Male Sexual Performance

What counts as an erection difficulty?

Erectile dysfunction means persistent or recurrent difficulty achieving or maintaining an erection sufficient for satisfying intercourse. 1

Why can it happen?

Blood vessels, nerves, hormones and psychological factors all contribute. Diabetes, vascular disease, medicines and stress can play a role. 1

Why seek assessment?

Erection problems may signal an underlying condition such as vascular disease or diabetes-related nerve damage. Effective medical treatments are available. 2

Does ginseng make a meaningful difference?

A Cochrane review included nine placebo-controlled studies with 587 men and follow-up no longer than 12 weeks. 3

Panax ginsengMixed

Validated questionnaires suggested only small, clinically trivial improvements. Men more often reported being able to have intercourse, but most evidence was low certainty. 3

What is the concern with enhancement products?

Some supplements contain undeclared drug ingredients. Combined with nitrate medicines, these can dangerously lower blood pressure. A natural label does not rule this out. 2

Where does care begin?

Primary care or urology can assess erection problems; psychological and sexual-medicine expertise may also be useful. 1

Questions people ask