Tongkat Ali Root Powder (Eurycoma longifolia), Zinc (oxide) Maca Root, L-Arginine HCl, Panax ginseng Root Extract, Eleutherococcus senticosus Root Powder, Sarsaparilla Root Powder, Pumpkin Seed Powder, Muira Puama Bark (4:1 extract), Oat Straw 5:1 Extract, Nettle Leaf (5:1 extract), Cayenne Pepper (40M HU/G), Astragalus Root (4:1 extract), Licorice Root (4:1 extract). Catauba Bark Powder, Tribulus Terrestris Powder, Orchic Powder, Boron 5% (amino acid chelate), and Oyster 4:1 Extract.
SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."
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.
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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.