should first be evaluated for any underlying physical and psychological conditions. If performance anxiety is deemed the root of your ED problem, then sex therapy might be suggested.
Sex therapy is especially helpful when psychological issues like stress or anxiety are playing a role. You may attend with your partner or choose to go alone, although couples therapy has the added benefit of helping your partner learn ways to support you.
Cognitive Behavioral Therapy
Cognitive behavioral therapy (CBT) or counseling is helpful for those with general anxiety, depression, or PTSD.Oftentimes, ameliorating mental health conditions improves one’s libido, ability to get and maintain an erection, and sexual performance.
CBD for ED: Can Cannabidiol Help Erectile Dysfunction?
If natural treatments don’t work, it may be a sign of an underlying condition or time to consider other therapies like trying prescription medications, injectables, and suppositories; using a vacuum device; or having surgery.
Prescription Medication
ED Devices
Medical devices including vacuum devices and ED rings may be another option to help with erectile function.Vacuum erectile deviceshave a tube that is placed over the penis, a pump that draws blood into the penis to cause an erection, and a constriction band that helps maintain the erection.
ED rings, also known as penile rings, tension rings, or “cock” rings, are like the constriction band of a vacuum device. The rings prevent blood in the penis from flowing out, which helps maintain the erection.
Risks to Treating Erectile Dysfunction Naturally
Erectile dysfunction has been treated with herbs, supplements, and other natural remedies for a long time in many different cultures around the world with mixed reviews.
Unlike prescription medication for erectile dysfunction, herbal remedies for erectile dysfunction haven’t been rigorously tested or well studied. This means that they may cause some unwanted side effects or interact with current medicines you are taking (prescription, over-the-counter, or otherwise).
Therefore, if you are thinking about using any natural or non-FDA-approved remedy, you should consult with a healthcare provider first.
Remember that you take these remedies at your own risk because their safety profiles have not been established. Also, some medications may make claims that are untrue or contain inadequate doses of prescription medication, like sildenafil, that may work otherwise.
Talk to a healthcare provider if you’ve tried erectile dysfunction self-care and the problem still hasn’t gone away. Other symptoms, like low back pain, abdominal pain, or a change in urination, also prompt a visit with a healthcare provider.
Summary
Communication with your partner and healthcare provider and doing your due diligence are other essential ingredients to any successful treatment plan for ED. Never mix natural remedies with prescription medication to avoid adverse effects, and discuss all changes to your medication regimen with a healthcare professional. Also, consider talking to a therapist who can help you treat ED without the use of medication.
Frequently Asked QuestionsThe fastest way to cure ED is to treat the root cause. For some people, lifestyle changes and therapy may cure ED.Although folic acid deficiency has been associated with ED in some studies there, is no firm evidence that vitamins B3 (niacin), B9 (folic acid), C, or D can cure or prevent ED. In those with folic acid deficiency and ED, folic acid supplementation may help improve or relieve ED.A multitude of physical, mental, and emotional conditions can cause weak erections. These range from cardiovascular disease such as atherosclerosis and high blood pressure to psychosocial disorders such as stress, performance anxiety, and depression.The following foods increase your energy and boost stamina:Nuts, such as almonds and peanutsGreens, such as spinach and kaleAvocadoBroccoli, asparagus, and Brussels sproutsOatmealEggsCitrus fruits and bananasBeans, such as peas, lentils, and other legumesBananasSweet potatoCoffeeOlder adults who take a multivitamin that contains potassium, folate, calcium, andvitamins B, C, D, and Emay also experience improved stamina, although studies looking specifically at improvements in sexual performance cite mixed results.Learn MoreWhat Is Stamina?
Frequently Asked Questions
The fastest way to cure ED is to treat the root cause. For some people, lifestyle changes and therapy may cure ED.
Although folic acid deficiency has been associated with ED in some studies there, is no firm evidence that vitamins B3 (niacin), B9 (folic acid), C, or D can cure or prevent ED. In those with folic acid deficiency and ED, folic acid supplementation may help improve or relieve ED.
