The FDA is giving "Time Out" capsules a real time out. The agency says the product marketed as "100%" natural is really just a Viagra rip off in disguise. The agency says the pills contain "hydroxythiohomosildenafil, a chemical similar to sildenafil, the active ingredient in Viagra. Like sildenafil, this chemical may interact with prescription drugs such as nitrates, including nitroglycerin, and cause dangerously low blood pressure."
Some dietary supplements purport to increase the size of the penis. However, aside from a surgical procedure, this is an impossible task for any pill to achieve. Three prescription oral medications are approved by the FDA to treat erectile dysfunction — sildenafil, tadalafil and vardenafil. These products are classified as drugs. However, the natural ingredients in male enhancement pills don’t have a proven track record. Some alternative treatments used to treat erectile dysfunction are of panax ginseng, yohimbine, ginkgo, L-arginine and dehydroepiandrosterone, or DHEA. Some of these dietary supplements are generally safe to use, while others are more dangerous. For example, DHEA may help men with low levels of testosterone, but the side effects can include acne and decreased high-density lipoprotein or “good” cholesterol levels. Before you self-treat with dietary supplements, talk to your treating physician.
Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors. That's because performance problems sometimes act as an early warning signal for serious health problems. Your doctor might be able to prescribe something that can really help, or least provide a valuable dose of perspective about what constitutes "normal" sexual performance.
There are also traction devices which have been observed to cause small increases in length (1-2 cm overall) in some men. However, these devices are highly impractical, as they need to be worn for several hours every day in order to have an effect. You should consult a doctor before experimenting with any device to enlarge your penis, as there is a risk of side effects and injury if you don’t use it correctly. Evidence that using a traction device works is still limited.
Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says. Testosterone deficiencies can also affect mood and energy levels. Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.
Many manufacturers market the products as dietary supplements because the products contain natural ingredients, including vitamins and minerals. When shopping for male enhancement products, read the label carefully. You might find that the product contains the same ingredients as those found in a multivitamin. You should also look at what the product does because not all supplements promise the same thing. Some shoppers want a male enhancement supplement that increases stamina, but some men want a product that only contains natural ingredients.