Impotence
This condition, also known as “erectile dysfunction”,
refers to the inability to achieve or sustain an erection adequate
for intercourse. This will of course lead to the general inability
to achieve ejaculation and therefore reproduction. There can be
a variety of causes, but by far the most common is the constriction
of the penile artery which is responsible for bringing blood to
the penis, due to generalized atherosclerosis (See protocol for
Atherosclerosis for general treatment considerations). The next
most common cause is nervous system anxiety or deficiency. Other
causes are related to prostatitis, side effects of medications (antidepressants,
e.g.), or mechanical injury.
Treatment Goal(s):
· Increase blood flow to the penis, tonify appropriate systems.
Primary Treatment:
· Pausinystalia yohimbe (Yohimbe) is a strong vasodilator
and relaxant. It can be very effective, but should be used with
caution (see below) and started at low doses (½ tsp. once
or twice daily).
Supportive Treatment:
· Vigorous exercise for both stress reduction and cardiovascular
protection, at least 3-4 times a week for 1 hour.
· Smoking cessation is essential.
Differential diagnoses, cautions, and other considerations:
· For atherosclerotic profiles, follow the appropriate protocol
and consider the addition of Ginkgo biloba in standardized form.
· For nervous system dysfunction / anxiety, use one or all
of: Turnera aphrodisiaca (Damiana), Avena sativa (Oats), Piper methysticum
(Kava-kava), and chocolate.
· For stress related adrenal depletion, follow the appropriate
protocol. This may be one instance where Panax ginseng (Korean ginseng)
may be appropriate.
· For medication-related erectile dysfunction, use a good
dose of Ginkgo biloba standardized supplement.
· Yohimbe can be a powerful hypnotic. Monitor the patient
closely for signs of hypotension (low blood pressure), dizziness,
fainting, and discontinue the treatment if any of those symptoms
or hallucinations develop. Use caution when driving, operating machinery,
or combining with alcohol.