A multitude of physical, mental, and emotional conditions can cause weak erections. These range from cardiovascular disease such as atherosclerosis and high blood pressure to psychosocial disorders such as stress, performance anxiety, and depression.
The following foods increase your energy and boost stamina:Nuts, such as almonds and peanutsGreens, such as spinach and kaleAvocadoBroccoli, asparagus, and Brussels sproutsOatmealEggsCitrus fruits and bananasBeans, such as peas, lentils, and other legumesBananasSweet potatoCoffeeOlder adults who take a multivitamin that contains potassium, folate, calcium, andvitamins B, C, D, and Emay also experience improved stamina, although studies looking specifically at improvements in sexual performance cite mixed results.Learn MoreWhat Is Stamina?
The following foods increase your energy and boost stamina:Nuts, such as almonds and peanutsGreens, such as spinach and kaleAvocadoBroccoli, asparagus, and Brussels sproutsOatmealEggsCitrus fruits and bananasBeans, such as peas, lentils, and other legumesBananasSweet potatoCoffeeOlder adults who take a multivitamin that contains potassium, folate, calcium, andvitamins B, C, D, and Emay also experience improved stamina, although studies looking specifically at improvements in sexual performance cite mixed results.
The following foods increase your energy and boost stamina:
Older adults who take a multivitamin that contains potassium, folate, calcium, andvitamins B, C, D, and Emay also experience improved stamina, although studies looking specifically at improvements in sexual performance cite mixed results.
Learn MoreWhat Is Stamina?
28 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.National Institute of Diabetes and Digestive and Kidney Diseases.Definition & facts for erectile dysfunction.Balasubramanian A, Thirumavalavan N, Srivatsav A, et al.An analysis of popular online erectile dysfunction supplements.J Sex Med. 2019;16(6):843-852. doi:10.1016/j.jsxm.2019.03.269Rhim HC, Kim MS, Park YJ, et al.The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-mnalysis[published correction appears inJ Sex Med. 2020;17(3):560].J Sex Med. 2019;16(2):223-234. doi:10.1016/j.jsxm.2018.12.002Mykoniatis I, Pyrgidis N, Sokolakis I, et al.Assessment of combination therapies vs monotherapy for erectile dysfunction.JAMA Netw Open. 2021;4(2):e2036337. doi:10.1001/jamanetworkopen.2020.36337National Institutes of Health Office of Dietary Supplements.Carnitine.Asher GN, Corbett AH, Hawke RL.Common herbal dietary supplement-drug interactions.Lee HW, Lee MS, Kim TH, et al.Ginseng for erectile dysfunction.Cochrane Database Syst Rev. 2021;2021(4):CD012654. doi:10.1002/14651858.CD012654.pub2Wibowo DNSA, Soebadi DM, Soebadi MA.Yohimbine as a treatment for erectile dysfunction: a systematic review and meta-analysis.Turk J Urol. 2021;47(6):482-488. doi:10.5152/tud.2021.21206National Center for Complementary and Integrative Health.Yohimbe.Kuchakulla M, Narasimman M, Soni Y, Leong JY, Patel P, Ramasamy R.A systematic review and evidence-based analysis of ingredients in popular male testosterone and erectile dysfunction supplements.Int J Impot Res. 2021;33(3):311-317. doi:10.1038/s41443-020-0285-xBegot I, Peixoto TC, Gonzaga LR, et al.A home-based walking program improves erectile dysfunction in men with an acute myocardial infarction.Am J Cardiol. 