Syabas Guidelines Draft Final 080620071

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copy@edprotocol.com 2014
Table of Contents
Introduction 4
Chapter 1: Formerly Known as Impotence 21
Chapter 2: Misconceptions 31
Chapter 3: Life is Full of Surprises 37
Chapter 4: Getting Help – Short session of questions 41
Chapter 5: Becoming a Botanist? Rather not! 64
Chapter 6: Dietary Supplements 68
Chapter 7: Becoming a Stronger Man 71
Conclusion
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“Drinking when we are not thirsty
and making love at all seasons,
madam: that is all there is to
distinguish us from other animals.”
Pierre Augustine Caron de Beaumarchais
(1732-1799, French Playwright, Inventor, Musician, Diplomat and Satirist)
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Disclaimer
No part of this publication may be reproduced in any form or by any means, including
printing, scanning, photocopying, or otherwise without the prior written permission of
the copyright holder.
The Author has strived in every way to be as accurate and complete as possible in the
creation of this book, notwithstanding the fact that he does not warrant or represent at
any time that the contents within the book are accurate due to the rapidly changing
nature of the subject.
While all attempts have been made to verify every piece of information provided in this
publication, the Author assumes no responsibility for any errors, omissions, or contrary
interpretation of the subject matter present in this book.
Please note that any guidelines or advice given hereof are not a substitute to medical
advice. You agree to use some or all of the information given in this book at your own
risk. The Author will not be responsible for any injury that may result by following the
advice given in this book.
If you are under medication or have doubts following the advice given here, consult
your doctor without delay!
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Introduction
We have lived, for millennia, in predominantly patriarchal societies, and though
theories about a distant, matriarchal past abound, man has dominated history as the
essence of physical prowess.
Through the ages then, for nearly all of recorded history, women have largely been
delegated to looking after the children and the household, or have otherwise been
objectified as delicate things of beauty that men “possess”. The purpose of men, on the
other hand, has been to “protect” their women, and to accomplish all the other tasks
that have historically been deemed too rough, hard, and inappropriate for the fairer sex.
So hunting and building, crafting weapons and making war, providing for the family,
leadership and the rule of kingdoms and empires, and basically all feats of strength,
including sports and games have generally been the sole province of men over the
centuries. From religion to war and from politics to business, men have dominated the
planet, and in doing so, have become rather used to certain ideas and privileges.
The idea of being the dominant, stronger, and more capable - physically, at the very
least - gender has thus been ingrained into the very fabric of our DNA, and small
wonder. Yet, perhaps the greatest source of masculine pride, of all the machismo and
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the boasts of strength and valor, and of the intrinsic belief that we are indeed the
superior gender, is the male organ of sex and reproduction.
We walk as tall and proud as we do, as we have done since prehistory, for no other
reason than because we have the ability to impregnate women so they can bear our
children and bring them forth into this world. We are able to create life, and in such
capacity, we are gratified, assume self-importance, and even a degree of arrogance.
However, all of our confidence, our pride, and arrogance - hubris even - in the fact that
we are men, born and bred to rule and govern, and to be strong and courageous, all of it
can be quite astonishingly fragile. It is shattered in but a moment, and scattered into a
million pieces, as a result of one reality-altering occurrence.
A simple thing, temporary too, yet it can completely dethrone us, and take us from our
lofty heights, only to slam us into the ground, hard - and it is ground which is layered
with mud, and we get buried deep in it, and in shame, embarrassment, and self-
loathing as well. So, what is it that can so humble all men, regardless of race, age,
ethnicity, and social status? It is a little - well, maybe not too little, eh? - thing called
erectile dysfunction.
What is Erectile Dysfunction?
Erectile dysfunction, formerly known as impotence, affects an estimated 18 million
men in the United States alone. However, while it is no picnic, it is not as horrible
nor as permanent as it sounds or as is generally believed to be. All the terror and the
shame usually associated with this problem is only so because the condition is most
often completely misunderstood.
According to the National Institutes of Health, approximately 5% of 40-year-old men
and between 15% and 25% of 65-year-old men experience ED on a long-term basis.
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A much more common problem which affects the majority of men at some point in their
life is the occasional failure to achieve an erection, which can occur for a variety of
reasons, such as from drinking too much alcohol or being extremely tired.
Therefore, let us first attempt to define and to understand exactly what erectile
dysfunction is, and how it is caused. Then we will discuss how it can and does affect the
lives of men who suffer from it, and how it affects the people around them, for it does
influence partners, family, and friends too, even if indirectly. Once we have a
comprehensive understanding of the condition and what it entails, we shall then
discuss how to cure it, and you will be surprised at what is in store for you in this
eBook.
So, without any further ado whatsoever, let us properly and clearly define erectile
dysfunction.
To Define the Problem
Erectile Dysfunction (ED) is generally defined as the inability to achieve or to
maintain an erection long enough to engage in sexual intercourse.
However, to be able to fully understand erectile dysfunction, one first has to
understand how the process of erection works. Well first of all, you need to realize that
the penis contains two chambers. They are called the corpora cavernosa, which are
filled with spongy tissue, and run the length of the organ and contain a maze of blood
vessels shaped like cavernous spaces.
An erection is achieved - and this is where you should pay full attention - when the
blood vessels of the corpora cavernosa relax and open up - because of nerve messages
which stimulate the penis, and impulses from the brain and local nerves - and blood
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rushes in through the cavernous arteries to fill them, before getting trapped under
high pressure, which expands the penis, and voilá - you have taken off.
So, under normal circumstances, when you are sexually stimulated, your brain will
send a message downstairs, through your spinal cord and into the nerves of your penis.
The nerve endings of the penis then release chemical messengers, called
neurotransmitters, which signal the arteries that supply blood to the corpora cavernosa
to relax and fill with blood. As they expand, the corpora cavernosa close off other veins
which would normally drain blood from the penis. As the penis becomes engorged
with blood, it enlarges and stiffens, causing an erection. Problems with blood vessels,
nerves, or tissues of the penis can interfere with an erection.
In essence then, erectile dysfunction is simply a problem with your blood flow, and
thus, is a problem that can be easily resolved. No need to be embarrassed about it, or to
throw away your relationships, and be distressed and depressed, for it could happen to
anyone, no?
Failure to achieve an erection less than 20% of the time is not unusual and treatment
is rarely needed. Failure to achieve an erection more than 50% of the time, however,
generally indicates there is a problem requiring attention.
The Symptoms of Erectile Dysfunction
Sometimes, Erectile Dysfunction only occurs in certain situations. For example, you
may be able to obtain an erection during masturbation, or you may find that you
sometimes wake up with an erection. However, you may be unable to obtain an
erection when you are with your sexual partner.
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In these circumstances, it is likely that the underlying cause of ED is primarily
psychological. However, if you are unable to obtain an erection under any
circumstances, it is likely that the underlying cause is primarily physical.
What Causes Erectile Dysfunction?
In order to achieve an erection, these conditions must occur. If there is something
interfering with any or all of these conditions, a full erection will be prevented.
 The blood circulation into the penis must be adequate.
 The veins must be able to "trap and keep" the blood inside the penis.
 There must be a stimulus from the brain.
Common causes of Erectile Dysfunction include diseases which affect blood flow, such
as atherosclerosis (hardening of the arteries) or venous leakage (weak veins).
Furthermore, psychological factors, such as stress, depression, and performance anxiety
can lead to ED too, as well as an injury to the penis. Additionally, chronic illness, certain
medications, and a condition called Peyronie's Disease (scar tissue in the penis) can also
cause ED.
All the Distress!
Now, as most men fail to truly understand Erectile Dysfunction, its causes, and how it
can effectively be cured, through entirely natural means at home, they tend to get
scared, and then leap to panicked and irrational conclusions. The lack of understanding
breeds unfounded fears, which spawn a series of misguided thoughts and rash actions,
and those in turn, engender significant distress, and a host of other problems in life.
All the distress, and each of those problems, can however be easily avoided by
accomplishing two rather simple things:
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1. Understand and believe - truly, absolutely believe - that Erectile Dysfunction
is not the end of the world. It is not permanent, you are not “broken” for the
rest of your life, and it can be cured without even having to visit the doctor.
2. Read this eBook from cover to cover, take what is said to heart, and then
follow the instructions and guidelines to the letter.
It will help too, to learn about and to understand the various problems which can arise
post Erectile Dysfunction, before you can attempt to find a solution for them, or to
avoid them altogether. Now, some of these problems are simply the natural collateral of
suffering from ED, and there is not much you can do about them, but you still need to
learn how to deal with them. Others, however, are usually imposed by men upon
themselves, and therefore can be easily avoided if you keep the two points mentioned
above foremost in your mind.
Complications from Erectile Dysfunction
 An Unsatisfactory Sex Life
The most obvious complication to accompany Erectile Dysfunction - and you can just
see this one coming from a mile away, can you not? - is an unsatisfactory sex life. It will
become considerably - OK, a LOT - less rewarding, and you will have barely any fun.
Your partner too, will suffer as a result, because well, you know.
The real tragedy here though, is there isn’t too much you can do about this problem, at
least not until you effectively cure yourself of Erectile Dysfunction. See, with most other
complications arising from ED, you can work around them, wait the situation out, or
simply not allow that particular problem to arise.
It is difficult, however, to work around an unsatisfactory sex life, you would hardly
want to just wait it out, and this is one issue you simply cannot prevent from coming
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up. Not unless you are an absolute genius at all things sweet and sexual, and you can
discover or invent highly creative ways to enjoy sex, even with a malfunctioning organ.
There just have to be ways, right? Finding them though, can prove to extremely tricky,
and hey, not all of us are good at innovative love making, now are we? Fortunately
then, there are easier and more readily available methods of solving this problem.
Continue reading this eBook, and you will discover them all.
Worry not at all friends, and do not be scared for even a moment, for you will lead an
exciting, fulfilling, enjoyable, and entirely satisfactory sex life again - with one partner
or various - and perhaps, with all the natural and extremely healthy treatment methods
you are going to learn about, you might even have more fun than you ever did before.
However, an unsatisfactory sex life can, and often enough does, lead to other problems,
and these are the issues you really need to prevent from occurring.
 Depression
Now, this is where you can get trapped into what they call a vicious circle. It is one you
need to prevent from closing around you at all costs. Depression is a chronic disease,
and it is as increasingly common nowadays, or perhaps even more so, than Erectile
Dysfunction. It is when the two problems combine, however, that you will find yourself
in deep, deep trouble.
Studies have shown Erectile Dysfunction and depressive symptoms to be positively
correlated, and have demonstrated that there is indeed, a bidirectional relationship
between the two ailments. A five year study revealed that more men with depression
are affected by ED than those who do not suffer from depression. Moreover, men with
ED have also shown a higher incidence of depression. Furthermore, studies have also
shown that the incidence of ED in those who have depression is 1.82 times more than
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those who do not, and this association is not influenced by age or by factors associated
with, such as lifestyle choices and circumstances, and medication use.
Erectile Dysfunction is generally not a primary cause of depression, but rather a
contributing factor to it as it does not cause depression directly. Most of the men, if not
all, see their sexual ability as a measurement of their masculinity and place high priority
on it. As a result, those who suffer from ED are likely to feel frustrated, and
embarrassed at their diminished sexual ability which will exert stress on their daily
lives as the fact that they are unable to achieve a proper erection the same way as
healthy men have a huge impact on their self-esteem. Most of them will think that it is
their own fault which results in ED and will blame themselves for it, even though that is
not necessarily the case.
Erectile Dysfunction causes depression, and depression causes Erectile Dysfunction -
cruel, isn’t it? Still, worry not, for the solution to your problems is soon to be
revealed!
 Anxiety and Stress
Yet another potential vicious circle - it is becoming a tale of circles, no? - and one which
you need to prevent from closing around you as well, is where stress and anxiety cause
Erectile Dysfunction, and ED, being the vengeful mistress it is, whips up a healthy dose
of anxiety and stress in return. It can prove to be quite the morbid cocktail too, and to be
frank, you will be so much better off without experiencing it.
Stress and anxiety are, however, constant companions of Erectile Dysfunction, and it is
highly essential that you ditch them at the very first opportunity you get. How can I
though, you ask? Well, for one, is ED not enough of a problem for you, but you must go
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and seek out other complications in your life? For another, there truly, absolutely is no
cause at all for you to be either stressed out or anxious at all.
Erectile Dysfunction is not, as you perhaps previously believed, permanent. In fact, it is
easily treatable, and you do not even have to pay embarrassing visits to the doctor, nor
do you have to spend bucket loads of your hard earned money on prescription drugs
which do not help anyways. So, why sweat yourself, eh? Just sit back and relax, and
follow the instructions outlined in the chapters to come.
You have no cause, none at all, to worry. Your sex life will return to normal soon
enough, and it might even improve as a result of the healthy diet recommended. You
will be treating yourself at home, so no one at all has to know except your partner, and
your costs will be low too, for you probably got everything you will need when you
purchased your groceries at the supermarket.
So relax, and kick the vicious circles out of your life, and let in some harmony. Calm
down, for it will help with the treatment as well, and believe that everything which is
stressing you out right now will soon be gone forever.
 Embarrassment or Low Self Esteem
Failure is as much a part of our lives as is success, and most of us have faced at least
some failures - less for some and more for others, in one form or another - in life.
However, failing to achieve, or to obtain, an erection is a failure quite unlike any other.
It is the first, and probably only, hurdle in life which can make you feel like you are less
of a man.
Erectile Dysfunction threatens our very egos, it challenges our machismo, and it tears
away at our core, innermost beliefs in our own superiority - nay, invulnerability. We
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attempt to rise, we fail and stay flaccid, and the glass shatters. Then several things
happen, in the most fleeting of moments, and we are left but empty shells.
 Our fragile self-esteem receives the telling blow, and breaks apart into a
million pieces, seemingly never to come together just right ever again.
 Our pride takes a fatal hit, and dies immediately. Buried soon after, it
would require a Dr. Frankenstein to resurrect and to patch it back
together, and it may never be the same again.
 We are embarrassed, no longer men, but shadows of our former selves,
unable to function and to perform, unwilling to face another human being
ever again, our lives torn apart.
This is what happens to men who experience Erectile Dysfunction, even if temporarily.
This, however, is what should happen: nothing, nil, nada, zilch, zero, and nought!
Why should you lose your self-esteem, and what cause do you have for
embarrassment? What have you done wrong? Again, nothing! Erectile Dysfunction is
a medical problem, just like flu, fever, typhoid, measles, or any other from a host of
ailments you experience in life. You do not beat yourself up over them, do you?
 Marital or Relationship Problems
An intimate relationship between two people is extremely personal and private, and it
is beautiful. When a man has Erectile Dysfunction, however, it may affect and change
his relationship, both with himself and his partner, and things can often get ugly, as
evident from the fact that an estimated one in five failed marriages are a direct or
indirect result of Erectile Dysfunction.
The man may be embarrassed, and might even feel guilty, which makes it difficult for
him to talk to his partner about the issue, yet ED has an impact not only on the man, but
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on his partner as well. A common issue among couples dealing with ED starts with the
failure of sexual advances. This can have an adverse effect on issues of trust, intimacy,
and closeness. The man withdraws emotionally and physically because of
embarrassment and the fear of failure. The partner starts to believe that the man is
losing interest in them, thereby impacting their own self-esteem and feelings of
attractiveness. The relationship suffers, and romance dies a slow, agonizing death.
In reality though, the man is not losing interest, but may be manifesting signs of
frustration and humiliation at not being able to effectively participate in any love
making or sexual acts. Furthermore, many men think it is inappropriate to need
nurturance, or to admit that he needs a hug, or to seek affection. History and matters of
DNA - ah, what will become of us men?
Similarly to the other complications arising from Erectile Dysfunction, marital or
relationship problems do not necessarily have to occur, and can in fact be easily
avoided or prevented. All you need to do is believe that you can cure ED, and be
whole once again, and thus steer clear of all the psychological issues which lead to
failed relationships and marriages ending in divorce.
 The Inability to Get your Partner Pregnant
We are able to create life, us men, and therefore, we walk tall. Take the ability away
though, and what are we then? It is an idea as frightening for men as it is embarrassing,
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a thought which leaves us crippled and devastated. To not be able to impregnate your
partner, to know that you cannot have children, can be both tragic and terror inspiring.
Men who suffer from Erectile Dysfunction, and thus lose the ability to get their partner
pregnant, often begin to feel unworthy, both as lovers and as husbands. More
importantly, they begin to feel unworthy as men, and this leads to decreased intimacy
with their spouse or the woman they love.
For many men, their entire self esteem is wrapped up in the ability to perform like a
man, in every way, including sexually. When you are alone with your spouse and are
unable to perform, you immediately think to yourself, “I am a failure.” Similarly, when
you are unable to impregnate the woman you love, you begin to think of yourself as a
failure - as less than a man.
The failure to get pregnant affects the woman adversely too, even though the problem
may lie entirely with the man. It becomes increasingly frustrating for her, and even
more difficult is the fact that any frustration or irritation at all may lead to alienation
and a strained relationship. A fear of abandonment and rejection may set in too, while
they may also worry that their mates may be impotent with them, but potent with
another person, leaving them with fantasies of betrayal and infidelity.
You could say most comfortably that the most common complication of erectile
dysfunction is that it makes life, well, complicated. However, that doesn't have to be
true. Continue reading, and follow this eBook’s guidelines, and you will be able to put
Erectile Dysfunction and all related complications behind you for good.
Why You Should Not Worry Just Yet
You need not worry just yet, or at all, because anxiety and depression are not the true
causes of your Erectile Dysfunction, but they may be contributing effects which serve to
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aggravate your situation. The real reason your penis refuses to react is that not
enough blood reaches it.
See, a true cause for worry would be if your condition was permanent, if you could
do nothing about it, and if there was no treatment or cure available for it. Yet, Erectile
Dysfunction is not permanent but temporary, there is plenty you can do if you suffer
from the condition, and there is a cure - one you can impart yourself, and what is
more, you can do it at home.
Furthermore, you do not have to bear awkward visits to the doctor, or share your
embarrassment with anyone, or incur huge expenses in medical bills and prescriptions,
especially when most of the drugs you will be prescribed are not even effective for the
treatment of Erectile Dysfunction.
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A Fully Functional Guide is Here
So, what is this miracle cure, and how does it keep you away from the doctors? Can it
really, effectively rid you of Erectile Dysfunction? Even if you can be cured, is it really
possible to do it at home, without the help of pharmaceutical drugs and doctors?
Your miracle cure is this eBook, the Erectile Dysfunction
Protocol, a fully functional guide to the treatment of Erectile
Dysfunction which keeps you away from the doctors by
offering to you an entirely natural solution, with a full list of
amino acids, enzymes, and proteins to be added to your diet.
Yes, the guidelines presented in this eBook can really, effectively rid you of Erectile
Dysfunction, and by extension, all the complications that can arise with it. The solution
presented here aims to cure Erectile Dysfunction by targeting the root causes of the
condition, instead of the superficial ones, and it does so through completely natural,
diet-based, effective methods.
Yes, it really is possible to cure Erectile Dysfunction yourself, without the help of
doctors or any pharmaceutical drugs, and yes, you can do it yourself at home. How?
Well, because the fundamental problem here is improper flow of blood to your penis,
and therefore, all you need to do to cure the condition is restore the blood flow.
The Erectile Dysfunction Protocol will teach you exactly how to do that, by
incorporating a variety of amino acids, enzymes, and proteins into your diet.
Furthermore, a host of recipes and tables have been included in the eBook to help
you establish and follow the diet required to restore proper blood flow through your
body and into your penis.
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The Causes of Erectile Dysfunction
Male sexual arousal is a complex process that involves the brain, hormones, emotions,
nerves, muscles, and blood vessels. Erectile dysfunction - meaning not enough blood
reaches the penis - can result from a problem with any of these. Likewise, stress and
mental health problems can cause or worsen erectile dysfunction. Sometimes, it is a
combination of physical and psychological issues which causes erectile dysfunction. For
instance, a minor physical problem that slows your sexual response may cause anxiety
about maintaining an erection. The resulting anxiety can, in turn, lead to or worsen
erectile dysfunction.
Psychological Causes of Erectile Dysfunction
The brain plays a key role in triggering the series of physical events which cause an
erection, starting with feelings of sexual excitement. A number of things can interfere
with sexual feelings and cause or worsen erectile dysfunction. These include:
 Depression, Anxiety or Other Mental Health Conditions
 Stress
 Relationship Problems Due to Stress, Poor Communication, or Other Concerns
Physical Causes of Erectile Dysfunction
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In most cases, erectile dysfunction is caused by something physical. Common causes
include:
 Alcoholism and Other Forms of Substance Abuse
 Certain Prescription Medications
 Clogged Blood Vessels (Atherosclerosis)
 Diabetes
 Heart Disease
 High Blood Pressure
 High Cholesterol
 Low Testosterone
 Metabolic Syndrome - A Condition involving Increased Blood Pressure, High
Insulin Levels, Body Fat around the Waist, and High Cholesterol
 Multiple Sclerosis
 Obesity
 Parkinson's Disease
 Peyronie's Disease - Development of Scar Tissue inside the Penis
 Surgeries or Injuries that Affect the Pelvic Area or Spinal Cord
 Tobacco Use
 Treatments for Prostate Cancer or Enlarged Prostate
A Hint of a Solution
Different from many other solutions, what this eBook offers is simple, natural, and
without any side effects. You will be getting a list of foods and supplements which have
shown their efficiency in the men who had the opportunity to test them. What did
exactly happen to them and how were they afterwards? Folks like you and me, friends,
acquaintances suffering and not suffering from erectile dysfunction. This method
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offered success to them, as they later reported experiencing considerably better,
stronger erections.
The foods and supplements presented here have one thing in common - they have all
been chosen according to the amino acids, enzymes, and proteins they contain - and
have been recommended in a newly discovered combination according to a particular
schedule, so that their effect is to help bring more blood into the corpora cavernosa.
I aimed for two things primarily when writing this eBook:
1. To both draw attention towards the peril of popular pharmaceutical drugs,
such as Viagra and Cialis.
2. To offer an effective, successful solution to the men who suffer from Erectile
Dysfunction problems.
I know what Erectile Dysfunction is, and how it can make you feel - anxious,
nervous, and ashamed! Leave all of that to the past, however, for these problems will
not be your concern much longer, and start reading!
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Chapter 1: Formerly Known as Impotence
Of Impotence and Erectile Dysfunction
Impotence is an old fashioned, non-specific, and pejorative - therefore, medically
improper - term which is no longer used to describe male sexual problems. The current
terminology describing difficulty achieving and/or maintaining an erection is "Erectile
Dysfunction".
A Brief History of No Power
Herbal, Culinary, and Pharmaceutical Cures
The most extensive catalog of stimulants was provided in the first century by Pliny
the Elder in his Natural History. The leek, he asserts, “is an aphrodisiac.” The
turpentine tree or terebinth “is a gentle aperient and an aphrodisiac.” Garlic “is believed
to act as an aphrodisiac, when pounded with fresh coriander and taken in neat wine.”
The water of boiled wild asparagus serves the same purpose. “The Cyprian reed, called
donax … taken in wine is an aphrodisiac.” The leaves of clematis “eaten with vinegar …
act as an aphrodisiac … Sexual desire is excited by the upper part of the xiphium root
