Combined use of Yidiyin and hypoglycemic drugs could increase patients’ scores on international index of erectile function-5 (IIEF-5) more than the hypoglycemic drug alone. The control group received psychological therapy 24 times in a month that was aimed to help patients improve their confidence. According to Chinese Medical theory there are two main causes to this disorder. First treatment seemed to help. If any of the above steps do not occur, an erection cannot be sustained.

BioMed research international 2020;2020:

The average age in the acupuncture group was 38. So much more cost effective and less painful than penile injections. Chief complaint is that sometimes he could get an erection and sometimes he couldn’t but he never knew when or if it was going to work. After you’ve had a couple doctor visits (approx $300 each) to evaluate if you are a good candidate, they give you your ‘syringe kit’ and show you how to inject yourself; 10am and 2pm directly into the penis. A protocol of this systematic review was registered in the PROSPERO database (identification number: )J Ethnopharmacol 2020;137:

Acupuncture involves placing very fine needles in various parts of the body to relieve pain or stress.

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Ginkgo biloba extract treatment increases noncontact erections and central dopamine levels in rats: Herbal medicinal recommendations may be also made. Each treatment course consisted of 7 acupuncture sessions followed by a 7 day break before the next course began. This is the most common type. Let me tell you why Acupuncture for ED is a much better, relaxing alternative. Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. After treatment completion for patients in all three study groups, the treatment efficacy for each patient was categorized into 1 of 4 tiers (based on the measurement of erection angles and successful intercourse rates). J Sex Med 2020;8:

  • Impotence can be caused by many factors, from imbalances in hormones, to actual physical damage, to psychological or emotional problems.
  • Thus, the principle of acupuncture treatment is to invigorate the kidney qi and nourish the heart and spleen.
  • Often, men with erectile dysfunction suffer with diabetes or heart disease, or may be sedentary or obese, but they don’t realize the impact of these health conditions on sexual function.
  • Herbal and alternative remedies Share on Pinterest Acupuncture may help to reverse ED.
  • Though acupuncture and the use of needles has become popular (*needles are never placed on the genitals BTW), true Chinese Medicine always embraces the complete medical system.
  • ” It can also include the curvature of the penis during erection, prolonged painful erection, and premature ejaculation.
  • Protective effects against heat-induced damage of rat testes and H2O2-induced DNA damage in mouse testicular cells and beneficial effect on sexual behavior and reproductive function of hemicastrated rats.

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Panax notoginseng is planted mainly in Guangxi province and Yunnan province of China. Drug-induced erectile dysfunction (ED) has been found to be more prevalent with the use of prescription drugs for ulcers, GERD, heartburn, high blood pressure, and for depression. An extract from Herba Cistanche was reported to increase the sex hormone levels in rats (24). “More rigorous trials are required,” Lee said.

  • Two trials compared the effects of acupuncture with sham acupuncture.
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  • Osthole is one major component of Common Cnidium Fruit, which has been shown to have vasodilating effect.
  • Chinese herbal drugs for erectile dysfunction through NO-cGMP-PDE5 signaling pathway.
  • Qi refers to the vital energy in a person and Gong means practice or work.

Dr Sadlon

Anatomically, there are two sponge-like chambers, called the corpora cavernosa, which run the length of the penis. Take impotence or erectile dysfunction (ED) – a very common problem, which causes a great deal of worry and anguish. According to TCM, Yang and Yin should keep balance in our body, if they are not in balance, our body will get sick. Overall, after acupuncture treatment, 13 of 19 patients (including 10 patients after crossover) could obtain a full erection without further therapy, and their mean IIEF score improved by 41. And unusual characteristics of the penis itself could suggest the source of the problem—for example, a penis that bends or curves when erect could be the result of Peyronie's disease. The reviewers assessed the risk of bias using the Cochrane Risk of Bias tool [18]. A Chinese herbal formula, Shuganyiyang capsule, improves erectile function in male rats by modulating Nos-CGMP mediators. In extreme cases, they may be unable ever to have or sustain an erection.

  • Qi is generated from the interaction between Yin and Yang.
  • The potential mechanism of action by how acupuncture may have an effect on ED is unclear.