2015;115(5):571-575. doi:10.1016/j.amjcard.2014.12.007Harvard Health.5 natural ways to overcome erectile dysfunction.Gerbild H, Larsen CM, Graugaard C, Josefsson KA.Physical activity to improve erectile function: a systematic review of intervention studies.Sex Med. 2018;6(2):75-89. doi:10.1016/j.esxm.2018.02.001Bauer SR, Breyer BN, Stampfer MJ, Rimm EB, Giovannucci EL, Kenfield SA.Association of diet with erectile dysfunction among men in the health professionals follow-up study.JAMA Netw Open. 2020;3(11):e2021701. doi:10.1001/jamanetworkopen.2020.21701Paulsen LH, Sørensen Bakke L, Jarbøl DE, Balasubramaniam K, Hansen DG.Associations between lifestyle, erectile dysfunction and healthcare seeking: a population-based study.Scand J Prim Health Care. 2020;38(2):176-183. doi:10.1080/02813432.2020.1753347Grover S, Mattoo SK, Pendharkar S, Kandappan V.Sexual dysfunction in patients with alcohol and opioid dependence.Indian J Psychol Med. 2014;36(4):355-365. doi:10.4103/0253-7176.140699Allen MS, Tostes RC.Cigarette smoking and erectile dysfunction: an updated review with a focus on pathophysiology, e-cigarettes, and smoking cessation.Sex Med Rev. 2023;11(1):61-73. doi:10.1093/sxmrev/qeac007Kovac JR, Labbate C, Ramasamy R, Tang D, Lipshultz LI.Effects of cigarette smoking on erectile dysfunction.Andrologia. 2015;47(10):1087-1092. doi:10.1111/and.12393Wang J, Zhou Y, Dai H, et al.The safety and efficacy of acupuncture for erectile dysfunction: a network meta-analysis.Medicine (Baltimore). 2019;98(2):e14089. doi:10.1097/MD.0000000000014089National Center for Complementary and Integrative Health.Relaxation techniques: what you need to know.Andersen ML, Tufik S.The association between sleep disturbances and erectile dysfunction during the COVID-19 pandemic.Sex Med Rev. 2022;10(2):263-270. doi:10.1016/j.sxmr.2021.12.001Cho JW, Duffy JF.Sleep, sleep disorders, and sexual dysfunction.World J Mens Health. 2019;37(3):261-275. doi:10.5534/wjmh.180045Pizzol D, Smith L, Fontana L, et al.Associations between body mass index, waist circumference and erectile dysfunction: a systematic review and META-analysis.Rev Endocr Metab Disord. 2020;21(4):657-666. doi:10.1007/s11154-020-09541-0Li H, Xu W, Wang T, Wang S, Liu J, Jian H.Effect of weight loss on erectile function in men with overweight or obesity: a meta-analysis of randomised controlled trials.Andrologia. 2022;54(1):e14250. doi:10.1111/and.14250Kharmats AY, Pilla SJ, Sevick MA.USPSTF recommendations for behavioral counseling in adults with cardiovascular disease risk factors: are we ready?JAMA Netw Open.2020;3(11):e2029682. doi:10.1001/jamanetworkopen.2020.29682University of Michigan Health.Sex therapy for erection problems.Khan S, Amjad A, Rowland D.Potential for long-term benefit of cognitive behavioral therapy as an ddjunct treatment for men with erectile dysfunction.J Sex Med. 2019;16(2):300-306. doi:10.1016/j.jsxm.2018.12.014Yan WJ, Yu N, Yin TL, Zou YJ, Yang J.A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiency.Asian J Androl. 2014;16(6):902-906. doi:10.4103/1008-682X.135981