given in wine as a draught; also by the plant called cremnos agrios and by ormenos
agrios crushed with pearl barley.”
In ancient Greece and Rome, cures for impotence used
parts of animals associated with potency. Snakes - since
they were popularly believed to rejuvenate themselves -
were popular, and the genitalia of roosters and goats
were widely consumed. On the forehead of a newborn
foal was found a growth called the hippomanes, which,
reported Aristotle, was a powerful aphrodisiac. The
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penis was often likened to the lizard, which leads Pliny to note the powers of a large
one known as the skink: “Its muzzle and feet, taken in white wine, are aphrodisiac,
especially with the addition of satyrion and rocket seed. (…) One-drachma lozenge of
the compound should be taken in drink.”
In De Animalibus, Albertus Magnus, the thirteenth-century friar, provided exotic
remedies for impotence: “If a wolf’s penis is roasted in an oven, cut into small pieces,
and a small portion of this is chewed, the consumer will experience an immediate yen
for sexual intercourse.” Since sparrows were given to frenetic copulation, it followed
that: “sparrow meat being hot and dry enkindles sexual desire and also induces
constipation.” He described the starfish as a violent aphrodisiac which could lead to the
ejaculating of blood, but could be cured by cooling plants, such as lettuce.
The Ladies Physical Directory (1739) declared that absolute impotence was rare. More
common was a “languid or faint Capacity” due to a “Deficiency of the Animal Spirits,
or their ceasing to flow in such abundance to the particular Muscles, and other Parts
administering to Generation.” Such problems could be caused by strains, excesses, self-
pollution, and gleets. Other men shed their semen “almost as soon as they entertain any
amorous thoughts.” Still others, given to “fast living” and drink, had infertile or effete
semen or a “Want of Animalcula.” All would benefit from the author’s Prolifick Elixir,
the Powerful Confect, and the Stimulating Balm that promised to “fortify the Nerves,
increase the Animal Spirits, restore a juvenile Bloom, and evidently replenish the crispy
Fibres of the whole Habit, with a generous Warmth and Moisture.”
They would, moreover, allow men to prolong the embrace, and so provide their
partners with “prior Endearments and proper Dalliance to raise their Inclination.”
At the end of the eighteenth century, Dr. Brodum offered his Nervous Cordial and
Botanical Syrup to repair debility and make men ready for the married state.
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Ebenezer Sibley, like Brodum and other quacks, published testimonials from the
supposedly happy consumers of his reanimating “Solar Tincture.” So did Samuel
Solomon, who followed Samuel-Auguste Tissot in listing the forms of “debility arising
from self-abuse” and offered his Cordial Balm of Gilead for “impotency or seminal
weakness.” He advised patients to take the cordial and bathe their testicles in cold
water or a mix of vinegar and alcohol.
Solomon’s Cordial Balm of Gilead was a mixture of cardamom, brandy, and
cantharides, which supposedly favored the production of semen and removed the
flaccidity of the muscles. On analysis Brodum’s Nervous Cordial was revealed to
consist of gentian, calumbo, and cardamom. Though such concoctions were unlikely to
have fortified the constitution as promised, they probably did little harm. The same was
likely true of Dr. Senate’s Steel Lozenges and Balm of Mecca, R. and L. Perry’s Cordial
Balm of Syriacum, Blake and Company’s Neurosian Extract, and de Roos’s concentrated
Guttae Vitae.
In the nineteenth century, Frederick Hollick condemned the search for a drug that
would cure impotence, but concluded by asserting that there was one substance that,
in causing warmth, cheerfulness, and leaving no depressive aftereffect, did restore
sexual power and desire - cannabis.
Like Hollick, most doctors provided tonics and stimulants, if only to counter their
competitors. An 1830 French work recommended ginseng. William Acton prescribed
strychnine and phosphoric acid with either syrup of orange-peel or syrup of ginger.
Nux vomica (strychnine), yohimbe, and damiana were especially popular. W. Frank
Glenn claimed damiana to be the most effective medicine. In cases of complete
inability to produce an erection, he employed a combination of phosphide of zinc,
damiana, arsenious acide, and cocaine.
23
Not until long ago, people used arsenic in cosmetics and were even proud of that. Here
we have a newspaper ad from 1918. What is worst is that arsenic, just like cadmium and
other toxins, is still used by well-known cosmetics producers. The only difference is that
when discovered, this generates a scandal, the companies are fined and the public re-
orientates to safer products.
On March 27, 1998, Viagra became the first oral medication to be approved by the
United States Food and Drug Administration to treat erectile dysfunction. Viagra
immediately became the fastest selling pharmaceutical in history. Pfizer’s stock went up
24
150 percent in 1998. Its sale of Viagra topped one billion dollars in 1999 and it enjoyed a
profit margin of 90 percent. Pfizer soon had competitors. The year 2003 saw the arrival
of Cialis, made by Eli Lilly and Company and Icos, and Levitra, manufactured by
Bayer AG and GlaxoSmithKline.
Mechanical and Surgical Cures
When electrical experiments came into vogue in the eighteenth century, it was soon
asserted that electricity and magnetism could also counter flaccidity.
Galvanic cures began to be offered in the 1770s by orthodox and quack practitioners.
The famous Dr. James Graham touted the dangers of impotence caused by either
masturbation or marital excesses, both of which could be cured by cold bathing,
moderation, and his amazing electrical bed.
John J. Caldwell described in detail the composition and function of the erectile tissue
and how an erection was produced by nervous force. If it was impaired he called for
25
electricity - “either static, dynamic, or interrupted” - to stimulate the production of
nerve force. Damiana in combination with electricity was used, he claimed, in “many
cases of partial loss of virility with marked success.”
Hammond explained how galvanism could be applied with electrodes attached to the
spine, perineum, testicles and penis, though he described the effect as “rather
unpleasant.” To distinguish themselves from quacks, doctors disparaged all belts, disks,
and other apparatuses.
Nevertheless Vincent Marie Mondat—a distinguished French physician—was credited
with the most outlandish of the various external appliances. He invented the
“congestor,” a vacuum pump or “exhausting apparatus,” which in drawing blood
into the penis was designed to promote erection.
Between the twentieth-century's world wars, some physicians recommended sex aids.
“The penile splint, devised by Dr. Thad W. Williams is really practicable and enables
the introducing of the non-erected penis into the vagina under all circumstances,” wrote
Victor Vecki. “Dr. Joseph Loewenstein provided the fullest account of such
“mechanotherapy.” He noted that suction pumps such as those of Dr. Zabludowski
provided only an illusionary erection that disappeared as soon as the penis was
removed from pump. Equally flawed were the Erector-Sleigh, Gassensche Spirale,
Gerson’s Constriction Bandage, and Virility, a double cylinder connected to a bellows to
produce a vacuum that, Loewenstein reported, “gives great bulk to the penis and makes
it look grotesque.”
Loewenstein sang the praises of penis supports made of light metal, especially his own
Coitus Training Apparatus, a sort of training wheels for the penis. Consisting of two
rings for each end of the penis and rubber covered wires in between, the support was
covered by a condom before penetration. Though he cautioned that care be taken that
26
the support and the penis went in the same direction, Loewenstein promised that the
partner of the “dexterous man” would not know he was using it.
He called it a “training” apparatus because he believed that in many cases the erection
of the flaccid penis would occur after entry, and once learnt could occur normally.
Women were presumably entranced by neither the device nor the care needed to
“extricate the apparatus.”
In 1913 Victor Lespinasse, a Northwestern University professor of genitourinary
surgery, reported that he had planted slices of human testicle into the muscle of a
man who had lost his testicles. Four days after the operation, Lespinasse claimed, the
patient had strong erections and insisted on leaving hospital in order to gratify his
desires.
The first experiment in grafting an entire testicle was performed by Dr. G. Frank
Lydston on himself, on January 16, 1914. Expressing his disappointment that vulgar
prejudices heretofore had prevented the exploitation of the sex glands of the dead,
Lydston coolly reported how he transplanted into his own scrotum a suicide victim’s
testicle.
L. L. Stanley, resident physician of the
California state prison in San Quentin, reported
in 1922 that he had first implanted testicles
from executed convicts and then moved on to
inject into his subjects via a dental syringe
solutions of goat, ram, boar, and deer testicles.
Altogether he made 1000 injections into 656 men.
Stanley had been inspired by work of Serge
Voronoff, an eminent Russian-born medical
27
scientist working at the Collége de France.
Voronoff, in 1919, scandalized many by transplanting the testes of chimpanzees into
men. He asserted that “marked psychical and sexual excitation” typically resulted,
followed by a resurgence of memory, energy and “genital functions.”
Surgeons from the 1970s on implanted silicon rods in the penis of impotent men. In
the 1980s American Medical Systems offered three models, the Malleable 600 Penile
Prosthesis consisting of two silicon rubber rods that could either be bent for comfort or
straightened for penetration, the Dynaflex Penile Prosthesis with two fluid filled
cylinders that when squeezed inflated the penis; and the 700 Ultrex Inflatable Penile
Prosthesis complete with reservoir and pump hidden in the scrotum. Inflatable penile
implants were not initially examined by the Food and Drug Administration and were
plagued by failures and infections. Nevertheless it was estimated that within a decade
250,000 to 300,000 had been inserted.
28
Magical, Ritual, and Psychological Cures
Fourth-century medical man Theodorus Priscianus advised “reading tales of love.”
He went on to suggest: “Let the patient be surrounded by beautiful girls or boys; also
give him books to read, which stimulate lust and in which love-stories are insinuatingly
treated.”
To protect himself against impotence a Roman man might wear a stone talisman or
amulet. It was claimed that the “right molar of a small crocodile worn as amulet
guarantees erection in men.” In Rome males wore as protection against the evil eye a
replica of the penis, called the fascinum from the word to “bewitch.” And finally one
could make an appeal to the gods. “While you’re alive I’m hopeful rustic guard / Come.
Bless me, stiff Priapus: make me hard.”
Seventeenth-century astrologer-herbalist Nicholas Culpeper and midwife Jane Sharp
recommended that a man, who due to magic could not give his wife “due
benevolence,” should piss through her wedding ring. In France the man was enjoined
to piss or pour white wine either through the wedding ring or through the keyhole of
the church in which he had been married. A large painting titled Venus and Cupid by
Lorenzo Lotto (c. 1480–1556) portrayed one version of this belief in sympathetic magic.
William H. Masters and Virginia E.
Johnson were the most important of the
sex therapists who in the 1960’s dealt with
both non-orgasmic women and impotent
men. Their simple message was that, armed
with new, scientific knowledge,
overcoming marital problems was
relatively easy. All that was required was a
29
two week training session costing $2,500. By teaching techniques of orgasmotherapy,
starting with an education in masturbation, they claimed it was possible to ignore
cultural conditioning and circumvent the psychoanalytic preoccupation with the psyche
that might demand years of treatment. They reassured their patients that penis size was
not important. Men needed only to relax, knowing that sexual intercourse was simply
“a natural physical function.”
Helen Singer Kaplan agreed that it was “surprisingly easy” to cure the 50 percent of the
male population that experienced occasional impotence or what she preferred to call
erectile dysfunction. Since anxiety was the key problem, she enjoined men to abandon
an “over concern for partner” and “be selfish.”
Nothing to be Ashamed Of!
Erectile dysfunction can be an embarrassing subject. Most men don’t feel manly without
being able to please a woman and have normal erections, when caused. Being a man
means having erections, but that is not all there is to it. Being able to care, to provide,
and to maintain a relationship is not all about sex. You can be a good worker, as well
as you can be a good businessman, a good father, a good husband, by treating people
right, and by respecting yourself, your loved ones, and the people near you. Having a
good attitude can make a whole lot of difference to your recovery process. It will help
you stick to the plan this eBook provides, in addition to reducing your mental suffering,
by helping you avoid stress, anxiety, and depression.
You need to be strong! Your body will become stronger in a short while, too!
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Chapter 2: Misconceptions
In 19th century England, quacks
claimed that the main cause of
impotence, that we now know is the old
term for erectile dysfunction, including
this condition, was masturbation. Swiss
physician Samuel Auguste Andre David
Tissot, a well reputed Calvinist Protestant
neurologist, professor and Vatican
adviser, published L’Onanism in 1760.
The book was printed in New York in
1832. As a shameful subject, Tissot
accused masturbation for the reduction of
strength, memory and reason reduction,
blurred vision, nervous disorders,
appetite disturbances, headaches and other disorders. According to him: “Impotency is
another evil produced by onanism and is sometimes difficult to remove. (…) The most
useful tonics are the cinchona or the Sulph of Quinine, a different preparation of iron,
wine, cold bathing and a generous nutritive diet”. Let’s analyze his ideas. Iron and
nutritive diet? They are both recommended nowadays in anemic patients and are good
for increasing the amount of red blood cells. Anemia, also defined as a low ability of the
blood to carry oxygen, requires iron and a healthy diet to help your blood regenerate.
Wine? It raises blood pressure and makes your blood “move much faster”. These
remedies could have good effects over ED, but I wouldn’t advise you to take iron
supplements and drink wine to escape your problems; you could face side effects.
31
A Separation of Myth from the Facts
For millennia, doctors, shaman, and fishwives have been looking for the secret to male
enhancement. Men have ingested everything from Spanish flies to concoctions of
ground roots to find some way to enhance their sexual experience. The term “male
enhancement” actually covers quite a bit of ground. It can focus on increasing a man’s
size, increasing libido, or supplying blood flow for erections.
Naturally, many myths have cropped up around this problem, mainly due to the
universal drive toward better sex, but also due to the somewhat desperate nature of
sufferers.
Charlatans, well-meaning physicians, and hopeful men still have some misconceptions,
however, about what male enhancement is and what modern medicine can and cannot
do. With the advent of Viagra, the issue of male enhancement has been thrust into the
spotlight, and it has led to a spate of myths which can discourage a man with erectile
issues.
 Myth: Erectile Dysfunction should be accepted as a natural part of the aging
process.
Fact: While ED is more common in older men, it is not a normal part of the aging
process. It should, therefore, be viewed as a medical problem, which requires
treatment just like all other ailments, and it is one which can be effectively cured.
Just as you would not leave high blood pressure untreated as you age, ED and its
effects on the body should not be ignored.
 Myth: Men should not worry about Erectile Dysfunction if they are less than 40
years old.
Fact: Again, while ED is more common in older men, it can affect men of all ages.
This is becoming increasingly true today, as younger men are developing
32
medical conditions which can contribute to ED, such as diabetes, high-blood
pressure, and heart conditions.
 Myth: Oral Medications are the most effective way to treat Erectile Dysfunction.
Fact: While oral medications may, on occasion, contribute to improved blood
flow, they usually prove to be a considerably expensive waste. The most effective
way to treat Erectile Dysfunction is the one outlined in this eBook.
 Myth: There are limited treatment options for men with such medical conditions
as diabetes, high blood-pressure, and heart conditions.
Fact: While men with certain medical conditions should avoid oral medications
and pills, their treatment options for Erectile Dysfunction do not automatically
become limited, as pharmaceutical drugs should not be used to treat ED
anyways. The proper way to cure ED is through entirely natural methods, with a
diet plan that is highly beneficial for men, even those with such medical
conditions as diabetes, high blood-pressure, and heart conditions.
 Myth: Many herbal products exist on the market today which can treat Erectile
Dysfunction.
Fact: There are indeed various herbal products available today which claim to
provide effective treatment for Erectile Dysfunction. Using these products can,
however, prove to be dangerous for your health. Better then, to stick to the
solution offered in this eBook.
 Myth: You will have to visit a physician numerous times before you can begin
treatment.
 Fact: The Erectile Dysfunction Protocol offers to you a solution where you do not
need to visit a physician even once - not before your treatment, nor during or
afterwards. In fact, you can begin your treatment for Erectile Dysfunction
immediately, and you can do it without the help of any physician.
33
 Myth: Erectile Dysfunction affects only the man who suffers from the condition.
Fact: Erectile Dysfunction does have a massive impact on the man, but it does
not spare his partner and loved ones either. ED often causes feelings of
inadequacy, frustration, and low self-esteem, and can ultimately lead to near
constant stress and anxiety, in addition to depression and/or aggressiveness. As a
result, personal, family, and business relationships may also be adversely
affected if the condition is left untreated.
Pills Solve All Erectile Problems in Men (?!)
If you believe the commercials, modern male enhancement medications can help you
cool down an overheated car, wrangle a sailboat back on course, and allow you to enjoy
a carefree life. Surely, helping you achieve an erection is no problem for these pills, so
taking them will make your life spectacular. In fact, these medications have a very
limited window of conditions they treat.
Erectile dysfunction has a physical element to it: blood flow to the penis is restricted.
However, not all erectile dysfunction stems from a lack of blood flow. Some impotence
is caused by a lack of libido, and Viagra does nothing for that. In a few cases, the
problem is psychological - relationship issues, depression, or performance anxiety - and
drugs are therefore unlikely to help a man’s sex life if he suffers from these issues.
Medications are not a magic bullet.
Medications, Supplements, or Techniques can Increase Penis Size (?!)
Men have a love/hate relationship with their penis size. They want to know where they
measure up when compared to other men, and if they feel they will not win any blue
ribbons for size, they want to find a way to increase their length and width. History is
full of hilarious, sometimes even dangerous ways through which men have attempted
34
to increase the length of their member, and sadly, none of them worked for the earnest
fellows who dared to try them.
Viagra never makes claims to increase penis size, and many supplements do not tout
this feature, either. However, countless websites are available for men to sample,
demonstrating exercise techniques, creams, and supplements which purport to add
inches of length to the penis. Unfortunately, the only way to increase penis size is
through costly and painful surgery, and many men fortunately draw the line at
allowing a surgeon anywhere near their manhood.
Only Old Men Need Help with Erectile Dysfunction (?!)
The idea that a man needs help with erections at all is so culturally taboo that
conditions are applied to it to make it more palatable. If you are 70 years old, and
cannot get an erection, then that is one thing. That is allowable and forgivable, though
still embarrassing. However, it is not truly the case.
Despite taboos, Erectile Dysfunction is a common problem in men of all ages. Some
clinical conditions can lead to this problem, such as diabetes, high blood pressure,
atherosclerosis, and major depression, to name but a few. Since men of all ages are
subject to these common conditions, any man is at risk for erectile dysfunction.
A 40 year old man who cannot get an erection is not an aberration, deserving of
shame. He is likely a man with co-morbid conditions which are preventing him from
enjoying a healthy sex life.
Erectile Dysfunction is all in a Man’s Head (?!)
Men get blamed with many things and for many reasons when they are having erectile
issues. People may call their sexuality into question, wonder if they are attracted to their
partner, or secretly dislike sex because they are prudes. As discussed earlier however,
35
so many physical problems can cause Erectile Dysfunction that it usually has nothing to
do with a man’s inner psychology, though it certainly can affect it. Diabetes, anti-
depressants, and chronic pain conditions are just a few of the non-psychological reasons
for Erectile Dysfunction.
This myth has a kernel of truth to it, though. A lot of times, mental issues can affect a
man’s libido and the ability to achieve or sustain an erection. Performance anxiety and
concerns about their body plague men as much as they do women. Psychological
conditions, such as depression and post-traumatic stress disorder, can leave a man
disinterested in any sort of physical activity, and not just sex. In these cases, meeting
with a qualified therapist who can work on sexual and life issues is the best course.
Erectile Dysfunction Never Gets Better (?!)
The good news is that Erectile Dysfunction does get better, and so many solutions are
available now which were unheard of 20 years ago. It is true that a man’s sex drive
decreases with age, but sexuality remains a large part of our healthy make up for much
longer than most people think. Men and women having sex in their 50’s, 60’s, and 70’s
is possible, and even common, so if an erectile or libido issue is uncovered early in life,
you still have plenty of time to take action.
Erectile Dysfunction medications and supplements
cannot perform miracles, but they can give you an edge
in defeating your condition. Although they tend to be
less helpful for psychological issues, they are definitely
well suited for sexual problems brought on by age,
disease, or medication. Simply because you have
Erectile Dysfunction now does not mean you cannot
get help and overcome it.
36
Chapter 3: Life is Full of Surprises
In fact, the sooner you accept the fact that Erectile Dysfunction can actually be treated,
and rather effectively at that, the quicker you can reach out for help, and overcome the
condition. You need to believe that there really is no need to panic or to feel depressed,
for a cure does exist, and by following the guidelines in this eBook, you can return to a
life of fulfilling, satisfactory, and enjoyable sex.
If you still have doubts, and fear that your condition might just be permanent, so that
you may never again be able to enjoy sexual activities or father children, then read the
stories below, of people who suffered, and then recovered, from Erectile Dysfunction.
Learn how they coped with the situation, managed and cured their affliction, and
perhaps you too will realize that life, as tough as it can be, can also be full of surprises.
 57 years old Dean is the ultimate family man. He has been married for 25
years, has a college girl of 19, and has stayed loyal to his wife through all the
years of marriage. Once their daughter moved to campus, Dean thought he
would enjoy a second youth with his wife. This is the story of his battle with
Erectile Dysfunction.
“I was raised with the belief, and have held onto it through life, that family is the single
most important thing to man. It is his joy, his responsibility, and his burden - to provide
for, to care for, to look after, and to protect and love. So I have cared for and loved my
wife Anna, as dearly as I was able, and when my daughter came along, I loved her too,
as truly and deeply as possible. My wife and I nurtured her, protected her, educated
her, and cherished her for 19 years, and we put all else on hold, including our sexual
life. No parents could be prouder of a daughter than we are of our own, and not once
has either of us regretted the sacrifices and compromises which we have had to make
over the years.
37
However, once she reached an independent age, and moved away to live at campus, we
thought to rekindle our romance, and to reignite our sex life. Little did I know though,
that such ideas were to be put on hold yet again, and that this time, I was to be the
reason.
I discovered I was suffering from Erectile Dysfunction, and for a while there, I became
extremely depressed. The longer I was unable to achieve an erection, or to sustain one
on those rare occasions when I could manage one, the more stressed out and anxious I
became. Even more unfortunately, my moods began to affect Anna, and how could they
not? She became frustrated, as I became irritable, and how could she not? All the years
of waiting, only for life to throw ED at us - it seemed extremely unfair. Suffice it to say,
the following months did not represent the best of times in my life, and I do not
remember Anna being as unhappy at any other time during our 30 years together.
Yet, where life takes away, it sometimes gives back to you as well, and I was to learn a
lesson in exactly how fickle it really can be. Just before we gave in completely to
despair, Anna discovered the Erectile Dysfunction Protocol, and everything changed for
us. Though I will admit, I followed the eBook’s solution only halfheartedly at first, and
even then, Anna had to constantly remind and push me to stick to the diet.
I was hesitant, as I was wont to be I think, for how could a diet plan from an eBook help
where several physicians and their medicine had failed? And yet, I was proven wrong,
and the solution provided by the Erectile Dysfunction Protocol proved to be the miracle
cure Anna and I had been praying for. Not only did the treatment outlined help me
with the condition, allowing me to once again enjoy a healthy sex life with my wife, but
it renewed hope in me too, and most importantly, it helped save our marriage for I
really do believe that Erectile Dysfunction, and its effects on me, would have led to us
separating from each other.”
38
 Joe is the guy you would run into at every party in town. 32 years old, and he
could party like a teenager. He used to change women like socks too, that is,
until his Erectile Dysfunction problem socked him.
“At age 32, I was diagnosed with Type 1 Diabetes. When you are diagnosed, the doctors
go over all of the things you have to beware of - problems with your eyes, heart,
kidneys, liver, circulation in your feet, and eventually, you get to Erectile Dysfunction.
Initially, in a cocktail fit of panic, shame, embarrassment, anxiety, and stress, I tried
everything - the vacuum pump, oral medications, suppositories, and shots. The vacuum
pump was the first thing I tried - in fact, I tried it twice. My life was falling apart at the
seams! It had seemed like the right thing to do at the time.
I cannot begin to tell you just how very uncomfortable it was. You put your penis into
the cylinder, pump the blood into your penis, slide the band onto the base of the shaft,
and the band holds the blood in. You should see this thing! Not helping matters - I
mean, not even a little bit - was the fact that I was completely, utterly, not ready to give
up on my lifestyle. I love women, and I love making love to them. I was not about to
give up without a fight.
I had a little trouble with the suppositories. I could not get over the idea of putting
something into my penis, not where everything is supposed to come out. So I tried the
oral medications next. Sometimes they would work, but ineffectively at best, and at
other times, they would completely fail me. The only thing I could always count on
though was an upset stomach.
The shots came next. They worked fine in the beginning, but nothing kills the mood
faster than having to excuse yourself to go to the bathroom, get your needle ready, and
give yourself a shot. I gave myself a shot every time I found myself with a girl, at least
until it became unbearable, which was quite soon. As my Erectile Dysfunction

