The Effectiveness of Alternative Therapies For Erectile Dysfunction, Such As Acupuncture or Herbal Supplements

1. Introduction

   1. Definition of Erectile Dysfunction (ED)

      Erectile dysfunction, also known as impotence is the inability of a man to get and keep an erection firm enough to have sexual intercourse.

      Though having erection issues at times is not necessarily a cause for big concern, it becomes a reason to worry when the condition becomes an ongoing issue, since it can result in stress, affect self-confidence, and also create relationship problems.

   2. Overview of Alternative Therapies as Erectile Dysfunction Treatments

      As per the statistics, about 150 million men suffer from erectile dysfunction across the world, and this makes up 20% of global adult men. This statistical data keeps on increasing every year.^{(1, 2)}

      Erectile dysfunction (ED) is quite a common sexual problem that affects many men worldwide.

      Erectile dysfunction can be treated in many ways, which include medical treatment methods and also alternative treatment methods. Some of the major alternative therapies to treat ED are acupuncture, herbal supplements, and also talk therapy.

      NOTE: It is always recommended to consider consulting with your doctor before beginning any sort of alternative therapy for erectile dysfunction.

   3. Purpose of the Article

      In this article, we will take a look at some of the alternative therapies for erectile dysfunction, which include acupuncture, herbal supplement, and talk therapy. As we read further, we will get to know how these alternative therapies work for treating erectile dysfunction, know about the pieces of evidence and studies related to these therapies and their effectiveness in treating the condition, and also know about some of the possible risks and side effects.

2. Alternative Therapies for Erectile Dysfunction

   1. Definition of Alternative Therapies

      Alternative treatments are the treatments that are used instead of standard (medical) treatments. The term ‘Alternative medicine” is any form of medicine or healing that is not included in conventional medical practice. It encompasses a wide range of medical practices from various cultures around the world.

   2. Overview of Popular Alternative Therapies for Erectile Dysfunction, Such As Acupuncture And Herbal Supplements

      Some of the most popular alternative therapies for erectile dysfunction are acupuncture and the use of herbal supplements.

      Acupuncture is tried by some people to treat ED. There are only a few studies that support the effectiveness of acupuncture for ED. However, they might help in reducing stress, which could also help in improving erectile dysfunction.

      While many herbal supplements are available and sold in the market, FDA does not recommend using these OTC products as there might be safety concerns.⁽²⁾ They usually contain undisclosed ingredients, inappropriate doses, and are not prescribed by doctors. Moreover, they are not as effective as conventional treatment methods.

   3. How These Therapies Work And Their Theoretical Mechanisms Of Action In Erectile Dysfunction Treatment

      Acupuncture: Theoretical Mechanism of Action In Erectile Dysfunction Treatment

      Acupuncture is an ancient Chinese medicine that uses needles to stimulate specific points in our body. This stimulation can help in treating certain diseases and conditions by correcting imbalances.

      The release of hormones and increased blood circulation due to acupuncture is what help people with ED. These benefits of acupuncture for erectile dysfunction are primarily focused on psychological ED where the main cause is stress.

      Though acupuncture is believed to be effective for some men with ED, however, most studies provide no conclusive evidence about its effectiveness. But one can try this therapy since it is quite safe.

      Herbal Supplements: Theoretical Mechanism of Action In Erectile Dysfunction Treatment

      Herbal supplements are available in the market that is sold to improve erectile function or sexual desire in men. Some of these herbal supplements contain ingredients that might be beneficial for treating erectile dysfunction. Some herbs that might be beneficial in ED treatment are Panax ginseng, yohimbine, ginkgo, maca, and Mondia whitei.

      However, most of these supplements contain hidden ingredients and unlike prescription medicines for ED like Viagra, Levitra, and Cialis, these herbal supplements are not approved by FDA for erectile dysfunction.

      You should always consult with a licensed or certified herbal medicine specialist and also your doctor before trying supplements.