Erectile Dysfunction

BOOK NOW to schedule an appointment online. Some studies were conducted to investigate the effect of acupuncture on erectile function in patients. The authors have no conflicts of interest to declare. Acupuncture, part of traditional Chinese medicine (TCM), is increasingly used for the treatment of ED. 15% of patients, while 31% reported an increase in their sexual activity. And the relationship between your your mind, heart body and sex/reproductive health are significantly linked. Chuanxiongzine relaxes isolated corpus cavernosum strips and raises intracavernous pressure in rabbits. The small sample size and poor quality of the trials might cause bias.

Other underlying factors that caused it in the first place can be managed with your provider which will result in not only a better sex life, but improved overall health - in some cases it may save your life. The interactive transcript could not be loaded. Since the kidneys are primarily responsible for fertility, consuming Cordyceps can help strengthen the kidneys, enhancing fertility. If you have started to develop symptoms of ED, or if you have had it for years, you owe it to yourself to come in for the Raleigh Acupuncture erectile dysfunction treatment. Share on Pinterest The right treatment can reduce or eliminate ED symptoms. For example, drugs for high blood pressure work in different ways. As men move into their 50s, ED is more likely to be the result of kidney deficiencies and blood stagnation. It is applied as a tonic for chronic renal disease, impotence, and some gynecological diseases.

Impotence (Erectile Dysfunction) - Basics

The safety of acupuncture for ED was unclear because there were too few reports on this topic. On the other hand, acupuncture involves placing fine and sterilized needles on different points of the patient’s body that helps them heal naturally without causing any side effects. Zusanli is a He-sea point on the stomach meridian. Medications for ED can have positive results, and Sildenafil (Viagra) is one of the most popular. Neuroscience 2020;189:

However, ED is not an inevitable part of ageing.
Also, surgery (especially radical prostate and bladder surgery for cancer) can injure nerves and arteries near the penis, causing ED.

Choosing The Acupoints

Research done in 2020 4 suggests it might increase sexual libido, semen quality and quantity, and improve erectile function. Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage. Tests for systemic diseases include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. All organ function is based on what we originally inherited, plus our daily maintenance. It is available in varied flavors such as chocolate, strawberry and many more. J Ethnopharmacol 2020;164: How many treatments?

The details of the included trials are listed in Table 1. Your acupuncturist will make a diagnosis based on your medical history and symptoms, and then determine the prescription of the specific for your particular case acupuncture points as well as Chinese herbal medicines that will optimize results. EGb761 is an effective extract from Folium Ginkgo Bilobae. We DO NOT use any points near sexual organs. After disinfection of the acupoint sites, acupuncture needles (Chinese gauge #30) were inserted into each acupoint with a high needle entry speed.

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Diet is often the first line of defence when it comes to good health, and here too, diet plays a role. The penis contains two chambers called the corpora cavernosa, which run the length of the organ (see figure 1). Patients were reported as “cured” if “they felt happy and had no problem with sexual activity” and their partners independently verified the report. They can bring more Qi to the vacuous areas or organs and release the excess part when there is too much Qi accumulating in some areas, thereby maintaining the homeostasis of our bodies. These different treatment plans are determined by the other signs and symptoms that are presented in addition to erectile dysfunction. Needling this point activates qi and blood circulation through the meridian. However, when we talk about organ function in Chinese medicine, there is not always a direct correlation to the Western “anatomical” organs.

One variation of the vacuum device involves a semirigid rubber sheath that is placed on the penis and remains there after erection is attained and during intercourse.

After the last surgery, he could no longer get an erection and the doctors said it was due to scar tissue and the nerves leading to the penis being damaged by the scar tissue. How is ED diagnosed? However, it is also a condition that, in many instances, is treatable.

Inherited organ function in Chinese medicine is similar to inherited DNA is Western medical terms. However, this review searched literature mainly from Chinese databases, and its control groups were only Chinese herbal medicine. Effect of angelica sinensis on NOS activity in penile tissues of rats after crushing injury to cavernous nerves. The diagnosis of disease in TCM lies in identifying patterns of disharmony, which is also called syndrome differentiation (5). Icariin could inhibit PDE5 activity and preserve the expression of NOS, thereby increasing the cGMP levels in spontaneously hypertensive rats (40). He came back in and said he had had zero problems over the weekend! It is important to note that even when ED cannot be cured, the right treatment can reduce or eliminate symptoms.