39
worsened, the amount of medicine in the shot increased. My stress increased, as did my
anxiety, and soon the shots stopped working at all, even when I could find the courage
to inject myself.
I could not fathom why this was happening to me. Neither Erectile Dysfunction nor
diabetes runs in my family, and I have always tried to lead a very active and healthy
lifestyle. I had been happy as a man could be, healthy at 32 years old, and leading a
fantastic sex life.
When your manhood stops working, especially for someone like me, you shut down. It
affects your self-esteem. It hits your pride hard! I thought it was my fault. I felt so alone,
and started problems even talking to women, let alone seduce them. Needless to say, I
sank into a deep depression. Not only did I stop having sex, I sort of faded away from
social life altogether.
It was in my deepest moments of despair when I came across the Erectile Dysfunction
Protocol, and how I wish I had discovered it sooner. I could have avoided so much
embarrassment, pain, and anguish. Yet, I am glad now, for it has taught me so much,
and has restored to me the life I so cherish.”
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Chapter 4: Getting Help – Short session of questions
Erectile dysfunction, commonly referred to as ED, is the inability to achieve and
sustain an erection suitable for sexual intercourse. This condition is not necessarily
considered normal at any age and is different from other problems that interfere with
sexual intercourse, such as lack of sexual desire and problems regarding ejaculation
and orgasm.
How Common Is Erectile Dysfunction?
According to the National Institutes of Health, approximately 5% of 40-year-old men
and between 15% and 25% of 65-year-old men experience ED on a long-term basis.
A much more common problem that affects the majority of men at some point in their
life is the occasional failure to achieve an erection, which can occur for a variety of
reasons, such as from drinking too much alcohol or being extremely tired.
Failure to achieve an erection less than 20% of the time is not unusual and treatment is
rarely needed. Failure to achieve an erection more than 50% of the time, however,
generally indicates there is a problem requiring attention.
What Causes Erectile Dysfunction?
In order to achieve an erection, these conditions must occur:
 The blood circulation into the penis must be adequate.
 The veins must be able to "trap and keep" the blood inside the penis.
 There must be a stimulus from the brain.
If there is something interfering with any or all of these conditions, a full erection will
be prevented.
41
Common causes of ED include diseases that affect blood flow, such as atherosclerosis
(hardening of the arteries) or venous leakage (weak veins); psychological factors, such
as stress, depression, and performance anxiety; and injury to the penis. Chronic illness,
certain medications, and a condition called Peyronie's disease (scar tissue in the penis)
can also cause ED.
Can ED Be Prevented?
For people who are at risk of developing ED due to personal behavior, such as drinking
too much alcohol, steps may be taken to prevent it. However, other causes of ED may
not be preventable.
What Doctors Treat ED?
The type of medical specialist who treats ED will depend on the cause of the problem.
Based on your family's medical history as well as your own medical history and current
health, your doctor may treat you with oral medications such as Viagra or similar
drugs. If this fails, he or she may refer you to an urologist or psychologist.
What Should I Do If I Am Having Problems Achieving/Maintaining an Erection?
If you suspect you may have erectile dysfunction, see your doctor. He or she can
perform a variety of tests to identify what is causing your problem and refer you to a
specialist if needed. Once the cause is identified, there are several treatments to
consider.
How Is Erectile Dysfunction Treated?
There are many different ways erectile dysfunction can be treated, including oral
medications, sex therapy, penile injections, suppositories, vacuum pumps, and surgery.
Each type of treatment has its own advantages and disadvantages.
42
Does Insurance Cover ED Treatment?
Insurance coverage of ED depends upon the type of treatment prescribed. If there is a
documented medical condition that is shown to be causing ED, insurance will usually
cover at least some of it. Sex therapy and medications that have not yet been approved
by the FDA, however, are generally not covered. Talk to your insurance provider to
determine if the treatment you are considering will be covered.
Why Can’t I Get an Erection?
Like the stock market and foreign-car engines, erections are mysterious things that seem
to have a mind of their own. When they don’t happen, it can be hard (so to speak) to
figure out why. But these answers should help.
Is It All in My Head?
Probably not. Most cases of erectile dysfunction (ED) are caused by physical problems
or a combo of physical and emotional ones. Decreased blood flow -- in particular,
narrowing of the vessels that supply blood to the penis -- is often the cause of ED in
older men. Emotional issues are more often a cause with younger men.
Regardless of the reasons, ED can lead to performance anxiety, depression, stress, and
guilt. So it’s important to look for answers.
Is the Problem Physical or Psychological?
Stress, anxiety, and depression can cause ED. Do you have erections in the morning or
while sleeping? If so, the problem probably is not physical. If you’re not sure, there are
tests available to check for nighttime erections.
Just about any medical condition that affects your nerves or blood vessels could hurt
your ability to have erections.
43
High blood pressure, heart disease, multiple sclerosis, and diabetes can all lead to
ED. In fact, as many as 60% of men with diabetes have problems with erections.
Hormonal issues such as low testosterone levels can also factor in, more often in older
men. Prostate cancer treatments (surgery, radiation) can also cause ED.
Can I Blame My Medicines?
Maybe. Several types of medications, like blood pressure drugs (especially beta-
blockers) and certain antidepressants, can make it tough to get an erection. If you think
your medicine may be causing your problem, don’t just stop taking it.
Could My Lifestyle Play a Role?
Absolutely. Being overweight, getting too little exercise, and smoking all can work
against the good blood flow that is key to erections. And while for some men, a little
alcohol may help take the edge off, too much, as Shakespeare wrote, “provokes the
desire, but it takes away the performance.”
How About My Age?
Aging doesn’t cause ED, but ED is more common in older men, as we already know.
According to the National Institutes of Health, about 4% of men in their 50s and
almost 17 percent of those in their 60s are unable to get erections. For men older than
75, the percentage rises to 47%. Treatments can help men of any age.
What Can I Do?
Experts agree these are good first steps:
 If you smoke, stop.
 Get your blood pressure, cholesterol, and blood sugar levels under control.
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What would a doctor say about your options?
ED medications -- sildenafil (Viagra), tadalafil (Cialis), and
vardenafil (Levitra) -- are usually effective and can help whether
your problem is performance anxiety or poor blood flow. Self-
injections, vacuum devices, and squeeze pumps implanted
under the skin are other options. For men with low testosterone, replacement therapy
may help, though it won’t necessarily solve the ED.
Counseling can help you work through any relationship or emotional troubles that may
be in play.
Physical Causes of Erectile Dysfunction
Behind the scenes, a lot goes into achieving an erection. When you're turned on,
nerves fire in your brain and travel down your spinal cord to your penis. There,
muscles relax and blood flows into the blood vessels. The result, if all goes well, is a
rigid penis, ready for sex.
Unfortunately, all does not always go well. Many diseases -- and, in some cases, their
treatment -- can lead to erectile dysfunction (ED). So can injuries, lifestyle choices, and
other physical factors. ED can often be treated, and finding the right cause can lead to
successful treatment.
 Diabetes: This chronic disease can damage the nerves and blood vessels that aid
in getting an erection. When the disease has not been well controlled over time, it
can double a man's risk of erection problems.
 Kidney disease: Kidney disease can affect many of the things you need for a
healthy erection, including your hormones, blood flow to your penis, and parts
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of your nervous system. It can also sap your energy level and rob you of your sex
drive. Drugs for kidney disease can also cause ED.
 Neurological (nerve and brain) disorders: You can't get an erection without help
from your nervous system, and diseases that disrupt signals between your brain
and your penis can lead to ED. Such diseases include stroke, multiple sclerosis
(MS), Alzheimer's disease, and Parkinson's disease.
 Blood vessel diseases: Vascular diseases can block the blood vessels. That slows
the flow of blood to the penis, making an erection difficult to get. Atherosclerosis
(hardening of the arteries), high blood pressure, and high cholesterol are among
the most common causes of ED.
 Prostate cancer: Prostate cancer doesn't cause ED, but treatments can lead to
temporary or permanent erectile dysfunction.
The physical causes of ED are not only disease-related. There are many other potential
causes, including:
 Surgery: Surgery for both prostate cancer and bladder cancer can damage nerves
and tissues necessary for an erection. Sometimes the problem clears up, usually
within 6 to 18 months. But the damage can also be permanent. If that happens,
treatments exist to help restore your ability to have an erection.
 Injury: Injuries to the pelvis, bladder, spinal cord, and penis that require surgery
also can cause ED.
 Hormone problems: Testosterone and other hormones fuel a man's sex drive,
and an imbalance can throw off his interest in sex. Causes include pituitary gland
tumors, kidney and liver disease, depression, and hormone treatment of prostate
cancer.
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 Venous leak: To keep an erection, the blood that flows into your penis must stay
in your penis. If it flows back out too quickly -- a condition called venous leak, in
which the veins in your penis don't constrict properly -- you will lose your
erection. Both injuries and disease can cause venous leak.
 Tobacco, alcohol, or drug use: All three can damage your blood vessels. That
makes it difficult for blood to reach the penis, which is essential for an erection. If
you have hardened arteries (arteriosclerosis), smoking will dramatically raise
your risk of ED.
 Prescription drugs: There are more than 200 prescription drugs that can cause
ED.
 Prostate enlargement: Prostate enlargement, a normal part of aging for many
men, may also play a role in ED.
Drugs Linked to Erectile Dysfunction
If you are having problems achieving or maintaining an erection and you are interested
in the drugs that might help you, then you may want to take a look at your medicine
cabinet first. There are a number of prescription and over-the-counter drugs that may
cause erectile dysfunction. While these drugs may treat a disease or condition, they can
also affect a man's hormones, nerves, or blood circulation, resulting in ED or increase
the risk of ED.
If you experience ED and think that it may be a result of medication, do not stop taking
the drug without first consulting your doctor. If the problem persists, your doctor may
be able to prescribe a different medication.
Other substances or drugs that can cause or lead to ED include recreational and
frequently abused drugs, such as:
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 Alcohol
 Amphetamines
 Barbiturates
 Cocaine
 Marijuana
 Methadone
 Nicotine
 Opiates
Aside from the well-known complications that the use and abuse of these drugs can
cause, ED is not often mentioned. However, use of these drugs can cause ED. These
drugs not only affect and often times suppress the central nervous system, but can also
cause serious damage to the blood vessels, resulting in permanent ED.
Erectile Dysfunction and Lifestyle Factors
Most of us know by now that smoking is bad for the lungs, being overweight is bad for
the heart, and stress can lead to headaches and anxiety. But, did you know that all of
these factors can also cause erectile dysfunction? Learn how smoking and other lifestyle
factors cause ED.
 Smoking: Smoking increases a person's risk of
atherosclerosis (hardening of the arteries) which
can reduce blood flow throughout the body,
including to the penis, impairing a man's ability
to gain an erection. Quitting smoking can help
some men partly or fully restore erectile
function.
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 Being Overweight: According to The American Urological Association (AUA),
overweight men are more likely to have ED. Being overweight increases a
person's risk of vascular disease, a known cause of erectile dysfunction.
 Sedentary Lifestyle: Regular exercise can reduce the risk of ED, according to the
AUA.
 Poorly Managed Diabetes: Uncontrolled diabetes can impact blood flow to and
nerve endings of the penis. By maintaining a healthy diet, getting regular
exercise, and taking the appropriate medication, men with diabetes may be able
to avoid diabetes-related ED.
 High Cholesterol: High cholesterol can damage the linings of blood vessels
throughout the body, including those in the penis. Cholesterol also can harden,
narrow, or block the arteries leading to the penis. By maintaining a healthy diet,
getting regular exercise, and taking the appropriate medication, men can lower
their cholesterol and reduce their risk of ED.
 Excessive Use of Alcohol: Excessive drinking (more than two drinks a day) can
inhibit erectile functioning by causing a restriction in blood flow to the penis and
can affect production of the male hormone testosterone, affecting sex drive and
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erections.
 Illegal Drug Use: Marijuana, cocaine, and other illegal drugs can cause
impotence by damaging blood vessels and/or restricting blood flow to the penis.
 Stress and Anxiety: Stress and anxiety are leading causes of temporary ED. Too
much stress can prevent relaxation, making it difficult to achieve or maintain an
erection. Less stress can mean improved erectile functioning.
Men can take active steps to prevent ED or improve their condition by adopting a
healthier lifestyle.
Erectile Dysfunction and Vascular Disease
Vascular diseases affect blood vessels. They restrict blood flow to organs such as the
heart, brain, and kidneys. In erectile dysfunction, vascular diseases restrict blood flow
to the penis. Vascular diseases may be responsible for causing ED in as many as 50%
to 70% of men who develop the condition.
Restriction of blood flow caused by a vascular disease is usually caused by a buildup of
cholesterol and other substances that may block blood vessels. In some men, the blood
vessels in the penis, and the rest of the body, may not function properly. They may
restrict blood flow when they're not supposed to. The good news is that lifestyle
measures and drug treatments typically work for types of vascular disease that can
cause erectile dysfunction.
Conditions Associated With Vascular Disease and Erectile Dysfunction
The following conditions are associated with vascular disease and clogged arteries.
 Coronary artery disease (clogged arteries in the heart)
 High blood pressure
 Diabetes
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 High cholesterol
 Obesity
 Peripheral vascular disease -- This disease particularly affects blood vessels that
supply blood to the legs.
If you have one of these conditions, it’s more obvious a problem with the blood vessels
in your penis may cause erectile dysfunction.
Also, smoking greatly increases the chance of developing clogged arteries and
vascular disease. If you have erectile dysfunction, quitting smoking can help.
What Is a Venous Leak?
Your penis must store blood to keep an erection. If the veins in the penis cannot
prevent blood from leaving the penis during an erection, you'll lose your erection.
This is called venous leak. Venous leakage may occur with vascular disease. Venous
leakage is also associated with diabetes, Peyronie's disease (buildup of scar tissue in the
penis that leads to curved, painful erections), certain nerve conditions, and even severe
anxiety.
Erectile Dysfunction: Preventing It
For people who are at risk of developing erectile dysfunction, taking active steps to
prevent its occurrence will also help you lead a healthier life overall. Some steps you
can take to prevent ED include:
 Stop smoking (if you are a smoker I’m sure you heard this lots of times. Even in
this eBook, but sorry, that’s how things work).
 Exercise regularly.
 Maintain a healthy weight.
 Review your medications.
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 Take prescribed medications as directed.
 Avoid excessive use of alcohol (more than two drinks a day).
 Avoid the use of illegal drugs (duh!).
If you have a chronic illness such as diabetes or kidney disease, follow your doctor's
guidelines to keep these conditions in control.
Treatment
Years ago, the standard treatment for erectile dysfunction was a penile implant or long-
term psychotherapy. Although physical causes are now more readily diagnosed and
treated, individual or marital counseling is still an effective treatment for ED when
emotional factors play a role.
There are three prescription medications available in the United States to treat the
physical causes of ED: sildenafil citrate (Viagra), vardenafil (Levitra), and tadalafil
(Cialis). They help about three-fourths of all men who try them in the general
population. Several studies have indicated that their success rate in diabetic men may
be slightly lower, averaging around 60-65%. All three pills work by enhancing the
effects of nitric oxide. This chemical relaxes muscles in the penis to allow more blood to
flow in. These pills do not cause an erection by themselves. Sexual stimulation is also
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required. Sildenafil or vardenafil should be taken about an hour before sex. Each is
effective for roughly four hours. Tadalafil lasts for up to 36 hours. Men should not have
sex more than once every 24 hours after using these drugs. Before Viagra's approval in
1998, drug treatment of erectile dysfunction was limited to alprostadil (prostaglandin
[E.sub.1]), either injected into the penis or inserted as a pellet into the urethra. Sales of
the three newer ED drugs reached $3.4 billion in 2004, according to the research firm
IMS Health. In 2004, Viagra had about 66% of the market share for ED drugs compared
to 19% for Levitra and 14% for Cialis. Let’s take a closer look on these drugs’ effects
over your organism and Erectile Dysfunction.
Viagra
Sildenafil citrate was originally developed in 1991
as a treatment for angina, or chest pain. The drug,
marketed under the name Viagra, received FDA
approval as a treatment for erectile dysfunction in
March 1998, and since that time it has been
prescribed for more than 20 million men worldwide.
It was the first oral medication approved for ED treatment. Viagra is a vasodilator, a
drug that has the effect of dilating the blood vessels. It works by improving blood
circulation to the penis, and by enhancing the effects of nitric oxide, the agent that
relaxes the smooth muscle of the penis and regulates blood vessels during sexual
stimulation, allowing the penis to become engorged and achieve an erection.
The average recommended dose of Viagra is 50 mg. It comes in doses of 25 mg., 50 mg.,