      Talking Therapy: Theoretical Mechanism Of Action In Erectile Dysfunction Treatment

      A person’s emotional health or psychology can have a significant effect on sexual functioning, including erectile dysfunction. Talking therapy could be beneficial in treating erectile dysfunction if the condition is caused by psychological or emotional issues. In such a case, you should see a therapist or counselor and they will help you learn various ways to reduce stress and anxiety related to sex.

      It is good to visit the counselor with your partner to know about new ways to explore intimacy and help in the healing process.

3. Evidence for the Effectiveness of Alternative Therapies for Erectile Dysfunction

   1. Overview of Current Research and Clinical Studies

      Some types of alternative treatments for erectile dysfunction (ED) are getting more popular and many people are taking interest in trying out these therapies for their condition. Natural or herbal products are sold in clinics, and online. These products offer several off-label and investigational interventions.

      These alternative therapies have shown varying degrees of efficacy in randomized trials and meta-analyses. However, none of these interventions has strong evidence to be considered first-line therapy. But, some alternative therapies for ED might be helpful when used in combination with guideline treatments. More research and studies are ongoing that can bring out more potential and positive news for patients with erectile dysfunction.

   2. Results and Outcomes From Studies On Alternative Therapies For Erectile Dysfunction

      Results and Outcomes From Studies On Acupuncture For Erectile Dysfunction

      Acupuncture is an alternative therapy that has been in use for thousands of years. Research into the use of this alternative therapy for treating erectile dysfunction (ED) is limited, and the studies so far have remained small.

      These studies have focused primarily on patients with ED caused due to psychological issues and not physical or medical issues. However, some results seem to be hopeful in considering the benefit of acupuncture for psychological erectile dysfunction.

      In a small study conducted in 2003, participants were tested in two separate groups.⁽⁴⁾ One group received acupuncture in the specific acupressure spots for erectile dysfunction, while the control group received acupuncture in other regions of the body. It was found that about two-thirds of participants in the group receiving the ED treatment showed signs of improvement in their symptoms of erectile dysfunction when compared to the control group.

      Results and Outcomes From Studies on Herbal Supplements For ED

      The search for a cure for ED has been continuing for a long. Many natural aphrodisiacs like chocolate and many herbs have been used to treat libido and potency.

      Research has shown that herbs like maca, Panax ginseng, yohimbine, ginkgo, and Mondia whitei, have varying degrees of success for erectile dysfunction.⁽⁵⁾

      Roots of Panax ginseng have been used for treating symptoms of erectile dysfunction. This is also known as Korean red ginseng. Though there are limited studies, the results of a research review from 2008 suggest that this herb might improve ED.⁽⁶⁾

      The health benefits of maca for treating ED are not supported by scientific evidence.⁽⁷⁾ However, eating this root might have a placebo effect. Men who took 3 grams of maca every day for consecutive eight weeks reported an improvement in their sexual desire more often than men who did not take it.⁽⁵⁾

      Yohimbine is another herb that is known to be beneficial in treating or reducing the symptoms of erectile dysfunction. Studies on the effects of this herb have mixed results. A meta-analysis of multiple studies has shown that yohimbine was effective for erectile dysfunction, but, only when combined with other treatments.⁽⁸⁾

      Mondia whitei is used for increasing libido and also managing low sperm count. Studies suggest that this herb might have a similar effect as that of Viagra in increasing human sperm motility, sexual desire, testosterone levels, nitric oxide production, and erections.

   3. Comparison with Conventional Erectile Dysfunction Treatments

      Conventional ED treatments include oral medications like Sildenafil (Viagra), Tadalafil (Adcirca, Cialis), Vardenafil (Levita, Staxyn), and Avanafil (Stendra) are successful methods for treating erectile dysfunction in men. Some other modes of conventional ED treatments include Alprostadil self-injection, Testosterone replacement therapy, Alprostadil urethral suppository, use of penis pump, surgery, and implants. Mostly, conventional ED treatments are safe and effective and most people prefer undergoing these treatments under experienced and skilled specialist doctors. The efficacy of these conventional treatments has been scientifically proven and globally approved.

