There exist many different herbal viagra alternatives to viagra. Eco-herbs.com are proud of having won several viagra reviews and tests concerning its effectcity to cure and treat erectile dysfunction, low libido and premature ejaculation. The most famous study carried out by Dr. Jeff Andrews can be read here below in its full length.

Herbal Viagra For Male Erectile Dysfunction - Does it Really Work? An Objective Herbal Viagra Review

by Dr. Jeff Andrews

As an opener let us take a look at what erectile dysfunction is, why it occurs and how it is treated nowadays.

About erection dysfunction What is erection dysfunction?

Erectile dysfunction, sometimes called "impotence," is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word "impotence" may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm.

Using the term erectile dysfunction makes it clear that those other problems are not involved. Erectile dysfunction, or ED, can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. These variations make defining ED and estimating its incidence difficult. Estimates range from 15 million to 30 million, depending on the definition used. According to the National Ambulatory Medical Care Survey (NAMCS), for every 1,000 men in the United States, 7.7 physician office visits were made for ED in 1985. By 1999,

that rate had nearly tripled to 22.3. The increase happened gradually, presumably as treatments such as vacuum devices and injectable drugs became more widely available and discussing erectile function became accepted. Perhaps the most publicized advance was the introduction of the oral drug sildenafil citrate (Viagra) in March 1998. NAMCS data on new drugs show an estimated 2.6 million mentions of Viagra at physician office visits in 1999, and one-third of those mentions occurred during visits for a diagnosis other than ED.

In older men, ED usually has a physical cause, such as disease, injury, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. Incidence increases with age: About 5 percent of 40-year-old men and between 15 and 25 percent of 65-year-old men experience ED. But it is not an inevitable part of aging. ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED. Urologists, who specialize in problems of the urinary tract, have traditionally treated ED; however, urologists accounted for only 25 percent of Viagra mentions in 1999.

How does an erection occur?

The penis contains two chambers called the corpora cavernosa, which run the length of the organ (see figure 1). A spongy tissue fills the chambers. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra,

which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa and is surrounded by the corpus spongiosum. erection dysfunction Erection begins with sensory or mental stimulation, or both. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces.

The blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed. Figure 1. Arteries (top) and veins (bottom) penetrate the long, filled cavities running the length of the penis�"the corpora cavernosa and the corpus spongiosum. Erection occurs when relaxed muscles allow the corpora cavernosa to fill with excess blood fed by the arteries, while drainage of blood through the veins is blocked

What causes erectile dysfunction?

Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa. Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases�"such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease�"account for about 70 percent of ED cases. Between 35 and 50 percent of men with diabetes experience ED.

Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of erectile dysfunction. Smoking, being overweight, and avoiding exercise are possible causes of ED. Also, surgery (especially radical prostate and bladder surgery for cancer) can injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. In addition, many common medicines�"blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug)�"can produce ED as a side effect. Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression).

Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone.

How is erection dysfunction treated?

Most physicians suggest that treatments proceed from least to most invasive. For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function. Cutting back on any drugs with harmful side effects is considered next. For example, drugs for high blood pressure work in different ways. If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of blood pressure medicine.

Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered. Psychotherapy Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated.

Drug Therapy

Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. In March 1998, the Food and Drug Administration (FDA) approved Viagra, the first pill to treat ED. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. Additional oral medicines are being tested for safety and effectiveness. Viagra, Levitra, and Cialis all belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Taken an hour before sexual activity, these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow.

These drugs are used with prescription and are very dangerous to take as the chemicals included can have severe side-effects such as blindness and loosing your hearing ability. Therefore Natural viagra or herbal viagra as an alternative to increase potency, virility and sexual endurance and gain harder erection is recommended among many doctors and herbologists as these have minimum of side effects. While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient.