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Although acupuncture was not significantly superior to sham acupuncture, the 60% improvement with EA reported by Aydin et al. For example, there’s a lung meridian, a spleen meridian, and a heart meridian, to name three of them. Effects of plant extract neferine on cyclic adenosine monophosphate and cyclic guanosine monophosphate levels in rabbit corpus cavernosum in vitro.

Qi Xue Da Bu Wan (Nourish Qi & Blood Pills)

But they were split into two groups receiving different treatments. 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. According to the National Ambulatory Medical Care Survey (NAMCS), for every 1,000 men in the United States, 7. Blood pressure medication, for example, may lower blood flow to the penis, making it harder to get an erection.

  • When there is severe nerve or blood vessel damage, using a ring can help to keep blood in the penis.
  • This was the first time he had had an erection in 18 years!
  • A psychologist or psychiatrist can help an individual to manage their anxiety and resolve issues, which can eliminate ED and prevent it from returning.

General Wellness

Acupuncture and herbal medicine are both thought to have benefits to erectile function. We use sterile, single-use, hair thin needles. BJU Int 2020;104: Thus, psychological interventions can be beneficial for patients with ED. One trial showed the beneficial effects of acupuncture compared with sham acupuncture while the others did not. Echinacoside elicits endothelium-dependent relaxation in rat aortic rings via an NO-cGMP pathway.

However, the results of another study indicated that acupuncture is an effective treatment for psychogenic ED.

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The flavones from Semen cuscutae could reverse kidney-yang deficiency symptoms by restoring the testosterone level and androgen receptor expression in the kidney and testicle (26). Acupuncture for erectile dysfunction assists in all the physiological changes required for satisfactory sexual activity: Blood flows in, and the penis expands. NEW YORK (Reuters Health) - Men may not want to pin their hopes on acupuncture as a treatment for impotence, or erectile dysfunction, a new review of evidence suggests. The results from other studies were also inconsistent.

As a result, the safety of acupuncture for ED is uncertain because of the inadequate reporting of adverse events. Medication changes Some medications can make ED worse. The incidence of erectile dysfunction increases with age:

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Acupuncture points are specifically designed to move Qi and blood. ED is closely related to lifestyle diseases. Once balance has been restored to the body, all functions, including sexual functions, improve. ED is treatable at any age, and awareness of this fact has been growing. The average age in the acupuncture plus herb group was 41. Also, these changes may increase the odds that other treatments are effective. I can say hands down that Steven Sonmore is the most effective doctor of acupuncture that we have ever encountered. Among various kinds of ginsenosides, ginsenoside Rg3 has received the most attention.

To treat ED, it is first necessary to ascertain its cause. In these cases, acupuncture for erectile dysfunction addresses both the stress function in your body along with strengthening your Kidney function. Other modern treatments are available, but since ED is an age-old problem, some gents prefer to try old remedies instead of new therapies. Nitroglycerin, a muscle relaxant, can sometimes enhance erection when rubbed on the penis.

Diseases—such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease—account for about 70 percent of ED cases. Erectile dysfunction (ED) or impotence is defined as the inability to get or maintain an erection to enable a satisfactory sexual intercourse. Oral phosphodiesterase type 5 inhibitor (PDE5-Is) is the first line therapy for ED. Acupuncture for erectile dysfunction releases endorphins in the body. Of the 3 trials, one was conducted in Turkey, one in Austria, and another in China. Individual counseling can aid in uncovering the cause of the problem. For one thing, this important but intensely personal issue came out from under the covers, as men began to approach sexual woes as medical problems, not personal failings.

  • Successful intercourse rates show no improvement.
  • Or call us at 919-819-8113 and we will schedule an appointment for you.
  • The higher the age and the longer the duration, the poorer the therapeutic effects were.
  • Acupuncture is an ancient Chinese alternative medicine technique.
  • It is used as an alternative medicine by patients in many countries.
  • This allows for a deeper understanding of how our delicate system works and is based on thousands of years of observation and patient testimony.
  • One group received the actual acupuncture for impotence.

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Many people may be concerned about the placement of needles, but they are not placed in or near sensitive private areas. Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone. Over thousands of years of development, practitioners of TCM have established a comprehensive framework for treating ED. A systematic review is reported here in accordance with the PRISMA guidelines [11] (S1 PRISMA Checklist). One [18] of the studies was a crossover design, while the others were parallel designs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. 5 mg are available for patients who take other medicines or have conditions that may decrease the body's ability to use Levitra.