      NOTE: Your doctor would recommend you the most appropriate treatment for you based on the severity and underlying cause.

      Alternative treatments like acupuncture and the use of herbal supplements are preferred by some men with ED, however, their efficacy is not proven. Treatment via acupuncture can be effective only when ED is caused due to stress or anxiety. Moreover, The Food and Drug Administration (FDA) has also issued strict warnings about many types of herbal Viagra or herbal supplements because they contain harmful drugs that are not listed on their labels.

      NOTE: It is important to check with your doctor to make sure that trying out alternative therapies for ED could be safe for you or not.

4. Potential Risks and Side Effects of Alternative Therapies for Erectile Dysfunction

   1. Overview of Potential Risks and Side Effects

      Acupuncture has specific risks, however, the frequency of adverse effects is low. Some of the risks associated with acupuncture might include nerve damage, punctured organ, and infection. You should make sure to visit an experienced and licensed practitioner if you are trying to use acupuncture as an alternative therapy for erectile dysfunction.

      Herbal supplements could include some harmful ingredients that might not be on the label. These unlisted ingredients can result in gastric distress and other similar side effects. Moreover, there is a risk that some of these supplements can interact with prescription drugs and result in low blood pressure. They can be dangerous mostly for people who take prescription nitrate.

      The FDA has issued a strict warning against Herb Viagra (Herbal supplement) because it was found to contain certain undisclosed sildenafil as the active ingredient.⁽⁹⁾ Many of these herbal supplements and herbs are not approved by the FDA.

   2. Importance of Informed Consent and Monitoring By A Medical Professional

      There is still more research that requires to be done before the herbs can be approved as effective treatments for ED. It is always essential to consult with your doctor before purchasing any such herbal supplement for treating erectile dysfunction. Moreover, if you are trying to go for acupuncture as an alternative therapy for your condition then make sure to visit an informed professional in the field.

      Even though you are willing to go for alternative treatment for erectile dysfunction, you should also consider visiting a medical professional so that you can remain safe and eradicate many unwanted side effects.

5. Conclusion

1. Recap of the Effectiveness of Alternative Therapies for Erectile Dysfunction

   We studied the most important forms of alternative therapies for ED, such as acupuncture, herbal supplements, and talking therapy, along with the evidence and studies that show their effectiveness in treating erectile dysfunction. We also knew about the potential risks and side effects associated with these alternative therapies. Moreover, the most important thing that we could know is the importance of informed consent and monitoring by a medical professional for your condition.

2. Current Status and Future Potential of Alternative Therapies for Erectile Dysfunction

   The most promising results that have come from specific small sample-size studies have suggested that acupuncture works best as a complementary treatment when used along with medications, other therapies, and lifestyle changes.⁽¹⁰⁾ However, these studies were limited, and more research is essential.

   Evidence suggests that herbs like ginseng might be an effective herbal treatment for erectile dysfunction. But again, more, high-quality, larger studies are essential before we come to any firm conclusion regarding this.

   So, overall, more research is required to prove the effectiveness of alternative therapies for ED

3. Importance of Discussing With A Healthcare Professional Before Trying Alternative Therapies

   Always keep it noted that most nutritional supplements are not approved by the FDA as drugs or foods, rather they are considered dietary supplements. These supplements do not guarantee that they are safe for all. So, you should always talk with doctors before taking these supplements. Moreover, if you are considering acupuncture as an alternative treatment for erectile dysfunction, you should visit only a reputed and experienced specialist.

   Even if you are trying to undergo alternative therapies for treating ED, it is advisable to seek medical treatments and a visit to a medical professional before beginning any alternative therapy. They will warn you about the harmful effects of the herbs and other alternative therapies (if any) and also help you come out of the condition effectively.

References:

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