A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE inhibitors should be used more than once a day. Men who take nitrate-based drugs such as nitroglycerin for heart problems should not use either drug because the combination can cause a sudden drop in blood pressure. Also, tell your doctor if you take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure. Your doctor may need to adjust your ED prescription.

Taking a PDE inhibitor and an alpha-blocker at the same time (within 4 hours) can cause a sudden drop in blood pressure. Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage. Patients also have claimed that other oral drugs�"including yohimbine hydrochloride, dopamine and serotonin agonists, and trazodone�"are effective, but the results of scientific studies to substantiate these claims have been inconsistent. Improvements observed following use of these drugs may be examples of the placebo effect, that is, a change that results simply from the patient's believing that an improvement will occur.

Research on drugs for treating ED is expanding rapidly and herbal viagra and natural viagra as sexual enhancers for increasing sexual desire, gaining harder erections, keeping sexual endurance longer are dramatically increasing as the chemical products such as Viagra, Cialis and Levitra has proven to have severe side-effects such as the possibility of blindness and loosing the hearing ability.

Herbal Viagra study does it really work?

Herbal-forum performs independent consumer tests of different herbal sexual enhancers and herbal remedies. The test is based on 595 consumer answers who have all been actively involved in the testing and scoring of the viagra and the viagra alternatives test results. The products have been tested against 5 factors:

• Time to erection (the average time of erection after intake)

• Safety to use (The sideeffects after having taken the product)

• Sexual duration (the effectiveness of the product on erection duration and the time the erection lasted)

• Hard erection

• Good price (If the product sold is a good price)

Below is a brief of our test results of sexual enhancers and aphrodisiacs for erection dysfunction

Viagra test results

Based upon the consumer data given - the conclusion was that Natural Vigour Plus from eco-herbs.com was the most effective product based on; Time to erection, safety to use, sexual duration and hard erection.

The Natural Viagra from Eco-Herbs.com is a herbal remedy against erection dysfunction and alternative to viagra, cialis and Levitra. All of the well known chemical products Viagra from Phizer, Cialis and Levitra scored second highest after Eco-Herbs regarding the time to erection, safety to use, sexual duration and hard erection. However regarding safety to use and the side effects Viagra, Levitra and Cialis all were among the lowest due to the high concentration of chemical ingredients. Also regarding the price level the three chemical brands scored very low compared to the viagra alternatives due to a very high price level.

In the following figure the overall test result can be seen as an average score based on the 595 consumer answers: Overall Viagra test result Herbal-forum performs independent consumer tests of different herbal sexual enhancers and herbal remedies. The test is based on 595 consumer answers who have all been actively involved in the testing and scoring of the viagra and the viagra alternatives test results. The products have been tested against 5 factors: * Time to erection (the average time of erection after intake) * Safety to use (The sideeffects after having taken the product) * Sexual duration (the effectiveness of the product on erection duration and the time the erection lasted) * Hard erection * Good price (If the product sold is a good price) Below is a brief of our test results of sexual enhancers and aphrodisiacs for erection dysfunction Herbal Viagra test results Based upon the consumer data given - the conclusion was that Natural Viagra from eco-herbs.com was the most effective product based on; Time to erection, safety to use, sexual duration and hard erection.

The Natural Viagra from Eco-Herbs.com is a herbal remedy against erection dysfunction and alternative to viagra, cialis and Levitra. All of the well known chemical products Viagra from Phizer, Cialis and Levitra scored second highest after Eco-Herbs regarding the time to erection, safety to use, sexual duration and hard erection. However regarding safety to use and the side effects Viagra, Levitra and Cialis all were among the lowest due to the high concentration of chemical ingredients. Also regarding the price level the three chemical brands scored very low compared to the viagra alternatives due to a very high price level. In the following figure the overall test result can be seen as an average score based on the 595 consumer answers:

Overall Viagra test result

The conclusion of the perfomed research shows that based on the 595 consumer test answers is that eco-herbs.com overall performed more effective on our 5 effectiveness factors including the safety to use given its herbal natural ingredients.