An erection problem, or erectile dysfunction, is one of the commonest disorders of male sexuality. Penile erection depends on a complex interaction of psychological, neural, vascular and endocrine factors. Testosterone has an important role in both central and peripheral domains of this process. Neurotransmitters are also involved in starting and to maintain a better penis erection including dopamine and nitric oxide. Men who have difficulty with erection or a weak erection seek an erection ring, erection pump, erection vacuum device, erection cream, or search for an erection pill such as Viagra or herbal erection pills. To maintain a strong penis erection, it is best to have a deep sleep at night, have low stress, eat a healthy diet with plenty of vegetables and fish, have a moderate amount of exercise, do yoga, meditation, or relaxation techniques, and have an open heart and close intimacy. All these steps can lead to a longer erection time in a man.

Passion Rx -- Medical Doctor formulated for male erection enhancement
Passion Rx is a bestseller
How quickly does Passion Rx work?
Passion Rx provides an erection problem solution sometimes noticed within a day or two, but most often it takes several days for the full sexual enhancement to be appreciated. Our feedback thus far indicates more than 80% user satisfaction by the end of the first week, and higher by the end of the second and third weeks. Passion Rx contains a number of erection enhancing herbs including Mucuna Pruriens, tribulus terrestris extract, tongkat ali, muira puama, catuaba, yohimbe bark extract, horny goat weed sex enhancer, and others. A version of Passion Rx is available without yohimbe.

A special blend
Dr. Sahelian and his research staff have tested various doses and extracts of dozens of herbs from a number or raw material suppliers to determine the ideal dosage and combination for optimal erection enhancement with the fewest side effects. After years of trial and error,  a unique proprietary blend with 15 herbal extracts from the best raw material suppliers has been created which works within hours. The exact dosages and potencies of this erection pill blend is a close kept secret only known to the doctor and his research staff. You will only find this exact combination in Passion Rx.

How an erection happens - erection control
A complex interaction of neural, vascular, and biomolecular activity results in normal erectile function. Two chambers in the penis, the corpus cavernosa, contain sinusoids, which fill with blood and expand to become rigid when smooth muscle is relaxed. Blood flow out of the penis is temporarily stopped (veno-occlusion) to maintain and keep the erection. Neural control is complex but, in general, the sympathetic nervous system inhibits, and the parasympathetic system excites erection. The central nervous system can induce erections without peripheral stimuli, e.g. in nocturnal erections. In general, there are 5 recognized phases in erectile response: latent, tumescent, full erection, rigid erection, and detumescent. The key biochemical event in erectile function is an increase in levels of cyclic guanosine monophosphate, which causes smooth-muscle relaxation and allows an erection to occur. This process is mediated by nitric oxide, produced by neurons and elsewhere, which acts as a gaseous messenger molecule.
 
Erection problem may indicate cardiovascular or heart problems
The arteries in the penis are about one-third the size of one of the coronary arteries supplying the heart. When smaller blood vessels, such as the penile arteries, are narrowed even a small amount, it can have a major effect on their capacity to dilate. When a man becomes aroused, the brain sends signals to the penis to release a chemical that rapidly widens blood vessels. Blood rushes in, causing an erection. Damage to those vessels can make them inflexible, limiting their ability to expand. This damage to the penile arteries and the subsequent erection problems may indicate that damage has occurred to other arteries in the body, including coronary arteries.

NO erection enhancer - NO meaning nitric oxide
Nitric oxide is a chemical in the bloodstream that helps dilate blood vessels, including those in the penis, thus any herbs or supplement that increases nitric oxide levels help to maintain and improve an erection.