and 100 mg. The medication is taken approximately one hour before sexual activity is
planned, and may remain effective for up to four hours. One drawback is that to be
effective, it should be taken on an empty stomach. Also, high-fat foods can interfere
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with the absorption of Viagra. Viagra does not increase sexual desire. Sexual
stimulation and arousal are required for it to be effective.
Many insurance plans cover the cost of Viagra, provided it is prescribed to treat
erectile dysfunction. The pills cost approximately $10 each, and insurers may limit
coverage to a specific number of pills each month.
The primary drawback to Viagra, which works about an hour after it is taken, it that the
FDA cautions men with heart disease or low blood pressure to be thoroughly examined
by a physician before obtaining a prescription. At least 130 men have died while
taking Viagra. However, the FDA said the men—most over the age of 64—died of
heart attack or stroke due to health problems exaggerated by sexual activity, not the
drug itself.
Levitra
In early 2003, a second prescription drug to treat
erectile dysfunction, Levitra, was approved by the
FDA. Like Viagra, Levitra helps increase blood flow
to the penis and may help men with ED get and
keep an erection. Once a man has completed sexual
activity, blood flow to the penis should decrease and
the erection should go away. Levitra should be taken approximately 60 minutes prior to
sexual activity. In clinical trials, most patients were able to begin sexual activity before
that time. A 2004 study showed that about 50% of men taking Levitra experienced a
firm erection within 25 minutes and a small percentage in as quickly as 10 minutes.
Studies also showed that Levitra improved erectile function in men who had other
health factors, such as diabetes or prostate surgery.
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Men taking nitrate drugs, often used to control chest pain (also known as angina),
should not take Levitra. Men who use alpha-blockers, sometimes prescribed for high
blood pressure or prostate problems, also should not take Levitra. Such combinations
could cause blood pressure to drop to an unsafe level. Levitra is available in 2.5 mg, 5
mg, 10 mg, and 20 mg tablets and should be taken no more than once a day. The
average cost per pill is about $10 and is covered by many insurance plans.
Cialis
Cialis is the third oral drug prescribed to treat
erectile dysfunction, approved by the FDA in
November 2003. Its most notable difference from
Viagra and Levitra, which work for about four
hours, is that Cialis works for up to 36 hours.
Cialis helps increase blood flow in the penis when
a man is sexually stimulated. It can help men with
ED get and keep an erection satisfactory for
sexual activity. Once a man has completed sexual activity, blood flow to his penis
decreases, and his erection goes away. Cialis is clinically proven to improve erectile
function in most men with ED, including those with mild, moderate or severe ED.
The most common side effects with Cialis are headache, upset stomach, back pain,
and muscle aches. These side effects usually go away after a few hours. Patients who
get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back
pain and muscle aches usually go away by themselves within 48 hours.
Cialis comes in 5 mg., 10 mg. (the recommended starting dose), and 20 mg. tablets. The
average cost per tablet is about $10 and it is covered by many insurance plans. Since the
absorption of Cialis is not affected by food or high-fat foods, it does not need to be
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taken on an empty stomach. Studies show that in most men, Cialis begins working in
about 30 minutes and may be taken up to once per day by most patients.
Priapism, a prolonged erection, is a very rare potential
side effect of all prescription ED medications. Persons
taking Viagra, Levitra, or Cialis who have a prolonged
erection, lasting more than four hours, should seek
immediate medical attention. Priapism can cause
damage to the penis potentially leading to the
permanent inability to have an erection.
Because sexual activity can stress the heart, men who have heart problems should check
with their physician to see if sexual activity is recommended. Erectile dysfunction drugs
may trigger temporary hypotension (low blood pressure) and is known to increase
cardiovascular nerve activity, so physicians should prescribe them with caution in men
with a history of heart attack, atherosclerosis (hardening of the arteries), angina,
arrhythmia, and chronic low blood pressure problems. ED drugs are not labeled or
approved for use by women or children, or by men without erectile dysfunction.
Anyone experiencing cardiovascular symptoms such as dizziness, chest or arm pain,
and nausea when participating in sexual activity after taking an ED medication should
stop the encounter. They should also not take any ED drug again until they have
discussed the episode with their healthcare provider. It is recommended that men with
kidney or liver impairments, and men over age 65, start at the lowest possible dosage of
ED medications.
Other Treatment Options
Although the commercial availability of Viagra, Levitra, and Cialis has been useful in
many men, prostate cancer patients and ED caused by psychological problems often
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require alternative treatment. A commonly used alternative consists of a three-drug
injection containing alprostadil, papaverine hydrochloride, and phentolamine
mesylate. Though it is commonly referred to as the "Knoxville formula," apparently for
the city of its original introduction, a number of slightly varying formulas have been in
use around the country. The three-drug preparation is administered by injection into
the corpora cavernosa to induce erection.
Other traditional therapies for ED include vacuum pump therapy, injection therapy
involving injecting a substance into the penis to enhance blood flow, and a penile
implantation device. In rare cases, if narrowed or diseased veins are responsible for
ED, surgeons may reroute the blood flow into the corpora cavernosa or remove leaking
vessels.
In vacuum pump therapy, a man inserts his penis into a clear plastic cylinder and uses a
pump to force air out of the cylinder. This forms a partial vacuum around the penis,
which helps to draw blood into the corpora cavernosa. The man then places a special
ring over the base of the penis to trap the blood inside it. The only side effect with this
type of treatment is occasional bruising if the vacuum is
left on too long.
Injection therapy involves injecting a substance into the
penis to enhance blood flow and cause an erection. The
FDA approved a drug called alprostadil (Caverject) for
this purpose in 1995. Alprostadil relaxes smooth muscle
tissue to enhance blood flow into the penis. It must be
injected shortly before intercourse. Another, similar drug
that is sometimes used is papaverine. Either drug may
sometimes cause painful erections or priapism that must be treated with a shot of
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epinephrine. Alprostadil may also be administered into the urethral opening of the
penis. In MUSE (medical urethral system for erection), the man inserts a thin tube the
width of a spaghetti noodle into his urethral opening and presses down on a plunger to
deliver a tiny pellet containing alprostadil into his penis. The drug takes about 10
minutes to work and the erection lasts about an hour. The main side effect is a sensation
of pain and burning in the urethra, which can last about five to 15 minutes. The
injection process itself is often painful
Implantable penile prostheses are usually considered a last resort for treating erectile
dysfunction. They are implanted in the corpora cavernosa to make the penis rigid
without the need for blood flow. The semi-rigid type of prosthesis consists of a pair of
flexible silicone rods that can be bent up or down. This type of device has a low failure
rate but, unfortunately, it causes the penis to always be erect, which can be difficult to
conceal under clothing.
The inflatable type of device consists of cylinders that are implanted in the corpora
cavernosa, a fluid reservoir implanted in the abdomen, and a pump placed in the
scrotum. The man squeezes the pump to move fluid into the cylinders and cause them
to become rigid. (He reverses the process by squeezing the pump again.) While these
devices allow for intermittent erections, they have a slightly higher malfunction rate
than the silicon rods. Men can return to sexual activity six to eight weeks after
implantation surgery. Since implants affect the corpora cavernosa, they permanently
take away a man's ability to have a natural erection.
Alternative Treatment
A number of herbs have been promoted for treating
erectile dysfunction. The most widely touted is
yohimbe (Corynanthe yohimbe), derived from the
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bark of the yohimbe tree native to West Africa. It has been used in Europe for about
75 years to treat ED. The FDA approved yohimbe as a treatment for ED in the late
1980s. It is sold as an over-the-counter dietary supplement and as a prescription drug
under brand names such as Yocon, Aphrodyne, Erex, Yohimex, Testomar, Yohimbe,
and Yovital.
There is no clear medical research that indicates exactly how or why yohimbe works in
treating ED. It is generally believed that yohimbe dilates blood vessels and stimulates
blood flow to the penis, causing an erection. It also prevents blood from flowing out of
the penis during an erection. It may also act on the central nervous system, specifically
the lower spinal cord area where sexual signals are transmitted. Studies show it is
effective to some degree in 30-40% of men with ED. It is primarily effective in men with
ED caused by vascular, psychogenic (originating in the mind), or diabetic problems. It
usually does not work in men whose dysfunction is caused by organic nerve damage. In
healthy men without ED, yohimbe in some cases appears to increase sexual stamina and
prolong erections. The usual dosage of yohimbine (yohimbe extract) to treat ED is 5.4
mg three times a day. It may take three to six weeks for it to take effect.
Ginkgo biloba, is also used to treat erectile
dysfunction, although it has not been shown to
help the condition in controlled studies, and
probably has more of a psychological effect. In
addition, ginkgo carries some risk of abnormal
blood clotting and should be avoided by men taking blood thinners, such as
coumadin. Other herbs promoted for treating ED include true unicorn root Aletrius
farinosa, saw palmetto Serenoa repens, ginseng Panax ginseng, and Siberian ginseng
Eleuthrococcus senticosus. Nux vomica Strychnos nux-vomica has been recommended,
especially when ED is caused by excessive alcohol, cigarettes, or dietary indiscretions.
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Nux vomica can be very toxic if taken improperly, so it should be used only under the
strict supervision of a physician trained in its use.
There are quite a few Chinese herbal remedies for erectile dysfunction usually
combinations of herbs and sometimes animal parts such as deer antler and sea horse.
Acupuncture is also used to treat ED, although Western doctors question its
effectiveness.
Natural Remedies for Erectile Dysfunction
From acupuncture to arginine, from ginseng to pomegranate juice, men have tried all
sorts of natural remedies for erectile dysfunction (ED) -- which doctors define as the
repeated inability to get or maintain an erection firm enough for sexual intercourse.
But are these alternative remedies safe? Do they really work?
The scientific evidence to support the use of natural remedies for impotence is sketchy;
many of the studies that seem to give the remedies a thumbs-up were so poorly
designed that their findings are suspect.
"Just because there is evidence doesn't mean it's good evidence," says Andrew
McCullough, MD, associate professor of clinical urology at New York University
Langone Medical Center in New York City, and one of the original clinical investigators
for the ED drug Viagra (sildenafil). "And before men with ED start down the
naturopathic route, it's smart to make sure that there isn't some underlying medical
condition that needs to be corrected."
That's good advice. An estimated 30 million American men have erectile dysfunction,
and seven out of 10 cases are caused by a potentially deadly condition like
atherosclerosis, kidney disease, vascular disease, neurological disease, or diabetes. ED
can also be caused by certain medications, surgical injury, and psychological problems.
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Some experts say treating erectile dysfunction on your own, without consulting a
doctor, is a dangerous game. "If you have ED, the first thing you need is a diagnosis,"
says impotence expert Steven Lamm, MD, a New York City internist and the author of
The Hardness Factor (Harper Collins) and other books on male sexual health. He says
men with severe erectile dysfunction probably need one of the prescription ED drugs,
which include Levitra (vardenafil) and Cialis (tadalafil) as well as Viagra. But, he says,
mild ED -- including the feeling that "you're not as hard as you could be" -- often
responds to natural remedies. But which remedies? Here's a look at the evidence for
and against six of the most popular ones:
Acupuncture: Though acupuncture has been used to treat male sexual problems for
centuries, the scientific evidence to support its use for erectile dysfunction is equivocal
at best. In 2009 South Korean scientists conducted a systematic review of studies on
acupuncture for ED. They found major design flaws in all of the studies, concluding
that "the evidence is insufficient to suggest that acupuncture is an effective
intervention for treating ED."
Arginine: The amino acid L-arginine, which occurs naturally in food, boosts the body's
production of nitric oxide, a compound that facilitates erections by dilating blood
vessels in the penis. Studies examining L-arginine's effectiveness against impotence
have yielded mixed results. A 1999 trial published in the online journal BJU
International found that high doses of L-arginine can help improve sexual function, but
only in men with abnormal nitric oxide metabolism, such as that associated with
cardiovascular disease. In another study, published in 2003 in the Journal of Sex &
Marital Therapy, Bulgarian scientists reported that ED sufferers who took L-arginine
along with the pine extract pycnogenol saw major improvements in sexual function
with no side effects.
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Arginine can be helpful, says Geo Espinosa, ND, director of the Integrative Urological
Center at NYU Langone Medical Center. Espinosa says that men with known
cardiovascular problems should take it only with a doctor's supervision; L-arginine can
interact with some medications.
DHEA: Testosterone is essential for a healthy libido and normal sexual function, and
erectile dysfunction sufferers known to have low testosterone improve when placed on
prescription testosterone replacement therapy. Similar studies have shown that taking
over-the-counter supplements containing DHEA, a hormone that the body converts
to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can
cause problems, including suppression of pituitary function, and its long-term safety
is unknown, says McCullough. For this reason, many experts discourage use of the
supplements.
Pomegranate Juice: Drinking antioxidant-rich pomegranate juice has been shown to
have numerous health benefits, including a reduced risk for heart disease and high
blood pressure. Does pomegranate juice also protect against ED? No proof exists, but
results of a study published in 2007 were promising. The authors of this small-scale
pilot study called for additional research, saying that larger-scale studies might prove
pomegranate juice's effectiveness against erectile dysfunction. "I tell my patients to
drink it," says Espinosa. "It could help ED, and even if it doesn't, it has other health
benefits."
Yohimbe: Before Viagra and the other prescription erectile dysfunction drugs became
available, doctors sometimes prescribed a derivative of the herb yohimbe (yohimbine
hydrochloride) to their patients suffering from ED. But experts say the medication is not
particularly effective, and it can cause jitteriness and other problems. "It's not a great
drug," says McCullough. "And I suspect the herb is not as potent as the pharmaceutical
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version." What's more, evidence shows that yohimbe is associated with high blood
pressure, anxiety, headache, and other health problems. Experts discourage its use.
Horny Goat Weed: Horny goat weed and related herbs have purportedly been
treatments for sexual dysfunction for years. Italian researchers found that the main
compound in horny goat weed, called icariin, acted in a similar way as drugs like
Viagra.
Ginkgo Biloba: Known primarily as a treatment for cognitive decline, ginkgo has also
been used to treat erectile dysfunction -- especially cases caused by the use of certain
antidepressant medications. But the evidence isn't very convincing. One 1998 study
published in the Journal of Sex and Marital Therapy found that it did work. But a more
rigorous study, published in Human Pharmacology in 2002, failed to replicate this
finding. "Ginkgo has come out of fashion in the past few years," says Ronald Tamler,
MD, assistant professor of medicine and co-director of the men's health program at
Mount Sinai Medical Center in New York City. "That's because it doesn't do much. I
can say that in my practice, I have not
seen ginkgo work -- ever."
No matter what erectile dysfunction
treatment or treatments a man ultimately
decides upon, experts say it's important to
eat healthfully and to avoid smoking and
heavy drinking. In addition, says Lamm,
"A loving, receptive, and responsive
partner is a home run. After all, this is still
a couple's issue."
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Chapter 5: Becoming a Botanist? Rather not!
Erectile Dysfunction
Many men experience symptoms of erectile dysfunction (ED), also known as impotence,
particularly as they age. An occasional inability to get or keep an erection is nothing to
be concerned about. However, when ED occurs frequently, there could be an
underlying health issue causing the condition that requires treatment.
While it can be embarrassing to talk about sexual dysfunction with your doctor, ED is
an important health issue to address.
Treatments for ED
Erectile dysfunction can be caused by psychological problems, but in most cases
there is a physiological cause, such as diabetes, nerve damage, or heart disease that is
causing ED. Lifestyle changes, such as losing weight, exercising, and giving up
smoking and alcohol, can often help with ED.
Korean Red Ginseng
Korean red ginseng is a plant that grows in Asia. It is known by several different names
including Asian ginseng, Chinese ginseng, or panax ginseng. Korean red ginseng
should not be confused with Siberian ginseng or American ginseng, which are different
plants.
The ginseng root is the part of the plant used as a natural remedy in supplement form.
The plant must grow for at least five years before it can be used, which means that high
quality ginseng can command a high price. When the root is dried but unprocessed, it is
called white ginseng. Red ginseng is the root that has been steamed and then dried.
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Traditional Uses of Red Ginseng
The root of Asian ginseng has been used in traditional Chinese medicine for thousands
of years as an overall wellness supplement. It is believed to boost the immune system,