The average course of disease in the acupuncture plus herb group was 2. Erectile dysfunction (a. )Couples’ therapy can help sexual partners to talk through their feelings and find healthful, constructive ways to communicate about ED. A variety of compound formulas have been created to treat ED, such as Shuganyiyang capsule and Yidiyin. Moreover, the administration of EGb761 was able to enhance the noncontact erection, a penile erection initiated by brain centers, in male rats by increasing the dopamine contents in some parts of brain (14,15). Acupuncture treatments commenced with patients in a supine position.

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Acupuncture may affect the spinal sensorial level and have a central effect because the patients could acquire “peace of mind” [22]. In addition, 3,5,7,30,40-pentamethoxyflavone (PMF) isolated from Kaempferia parviflora was reported to cause relaxation of human cavernosum in vitro by voltage-dependent Ca2+ channel (35). The available evidence supporting that acupuncture alone improves ED was insufficient and the available studies failed to show the specific therapeutic effect of acupuncture. 4% patients in the treatment group showed a satisfactory response, which was significantly higher than the placebo group (6). Guidelines for diagnosis and treatment of erectile dysfunction. For example, if the penis is not sensitive to touching, a problem in the nervous system may be the cause. ED is diagnosed when a man has consistent trouble developing or sustaining an erection for successful sexual intercourse. It was showed that some Kaempferia parviflora rhizome extracts, especially the 5,7-methoxyflavone, had inhibitory activity against PDE5 (34).

Erectile dysfunction (ED) is the term used to describe a malfunction in one of these systems. Acupuncture might modulate the release of nitric oxide (NO) and some neuropeptides involved in the process of erection (7). Using the term erectile dysfunction makes it clear that those other problems are not involved. Points to Remember Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse. If ignored, erectile dysfunction can lead to complications, such as an unsatisfactory sex life, low self-esteem, high anxiety, and relationship problems. It was reported that EGb761 preserved the neural nitric oxide synthase (nNOS)-positive nerve fibers after cavernous nerve injury in rats (13).

The acupuncturist targets specific points throughout the entire body to address imbalances. The process of allocation concealment and blinding was unclear in all of studies even though we tried to gain more details by contacting the authors. Acupuncture sessions were administered once per day. This trial design is the gold standard for research studies.

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” The treatment principle is to smooth the flow of liver qi, free the meridians for invigorating blood circulation, and tonifying kidney essence. However, this class of drugs called Oral phosphodiesterase type 5 inhibitors, don't necessarily resolve the underlying reason why an erection cannot be achieved or maintained, but rather override the body systems by inhibiting certain enzymes and changing how/when cyclic guanosine monophosphate is metabolized. The best-known are drugs, such as tadalafil (Cialis) and Viagra, which increase blood flow to the penis and help to achieve an erection. Psychological problems often the cause of erectile dysfunction in younger men. The same acupuncture point prescription was given to the acupuncture plus herbs and acupuncture only groups. Guan-yuan, qi-hai, zu-san-li & shen-men. Medication taken for health conditions can result in erectile dysfunction, as can alcohol and smoking. Tetrandrine is isolated from the root of Stephania tetrandra S Moore, a traditional Chinese herb with anti-inflammatory, antipyretic and analgesic effects. 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.

A 2020 review found that ginseng preparations significantly improved symptoms of ED in the population studied. Yin and Yang are two opposite yet complementary forces, which could be understood as anabolic and catabolic processes from a western perspective (4). With its origin in China, acupuncture is now adopted worldwide. According to TCM philosophical theories, disease results from the imbalance between the two forces over a period of time. During the acupuncture for erectile dysfunction treatment, no acupuncture needles are ever inserted in the local groin area. Using only herbal medicine produced a 16. The acupuncture treatment for ED/Impotence is different for each individual, and is based on your overall levels of health, as well as your specific symptoms.

WS-TCM offers a complete picture of how our constitution, familial patterns/genetics, environment, lifestyle, diet, emotions and spirit, all interact and find balance. Thereby, the available evidence at present is insufficient to prove acupuncture to be an effective intervention for ED treatment (9,10). 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. In some cases, acupuncture may be accompanied by electrical stimulation or the burning of moxa , a form of heat therapy.