28 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.National Institute of Diabetes and Digestive and Kidney Diseases.Definition & facts for erectile dysfunction.Balasubramanian A, Thirumavalavan N, Srivatsav A, et al.An analysis of popular online erectile dysfunction supplements.J Sex Med. 2019;16(6):843-852. doi:10.1016/j.jsxm.2019.03.269Rhim HC, Kim MS, Park YJ, et al.The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-mnalysis[published correction appears inJ Sex Med. 2020;17(3):560].J Sex Med. 2019;16(2):223-234. doi:10.1016/j.jsxm.2018.12.002Mykoniatis I, Pyrgidis N, Sokolakis I, et al.Assessment of combination therapies vs monotherapy for erectile dysfunction.JAMA Netw Open. 2021;4(2):e2036337. doi:10.1001/jamanetworkopen.2020.36337National Institutes of Health Office of Dietary Supplements.Carnitine.Asher GN, Corbett AH, Hawke RL.Common herbal dietary supplement-drug interactions.Lee HW, Lee MS, Kim TH, et al.Ginseng for erectile dysfunction.Cochrane Database Syst Rev. 2021;2021(4):CD012654. doi:10.1002/14651858.CD012654.pub2Wibowo DNSA, Soebadi DM, Soebadi MA.Yohimbine as a treatment for erectile dysfunction: a systematic review and meta-analysis.Turk J Urol. 2021;47(6):482-488. doi:10.5152/tud.2021.21206National Center for Complementary and Integrative Health.Yohimbe.Kuchakulla M, Narasimman M, Soni Y, Leong JY, Patel P, Ramasamy R.A systematic review and evidence-based analysis of ingredients in popular male testosterone and erectile dysfunction supplements.Int J Impot Res. 2021;33(3):311-317. doi:10.1038/s41443-020-0285-xBegot I, Peixoto TC, Gonzaga LR, et al.A home-based walking program improves erectile dysfunction in men with an acute myocardial infarction.Am J Cardiol. 2015;115(5):571-575. doi:10.1016/j.amjcard.2014.12.007Harvard Health.5 natural ways to overcome erectile dysfunction.Gerbild H, Larsen CM, Graugaard C, Josefsson KA.Physical activity to improve erectile function: a systematic review of intervention studies.Sex Med. 2018;6(2):75-89. doi:10.1016/j.esxm.2018.02.001Bauer SR, Breyer BN, Stampfer MJ, Rimm EB, Giovannucci EL, Kenfield SA.Association of diet with erectile dysfunction among men in the health professionals follow-up study.JAMA Netw Open. 2020;3(11):e2021701. doi:10.1001/jamanetworkopen.2020.21701Paulsen LH, Sørensen Bakke L, Jarbøl DE, Balasubramaniam K, Hansen DG.Associations between lifestyle, erectile dysfunction and healthcare seeking: a population-based study.Scand J Prim Health Care. 2020;38(2):176-183. doi:10.1080/02813432.2020.1753347Grover S, Mattoo SK, Pendharkar S, Kandappan V.Sexual dysfunction in patients with alcohol and opioid dependence.Indian J Psychol Med. 2014;36(4):355-365. doi:10.4103/0253-7176.140699Allen MS, Tostes RC.Cigarette smoking and erectile dysfunction: an updated review with a focus on pathophysiology, e-cigarettes, and smoking cessation.Sex Med Rev. 2023;11(1):61-73. doi:10.1093/sxmrev/qeac007Kovac JR, Labbate C, Ramasamy R, Tang D, Lipshultz LI.Effects of cigarette smoking on erectile dysfunction.Andrologia. 2015;47(10):1087-1092. doi:10.1111/and.12393Wang J, Zhou Y, Dai H, et al.The safety and efficacy of acupuncture for erectile dysfunction: a network meta-analysis.Medicine (Baltimore). 2019;98(2):e14089. doi:10.1097/MD.0000000000014089National Center for Complementary and Integrative Health.Relaxation techniques: what you need to know.Andersen ML, Tufik S.The association between sleep disturbances and erectile dysfunction during the COVID-19 pandemic.Sex Med Rev. 2022;10(2):263-270. doi:10.1016/j.sxmr.2021.12.001Cho JW, Duffy JF.Sleep, sleep disorders, and sexual dysfunction.World J Mens Health. 2019;37(3):261-275. doi:10.5534/wjmh.180045Pizzol D, Smith L, Fontana L, et al.Associations between body mass index, waist circumference and erectile dysfunction: a systematic review and META-analysis.Rev Endocr Metab Disord. 