improve heart health, treat diabetes, increase energy, decrease stress, and treat
impotence.
The root has been said to resemble the human body, with shoots for the arms and legs,
and it is thought to be the reason that traditional herbalists considered ginseng as a
treatment for the entire body. Today, research is shedding light onto just how effective
ginseng is as a natural remedy.
A Natural Remedy for ED
Red ginseng has long been used to treat impotence, but researchers are catching up
with traditional medicine and studying the effectiveness of the plant. In a study
published in the American Journal of Urology, 45 men who had received diagnoses of
ED were given either Korean red ginseng or a placebo.
The men receiving the herb took 900 milligrams, three times a day, for eight weeks.
At the end of eight weeks, the men who took Korean red ginseng experienced
significant improvements in their ED symptoms compared to those who only
received a placebo. The researchers concluded that red ginseng may be used as an
effective alternative treatment for impotence.
Ginseng for Women
Another study published in the National Institute of Health (NIH) explored the effect of
Korean red ginseng on menopausal women. Many women naturally experience a
decline in sexual functioning during menopause. In the study, 32 women were given
either three capsules a day of ginseng, or a placebo. Those who received the
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supplement had improved sexual functioning as a result and experienced no adverse
side effects. The researchers concluded that red ginseng may be used by women as a
supplement to improve sexual function.
Ginseng Supplements
Ginseng supplements come in several different forms. When purchasing Ginseng
supplements, be sure that the type of ginseng is clearly marked. While both white and
red ginseng are sold, research has been largely conducted on the red form.
You can find red ginseng in liquid extracts, powders, and capsules. You may also be
able to buy the dried root, which can be extracted in boiling water to make a tea. Be sure
to talk to your doctor about the right dosage for you and never take more than
recommended.
Side Effects of Ginseng
Red ginseng is considered safe for most people for short term use. Over the long term,
there are some concerns about how the plant can affect your body. Side effects do not
occur in everyone who take ginseng, but the most common side effect is trouble
sleeping. Less common side effects include:
 Diarrhea
 Dizziness
 Elevated Blood Pressure
 Headache
 Increased Heart Rate
 Menstrual Issues
 Rash
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Drug Interactions
There is a moderate risk that red ginseng could interfere with certain medications. Make
sure you talk to your doctor before taking red ginseng if you take the following
medications:
 A Stimulant
 Blood Pressure Medicine
 Blood Thinner
 Immune System Suppressant
 Insulin For Diabetes
 Monoamine Oxidase Inhibitor (Maoi)
You should also avoid combining ginseng and caffeine, as the supplement can enhance
the effects.
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Chapter 6: Dietary Supplements
Propionyl-L-Carnitine
Propionyl-L-carnitine is an amino acid that is naturally produced in the body. Amino
acids are the building blocks of proteins. L-carnitine and acetyl-L-carnitine are also
amino acids, and they are chemically related to propionyl-L-carnitine. In fact, the body
can convert L-carnitine to propionyl-L-carnitine and acetyl-L-carnitine. But, no one
knows whether the benefits of carnitines are interchangeable. Until more is known,
don’t substitute one form of carnitine for another.
Propionyl-L-carnitine is used for treating leg pain (intermittent claudication) due to
poor blood circulation (peripheral vascular disease, PVD). PVD is often caused by
diabetes or “hardening of the arteries” (atherosclerosis). Propionyl-L-carnitine is also
used to treat congestive heart failure (CHF).
Men with sexual performance problems (erectile dysfunction, ED) due to diabetes or
poor circulation sometimes use propionyl-L-carnitine along with prescription
medications. Older men who have symptoms of low testosterone levels sometimes use
propionyl-L-carnitine in combination with acetyl-L-carnitine.
The propionyl-L-carnitine/acetyl-L-carnitine combination is also used to treat chronic
fatigue syndrome (CFS).
Healthcare providers give propionyl-L-carnitine intravenously (by IV) for treating PVD
and intermittent claudication; to improve wound healing in people with PVD; and to
treat heart disease, including congestive heart failure, and chest pain (angina).
How Does It Work?
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Propionyl-L-carnitine helps the body produce energy. It is important for heart
function, muscle movement, and many other body processes. It also seems to help
increase circulation.
The Dosage You Should Take
For Erectile Dysfunction (ED): A daily dose of 2 grams of Propionyl-
L-carnitine should be used, taken twice weekly by mouth.
L-Arginine
L-arginine is a chemical building block called “an amino acid.” It is obtained from
the diet and is necessary for the body to make proteins. L-arginine is found in red
meat, poultry, fish, and dairy products. It can also be made in a laboratory and used as
medicine.
L-arginine is used for heart and blood vessel conditions including congestive heart
failure (CHF), chest pain, high blood pressure, and coronary artery disease. L-
arginine is also used for recurrent pain in the legs due to blocked arteries
(intermittent claudication), decreased mental capacity in the elderly (senile
dementia), erectile dysfunction (ED), and male infertility.
Some people use L-arginine for preventing the common cold, improving kidney
function after a kidney transplant, high blood pressure during pregnancy (pre-
eclampsia), improving athletic performance, boosting the immune system, and
preventing inflammation of the digestive tract in premature infants.
L-arginine is used in combination with a number of over-the-counter and prescription
medications for various conditions. For example, L-arginine is used along with
ibuprofen for migraine headaches; with conventional chemotherapy drugs for treating
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breast cancer; with other amino acids for treating weight loss in people with AIDS; and
with fish oil and other supplements for reducing infections, improving wound healing,
and shortening recovery time after surgery.
Some people apply L-arginine to the skin to speed wound healing and for increasing
blood flow to cold hands and feet, especially in people with diabetes. It is also used as a
cream for sexual problems in both men and women.
How Does It Work?
L-arginine is converted in the body into a chemical called nitric oxide. Nitric oxide
causes blood vessels to open wider for improved blood flow. L-arginine also
stimulates the release of growth hormone, insulin, and other substances in the body.
The Dosage You Should Take
For Erectile Dysfunction (ED): A daily dose of 5 grams of L- Arginine
should be taken by mouth per day for maximum 6 weeks. Taking lower
doses might not be effective.
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Chapter 7: Becoming a Stronger Man
Sorry, guys! There's no miracle food to prevent erectile dysfunction. Well, at least not
just one miracle food! You can still smile, because there is evidence that certain foods
actually help!
"Evidence that foods can help with ED is related to a vascular connection," says Firouz
Daneshgari, MD, professor and chairman of the department of urology at Case Western
Reserve University School of Medicine and University Hospitals Case Medical Center in
Cleveland. "Erectile problems are usually due to not having a good blood supply to the
penis, so foods that are good for your vascular system may also help prevent ED."
Should you eat more of the foods containing these key nutrients? The answer is YES!
All the Nutrients that Help
1. The Zinc in Your Diet
Most likely, you’ve heard concerns about protein intake, bio-available calcium and
heme vs. non-heme iron, but zinc is a mineral that seldom ever comes up, even though
according to the National Institute of Health “Zinc is needed for the body’s defensive
(immune) system to properly work. It plays a role in cell division, cell growth, wound
healing, and the breakdown of carbohydrates. Zinc is also needed for the senses of
smell and taste.” Deficiency symptoms include hair loss, slow growth, poor healing
rate, and depression. And what’s more, while we can get nearly every nutrient on a
vegetarian diet as easily as or more easily than the Standard American Diet, zinc is
actually a little more problematic, and as the Vegetarian Society explains, “Only 20% of
the zinc present in the diet is actually absorbed by the body” due to the presence of
phytic acid, which is somewhat destroyed by cooking, a process raw foodists try to
avoid.
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Good sources of zinc usually include liver, oysters, and other foods no vegetarian
would want to include in their diet! But even while eschewing meat and animal
products, we can get enough zinc. Rich plant based sources of zinc include sesame
seeds (14%/oz), shiitake mushrooms (14%/oz), pumpkin seeds (14%/oz and a great
source of amino acids). hemp seeds (20%/oz, a source of complete protein), tahini
from whole, unroasted sesame seeds (20%/oz), cashew nuts and pine nuts (11%/oz),
cacao powder (~15%/oz), avocado (10% per avocado) etc. Raw, organic seeds in
general are a very good source of nutrition, and are a valuable addition to any diet.
In Oysters and Other Shellfish
The oyster has always had an aphrodisiac reputation.
One reason may be that oysters have high levels of
the mineral zinc, which plays an important role in the
production of the male hormone testosterone, and
low levels of testosterone could be one reason for
erectile dysfunction. Research presented at an American Chemical Society meeting may
offer another connection: Raw shellfish contain compounds that stimulate the release
of sexual hormones in both men and women.
2. The Nitrates in Leafy Greens and Beets
Leafy green vegetables, like celery and spinach, may
increase circulation because of their high
concentration of nitrates. Beet juice has been found
to be really high in nitrates. Nitrates are
vasodilators, and as such, they open up blood
vessels and increase blood flow. Many years before
the U.S. Food and Drug Administration approved
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the first ED drug in 1998, several case reports on the beneficial effects of nitrates for
erectile dysfunction had already been published. The ED drugs used today are based
on the relaxing effects of nitrates on the blood vessels that supply the penis.
3. The Flavonoids in Dark Chocolate
A recent study in the journal Circulation found that
flavonoids in dark chocolate improve circulation. That
could be good for erection problems that are due to poor
circulation. Flavonoids are naturally-occurring
antioxidants that protect plants from toxins and help
repair cell damage. Studies show that flavonoids and other antioxidants have similar
effects on people. They help lower blood pressure and decrease cholesterol, both of
which are factors that contribute to erectile dysfunction.
4. The Protein in Pistachios
A recent study found that men with erectile
dysfunction who ate pistachio nuts every day for three
weeks experienced significant improvement in sexual
issues, including ED, sexual desire, and overall sexual
satisfaction. The benefits of pistachios for erection
problems may be due to a protein called arginine, which may help relax blood vessels.
"This is another example of how good circulation is good for sexual health, which is
good news because I eat a lot of pistachios," says Dr. Daneshgari.
5. The Antioxidants in Watermelons
Some studies show that watermelon may have effects on erectile dysfunction that are
similar to the ED drug Viagra and may also increase sexual desire. Watermelon is rich
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in beneficial ingredients known as phytonutrients. Phytonutrients are also antioxidants.
One of their benefits is that they relax the blood vessels that supply an erection.
Although watermelon is 92 percent water, the other 8 percent may work wonders for
your heart and your sexual enjoyment.
6. The Lycopene in Tomatoes and Pink Grapefruit
Lycopene is one of those phytonutrients that is good
for circulation and good for sexual issues. Lycopene is
found in deep red fruits like tomatoes and pink
grapefruits. Some studies show that lycopene may be
absorbed best when mixed with oily foods like
avocados and olive oil. So you might want to make yourself an ED-fighting salad.
Research also shows that antioxidants like lycopene help fight male infertility and
prostate cancer.
7. The Vitamin B3 [Niacin] in Beets, Tuna, and Salmon
Everyone needs a certain amount of vitamin B3 -
from food or supplements - for the body to function
normally. Having enough niacin, or vitamin B3, in
the body is important for general good health. As a
treatment, higher amounts of niacin can improve
cholesterol levels and lower cardiovascular risks. Niacin occurs naturally in many
foods, including greens, meat, poultry, fish, and eggs, though in a fraction of the dose
shown to achieve changes in cholesterol. Many products are also fortified with niacin
during manufacture. The recommended dosage for treating ED is maximum 1,500 mg
per day, for maximum 12 weeks.
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Foods and Erectile Dysfunction: The Bottom Line
According to Daneshgari, "Your best bet is to eat a healthy diet that is good for your
heart and your circulation." Other foods that are good for your circulation include
cranberries, apples, peanuts, onions, tea, and red wine. Chances are, if you take good
care of your vascular health, you will avoid many of the common causes of erectile
dysfunction. You will be given a 5 days plan to treat E.D. Most people have reported
results within the next 48 hours following the start of this program.
The 5 Day Game Plan
Monday: Eat Red Berries (personalized daily suggestion)
Why? Poor diet can lead to vascular disease, which is one of the key causes of ED, and
bright berries are just the job for supporting vascular integrity.
What With? On Monday, make a smoothie with a handful of mixed berries, some low-
fat yogurt, and skimmed milk. Enjoy it in a break, whenever you feel like drinking
something refreshing.
Monday: Foods and supplements (mandatory)
Today’s foods and supplements (to be eaten in less than 30 minutes, between 10 and
11 in the morning, or between 4 and 5:30 in the evening):
 Propionyl-L-Carnitine: 2 gr
 L-Arginine: 5 gr
 Zinc & Proteins: 1 cup of pumpkin seeds and pistachios (50/50)
 Vitamin B3, nitrates, flavonoids & lycopene: 8 oz. special fruit salad, consisting in
1 oz. dark chocolate, 2 oz. beets, 2 oz. grapefruit, 1 oz. apple, 2 oz. marshmallow
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Tuesday: Eat Garlic (personalized daily suggestion)
Why? Although garlic might seem like the last place you’d go to stay perky, it contains
allicin, which improves blood flow (one of the key factors for helping ED).
What With? Roasting garlic softens its pungency, so for Tuesday’s dinner try roasting a
whole head of garlic until soft and then squeeze over a piece of roast chicken.
Tuesday: Foods and supplements (mandatory)
 Zinc, Vitamin B3 & Proteins: 1 ½ cup of cashew nuts, peanuts and pistachios
(equal parts)
 Lycopene: 1 medium seized mango
 Antioxidants: 1 cup wild blueberry
 Nitrates: 1 glass of rhubarb juice
 Flavonoids: 1 oz. dark chocolate
Wednesday: Eat Soy (personalized daily suggestion)
Why? Soy beans are rich in L-Arginine, a circulation-boosting amino acid. Soy is also
good for your prostate, which is crucial for your reproductive system.
What With? Stir-fry some greens such as bok choi (pak choi) with a splash of soy sauce.
Wednesday: Foods and supplements (mandatory)
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 Zinc, Vitamin B3 & Proteins: 1 ½ cup of squash seeds, peanuts and pumpkin
seeds (equal parts)
 Nitrates & Lycopene: 1 large seized carrot
 Antioxidants: 1 cup of cranberry
 Flavonoids: 1 oz. dark chocolate
Thursday: Eat Zinc (personalized daily suggestion)
Why? Zinc deficiencies can lead to erectile problems.
What With? So on Thursday, go for a double whammy and order in some oysters - they
deserve their reputation as an aphrodisiac, even if they are an acquired taste.
Thursday: Foods and supplements (mandatory)
 Lycopene: 1 medium seized tomato
 Proteins: 2 tablespoons of peanut butter
 Zinc & Flavonoids: 2 oz. dark chocolate
 Nitrates: 1 glass of rhubarb juice
 Antioxidants: 1 medium seized Granny Smith apple
 Vitamin B3: 1 cup of sunflower seeds
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Friday: Eat Omega 3 (personalized daily suggestion)
Why? Omega 3 improves the nervous system and circulation and will aid blood flow to
all the right places. Oily fish such as mackerel, sardines, and salmon are all high in
Omega 3.
What With? On Friday, barbecue or griddle some sardines and serve them with a crisp
fennel, caper, sultana, and lemon slaw.
Friday: Foods and supplements (mandatory)
 Propionyl-L-Carnitine: 2 gr
 Zinc & Flavonoids: 2 oz. dark chocolate
 Nitrates & Lycopene: 1 large seized carrot
 Proteins: 1 cup of almonds
 Antioxidants: 1 cup of strawberries
 Vitamin B3: 1 medium seized avocado fruit
Questions and answers
Q: Is there a specific order to eat the ingredients of each day’s diet?
A: No, there is not. You just have to make sure you eat everything on the list in
maximum 30 minutes.
Q: Is this diet going to harm me somehow?
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A: As you can see, all the food products are natural and quite common ones. You
must check to for allergies. If you are allergic to one product, don’t eat it! Skip to the
next day’s diet plan.
Q: How long would it take until I see some results?
A: Usually, most men report feeling better in about 48 hours. If you don’t notice an
improvement, continue your five days program, making sure you don’t miss any
ingredient.
Q: What if I get erections that bother me and I would like to reduce the doses.
What should I no longer eat?
A: The first thing you should quit on are the supplements. As you know, you are
allowed to take daily doses of L-Arginine (5 gr per day for maximum 6 weeks) and 2
doses a week of Propionyl-L- Carnitine. These are the first ones you should quit on.
If you are still bother by the intensity of this protocol’s results, you can skip a day of
the five scheduled.
Q: Why is there a cook book attached to this eBook? Are those recipes necessary to
cure E.D.?
A: The recipes are examples of a healthy diet that would help your plan to work
better and faster. As you can see, the recipes come with some comments – some are
rich in zinc, some are rich in iron or certain types of vitamins. They all help you
better assimilate what you eat during your protocol.
Q: Are the foods recommend for each day going to replace breakfast, lunch or
dinner?
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A: No. You should take care of your daily meals and eat healthy foods. The each day
plan is meant to bring more nutrients to what you ate for your main meals, not to
replace them.
Q: What if I want to create my own diet, according to the things I enjoy most and
to avoid the things I am allergic to? What should I choose?
A: It is not complicated. Please take a look at this table and see what foods are best
for you. Just remember to eat everything within the same time schedule, morning or
afternoon, in no more than a half an hour.
Foods that cure and prevent E.D.
Zinc Nitrates Flavonoids Proteins Antioxidants Lycopene Vitamin B3