Erection problems due to poor blood flow
Poor blood flow can cause erectile dysfunction. If you visit your doctor, he or she will ask if you have difficulty obtaining an erection, if the erection is suitable for penetration, if the erection can be maintained until the partner has achieved orgasm.
   If hardening of the arteries has made your coronary arteries narrow and stiff, that means arteries elsewhere in your body are probably also affected. Atherosclerosis can prevent enough blood flow from reaching your heart, legs, brain and penis. When atherosclerosis affects blood flow to your penis, the blood can't sufficiently fill the penis to allow a suitable erection.
   Endothelial function plays a very important role in the process of male erection. Erection problems and coronary artery disease overlap in risk factors and clinical outcomes. Endothelial dysfunction is considered to be their shared causal factor. Patients presenting with difficulties with erection should be investigated for coronary artery disease, even if with no heart disease symptoms. Earlier diagnosis of erection problems can facilitate prompt intervention, reduce long-term complications, especially the risk of coronary artery disease, and provide effective treatment for erection problems.

Male penis erection and Viagra
There is no doubt that Viagra, Cialis, and Levitra improve an erection problem. However, there are risks to these prescription erection pills including optic nerve damage and blindness. We prefer natural erection enhancers such as aphrodisiac herbs. Natural male erection enhancers work slower that prescription erection pills, but after a few days their overall sexual enhancement is comparable or even better than the drugs.

Erection pill
Quite a number of erection pills are available, from the pharmaceutical ones to single erection herb products to combination erection herbal products. Even though the drugs work quicker for erection dysfunction, many of the herbal erection pills, over several days, provide a more natural approach to a hard erection. After several days, a spontaneous erection may occur with erection herbs, including a nocturnal erection and morning erection. For more information, see male enhancement pill.

Erection vitamin
There are some vitamin and supplement products that offer natural erection help. Most of the regular vitamins, such as vitamins A, B, C, D, and E do not have much of an immediate influence on penile erection and do lead to a harder erection. However, certain vitamin like nutrients, for instance choline, can be considered an erection vitamin.

Q. Is there a natural vitamin or herb that can reduce erection and sex drive. I am too horny all the time and it distracts me from my work performance.
   A. 5-HTP is a natural supplement that can reduce sex drive and erection strength. 5HTP converts into serotonin which can inhibit an erection. Serotonin (5HT) has two distinct, opposite and positive effects on sexual function, with 5HT-(1A) agonists decreasing ejaculatory latency and erection, and 5HT-(2C) agonists increasing both erection and ejaculatory latency.

Erection herbs
Q. Which herb is best for a harder erection in a man?
   A. There are quite a number of herbs that help maintain a hard erection. Some of them include yohimbe, tongkat ali, muira puama, catuaba, tribulus terrestris, horny goat weed, and maca. Many men report a harder morning erection after taking these herbs for a few days.

Q. Are there any erection herbs that help a man be longer, that help with penis enlargement?
   A. See penis enlargement pill for a full discussion on this topic.

Average penis erection size in a man
An average erection length is about 5 to 6 inches, a large erection size would be over 7 inches. A small erection would be less than 4 inches.

Alcohol and weak erection
Chronic alcohol intake leads to a weak erection, which may be due to the decline of testosterone level and decline of penile smooth muscle strength. Alcohol also acts as an anesthetic, reducing sensation of the penis.

Smoking and weak erection
Cigarette smoking is a risk factor for erection problems. Nitric oxide has been demonstrated to be the principal agent of cavernous smooth muscle relaxation and penile erection. Cigarette smoke interferes with optimal nitric oxide production and can lead to a weak erection in a man.

Priapism persistent penis erection
Priapism is a medical condition of persistent penile erection in the absence of sexual excitation. Although priapism affects only a small population of men, it carries major significance. Possible complications of this persistent erection includes penile fibrosis and permanent erectile dysfunction. Priapism can sometimes be caused by taking Viagra, Cialis, or Levitra erection pills, particularly in high dosages.