2020;21(4):657-666. doi:10.1007/s11154-020-09541-0Li H, Xu W, Wang T, Wang S, Liu J, Jian H.Effect of weight loss on erectile function in men with overweight or obesity: a meta-analysis of randomised controlled trials.Andrologia. 2022;54(1):e14250. doi:10.1111/and.14250Kharmats AY, Pilla SJ, Sevick MA.USPSTF recommendations for behavioral counseling in adults with cardiovascular disease risk factors: are we ready?JAMA Netw Open.2020;3(11):e2029682. doi:10.1001/jamanetworkopen.2020.29682University of Michigan Health.Sex therapy for erection problems.Khan S, Amjad A, Rowland D.Potential for long-term benefit of cognitive behavioral therapy as an ddjunct treatment for men with erectile dysfunction.J Sex Med. 2019;16(2):300-306. doi:10.1016/j.jsxm.2018.12.014Yan WJ, Yu N, Yin TL, Zou YJ, Yang J.A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiency.Asian J Androl. 2014;16(6):902-906. doi:10.4103/1008-682X.135981
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
National Institute of Diabetes and Digestive and Kidney Diseases.Definition & facts for erectile dysfunction.Balasubramanian A, Thirumavalavan N, Srivatsav A, et al.An analysis of popular online erectile dysfunction supplements.J Sex Med. 2019;16(6):843-852. doi:10.1016/j.jsxm.2019.03.269Rhim HC, Kim MS, Park YJ, et al.The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-mnalysis[published correction appears inJ Sex Med. 2020;17(3):560].J Sex Med. 2019;16(2):223-234. doi:10.1016/j.jsxm.2018.12.002Mykoniatis I, Pyrgidis N, Sokolakis I, et al.Assessment of combination therapies vs monotherapy for erectile dysfunction.JAMA Netw Open. 2021;4(2):e2036337. doi:10.1001/jamanetworkopen.2020.36337National Institutes of Health Office of Dietary Supplements.Carnitine.Asher GN, Corbett AH, Hawke RL.Common herbal dietary supplement-drug interactions.Lee HW, Lee MS, Kim TH, et al.Ginseng for erectile dysfunction.Cochrane Database Syst Rev. 2021;2021(4):CD012654. doi:10.1002/14651858.CD012654.pub2Wibowo DNSA, Soebadi DM, Soebadi MA.Yohimbine as a treatment for erectile dysfunction: a systematic review and meta-analysis.Turk J Urol. 2021;47(6):482-488. doi:10.5152/tud.2021.21206National Center for Complementary and Integrative Health.Yohimbe.Kuchakulla M, Narasimman M, Soni Y, Leong JY, Patel P, Ramasamy R.A systematic review and evidence-based analysis of ingredients in popular male testosterone and erectile dysfunction supplements.Int J Impot Res. 2021;33(3):311-317. doi:10.1038/s41443-020-0285-xBegot I, Peixoto TC, Gonzaga LR, et al.A home-based walking program improves erectile dysfunction in men with an acute myocardial infarction.Am J Cardiol. 2015;115(5):571-575. doi:10.1016/j.amjcard.2014.12.007Harvard Health.5 natural ways to overcome erectile dysfunction.Gerbild H, Larsen CM, Graugaard C, Josefsson KA.Physical activity to improve erectile function: a systematic review of intervention studies.Sex Med. 2018;6(2):75-89. doi:10.1016/j.esxm.2018.02.001Bauer SR, Breyer BN, Stampfer MJ, Rimm EB, Giovannucci EL, Kenfield SA.Association of diet with erectile dysfunction among men in the health professionals follow-up study.JAMA Netw Open. 2020;3(11):e2021701. doi:10.1001/jamanetworkopen.2020.21701Paulsen LH, Sørensen Bakke L, Jarbøl DE, Balasubramaniam K, Hansen DG.Associations between lifestyle, erectile dysfunction and healthcare seeking: a population-based study.Scand J Prim Health Care. 2020;38(2):176-183. doi:10.1080/02813432.2020.1753347Grover S, Mattoo SK, Pendharkar S, Kandappan V.Sexual dysfunction in patients with alcohol and opioid dependence.Indian J Psychol Med. 2014;36(4):355-365. doi:10.4103/0253-7176.140699Allen MS, Tostes RC.Cigarette smoking and erectile dysfunction: an updated review with a focus on pathophysiology, e-cigarettes, and smoking cessation.Sex Med Rev. 2023;11(1):61-73. doi:10.1093/sxmrev/qeac007Kovac JR, Labbate C, Ramasamy R, Tang D, Lipshultz LI.Effects of cigarette smoking on erectile dysfunction.Andrologia. 