Fish: tuna, makerel,
Beans: red,
Oysters Beans Apples Almonds Guavas Bluefin tuna, wild
pinto, black
salmon, swordfish
Beef Garlic Apricots Seitan rice Blueberry Watermelon Chicken
Peanut
Lamb Onions Blueberries Cranberry Tomato Turkey
butter
Wheat Germs Eggplant Pears Yogurt Artichoke Papaya Pork
Spinach Squash Raspberries Soy milk Blackberry Grapefruit Lamb liver
Dried
beans:
Pumpkin kidney, Sweet Red

Arugula Black beans Prune Peanuts
seeds pinto, Peppers
chickpeas,
lentils
Pumpkin Mushrooms:
Squash seeds Carrots Cabbage Rasberry Asparagus
seeds brown, white,
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Chanterelle
Red
Cashews Beets Onions Quinoa Strawberry Green peas
Cabbage
Apples: red
Cottage delicious,
Cocoa Celery Parsley Mango Sunflower seeds
cheese granny Smith,
Gala
Dark
Rhubarb Tomatoes Eggs Pecan Carrots Avocado
chocolate
Pork Pistachio Sweet cherry
Chicken Black plum
Kidney beans Russet potato
Mushrooms:
portabella, Watermelon
white, Shitake
Pine seeds
Sesame seeds
In the following pages you can read all about what a healthy diet means for people with
Erectile Dysfunction problems.
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All the Recipes that Help
Breakfast Recipes
Several breakfast foods offer high levels of zinc. Consider including these breakfast
foods as part of a well-rounded meal plan. The zinc quantities for each food type have
been extracted from the United States Department of Agriculture’s (USDA) nutrient
database.
 Almond Butter: A nutty spread, almond butter - no salt added - has .53
milligrams of zinc per tablespoon. Spread on toasted whole wheat bread or on a
toasted whole wheat English muffin.
 Whole Wheat Bread: Bread is a versatile breakfast food. It can be toasted, eaten
as part of an egg sandwich as well as dipped in egg and milk to make French
toast. One slice of whole wheat bread has .50 milligrams of zinc.
 Whole Wheat English Muffins: Find these treats in the bread aisle. Whole wheat
English muffins offer 1.06 milligrams of zinc per muffin. Don’t forget to top them
with a tablespoon of almond butter.
 Oat Bran Muffins: One medium oat bran muffin (about 4 ounces) has 2.08
milligrams of zinc. Pair it with a banana or a cup of raspberries for a delicious,
nutritious zinc-rich breakfast.
 Oatmeal: One cup of regular/quick oats (unenriched) made with water and no
salt boasts 2.34 milligrams of zinc. Oatmeal can be topped with fruits with zinc:
bananas, raisins, raspberries or blackberries.
 Milk: A breakfast staple, 1 cup, or 8 ounces, of 2% milk with added vitamins A
and D has 1.17 milligrams of zinc.
 Yogurt: Dairy products are good sources of zinc. One cup of low-fat vanilla
yogurt has 2.03 milligrams of zinc. Like oatmeal, yogurt can be topped with fruit,
slivered almonds or even toasted wheat germ.
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 Wheat Germ: Wheat germ in ready-to-eat cereal form has a large amount of zinc:
18.84 milligrams per cup or 4.73 milligrams per ounce.
 Eggs: Eggs are one of the most versatile breakfast foods. They can be fried, hard-
boiled, scrambled, mixed into pancake batter or used as a coating for French
toast. One cup of scrambled eggs has 2.29 milligrams of zinc. One large hard-
boiled egg has .52 milligrams of zinc.
 Bacon: Include three slices of bacon as a side for your scrambled eggs for an
additional .82 milligrams of zinc. Is Canadian bacon more your style? Two slices
have .80 milligrams of zinc.
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1. Cheesy Cast-Iron Skillet Scrambled Eggs
Cheese and eggs taste great together and may help combat osteoporosis. The reason:
calcium in cheese is more easily absorbed into the body with the addition of vitamin D-
rich eggs. This recipe calls for fresh goat cheese and a few chives snipped on top.
Nutritional Benefit for Men with ED: 16g Protein
Ingredients
 2 tablespoons unsalted butter
 1 small red onion, finely diced
 1 jalapeño, cut into thin rounds, seeds included
 12 large eggs, lightly beaten
 1/4 teaspoon salt
 1/2 teaspoon freshly ground pepper
 4 ounces goat cheese, crumbled
 2 tablespoons finely chopped chives
Preparation
 In a large cast-iron skillet, melt butter over medium heat. Add onion and
jalapeño and cook until soft (5–7 minutes). Stir in eggs, salt, and pepper, and
cook, stirring, until soft curds form (about 3 minutes).
 Remove skillet from heat and mix in the goat cheese and chives. Serve
immediately with whole-grain toast or English muffin, if desired.
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2. Frittata with Ricotta and Mixed Greens
Protein, healthy fats, and greens make this delicious, low-calorie frittata as healthy as it
is delicious. Dark, leafy greens like kale, Swiss chard, or mustard greens are about 30
calories a serving and among the healthiest foods you can put on your plate, with loads
of vitamins A, C, and K, plus fiber. Don't skimp on the fresh herbs called for in this
recipe, for they deliver a healthy dose of antioxidants along with flavor.
Nutritional Benefit for Men with ED: 14g Protein + Antioxidants
Ingredients
 1/3 cup plus 2 tablespoons olive oil, divided
 1 medium red onion, finely diced
 Pinch of red pepper flakes
 1 pound chopped mixed greens (such as kale, Swiss chard, or mustard greens)
 10 large eggs
 2 tablespoons freshly grated Parmesan cheese
 1/2 teaspoon salt, divided
 1/2 plus 1/8 teaspoon freshly ground black pepper, divided
 1 tablespoon red-wine vinegar
 8 ounces part-skim ricotta
 1 cup fresh basil leaves
 3/4 cup fresh parsley leaves
 1/4 cup fresh mint leaves
 1 clove garlic, chopped
 1 tablespoon pine nuts
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Preparation
 Preheat oven to 350°.
 In a large nonstick skillet, heat 1 tablespoon oil over medium-high heat. Add
onion and cook, stirring, until soft (about 4 minutes). Add pepper flakes and half
of greens and cook until wilted and crisp-tender (about 5 minutes); place sautéed
greens in a colander. Repeat with remaining greens. Cool slightly and squeeze
dry; transfer to a bowl. Using paper towel, wipe out skillet and reserve.
 In a large bowl, whisk together eggs, Parmesan, and 1/4 teaspoon each salt and
pepper until smooth. Add to bowl with greens, vinegar, ricotta, and 1/8 teaspoon
pepper; stir to combine. Fold the ricotta mixture into egg mixture.
 In reserved skillet, heat 1 tablespoon oil over medium heat. Pour egg mixture
into pan and cook until the sides are set (about 8 minutes). Transfer to oven and
bake until completely set (about 15 minutes).
 To make pesto: Combine basil, parsley, mint, garlic, and pine nuts in a food
processor and process until all ingredients are coarsely chopped. With the motor
running, slowly add the remaining 1/3 cup oil and season with 1/4 teaspoon each
salt and pepper.
 Remove frittata from oven and invert onto serving platter. Slice into 8 wedges
and serve with pesto.
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3. Tuna Cream Cheese Omelet
Perfect for dinner on a busy night, this omelet is filled with luscious cream and
mozzarella cheeses, sliced black olives, and flaky tuna fish. It is also the ideal breakfast
for men with erectile dysfunction, with healthy doses of protein, zinc, and vitamin B3.
Nutritional Benefit for Men with ED: 79g Protein + Zinc + Vitamin B3 [Niacin]
Ingredients
 2 tsps vegetable oil
 1/2 onion (small, chopped)
 6 ozs tuna (drained)
 1/3 cup sour cream
 3 tbsps cream cheese
 1/2 cup shredded mozzarella cheese
 21/4 ozs sliced black olives
 1/8 tsp dried dillweed
 1/8 tsp garlic powder
 5 eggs
 1/4 cup milk
 2 tsps vegetable oil
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Preparation
 Heat 2 teaspoons vegetable oil in a large skillet. Cook and stir onion over
medium heat until onions begin to brown.
 Combine tuna, sour cream, cream cheese, mozzarella cheese, olives, dill, garlic
powder, and cooked onion in a large bowl.
 Beat eggs with milk in a large bowl. Heat 2 teaspoons of oil in the skillet used to
cook the onions. Pour the egg mixture into the hot pan. As eggs set, lift the edges
to allow the liquid to run underneath for even cooking. When eggs are almost
fully set, spoon tuna mixture onto one half of the eggs; fold the untopped half
over the filling. Cover pan, and remove from heat. Allow omelet to rest in
covered pan until the cheese is melted.
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4. Bacon and Jalapeño Egg Sandwich
This crispy, meaty breakfast sandwich was inspired by the classic McMuffin, but it's so
much better for you! This version calls for organic eggs, a whole-grain English muffin,
reduced-fat cheese, and a metabolism-boosting jalapeno pepper. Low-fat, high-protein
turkey bacon makes it hearty enough to keep you full and satisfied all day. This healthy
breakfast egg sandwich is one of the tastiest and most nutritious ways to fuel up in the
morning.
Nutritional Benefit for Men with ED: 21g Protein + Lycopene + Zinc
Ingredients
 1 piece turkey bacon, such as Applegate
 1 whole-grain English muffin, split
 Cooking spray
 1 large organic egg
 1/4 ounce reduced-fat cheddar, shredded
 Pepper
 1/2 small jalapeño, thinly sliced
 2 thin slices red onion
 1 thick slice tomato
 4-5 sprigs fresh cilantro
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Preparation
 Warm a skillet over medium heat. Cook the bacon until crisp. Set aside.
 Place muffin, cut-side down, in skillet. Press to toast - 2 minutes. Set aside.
 Coat skillet with cooking spray. Cook egg about 30 seconds. Sprinkle with
pepper and cheese. Cook until set. Transfer egg to muffin half. Top with the
bacon, jalapeño, onion, tomato, cilantro, and second muffin half.
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5. Braised Kale Frittata
Instead of your usual omelet, try this antioxidant-packed baked frittata that uses kale
and tomatoes - both of which help fight erectile dysfunction. This delicious recipe is a
good source of iron as well as protein, with only 7 grams of carbohydrates.
Nutritional Benefit for Men with ED: 16g Protein + Lycopene + Zinc + Antioxidants
Ingredients
 6 large eggs
 4 large egg whites
 3/4 teaspoon kosher salt
 1/2 teaspoon black pepper
 1/2 ounce Gruyère or Parmesan cheese, grated (3 TBSP)
 2 tablespoons chopped oregano
 Cooking spray
 2 cups Braised Kale without cheese, drained, finely chopped
 3/4 cup chopped cherry tomatoes
Preparation
 Preheat oven to 375°F. In a large bowl, whisk the first 6 ingredients (through
oregano).
 Lightly coat an 8-inch ovenproof cast-iron or nonstick skillet with cooking spray.
Heat over medium. Add the kale and tomatoes. Cook, stirring, until hot (about 3
minutes). Add the eggs and swirl to distribute.
 Transfer to the oven and bake until set and hot (about 20 minutes). Cut in
wedges.
91
6. Asparagus with Poached Eggs and Parmesan
Poached eggs, asparagus, and Parmesan make this the ultimate brunch recipe, but it is
light enough to enjoy any time. Asparagus, a seasonal spring veggie, is full of vitamin K
and folic acid, which keeps your cardiovascular system healthy. Plus, with 18 grams of
protein, you'll have plenty of energy for the rest of the day.
Nutritional Benefit for Men with ED: 18g Protein + Zinc + Antioxidants
Ingredients
 8 large eggs
 1 teaspoon white vinegar
 1 teaspoon salt, divided
 2 bunches asparagus spears, trimmed (about 40)
 1 tablespoon extra-virgin olive oil
 1 garlic clove, chopped
 1 tablespoon unsalted butter
 2 tablespoons fresh lemon juice
 2 teaspoons finely chopped fresh parsley
 Freshly ground black pepper, to taste
 4 tablespoons coarsely grated fresh Parmesan cheese, divided
92
Preparation
 Break the eggs into 8 individual containers (such as teacups, prep bowls, or
paper cups). Fill a large, low-sided pan with water, and add vinegar and 1/2
teaspoon salt; bring to a boil over medium-high heat.
 Meanwhile, bring a separate pot of water to a boil in a medium saucepan over
medium-high heat. Add asparagus spears, and cook 3–4 minutes or until crisp-
tender. Remove asparagus with tongs, and set aside.
 Dry the medium saucepan. Add olive oil, and heat over medium heat. Add garlic
and then sauté about 1 minute. Turn off heat; add butter, and swirl pan. Add
lemon juice, parsley, remaining salt, and pepper; swirl pan again to combine.
Add asparagus and 2 tablespoons Parmesan; then toss with lemon-butter sauce
to coat.
 Slowly pour each egg into the boiling poaching water; cook 2 minutes. Turn off
heat, and remove pan from burner. Divide asparagus among 4 plates. (Bring
plates close to pan with poached eggs, and place a folded clean kitchen towel
next to plates.)
 Remove the eggs from water with a slotted spoon, 1 at a time, blotting bottom of
spoon on towel to absorb excess moisture. Place 2 eggs on each mound of
asparagus. Pour any remaining sauce over each serving, and sprinkle with
remaining 2 tablespoons Parmesan. Serve immediately.
93
7. Crostini with Spinach, Poached Egg, and Creamy Mustard Sauce
Eggs Benedict get a makeover! Low heat is the key to making perfect poached eggs, and
low-fat sour cream and mustard transforms rich Hollandaise sauce into a flavorful, low-
fat version. Tip: Use whole grain bread for the crostini to kick up the fiber.
Nutritional Benefit for Men with ED: 13g Protein + Zinc + Antioxidants
Ingredients
 1/4 cup reduced-fat sour cream
 1 tablespoon Dijon mustard
 1 teaspoon fresh lemon juice
 1 tablespoon finely chopped chives
 1/4 teaspoon kosher salt
 2 teaspoons water
 4 (1/2-inch thick) slices crusty whole-grain bread, toasted (1.5 oz per slice)
 2 cups baby spinach
 1 teaspoon white vinegar
 4 large eggs
Preparation
 Stir together sour cream and next 5 ingredients (through pepper) in a small bowl
with water. Place 1 slice toast on each of 4 serving plates and top each with
spinach.
 In a large saucepan, bring 2 inches of water to a simmer; add vinegar. Working
one at a time, crack eggs into a cup and gently slip into water. Simmer 2-3
minutes. Using a slotted spoon, place a poached egg on top of spinach. Spoon
about 1 TBSP sauce over each crostino before serving.
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Lunch Recipes
1. Egg Salad Sandwiches with Watercress
Watercress, a cruciferous vegetable, adds a zesty note - and welcome phytonutrients - to
this enlightened version of an American classic.
Nutritional Benefit for Men with ED: 16g Protein + Vitamin B3 [Niacin]
Ingredients
 8 large hard-boiled eggs
 3 tablespoons nonfat sour cream, or nonfat plain yogurt
 1 tablespoon reduced-fat mayonnaise
 1 tablespoon grainy mustard
 4 scallions, trimmed and chopped
 Salt & freshly ground pepper, to taste
 3/4 cup washed and stemmed watercress
 8 slices pumpernickel bread
Preparation
 Scoop out egg yolks. Place 2 yolks in a small bowl and reserve the rest for
another use. Chop egg whites and reserve. Mash the yolks with a fork and stir in
sour cream (or yogurt), mayonnaise, and mustard. Add chopped egg whites and
scallions and season with salt and pepper.
 Arrange watercress on 4 bread slices. Top with the egg salad and cover with the
remaining bread slices.
95
2. Salmon Salad Sandwich
Salmon salad served on tangy pumpernickel bread makes for an easy dinner—a double
batch will give you lunch the next day.
Nutritional Benefit for Men with ED: 22g Protein + Vitamin B3 [Niacin] + Lycopene +
Antioxidants
Ingredients
 2 6- to 7-ounce cans boneless, skinless wild Alaskan salmon, drained
 1/4 cup minced red onion
 2 tablespoons lemon juice
 4 tablespoons reduced-fat cream cheese
 8 slices pumpernickel bread, toasted
 8 slices tomato
 2 large leaves romaine lettuce, cut in half
Preparation
 Combine salmon, onion, lemon juice, oil and pepper in a medium bowl. Spread 1
tablespoon cream cheese on each of 4 slices of bread. Spread 1/2 cup salmon
salad over the cream cheese. Top with 2 tomato slices, a piece of lettuce and
another slice of bread.
96
3. Chicken, Charred Tomato and Broccoli Salad
This simple but substantial main-course salad gets its goodness from smoky skillet-
blackened tomatoes and a dressing prepared right in the pan - maximizing the flavor
from the tomatoes.
Nutritional Benefit for Men with ED: 24g Protein + Antioxidants + Lycopene
Ingredients
 1 1/2 pounds boneless, skinless chicken breasts, trimmed, or 3 cups shredded
cooked chicken breast (skip Step 1)
 4 cups broccoli florets
 1 1/2 pounds medium tomatoes
 2 teaspoons plus 3 tablespoons extra-virgin olive oil, divided
 1 teaspoon salt
 1 teaspoon freshly ground pepper
 1/2 teaspoon chili powder
 1/4 cup lemon juice
Preparation
 Place chicken in a skillet or saucepan and add enough water to cover; bring to a
simmer over high heat. Cover, reduce heat and simmer gently until the chicken is
cooked through and no longer pink in the middle, 10 to 12 minutes. Transfer to a
cutting board. When cool enough to handle, shred with two forks into bite-size
pieces.
 Bring a large pot of water to a boil, add broccoli and cook until tender, 3 to 5
minutes. Drain and rinse with cold water until cool.
97
 Meanwhile, core tomatoes and cut in half crosswise. Gently squeeze out seeds
and discard. Set the tomatoes cut-side down on paper towels to drain for about 5
minutes.
 Place a large heavy skillet, such as cast-iron, over high heat until very hot. Brush
the cut sides of the tomatoes with 1 teaspoon oil and place cut-side down in the
pan. Cook until charred and beginning to soften, 4 to 5 minutes. Brush the tops
lightly with another teaspoon of oil, turn and cook until the skin is charred, 1 to 2
minutes more. Transfer to a plate to cool. Do not clean the pan.
 Heat the remaining 3 tablespoons oil in the pan over medium heat. Stir in salt,
pepper and chili powder and cook, stirring constantly, until fragrant, about 45
seconds. Slowly pour in lemon juice (it may splatter), then remove the pan from
the heat. Stir to scrape up any browned bits.
 Coarsely chop the tomatoes and combine them in a large bowl with the shredded
chicken, broccoli and the pan dressing; toss to coat.
98
4. Turkey, Corn & Sun-Dried Tomato Wraps
Fresh corn kernels, tomatoes and lettuce fill these hearty turkey wraps. This wrap is
great for picnics or when you need to have dinner on the run. Add some crumbled feta
or shredded Cheddar for another layer of flavor. Serve with carrot sticks, sliced bell
pepper or other crunchy vegetables plus your favorite creamy dressing.
Nutritional Benefit for Men with ED: 19g Protein + Antioxidants + Lycopene
Ingredients
 1 cup corn kernels, fresh (see Tip) or frozen (thawed)
 1/2 cup chopped fresh tomato
 1/4 cup chopped soft sun-dried tomatoes (see Shopping Tip)
 2 tablespoons canola oil
 1 tablespoon red-wine vinegar or cider vinegar
 8 thin slices low-sodium deli turkey (about 8 ounces)
 4 8-inch whole-wheat tortillas
 2 cups chopped romaine lettuce
Preparation
 Combine corn, tomato, sun-dried tomatoes, oil and vinegar in a medium bowl.
 Divide turkey among tortillas. Top with equal portions of the corn salad and
lettuce. Roll up. Serve the wraps cut in half, if desired.
99
5. Crab Roll
This healthier take on a lobster roll uses crab because it is usually easier - and less
expensive - to buy. But by all means, use lobster if you prefer. Serve with coleslaw and
an ice-cold beer.
Nutritional Benefit for Men with ED: 21g Protein + Antioxidants
Ingredients
 1/4 cup low-fat mayonnaise
 1 tablespoon freshly grated lemon zest
 10 dashes hot sauce, such as Tabasco
 1/4 cup finely chopped shallot
 1/4 cup finely chopped celery
 1/4 cup thinly sliced fresh chives, divided
 12 ounces cooked crabmeat, drained if necessary, any shells or cartilage removed
 8 leaves red or green leaf lettuce
 4 whole-wheat hot dog buns (toasted, if desired)
Preparations
 Whisk mayonnaise, lemon zest, lemon juice, hot sauce, pepper and salt in a
medium bowl. Thoroughly mix in shallot, celery and 3 tablespoons chives. Mix
in crab very gently so it doesn’t break up too much.
 Line each bun with lettuce and divide the crab filling among the buns. Garnish
with the remaining 1 tablespoon chives.
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6. Chicken and White Bean Salad
Zucchini and celery give this chicken-and-bean salad a nice crunch. Usually served over
a bed of slightly bitter escarole and radicchio, but any type of salad greens will work.
Nutritional Benefit for Men with ED: 34g Protein + Antioxidants + Zinc
Ingredients
VINAIGRETTE
 1 medium clove garlic
 5 tablespoons extra-virgin olive oil
 6 tablespoons fresh orange juice, plus more to taste
 1/4 cup white-wine vinegar or red-wine vinegar
SALAD
 1 15-ounce can cannellini or other white beans, rinsed and drained
 2 1/2 cups diced cooked chicken breast (see Tip)
 2 cups diced zucchini and/or summer squash (about 2 small)
 1 1/2 cups diced celery
 1/4 cup finely diced ricotta salata, halloumi (see Shopping Tip, above) or feta
cheese
 1/3 cup chopped, well-drained, oil-packed sun-dried tomatoes (optional)
 1 cup coarsely chopped fresh basil, plus whole basil leaves for garnish
 Salt & freshly ground pepper to taste (optional)
 2 cups torn escarole or romaine lettuce
 2 cups torn radicchio leaves
101
Preparation
 To prepare vinaigrette: Peel the garlic and smash with the side of a chef’s knife.
Using a fork, mash the garlic with 1/4 teaspoon salt in a small bowl to form a
coarse paste. Whisk in 5 tablespoons oil. Add 6 tablespoons orange juice, vinegar
and mustard; whisk until well blended. Taste and whisk in up to 4 tablespoons
more juice to mellow the flavor; season with more salt, if desired. Set aside at
room temperature.
 To prepare salad: Combine beans, chicken, zucchini (and/or summer squash),
celery, cheese and sun-dried tomatoes (if using) in a large bowl until well
blended. Add chopped basil and 3/4 cup vinaigrette; toss until combined. Taste
and season with salt and/or pepper, if desired.
 Toss the remaining vinaigrette with escarole (or romaine) and radicchio in a
medium bowl. Serve the salad on the greens, garnished with fresh basil leaves.
102
7. The Eating Well Cobb Salad
This Cobb salad is true to the original with all the good stuff—chicken, eggs, bacon,
avocado, and a tangy dressing. But we cut the saturated fat in half and doubled the
amount of healthy monounsaturated fat. We've left the blue cheese optional, but the
salad is so nutritious you might just want to go ahead and indulge yourself with a little
bit anyway.
Nutritional Benefit for Men with ED: 21g Protein + Lycopene + Antioxidants + Zinc +
Vitamin B3 [Niacin]
Ingredients
 3 tablespoons white-wine vinegar
 2 tablespoons finely minced shallot
 1 teaspoon freshly ground pepper
 3 tablespoons extra-virgin olive oil
 10 cups mixed salad greens
 8 ounces shredded cooked chicken breast, (about 1 large breast half; see Tip)
 2 large eggs, hard-boiled (see Tip), peeled and chopped
 2 medium tomatoes, diced
 1 large cucumber, seeded and sliced
 1 avocado, diced
 2 slices cooked bacon, crumbled
 1/2 cup crumbled blue cheese, (optional)
103
Preparation
 Whisk vinegar, shallot, mustard, pepper and salt in a small bowl to combine.
Whisk in oil until combined. Place salad greens in a large bowl. Add half of the
dressing and toss to coat.
 Divide the greens among 4 plates. Arrange equal portions of chicken, egg,
tomatoes, cucumber, avocado, bacon and blue cheese (if using) on top of the
lettuce. Drizzle the salads with the remaining dressing.
104
Dinner Recipes
1. Lamb Koftas with Spiced Yoghurt
Zinc Rich Ingredients
 Lamb
 Wheatgerm
 Yoghurt
Lamb Koftas
 250g/10½ oz lean lamb mince
 2/3rds Cup/140g/5 oz pine nuts, finely chopped
 1 egg
 2/3rds Cup/140g/5 oz wheat germ
 1 onion, finely chopped
 2 tbsp finely chopped fresh parsley
 1 tsp olive oil, for frying
Yoghurt Dip
 200g/7 oz thick low-fat Greek yoghurt
 1 tbsp finely chopped fresh coriander
 1 red Thai chilli, seeds removed and finely chopped
 1 tbsp finely chopped fresh parsley
 ½ tsp ground cumin
 1 tbsp finely chopped fresh mint
 1 clove garlic, crushed
105
Preparation
 Place the wheat germ into a large bowl and cover with cold water. Leave to stand
for ten minutes, then drain and pat dry with kitchen towels to remove excess
water.
 Place the wheat germ, lamb mince, egg, onion, pine nuts and parsley into a large
bowl and mix. Take small quantities about the size of a golf ball and roll and
place on a baking tray, cover with cling film and place into the chiller for half an
hour.
 While that cools make the yoghurt. Place the chilli, mint, parsley, coriander,
garlic, cumin and yoghurt into a clean bowl and mix thoroughly.