Penile erection and REM sleep
Penile erection and micturition events triggered by electrical stimulation of the mesopontine tegmental area.
Am J Physiol Regul Integr Comp Physiol. 2007 Oct 31; Department of Physiology, Fukushima Medical University, Fukushima, Fukushima, Japan.
The cholinergic neurons in the laterodorsal tegmental nucleus (LDT) are involved REM sleep regulation. Since penile erection occurs during REM sleep, the role of the LDT in penile erection was examined in unanaesthetized head restrained rats. Our results suggest that the LDT and surrounding region are involved in penile erection regulation. Moreover, different areas in the mesopontine tegmentum may have specific roles in the regulation of penile erection and micturition. Key words: penile erection, laterodorsal tegmental nucleus, electrical stimulation, cholinergic neurons, micturition.

Herbs for strengthening erections
Q. Is tongkat ali a good herb for strengthening erections?
   A. Yes, tongkat ali, or eurycoma longifolia, is a good herb for strengthening erections. So is yohimbe.

Erection oil products
Q. What is your opinion of erection oil products? Do they help with giving a stronger erection?
   A. We don't have extensive information on erection oil products, however it seems unlikely one would get a strong erection by applying an oil to the penis.

Natural erection pills
Q. Are there natural erection pills that also improve mood?
   A. Yes. Muira puama is a natural erection pill that has mood enhancing properties.

Erection enhancing natural herbal questions
Q. What is a good herb for stronger erection?
   A. A good herb for stronger erection is yohimbe. You can find more yohimbe bark information here.

Q. I can get an erection but have trouble to maintain erection. Could the beta blockers that I take for blood pressure cause me the problems with erection maintenance?
   A. Yes, in order to maintain erection strength, your doctor may need to switch you to another type of blood pressure medication that does not cause erection problems.

Additional links of interest
Female impotence information. Many of the sexual herbs that lead to improved male penis erection enhancement are also effective in women in terms of overall sexual improvement and sexual pleasure enhancement.
Ray Sahelian, M.D. web site for more information on male erection enhancer supplements.

The 10 year Erection
Charles "Chick" Lennon, 68, received a steel and plastic implant in 1996, about two years before Viagra went on the market. The Dura-II is designed to allow impotent men to position the penis upward for sex, then lower it. But Lennon could not position his penis erection downward. He said he could no longer hug people, swim or wear bathing trunks because of the erection pain and embarrassment. In 2004, a jury awarded him $750,000. A judge called that excessive and reduced it to $400,000. A lawyer representing both Dura-II manufacturer Dacomed Corp. and the company's insurer have declined to comment. Dacomed has maintained that nothing was wrong with the implant. The implant consists of a series of plastic plates strung together with steel surgical wire, almost like a roll of wrapped coins. Springs press against the plates, creating enough surface tension to simulate an erection.

More Erection enhancer emails
Q. I have a 3 inch erection of my penis but I am looking for a huge erection that is rock hard and stronger. Would you recommend an erection pill for this?
   A. We am not aware of an erection pill that increases penis size. But, it is possible to keep a kibger erection with natural herbs.

Q. I can't get an erection and I'm only 31. There has been a lot stress in my life lately.
   A. Stress can certainly inhibit an erection.

Q. Will erection herbs cure my problem over time if it is due to psychological stress?
   A. Yes, many herbs used as erection enhancers can overcome erection problems due to psychological or emotional stress.

Q. According to your personal experience what herb (other then Yohimbe) works best for increasing the erection duration? I don't use Yohimbe bark extract anymore since I don't like the feeling.
   A. We am not aware of any herbs that work as quickly as yohimbe for erection enhancement, but you can see try some of the herbs mentioned on this page that could help you.

Q. Which herbs should be avoided because they hinder erection function?
     A. Kava herb and 5-htp could interfere with optimal erection and sensation.

Q. I am looking for an erection enhancer. Have been experiencing erection problem and climaxing difficulties. Recently my doctor prescribed Atenolol 25 mg and I think that is when my erection problems started. Would it be okay to take Prostate Power Rx with Atenolol?
   A. Atenolol is a blood pressure drug that can cause erection problems. If you doctor approves, you can try Prostate Power Rx since it has some erection enhancing benefits.