2015;47(10):1087-1092. doi:10.1111/and.12393Wang J, Zhou Y, Dai H, et al.The safety and efficacy of acupuncture for erectile dysfunction: a network meta-analysis.Medicine (Baltimore). 2019;98(2):e14089. doi:10.1097/MD.0000000000014089National Center for Complementary and Integrative Health.Relaxation techniques: what you need to know.Andersen ML, Tufik S.The association between sleep disturbances and erectile dysfunction during the COVID-19 pandemic.Sex Med Rev. 2022;10(2):263-270. doi:10.1016/j.sxmr.2021.12.001Cho JW, Duffy JF.Sleep, sleep disorders, and sexual dysfunction.World J Mens Health. 2019;37(3):261-275. doi:10.5534/wjmh.180045Pizzol D, Smith L, Fontana L, et al.Associations between body mass index, waist circumference and erectile dysfunction: a systematic review and META-analysis.Rev Endocr Metab Disord. 2020;21(4):657-666. doi:10.1007/s11154-020-09541-0Li H, Xu W, Wang T, Wang S, Liu J, Jian H.Effect of weight loss on erectile function in men with overweight or obesity: a meta-analysis of randomised controlled trials.Andrologia. 2022;54(1):e14250. doi:10.1111/and.14250Kharmats AY, Pilla SJ, Sevick MA.USPSTF recommendations for behavioral counseling in adults with cardiovascular disease risk factors: are we ready?JAMA Netw Open.2020;3(11):e2029682. doi:10.1001/jamanetworkopen.2020.29682University of Michigan Health.Sex therapy for erection problems.Khan S, Amjad A, Rowland D.Potential for long-term benefit of cognitive behavioral therapy as an ddjunct treatment for men with erectile dysfunction.J Sex Med. 2019;16(2):300-306. doi:10.1016/j.jsxm.2018.12.014Yan WJ, Yu N, Yin TL, Zou YJ, Yang J.A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiency.Asian J Androl. 2014;16(6):902-906. doi:10.4103/1008-682X.135981
National Institute of Diabetes and Digestive and Kidney Diseases.Definition & facts for erectile dysfunction.
Balasubramanian A, Thirumavalavan N, Srivatsav A, et al.An analysis of popular online erectile dysfunction supplements.J Sex Med. 2019;16(6):843-852. doi:10.1016/j.jsxm.2019.03.269
Rhim HC, Kim MS, Park YJ, et al.The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-mnalysis[published correction appears inJ Sex Med. 2020;17(3):560].J Sex Med. 2019;16(2):223-234. doi:10.1016/j.jsxm.2018.12.002
Mykoniatis I, Pyrgidis N, Sokolakis I, et al.Assessment of combination therapies vs monotherapy for erectile dysfunction.JAMA Netw Open. 2021;4(2):e2036337. doi:10.1001/jamanetworkopen.2020.36337
National Institutes of Health Office of Dietary Supplements.Carnitine.
Asher GN, Corbett AH, Hawke RL.Common herbal dietary supplement-drug interactions.
Lee HW, Lee MS, Kim TH, et al.Ginseng for erectile dysfunction.Cochrane Database Syst Rev. 2021;2021(4):CD012654. doi:10.1002/14651858.CD012654.pub2
Wibowo DNSA, Soebadi DM, Soebadi MA.Yohimbine as a treatment for erectile dysfunction: a systematic review and meta-analysis.Turk J Urol. 2021;47(6):482-488. doi:10.5152/tud.2021.21206
National Center for Complementary and Integrative Health.Yohimbe.