Cooking
 Heat a tablespoon of oil in a large frying pan over a medium heat. Add the kofta
balls and fry, turning regularly, until browned and cooked all the way through.
106
2. Black Rice Curried Meatloaf
Meatloaf need not be boring or dry. This version is moist with cooked rice and plenty of
vegetables. Curry powder gives extra flavor to the meatloaf and mango chutney spread
on top stands in for the traditional ketchup topping.
Nutritional Benefit for Men with ED: 33g Protein + Zinc (45% Daily Value)
Ingredients
 1/2 cup Black Japonica rice blend, or long-grain brown rice (see Note)
 1 cup water
 1 medium zucchini, shredded using the large holes of a box grater
 1 tablespoon walnut oil, or extra-virgin olive oil
 1 tablespoon minced fresh ginger
 2 cloves garlic, minced
 1 medium yellow onion, finely chopped
 2 celery stalks, finely chopped
 1 tablespoon curry powder
 2 teaspoons Worcestershire sauce
 1 teaspoon salt
 2 pounds 93%-lean ground beef
 1 large egg, beaten
 1/3 cup mango chutney, plus more for serving, if desired
107
Preparation
 Bring rice and water to a boil in a small saucepan over high heat. Reduce heat to
low, cover, and simmer at the lowest bubble until the water is absorbed and the
rice is tender, 30 to 50 minutes (see Test Kitchen Note). Remove from the heat
and let stand, covered, for 10 minutes.
 Meanwhile, squeeze any excess moisture from zucchini. Heat oil in a large skillet
over medium heat. Add ginger and garlic and cook, stirring, until fragrant, 30
seconds. Add onion, celery and the zucchini; cook, stirring often, until softened,
about 5 minutes. Stir in curry powder; cook 1 minute. Stir in Worcestershire
sauce and salt until combined. Transfer to a large bowl and let cool for 15
minutes.
 Preheat oven to 350°F. Coat a rimmed baking sheet or broiler pan with cooking
spray.
 Spoon the cooked rice onto a clean cutting board and chop the grains into small
bits with a large knife. Transfer to the bowl with the vegetables, add ground beef
and egg and gently mix until just combined. Place the mixture on the prepared
pan and shape into a loaf, about 10 inches by 5 inches. Spread chutney evenly
over the top.
 Bake until an instant-read thermometer inserted into the center of the meatloaf
registers 165°F, 1 hour to 1 1/4 hours. Let cool for 10 minutes before slicing. Serve
with additional mango chutney, if desired.
108
3. Chicken Cordon Bleu Burger
The classic flavors of Chicken Cordon Bleu - ham, Swiss cheese and thyme - inspired
this easy chicken burger. We like using regular ground chicken, which is a blend of
thigh and drumstick meat, to help keep this burger juicy, but feel free to use 100%
ground chicken breast if you’d like a leaner burger. You will cut 20 calories and 1 gram
saturated fat. Serve with roasted broccoli.
Nutritional Benefit for Men with ED: 29g Protein + Zinc (21% Daily Value) +
Antioxidants
Ingredients
 1/4 cup low-fat mayonnaise
 1 teaspoon Dijon mustard
 5 tablespoons finely chopped shallot, divided
 1 1/2 teaspoons finely chopped fresh thyme, divided
 1 pound ground chicken
 1/3 cup finely diced ham
 4 slices Swiss cheese
 8 small slices pumpernickel bread or 4 large slices, cut in half, toasted
 12 large leaves spinach, tough stems removed
109
Preparation
 Preheat grill to medium-high (or see Stovetop Variation).
 Combine mayonnaise, mustard, 1 tablespoon shallot and 1/2 teaspoon thyme in a
small bowl. Set aside.
 Place the remaining 4 tablespoons shallot, remaining 1 teaspoon thyme, chicken,
ham, salt and pepper in a medium bowl. Gently combine without over mixing.
Form into 4 patties, about 3/4 inches thick.
 Oil the grill rack (see Tip). Grill the burgers, turning once, until an instant-read
thermometer inserted in the center registers 165°F, 4 to 5 minutes per side. Top
each burger with cheese and cook until melted, 1 to 2 minutes.
 Assemble the burgers on toasted bread with the herb mayonnaise and spinach.
110
4. Tomato and Spinach Dinner Strata
This yummy lasagna-inspired casserole has cheese, vegetables, eggs and marinara sauce
but uses sturdy whole-grain bread instead of noodles, which makes it even easier to
make. Its hearty look hides the fact that it is made with all low fat, healthy ingredients.
Of course, it makes a great brunch entree as well - don’t let the name fool you!
Nutritional Benefit for Men with ED: 20g Protein + Zinc + Lycopene + Antioxidants
Ingredients
 4 teaspoons extra-virgin olive oil, divided
 1 medium onion, chopped
 8 ounces mushrooms, thinly sliced
 1/2 teaspoon freshly ground pepper, divided
 1 15-ounce container part-skim ricotta cheese
 1 10-ounce package frozen chopped spinach, thawed and squeezed dry, or 1 1/2
pounds fresh spinach, cooked, squeezed dry and chopped
 1/8 teaspoon freshly grated nutmeg
 2 cups prepared marinara sauce, divided
 6 slices whole-grain sandwich bread, preferably day-old
 1 cup shredded part-skim mozzarella cheese
 3 large eggs
 1 cup low-fat milk
 1/4 cup freshly grated Parmesan cheese
 2 tablespoons chopped fresh parsley
111
Preparation
 Coat a 7-by-11-inch (or similar-size) baking dish with cooking spray.
 Heat 2 teaspoons oil in a large nonstick skillet over medium heat. Add onion and
cook, stirring often, until softened but not browned, 5 to 8 minutes. Transfer to a
bowl. Add the remaining 2 teaspoons oil to the pan; increase heat to medium-
high. Add mushrooms and cook, stirring, until the moisture has evaporated, 4 to
5 minutes. Transfer to the bowl with the onions, add 1/4 teaspoon pepper and
salt and stir to combine.
 Combine ricotta, spinach, nutmeg and the remaining 1/4 teaspoon pepper in
another bowl.
 Spoon 1 cup marinara sauce into the prepared baking dish. Break each slice of
bread into 4 roughly equal pieces; arrange half the bread on the sauce (the bread
doesn’t have to completely cover the sauce). Spoon the ricotta mixture over the
bread. Arrange the remaining bread over the ricotta. Scatter the mushroom
mixture over the bread. Top with mozzarella. Spoon the remaining marinara
sauce over the top. The pan will be very full.
 Whisk eggs and milk in a small bowl. Pour the mixture slowly over the casserole,
poking the filling gently with the tip of a knife until the egg mixture is evenly
distributed and the bread is saturated. Coat a piece of foil with cooking spray on
one side and cover the casserole, sprayed-side down. Refrigerate for at least 2
hours or up to 1 day.
 Preheat oven to 375°F. Bake the strata, uncovered, for 40 minutes. Sprinkle with
Parmesan and bake until puffed and golden brown, 10 minutes more. Let stand
for 10 minutes. Serve sprinkled with parsley.
112
5. Salmon with Red-Wine Morel Sauce
Dried mushrooms give this rich red-wine sauce an almost meaty flavor. Look for them
in the produce department of well-stocked supermarkets or specialty grocers. If you’re
not a fan of salmon, try the recipe with halibut instead. Serve with barley tossed with
parsley and steamed broccolini. To Double: Prepare a double batch of sauce in the large
skillet, increasing reduction time as needed. Cook 2 1/2 pounds of salmon in two
batches, adding oil as necessary.
Nutritional Benefit for Men with ED: 31g Protein + Zinc + Vitamin B3 [Niacin] +
Antioxidants
Ingredients
 1 1/2-ounce package dried morel or porcini mushrooms
 1 cup boiling water
 2 teaspoons cornstarch
 2 teaspoons plus 1 tablespoon extra-virgin olive oil, divided
 1/3 cup finely chopped shallots
 3/4 cup dry red wine
 1 cup seafood stock or bottled clam juice (see Note)
 1 teaspoon butter
 1-2 teaspoons lemon juice
 1 1/4 pounds wild-caught salmon fillet, skinned (see Tip) and cut into 4 portions
113
Preparation
 Combine mushrooms and boiling water in a small bowl. Soak until the
mushrooms are softened, 12 to 15 minutes. Strain the soaking liquid through a
paper towel-lined sieve into a bowl. Rinse the mushrooms; finely chop. Stir
together 1 tablespoon of the soaking liquid and cornstarch in a small bowl.
 Heat 2 teaspoons oil in a large skillet over medium heat. Add shallots and cook,
stirring, until softened, about 2 minutes. Add the mushrooms and cook for 1
minute more. Stir in wine and cook, stirring, until reduced to about 1/2 cup, 2 to
3 minutes. Add the remaining soaking liquid and seafood stock (or clam juice) to
the pan. Bring to a simmer and cook until the sauce is reduced to 1 1/2 cups, 10 to
14 minutes.
 Stir the cornstarch mixture and stir it into the simmering sauce. Cook, stirring,
until slightly thickened, 1 to 2 minutes. Remove from the heat and stir in butter,
lemon juice and 1/4 teaspoon each salt and pepper.
 Meanwhile, season salmon with the remaining 1/4 teaspoon each salt and
pepper. Heat the remaining 1 tablespoon oil in a large nonstick skillet over
medium-high heat. Add the salmon and cook until just cooked through, 3 to 5
minutes per side. Serve with the mushroom sauce.
114
6. Creamy Garlic Pasta with Shrimp and Vegetables
Toss a garlicky, Middle Eastern-inspired yogurt sauce with pasta, shrimp, asparagus,
peas and red bell pepper for a fresh, satisfying summer meal. Serve with: Slices of
cucumber and tomato tossed with lemon juice and olive oil.
Nutritional Benefit for Men with ED: 34g Protein + Zinc + Antioxidants + Nitrates
Ingredients
 6 ounces whole-wheat spaghetti
 12 ounces peeled and deveined raw shrimp, cut into 1-inch pieces
 1 bunch asparagus, trimmed and thinly sliced
 1 large red bell pepper, thinly sliced
 1 cup fresh or frozen peas
 3 cloves garlic, chopped
 1 1/4 teaspoons kosher salt
 1 1/2 cups nonfat or low-fat plain yogurt
 1/4 cup chopped flat-leaf parsley
 1/4 cup toasted pine nuts
115
Preparation
 Bring a large pot of water to a boil. Add spaghetti and cook 2 minutes less than
package directions. Add shrimp, asparagus, bell pepper and peas and cook until
the pasta is tender and the shrimp are cooked, 2 to 4 minutes more. Drain well.
 Mash garlic and salt in a large bowl until a paste forms. Whisk in yogurt, parsley,
lemon juice, oil and pepper. Add the pasta mixture and toss to coat. Serve
sprinkled with pine nuts (if using).
116
7. Chicken with Creamy Braised Leeks
A touch of heavy cream, a few garlic cloves, and thyme sprigs round out the flavor of
tender braised leeks with chicken in this recipe. The rich, silky sauce is wonderful over
whole-wheat egg noodles or mashed potatoes. Leeks grown in the garden and those
that you find at the store can be vastly different in size. Garden leeks tend to be smaller,
so if you’re using leeks from the garden, make sure you pick enough to fill up the pan.
Nutritional Benefit for Men with ED: 32g Protein + Nitrates + Antioxidants + Zinc
Ingredients
 8 medium or 4 large leeks
 2 cups reduced-sodium chicken broth
 6 cloves garlic, halved
 6 sprigs fresh thyme
 4 boneless, skinless chicken breasts (5-6 ounces each), trimmed and tenders
removed
 1/2 cup heavy cream
117
Preparation
 Preheat oven to 425°F.
 Trim roots and dark green tops from leeks, leaving 5 to 6 inches of white and
light green parts. Cut the leeks in half lengthwise (or in quarters, if large); rinse
well. Place the leeks in a single layer in a 9-by-13-inch baking dish, on their sides
if necessary, nestling them together. Pour in broth; submerge the garlic and
thyme in the broth between the leeks.
 Bake the leeks for 40 minutes.
 After about 30 minutes, sprinkle chicken with 1/4 teaspoon each salt and pepper.
Heat oil in a large skillet over medium heat; add the chicken and cook until
golden brown, 3 to 5 minutes per side. Remove from the heat.
 After 40 minutes, remove the leeks from the oven and nestle the chicken into
them. Add cream and the remaining 1/4 teaspoon salt to the hot skillet (but do
not turn the burner back on). Stir up any browned bits and let the cream heat up
from the warmth of the pan. Pour the cream mixture over the leeks and chicken.
 Return the baking dish to the oven and bake until an instant-read thermometer
inserted into the thickest part of a breast registers 165°F, 10 to 15 minutes. Serve
the chicken with the braised leeks, spooning the sauce over both.
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Drinks Recipes
1. Warm and Frothy Hemp Cacao Recipe
This warm and comforting raw vegan version of hot chocolate will be one of your best
allies during the cold winter months! Rich in iron, protein and other life-giving
minerals, this is a truly powerful drink! One serving will cover nearly half of your
protein needs for the entire day. I like my cacao drinks fairly dark and bitter. For a
sweeter beverage, use twice as much sweetener. Use hot water for a warming hot cocoa.
Nutritional Benefit for Men with ED: Protein
Ingredients
 ¼ cup hemp seeds
 1 cup water, warm or hot from a kettle
 3 tbsp cacao powder
 2 tbsp maple syrup or dark agave nectar
 Optional: pinch cinnamon, lucuma, mesquite, and maca
Directions
In a blender, combine all the ingredients until smooth. Taste, and pour in a mug.
119
2. Fruit Smoothie Recipe
Ingredients
 200ml natural fruit juice
 1 handful berries
 1 tbsp honey or agave
 1tsp lecithin
 1 tbsp LSA mix (ground linseed, sunflower and almond)
 1 tbsp soaked goji berries
 1 tbsp soaked chia seeds
Preparation
Place all ingredients in a blender and blend until it resembles a luscious fruit smoothie.
Here's a quick rundown on the nutritional status of the fruit smoothie ingredients:
 All fruits are anti-ageing and berries are extremely high in antioxidants. They
also contain lutein and zeaxanthin that help to maintain healthy eyes. You can
use a mix of blackcurrants, blackberries, strawberries, blueberries, cranberries
and raspberries. Buying frozen is a great way to ensure you have a constant
supply out of season.
 Honey and agave are good sweeteners.
 Lecithin helps to make your cells strong, flexible and healthy while also allowing
toxins to pass out and nutrients to pass in. It also creates a creamy smoothie
without the use of dairy products.
 LSA is an easy way to make nuts and seeds available to your body.
120
 Almonds are high in calcium, linseeds are the richest source of omega 3 (and
great for relieving constipation) and sunflower seeds are rich in potassium, zinc,
iron, calcium and vitamins D and E.
 Goji berries, hailed as the Tibetan super food, are loaded with 21 minerals,
vitamin C and antioxidants.
 Chia seeds are said to have eight times more omega 3 than salmon, and are also a
good source of potassium, phosphorous, folate, zinc, fibre and vitamins A, B12
and C. They are said to be one of the secrets of the Raramuri, the running people
in Mexico known for their ability to run 48 hr or 500 mile stretches without
stopping (and without getting out of breath) and the subject of a book by
Christopher McDougall called Born to Run.
121
3. Green Smoothie Recipe
A great way to start the day is to load your body full of the nutrients contained in your
favorite greens. The trick is to keep it simple when making a green smoothie.
Ingredients
 1 banana
 Handful of your favorite berries (fresh strawberries work well here)
 1 giant handful of baby spinach
or
 1/2 cucumber
 2 apples
 Handful of parsley
 1/2 inch piece of ginger, peeled and sliced
 Juice of 1/2 a lemon
 Agave or honey to sweeten
Preparation
 Place all ingredients in a blender and blend until it resembles a luscious
smoothie.
Nutritional Info
Spinach is high in folic acid and iron. Cucumber is rich in silicone and sulphur which
help with strong nails, hair and skin. Parsley is a great adrenal supporter, rich in iron,
high in calcium as well as vitamin C.
122
For your green smoothie recipes you can also consider using:
 Kale - rich in glucosinolates to help the liver detox
 Watercress - vitamin C and glucosinolates
 Swiss chard - high in magnesium, vitamins C, A and K
 Dark green lettuce - anti-ageing minerals
 Endive - potassium and iron
 Mustard greens - rich in glucosinolates and vitamins A, C and E
Surprisingly delicious and incredibly good for you, you'll soon become a green
smoothie advocate and begin experimenting with your own favorite fruits and greens
to make more combinations for your own green smoothie recipes.
These healthy smoothie recipes are a great alternative to your usual breakfast cereal.
Both fruit smoothies and green smoothies make great healthy breakfast options for
people interested in a healthier lifestyle or those who wish to have a simple, fast and
nutritious start to the day.
123
4. Beetroot, Spinach, and Apple Smoothie Recipe
Ingredients:
 200 ml Chilled Beetroot Juice
 100 ml Chilled Apple Juice
 250 ml Plain Yoghurt - with Live Cultures
 2 cups (80 g) Shredded Spinach
Preparation
Pop all the ingredients in a mixing jug and blitz, or use your food processor/smoothie
maker. You can add ice for something a little colder and you can play around with
herbs and other flavors too.
Nutritional Info:
 Energy: 315 kcal
 Carbohydrates: 50 g
 Protein: 15 g
 Fat: 5 g - Depending on Your Choice of Yoghurt
 Nitrates: 350 mg – Estimated
124
5. Hot Chocolate Protein Shake Recipe
Ingredients
 12 oz (1 1/2 cup) whole milk - almond or coconut milk can be used as substitutes
 1 large pastured egg
 1 rounded scoop unsweetened vanilla or plain whey protein powder (optional)
 2 tablespoons unsweetened cocoa powder
 1/2 teaspoon vanilla extract
 1 1/2 tablespoon raw honey or other sweetener of your choice
Preparation
 Heat the milk in a small saucepan over medium heat just until bubbles start to
form.
 While the milk is heating up, combine the egg, protein powder, cocoa, vanilla,
and honey in a blender and blitz a few times to mix.
 Gently pour in the hot milk and puree again until very smooth and thick.
 Taste and adjust sweetener, if desired and serve immediately.
A scoop of peanut butter or a banana proves to be a delicious addition, and you can use
dark chocolate instead of the cocoa powder to add flavonoids, which help make this
healthy drink even more beneficial for men with erectile dysfunction.
125
6. Skinny Green Monster Smoothie Recipe
A smoothie simply packed with vitamins and protein, the Skinny Green Monster is the
ideal companion for breakfast or as your lunch on the go. The Greek yoghurt and the
peanut butter serve up a healthy dose of protein, while the spinach provides a wealth of
vitamins, including A, C, and K, in addition to calcium, fiber, and magnesium.
Ingredients
 1 small frozen ripe banana, peeled
 2 cups baby spinach
 1 tbsp Peanut Butter
 3/4 cup unsweetened vanilla almond milk
 1/2 cup plain fat-free Greek yogurt
Preparation
 Place all the ingredients into the blender, add ice (optional) and blend until
smooth.
You can make this smoothie in a variety of ways, such as by adding flax seeds or
protein powder, and even by throwing in blueberries, and a lot more. Start with this
basic recipe then, and play around with variations according to your preferences.
126
7. Strawberry Banana Smoothie with Chia Seeds
This delightfully delicious smoothie consists of fresh fruits, chia seeds, and coconut
milk, and provides you with generous doses of protein and zinc. It can be enjoyed any
time of the day, on any given day, and will offer you a refreshing and empowering
boost.
Ingredients
 1 cup (250 mL) fresh strawberries, hulled and cleaned
 1 peeled banana, frozen
 4 cubes of ice
 1 T chia seeds soaked in ¼ cup (60 mL) of water
 ⅓ cup (160 mL) light coconut milk
Preparation
 Combine all ingredients in a blender.
 Pulse to desired consistency, adding more water to thin if necessary.
127
Dessert Recipes
1. Calcium-Rich Chia Pudding
Chia seeds are an amazing source of calcium, a mineral which can be a little hard to get
in sufficient quantities on a raw food diet. Add to that sesame seeds, and you’ve got
more bioavailable calcium than virtually anyone would get in a bowl of dairy and
cooked cereal! Sesame seeds also provide a wealth of zinc, which can be a little hard to
find in a vegan diet.
Ingredients
 1/2 cup sesame seeds
 1 1/2 cups water
 2-4 T agave nectar
 1-inch vanilla bean
 1/4 cup chia seeds
 1/4 t cinnamon
Directions
Blend the sesame seeds, water, agave, cinnamon and vanilla until smooth. Strain
through a nut milk bag. Add more agave, if desired. Sesame seeds can be a bit bitter,
but as the chia seeds absorb liquid, the pudding will be creamy and mellower.
Stir the chia seeds in the sesame milk. Drink right away, or set aside until thickened.
128
2. Rich and Elegant Chocolate Mousse
Feel virtuous while you indulge in this decadent chocolate mousse. Loaded with
antioxidants and nutrients, your energy levels will soar with every spoonful!
Ingredients (serves 2-3)
 2/3 cup maple syrup, agave nectar, or raw honey
 1/2 t organic vanilla extract
 2 ripe avocados
 1/4 c. to 1/2 c. cacao powder
 1/8 t. Celtic sea salt
 1 t lucuma powder
 2-4 T water
 2 T goji berries
Directions
Blend the avocados in a food processor until smooth. Add the other ingredients except
for the goji berries, and keep blending until you get a uniformly colored and fluffy
mousse.
Spoon the chocolate mousse into a bowl, and refrigerate for about an hour. Sprinkle
with goji berries just before serving.
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Conclusion
When a man cannot perform intercourse and satisfy his own and his partner's sexual
needs, he can feel devastated and very much alone. From this cascade of events, the
couple starts to alienate themselves emotionally and physically.
Partners who measure their self-esteem, femininity, and desirability by how men
respond to their sexuality are particularly vulnerable to fears of abandonment and
rejection. Men's emotional detachment feeds into these fears. Partners may worry that
their mates may be impotent with them, but potent with another person, leaving them
with fantasies of betrayal and infidelity. This issue can drive a couple apart because of
fears and misconceptions when in reality the couple needs to communicate.
When a man or a woman loses a loving sexual relationship due to E.D., either or both
individuals may choose to withhold their partner from any other type of sexual
experience. After experiencing the pain associated with rejection and lack of empathy
from their partner, men and women will divert their attention to other matters in order
to compensate for the loss of their sexual partner. Sometimes potency problems are a
screen for more serious emotional or relationship issues. At this point, there may be
other relationship issues between the couple that take priority before focusing on ED
issues. This is an appropriate time for a man or the couple to be referred to a marriage
counselor or sex therapist. Even the most sophisticated couples can benefit from
opening lines of communication about sex and learning how best to utilize their
functional capabilities. Counseling may be able to rekindle the romance and redirect
energies into the relationship.
This eBook is addressed especially to men. Men who know what they want, to have a
problem in admitting they have a problem and men who know that this problem needs
to be fixed as soon as possible. This eBook is addressed to those who don’t want to lose
130
their partner and want to enjoy life at its fullest. Reading the “Erectile Dysfunction
Protocol” means you have taken a decision and you want to improve certain aspects of
your life. There is nothing to be ashamed. After reading this guide you will not only
know what to do to improve your sexual performance, but you could also find comfort
in knowing you are not alone. Also, you are not crippled or good for nothing! You only
have a temporary problem that will soon pass.
So, good luck with your protocol and be optimistic, things will change for the better!
131
Individuals who have never experienced trouser department problems
at some point in their lives are rare indeed, as evident from the fact
that erectile dysfunction (ED) affects one in every ten men. It does not
necessarily have to be an embarrassing, traumatic, or life altering
experience though.
You do not have to suffer from awkward visits to the doctor, or drain
your bank account for medication and supplements which do not even
work in most cases. For why would you, when you can combat the
issue yourself, and that too with completely natural methods and
techniques?
Through the ‘Erectile Dysfunction Protocol’ you can treat the condition
successfully at home in a matter of days. All you need to do is read this
book, truly understand the issue, and then follow the guidelines
provided within, and you will become a stronger man in no time at all.
132