Q. 1. After prostate removal, the nerve bundles that provide the chemical needed for an erection were not cut, but damaged. Result - no erection without Viagra, and then not very satisfying. Do you have any herbal help? How to get that chemical into the penis? How to stimulate the nerve bundles?
   A. In some people Passion Rx has helped but this is a a difficult condition to treat effectively.

Q. I have had prostate cancer and the prostate removed by radical surgical procedure. I am 59 years old and in good health, want to have sex but cannot get an erection hard enough for intercourse.
   A. There are a number of herbs and combinations used as erection enhancers. It is impossible to predict in any person which one or which combination will work.

Q. I need erection help with a natural pill. Does yohimbe lead to a stronger erection?
   A. Yes, in most people yohimbe does provide effective erection help. However if too much is used, side effects occur. So, one has to balance the benefit and side effects.

Q. I am very much worried about my sexual life with my wife because I have destroyed my massive erection power by using Viagra too much now I am getting married soon and I am very much worried about that. I can't use Viagra for my whole life for erection dysfunction.
   A. Natural herbs for erection enhancement are good options to try. Erection dysfunction can be treated effectively in many cases using natural aphrodisiac herbs.

Q. I'm 63 almost 64 years old. I'm being treated for low testosterone and still am lacking in the desire and erection quality department. Will Passion Rx work for me and help me to feel like a man again with a stronger erection? Even with the testosterone gel that I apply daily there is no fire and very little help with the erection firmness and size. In order to have sex I take various natural erection supplements, some work others don't do anything at all. I am looking for help.
   A. Passion Rx with yohimbe is quite popular and has a high reorder rate, but it is not possible to predict in any one individual what the response would be. Most people take this product two days on, or or more days off. It seems to work for most people within a week.

Q. What herbal products might you suggest that might bring a 64 yr. old man back to normal erection function - who has a rock hard erection just before waking up in the morning and just before sexual encounter and goes soft just before insertion? Also he can't even get an erection if he tries to masturbate !I'm thinking (and l have been told) it could be psychological as well ! (and do you have anything available for that as well), This started happening on and off over a yr. ago (off and on) I do understand that happens in much younger men and now has a (seemingly) permanent loss of erection thing ! Do Progesterone and testosterone creams help that much? Would pregnenelone and/or DHEA aid an erection?
   A. Firstly, it is important to read the cautions regarding impotence in a male, particularly someone who is older since there can be vascular problems causing the erection problem. Secondly, it is not possible to predict in any one individual which single herb or combination formula will be an effective erection enhancer. DHEA and pregenolone may help some users, but these hormones carry side effects. There are a number of herbs that can be tried, including tribulus terrestris extract, tongkat ali, catuaba, etc.

Q. Though I test in the normal range of testosterone and other hormones, I have trouble with erections when I need them and am wondering if there is a blood test to determine the level of nitric oxide in a person's system and whether I am in the normal range? Perhaps I need to take a supplement as an erection enhancer to increase nitric oxide in my system. What do you think of arginine or citrulline as erection enhancing pills?
   A. Citrulline or arginine may raise nitric oxide levels, but their effect is transient and we do not consider these supplements effective erection enhancers. Rather than focusing on nitric oxide levels, consider trying any of a number of erection enhancing herbs or supplements that work in multiple ways to improve erections.

Links
AHCC immune enhancing mushroom extract web site
Essiac Herbal Supplement Extract Formula, Essiac is a well known formula
Eclectic Institute Calendula 100% Organic calendula herb
Eclectic Institute Wild Indigo Supplement, wild indigo is not known by most people as a beneficial herb

Erythrina fusca flavonoids include lupinifolin, citflavanone, erythrisenegalone, lonchocarpol A, liquiritigenin, and 8-prenyldaidzein.
Eugenia jambolana Jamun herb is from INdia
Euterpe oleracea is a common, tall, slender palm tree which has many antioxidants and health properties.