Kuchakulla M, Narasimman M, Soni Y, Leong JY, Patel P, Ramasamy R.A systematic review and evidence-based analysis of ingredients in popular male testosterone and erectile dysfunction supplements.Int J Impot Res. 2021;33(3):311-317. doi:10.1038/s41443-020-0285-x
Begot I, Peixoto TC, Gonzaga LR, et al.A home-based walking program improves erectile dysfunction in men with an acute myocardial infarction.Am J Cardiol. 2015;115(5):571-575. doi:10.1016/j.amjcard.2014.12.007
Harvard Health.5 natural ways to overcome erectile dysfunction.
Gerbild H, Larsen CM, Graugaard C, Josefsson KA.Physical activity to improve erectile function: a systematic review of intervention studies.Sex Med. 2018;6(2):75-89. doi:10.1016/j.esxm.2018.02.001
Bauer SR, Breyer BN, Stampfer MJ, Rimm EB, Giovannucci EL, Kenfield SA.Association of diet with erectile dysfunction among men in the health professionals follow-up study.JAMA Netw Open. 2020;3(11):e2021701. doi:10.1001/jamanetworkopen.2020.21701
Paulsen LH, Sørensen Bakke L, Jarbøl DE, Balasubramaniam K, Hansen DG.Associations between lifestyle, erectile dysfunction and healthcare seeking: a population-based study.Scand J Prim Health Care. 2020;38(2):176-183. doi:10.1080/02813432.2020.1753347
Grover S, Mattoo SK, Pendharkar S, Kandappan V.Sexual dysfunction in patients with alcohol and opioid dependence.Indian J Psychol Med. 2014;36(4):355-365. doi:10.4103/0253-7176.140699
Allen MS, Tostes RC.Cigarette smoking and erectile dysfunction: an updated review with a focus on pathophysiology, e-cigarettes, and smoking cessation.Sex Med Rev. 2023;11(1):61-73. doi:10.1093/sxmrev/qeac007
Kovac JR, Labbate C, Ramasamy R, Tang D, Lipshultz LI.Effects of cigarette smoking on erectile dysfunction.Andrologia. 2015;47(10):1087-1092. doi:10.1111/and.12393
Wang J, Zhou Y, Dai H, et al.The safety and efficacy of acupuncture for erectile dysfunction: a network meta-analysis.Medicine (Baltimore). 2019;98(2):e14089. doi:10.1097/MD.0000000000014089
National Center for Complementary and Integrative Health.Relaxation techniques: what you need to know.
Andersen ML, Tufik S.The association between sleep disturbances and erectile dysfunction during the COVID-19 pandemic.Sex Med Rev. 2022;10(2):263-270. doi:10.1016/j.sxmr.2021.12.001
Cho JW, Duffy JF.Sleep, sleep disorders, and sexual dysfunction.World J Mens Health. 2019;37(3):261-275. doi:10.5534/wjmh.180045
Pizzol D, Smith L, Fontana L, et al.Associations between body mass index, waist circumference and erectile dysfunction: a systematic review and META-analysis.Rev Endocr Metab Disord. 2020;21(4):657-666. doi:10.1007/s11154-020-09541-0
Li H, Xu W, Wang T, Wang S, Liu J, Jian H.Effect of weight loss on erectile function in men with overweight or obesity: a meta-analysis of randomised controlled trials.Andrologia. 2022;54(1):e14250. doi:10.1111/and.14250
Kharmats AY, Pilla SJ, Sevick MA.USPSTF recommendations for behavioral counseling in adults with cardiovascular disease risk factors: are we ready?JAMA Netw Open.2020;3(11):e2029682. doi:10.1001/jamanetworkopen.2020.29682
University of Michigan Health.Sex therapy for erection problems.
Khan S, Amjad A, Rowland D.Potential for long-term benefit of cognitive behavioral therapy as an ddjunct treatment for men with erectile dysfunction.J Sex Med. 2019;16(2):300-306. doi:10.1016/j.jsxm.2018.12.014
Yan WJ, Yu N, Yin TL, Zou YJ, Yang J.A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiency.Asian J Androl. 2014;16(6):902-906. doi:10.4103/1008-682X.135981
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