0% in pattern of kidney yang deficiency and 59. The heterogeneity of the included studies was assessed with Cochran’s test and by examining. After the second treatment he came in to tell me that that morning he had awoken at 4am with an erection. How does an erection occur? TCM is a holistic modality deriving from ancient oriental philosophy, whose concept believes that human body has a set of inner homeostatic system maintained by Yin-Yang balance.

  • The small number of studies included in this report limits our findings.
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  • Moreover, we propose that a generally acknowledged questionnaire or scale, such as IIEF-5, should be preferably adopted as the outcome measures of future trials.
  • A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse.

Acupuncture and Erectile Dysfunction

The treatment group received EA with needles inserted into traditional acupoints on the legs and abdomen. Therefore, physicians can stimulate the acu - points in the ears that correspond to the affected regions. While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. From a Chinese Medicine perspective, impotence can be caused by overindulgence, fear, fright, worry, greasy food or wine, or a combination of the above. Are over the counter ed drugs worth the risk?, indeed, a review of 10 studies published this year found that exercising for 180 minutes — less than 3 hours — per week for 6 months boosted erections in men who had ED linked to various physical causes. The insertion of hair fine needles regulates the flow, eliminating the symptom.

A total of 176 patients with erectile dysfunction were treated and evaluated in this study.

Just where the needles go is partly a matter of tradition, and partly a matter of your individual practitioner’s experience. Estimates range from 15 million to 30 million, depending on the definition used. Afterwards you will feel refreshed and rejuvenated. These issues are being explored clinically now, with Western investigational techniques, in hopes of resolving them. Symptoms include:

This behavior has a tendency to rapidly deplete Kidney essence, the part of Kidney function that was inherited from our parents. Estimates range from 15 million to 30 million men in the USA. This kind of combination can enhance the therapeutic effect and reduce the toxicity of single herb (43). 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. He cried he was so happy.


Europe PMC requires Javascript to function effectively. Each time, select one group alternatively. A system for inserting a pellet of alprostadil into the urethra is marketed as Muse. There are no drugs involved and no invasive procedures.

When sildenafil (Viagra) was introduced in 1998, it revolutionized the treatment of male sexual dysfunction. A study published in May 2020 in The Journal of Sexual Medicine found that some men can reverse erectile dysfunction with healthy lifestyle changes, such as exercise, weight loss, a varied diet, and good sleep. The science of vacuum erectile device in penile rehabilitation after radical prostatectomy. For men searching for ED medication, there are many newer erectile dysfunction treatments (all prescription drugs) that help you get an erection firm enough to have sex, and most have few side effects. 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.

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Ligustrazine is a vasoactive component isolated from Ligusticum chuanxiong Hort and was shown to be effective in relaxing rabbit cavernosal smooth muscle. However, few basic studies have been performed to investigate their mechanisms up to now. Kidney function declines naturally with age. After 30 sessions, treatment was “effective” for 45 of 51 patients in the treatment group and 24 of 51 patients in the control group. BJU International, 1999, 84(1): Effect of aqueous extract from Morinda officinalis F. The liver failing to course freely causes obstruction of the liver governed meridians and malnourishment of the ancestral tendon, leading to ED. Engelhardt, MD, of the Hospital Leinz in Vienna, Austria, and colleagues are in the midst of an ongoing study to see if men suffering from impotence that has more of a mental cause can be helped by acupuncture.

The prevalence of erectile dysfunction among hypertensive and prehypertensive men aged 25-40 years. Moreover, the results of Jiang et al. Between 35 and 50 percent of men with diabetes experience ED. In TCM (Traditional Chinese Medicine) we want to know how your Qi is in your body.

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It plays an important role in treating some chronic diseases, such as hyperlipidemia, hepatitis, diabetes and male infertility. Eighty-two cases of the patients with erectile dysfunction were identified as two patterns of kidney yang deficiency and damp-heat in lower jiao and were treated with different acupoints for different patterns. Sexual and reproductive functions are also under the control of liver. This is called Whole System -Traditional Chinese Medicine (WS-TCM) for Erectile Dysfunction. The exact size and location of each point is still controversial among practitioners. Acupuncture in the treatment of psychogenic erectile dysfunction: Arteries (top) and veins (bottom) penetrate the long, filled cavities running the length of the penis—the corpora cavernosa and the corpous sponglosum. The third common reason for erectile dysfunction is if the patient used excessive drugs or alcohol when they were in their twenties and thirties.