Passion Rx for a natural way to enhance sexuality --  Formulated by medical doctor Ray Sahelian, M.D.

How quickly does Passion Rx enhance sexuality?
Passion Rx improves blood flow, sensation, stamina, and sexual urge within a few days of use. Some people may notice the effects within a few hours, for others it may take a week or two. Our feedback thus far indicates more than 80% user satisfaction by the end of the first two weeks. There are two versions of Passion Rx: with, and without, yohimbe.

Impotence herb questions
Q.  I am 28 years old and healthy but one year ago I experienced a lot of stress due to personal and professional problems. Since that time I have been experiencing impotence. At this point in time, I have dealt with my problem and I no longer suffer from stress yet my impotence persists. Sometimes I can have an erection sometimes I canīt, my libido decreased a lot. Can passion Rx help me overcome this? Will it make me dependant on it? I havent taken any drugs for this problem
   A. If you have impotence, it is impossible to predict a person's response to a medicine or herb or herbal combination. Many people find Passion Rx to be very helpful, others find it to work even better when alternated with Prostate Power Rx, and still others prefer individuals herbs such as Tongkat-Ali-LJ100, mucuna pruriens, Horny-Goat-Weed, catuaba, etc. We have not seen dependence develop.

Q. Is saw palmetto helpful for impotence?
   A. Perhaps to a small degree, but Saw-Palmetto is not a potent aphrodisiac.

Psychological-Mental causes of Impotence
The causes of psychological impotence are numerous, and it is difficult to list them all, but most often impotence is related to depression, performance anxiety, marital stress or relationship problems, life crisis, financial difficulties, religious repression, or some type of mental illness. For more information on cure for impotence in a male.

Organic Impotence usually has a few major causes

Vascular causes of Impotence
Alterations in the flow of blood to and from the penis are thought to be a common cause of impotence. For instance, medical conditions such as atherosclerosis (hardening of the arteries), high cholesterol, hypertension, or diabetes reduce blood flow to the penis and genital organs thus leading to difficulty with erection or genital swelling.  Impotence  could be an early indication of oxidative stress and vascular dysfunction. A vascular problem in the penis may precede a wider, systemic problem in other blood vessels in the body. Patients with cardiovascular disease and patients with diabetes represent the largest group of patients with impotence. Lowering cholesterol through diet, supplements, or medicines improves impotence problems.
   Additional factors that can impede blood flow include penile injury and surgery in the pelvic and abdominal area. Smoking can reduce genital blood flow.

Neural causes of Impotence
Nerve damage from disorders such as multiple sclerosis, Parkinson’s disease, diabetes, and stroke affect the brain’s ability to respond to sexual stimulation and cause impotence. In women, abdominal or pelvic operations can occasionally lead to nerve damage. Impotence is common in men undergoing surgical treatment for prostate enlargement or cancer.

Hormonal causes of Impotence
Low levels of androgens, such as testosterone, are a major component of impotence. Testosterone levels decline about 1 percent each year in men, which may contribute to erectile dysfunction with aging. Testosterone also declines with age in women leading to a decrease in female libido. Women who have had surgical removal of the ovaries notice a drop in sexual interest. Replacement of androgens can be helpful in those with age related erectile dysfunction. Testosterone is available by prescription only. An over the counter hormones, such as DHEA, converts into testosterone and thus has a positive influence on impotence. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus improve impotence. Many herbal aphrodisiacs also have a positive influence on impotence, with some having an effect on hormonal output.

Drug induced Impotence
Drugs that interfere with erectile function include some anti-hypertensives, SSRIs (like Prozac), sedatives, and beta-blockers. SSRIs cause erectile dysfunction mostly due to their effect on serotonin metabolism. Serotonin has an inhibitory effect on erectile function and sexuality.
   Some chemicals involved in the human sexual response include dopamine, acetylcholine, and nitric oxide. All these three natural chemicals and others can be manipulated n the treatment of impotence. Alcohol's negative affect on sex drive increases with age.

Impotence and Medical conditions
Certain medical conditions cause impotence or reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, obesity, peripheral vascular disease, neurologic disorders, and insomnia.
   Sitting on a bicycle too long. Men who log several thousand miles a year on their mountain bikes suffer scrotal damage that could reduce their fertility or cause impotence.

Impotence and Cardiac Patients
Impotence is common in cardiac patients and shares the same risk factors - smoking, hypertension, hyperlipidemia and diabetes mellitus. Sexual activity is not unduly stressful to the heart and, providing patients are properly assessed using established guidelines, sexual intercourse can be enjoyed without increased risk. Impotence in asymptomatic patients may be a marker of silent vascular disease or increased vascular risk factors and should alert the physician to the need for cardiac risk screening.
   Physical fitness positively influences sexual desire and performance.

Impotence questions
Q. What is your opinion on herbal Viagra supplements for impotence help?
   A. See herbal Viagra web page.

Q. I have read a web site using maca herb coupled with Cialis as an erectile dysfunction treatment. Has any study results revealed that this impotence treatment is effective with those who suffer high blood pressure and are taking high blood pressure meds such as beta blockers, Lisinopril, and hydrochlorothiazide.
   A. We are not aware of any studies that have evaluated the combination of maca or other sexual herbal supplements in the treatment of impotence in combination with prescription medications for blood pressure or other purposes.

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