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DISORDERS

(Their description, characteristics or symptoms,

causes, and complementary or alternative treatments)

Disorder: IMPOTENCE

Description: Impotence is defined as the inability to sustain a satisfactory erection to perform intercourse and ejaculation. Erections result from a complex combination of brain stimuli, blood vessel and nerve function and hormonal actions. Some factors that can lead to impotence include peripheral vascular disease; the use of certain medications, alcohol, or cigarettes; a history of sexually transmitted disease; and chronic illness such as diabetes or high blood pressure.

Symptoms: Inability to achieve or maintain an erection adequate for normal sexual intercourse.

Incidence: It is estimated that about 10 million men in the United States are experiencing some form of impotence, of which only about 200,000 per year seek medical help. Impotence may be chronic or recurring, or it may occur as a single isolated incident.

Causes: In the past, it was assumed that impotence was primarily a psychological problem, but many therapists and physicians today believe that as many as 85 percent of all cases of impotence have some physical basis. The Association for Male Sexual Dysfunction recognizes over 200 drugs that may cause impotence. Some of the most common are alcohol, antidepressants, antihypertensives, diuretics, narcotics, nicotine, sedatives, stomach acid inhibitors, and ulcer medications. Atherosclerosis, or hardening of the arteries, poses a risk to the condition of the heart and the penis. Most people today know smoking and eating fatty foods lead to the production of plaques that clog the arteries and block the flow of blood to the heart. These same plaques also can block the arteries leading to the genitals, interfering with the ability to attain an erection.

Treatments: The appropriate treatment for impotence depends upon whether the cause is physical or psychological. A man whose impotence is psychologically based generally still has erections during his sleep, while an individual whose impotence is physical in origin usually does not. The usual method of determining the cause is the "stamp test," which involves placing a ring of paper around the penis prior to bedtime. If the ring has been disrupted in the morning, the man has experienced an erection some time during the night. This indicates that the cause of the impotence is most likely due to psychological factors rather than to physical causes. Follow the recommendations listed below.

Nutrients:

Supplement Dosage Comments

Vitamin C

As directed on label.

A major component of the seminal vesicles and prostate gland, and high amounts are found in prostatic secretions.

Vitamin E

Start with 200 IU daily and slowly increase to 400-1,000 IU daily

Increases circulation.

Zinc

80 mg. daily. Do not exceed this amount.

Important in prostate gland function and reproductive organ growth. Use zinc gluconate lozenges.

Vitamin A

Plus

Natural beta-carotene

15,000 IU daily.

15,000 IU daily.

Antioxidants that enhance immunity.

Vitamin B complex

50 mg. 3 times daily

Needed for a healthy nervous system; important in all cell activity.

Herbs:

bulletCoryanthe yohimbe and ginkgo biloba are often used for the treatment of impotence due to their ability to stimulate vascular flow to the penis. Coryanthe yohimbe has also been shown to increase libido and decrease the latency period between ejaculations, as well as have a positive effect on impotence problems due to depression. Several studies have confirmed the beneficial action of ginkgo biloba. In one study, ginkgo biloba extract was found to increase penile blood flow in a group of patients who had not responded to traditional drug therapy. Half the group regained potency within six months.
bulletGinseng and gotu kola are both reported to help with sexual function.
bulletSaw palmetto helps to normalize prostate function.
bulletOther herbs that may be beneficial include wild yam, dong quai, hydrangea root and pygeum.

Recommendations:

bulletEat a healthy, well-balanced diet.
bulletAvoid alcohol, particularly before sexual encounters.
bulletEliminate from your diet animal fats, sugar, fried foods and junk foods.
bulletDo not smoke and avoid second-hand smoke.
bulletAvoid stress.
bulletConsult a urologist for testing to determine whether impotence is caused by an underlying illness that requires treatment.
bulletSeveral prescription drugs are associated with a high incidence of impotence. They include certain blood pressure medications, tranquilizers, ulcer and heartburn treatment drugs such as cimetidine (Tagamet) and ranitidine (Zantac). Consult your physician if you suspect impotence may be related to a drug you are taking. There may be a satisfactory alternative. However, do not stop taking a prescription drug or change the dosage without first consulting your doctor.
bulletInvestigate the possibility of heavy metal intoxication. A hair analysis can reveal possible heavy metal poisoning.

Considerations:

bulletIf impotence is related to clogged blood vessels, a diet low in fats can actually help reverse the problem.
bulletKeep in mind that sexual function changes with age. As you age, you may require more stimulation and a longer period of time to achieve an erection.
bulletAlcohol decreases the body’s ability to product testosterone. Research at Chicago Medical School revealed that drinking alcohol may cause the hormonal equivalent of menopause in men. Alcohol not only affects sexual function, but also helps set the stage for a heart attack and other serious conditions.
bulletHeavy smoking decreases sexual capability by damaging the tiny blood vessels in the penis. The use of marijuana and cocaine also can result in impotence.
bulletIf your doctor believes atherosclerosis is the underlying problem, he or she may advise vascular surgery to improve blood flow to the penis.
bulletUrologists differ in the types of treatment they recommend for impotence, but many opt first for nonsurgical treatment.
bulletInjections of certain prescription drugs before intercourse have been shown to be roughly 80 percent effective in producing satisfactory erection in impotent men who have tried it. These drugs work by relaxing smooth muscle, causing the blood vessels in the penis to dilate, promoting an erection that can last an hour or more. An estimated 300,000 men in the U.S. use this technique each year. Possible side effects include prolonged, painful erections.
bulletYohimbine is a prescription drug that has been approved by the FDA for treatment of impotence. Yohimbine has an effect on the body similar to that of adrenaline; it speeds up the heartbeat and elevates blood pressure. Many experts question the effectiveness of this drug.
bulletA number of vacuum devices, available by prescription only, are used to promote erection. With these devices, a cylinder is placed over the penis and a hand pump is used to create a vacuum in the cylinder. This in turn causes blood to flow into the penis, creating an erection.
bulletSince the early 1970’s, more than 250,000 American men have used inflatable penile implants to mechanically create erections. They are surgically installed devices that are made of silicone or polyurethane. Since 1984, the FDA has logged more than 6500 reports of problems with inflatable devices. With the development of more effective agents, implants are now considered to be a last resort, to be tried only when all other methods have failed.

Vitamin For Life Recommended Regimen and cost:

Product No. 59618-

Description

Comments

Cost

970-12

Vitamin C with rose hips tablets 500 mg.

As directed on label.

$5.75/60

942-15

Yohimbe Plus Tablets

As directed on label.

$14.75/100

237-15

Vitamin E 200 IU (D-alpha tocopheryl)

Start with 1 softgel daily and slowly increase to 2 to 5 softgels daily

$5.28/100

925-15

Beta Carotene 25000 IU softgels

1 softgel daily

$5.95/100

891-15

B Complex 50 mg. tabs.

1 tablet 3 times daily

$6.95/100

223-15

Zinc (Chelated) Lozenges

As directed on label.

$4.95/100

950-12

Ginkgo Biloba 60 mg. caps.

As directed on label.

$9.95/60

951-15

Gotu Kola 550 mg. tabs.

As directed on label.

$6.95/100

Sources:

Prescription for Nutritional Healing, 2nd Edition

By James F. Balch, M.D. & Phyllis A. Balch, C.N.C.

Alternative Medicine, The Definitive Guide

Compiled by the Burton Goldberg Group

 

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