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1

Chapter 1: Formerly Known as Impotence 21

Chapter 3: Life is Full of Surprises 37

Chapter 4: Getting Help – Short session of questions 41

Chapter 5: Becoming a Botanist? Rather not! 64

Chapter 6: Dietary Supplements 68

Chapter 7: Becoming a Stronger Man 71

“Drinking when we are not thirsty

and making love at all seasons,

madam: that is all there is to

distinguish us from other animals.”

Pierre Augustine Caron de Beaumarchais

(1732-1799, French Playwright, Inventor, Musician, Diplomat and Satirist)

printing, scanning, photocopying, or otherwise without the prior written permission of

the copyright holder.

nature of the subject.

interpretation of the subject matter present in this book.

advice given in this book.

your doctor without delay!

essence of physical prowess.

superior gender, is the male organ of sex and reproduction.

capacity, we are gratified, assume self-importance, and even a degree of arrogance.

million pieces, as a result of one reality-altering occurrence.

What is Erectile Dysfunction?

Erectile dysfunction, formerly known as impotence, affects an estimated 18 million

often completely misunderstood.

According to the National Institutes of Health, approximately 5% of 40-year-old men

comprehensive understanding of the condition and what it entails, we shall then

To Define the Problem

Erectile Dysfunction (ED) is generally defined as the inability to achieve or to

maintain an erection long enough to engage in sexual intercourse.

However, to be able to fully understand erectile dysfunction, one first has to

vessels shaped like cavernous spaces.

nerves, or tissues of the penis can interfere with an erection.

generally indicates there is a problem requiring attention.

The Symptoms of Erectile Dysfunction

sometimes wake up with an erection. However, you may be unable to obtain an

erection when you are with your sexual partner.

psychological. However, if you are unable to obtain an erection under any

circumstances, it is likely that the underlying cause is primarily physical.

What Causes Erectile Dysfunction?

In order to achieve an erection, these conditions must occur. If there is something

 The blood circulation into the penis must be adequate.

 There must be a stimulus from the brain.

as atherosclerosis (hardening of the arteries) or venous leakage (weak veins).

Furthermore, psychological factors, such as stress, depression, and performance anxiety

All the Distress!

accomplishing two rather simple things:

follow the instructions and guidelines to the letter.

above foremost in your mind.

Complications from Erectile Dysfunction

 An Unsatisfactory Sex Life

simply not allow that particular problem to arise.

in deep, deep trouble.

Studies have shown Erectile Dysfunction and depressive symptoms to be positively

correlated, and have demonstrated that there is indeed, a bidirectional relationship

with, such as lifestyle choices and circumstances, and medication use.

Erectile Dysfunction is generally not a primary cause of depression, but rather a

not necessarily the case.

Erectile Dysfunction causes depression, and depression causes Erectile Dysfunction -

 Anxiety and Stress

frank, you will be so much better off without experiencing it.

cause at all for you to be either stressed out or anxious at all.