There are many ways to treat sexual dysfunction, including counseling, treatment of other physical problems, mechanical devices, and more recently, prescription and over-the-counter medications as well as dietary supplements.
But the Food and Drug Administration (FDA) has recently recalled a number of popular sexual enhancement dietary supplements. They warned that these supplements contained unlabeled prescription drug ingredients that could seriously harm the health of some users.
So, are sexual enhancement supplements safe? And how do they work? Which supplements did the FDA recall? What alternative therapies are available for the treatment of sexual dysfunction?
The cause of sexual dysfunction can be physical or psychological. Physical causes include
diabetes
,
heart disease
, brain disorders, surgery or injury, adverse effects of medications, kidney disease, liver failure, hormonal imbalances,
alcohol
and
drug abuse
, and smoking. Psychological causes include
stress
, anxiety, marital problems,
depression
, and previous traumatic sexual experiences.
Whether it affects arousal, performance, or climax, sexual dysfunction is a real problem for people who have it. Once the problem is identified, most cases of sexual dysfunction are treatable.
The FDA approved sildenafil (Viagra) to treat
erectile dysfunction
in 1998. Since then, a number of sexual enhancement supplements have been developed for both men and women.
But in 2003, the FDA recalled several brands of dietary supplements. This is because they were found to contain either sildenafil (Viagra) or tadalafil (Cialis), which is a prescription drug approved in Europe to treat erectile dysfunction. These unlabeled prescription ingredients could pose serious health risks for people who are also taking prescription nitrates for chest pain. This is especially alarming since cardiovascular disease and sexual dysfunction often go hand in hand.
Taking both nitrates and sildenafil or tadalafil can cause a life-threatening drop in blood pressure. The FDA advises people who have purchased the following supplements to return them to their place of purchase for a refund:
- Vinarol
- Viga
- Viga for Women
- Sigra
- Stamina Rx
- Stamina Rx for Women
- Y-Y
- Spontane ES
- Uroprin
To keep abreast of FDA recalls and safety alerts, you can check their website at:
http://www.fda.gov/opacom/7alerts.html
.
There is some evidence that certain herbs and dietary supplements might be helpful. For men, these include
Korean red ginseng
,
carnitine
,
DHEA
,
arginine
, Butea superba,
melatonin
, and
OPCs
. For sexual dysfunction in women, the supplements include: DHEA,
vitamin C
, and a mixture of arginine, the herbs ginseng, ginkgo, and
damiana
, and multivitamins and minerals. The herb
yohimbe
is sometimes recommended, but it presents significant safety risks. Contrary to early results, ginkgo taken by itself does not appear to be helpful for sexual problems caused by antidepressant drugs.
NOTE:
since the FDA does not regulate these supplements, their purity and safety is often in question. You should only take them under your doctor’s supervision.
The following is a list of other sexual dysfunction therapies:
- Sex therapy: Couples therapy sessions address emotional and/or relationship issues that may be causing sexual dysfunction.
- Vacuum therapy: The FDA has approved vacuum devices for men and women that increase blood flow to the genitals to help with arousal difficulties.
- Hormone therapy: Hormone therapy may resolve hormonal insufficiencies that are involved in sexual dysfunction.
- Prescription medications: Sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are all used for treat erectile dysfunction.
If you are concerned about sexual dysfunction, your doctor can identify the cause of the problem and begin treating it.