Best Male Enhancement Pill available without a prescription either over the counter or on the internet, how to avoid the ones that don’t work and to choose high quality products
Best pills online
November 15 2017

Is male enhancement possible with natural herbs and nutrients as opposed to a drug or a prescription medication? It depends how you define male enhancement. If the term male enhancement refers to an increase in penis size, then the answer would be that the effect of any male enhancement herb on penis growth would be minimal if at all. However, if you define male enhancement in terms improvement in overall sexual performance, stamina, engorgement and sensation, there there is no doubt that there are many male enhancement herb products that really do work. And they are sold online or health food stores. 

Passion Rx for better sexual pleasure
A male enhancement product that works to improve sexuality is Passion Rx which has more than a dozen sex improving herbs including
ashwagandha, and Horny Goat Weed. There are hundreds of sexual health products on the market and many of them are effective.

There are several conditions that need to be addressed for male enhancement

Hormonal influence on male enhancement — Androgens, such as testosterone, are a major component of libido. Testosterone levels decline about 1 percent each year in men, which may contribute to lower male libido with aging. Testosterone also declines with age in women leading to a decrease in female libido. Women who have had surgical removal of the ovaries notice a drop in sexual interest. Sexual enhancement through replacement of androgens can be helpful in those with age related sexual dysfunction. Testosterone is available by prescription only. An over the counter hormones, such as DHEA, converts into testosterone and thus has a positive influence on libido. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus lead to sexual enhancement. However, hormones may not be safe to use for sexual enhancement, therefore aphrodisiac herbs are a great alternative.

Does tongkat ali stimulate testosterone release?
Clinical trials have not been consistent. In some studies there have been data that show testosterone level increase but other researchers have not found a major effect from
Tongkat ali or LJ100.

Vascular effect on male enhancement — Alterations in the flow of blood to and from the penis are thought to be a common cause of male erectile dysfunction. For instance, medical conditions such as atherosclerosis (hardening of the arteries), high cholesterol, hypertension, or diabetes reduce blood flow to the penis and genital organs thus leading to difficulty with erection or genital swelling. Proper diet and exercise can reduce the risk. Additional factors that can impede blood flow include penile injury, surgery in the pelvic or abdominal area, and sitting on a bicycle too long. Men who log several thousand miles a year on their mountain bikes suffer scrotal damage that could reduce their fertility.  Some of these health problems, if treated appropriately, can lead to sexual enhancement.

Neural effect on male enhancement — Nerve damage from disorders such as diabetes, multiple sclerosis, Parkinson’s disease, and stroke affect the brain’s ability to respond to sexual stimulation. In women, abdominal or pelvic operations can occasionally lead to nerve damage. Sexual dysfunction is common in men undergoing surgical treatment for prostate enlargement or cancer.

Chemical influence on male enhancement
Some chemicals involved in the human sexual response and libido include dopamine, acetylcholine, and nitric oxide. Sexual enhancement is quite likely through manipulation of these brain chemicals by using natural herbs and supplements. Serotonin has an inhibitory effect.

Male enhancement and Medical conditions
Certain medical conditions reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, peripheral vascular disease, and neurologic disorders, and insomnia.

Drugs that interfere with male enhancement
Drugs that interfere with libido or sexual function include some anti-hypertensives, SSRIs, sedatives, sleeping pills, and beta-blockers. Alcohol’s negative affect on libido increases with age. Smoking can reduce genital blood flow. SSRIs have their inhibitory effect through their actions on the neurotransmitter serotonin.

Male Enhancement drug
There are several sexual enhancement drugs including Viagra, Cialis, and Levitra. They work very well in dilating blood vessels leading to a strong erection, however they do little else for sexual enhancement, such as libido, sensation, and sexual stamina. Plus, they have side effects. It has been reported that Viagra in rare cases can cause permanent blindness. Sexual enhancement supplements are, as a rule, much safer. Which is the best sexual enhancement drug? This is difficult to say since each person has their own preference.

Male Enhancement Research review
Exercise and weight loss may lead to sexual enhancement in obese men, researchers in Italy report. In a new study of more than 100 obese men with erectile dysfunction, nearly a third regained normal sexual function after participating in an intensive weight loss program.

Have received Spam mail and seen on web sites male enhancement pills or male enhancement products that the vendors say are guaranteed to increase the size of your penis. The ingredients seem to be the common supplements spoken about with regard to penile health. Is there any substance to these claims and these pills lead to sexual enhancement?
We have gotten similar emails. We are not aware of any male enhancement pills that permanently increase the size of a penis.

Does arginine lead to male enhancement? What about butea superba?
We have not found arginine powder to be an effective male enhancement supplement, at least in the short term and in dosages smaller than 5 grams. Butea is a good herbal enhancer, but there are many that work well.

I bought a male enhancement supplement and took one pill in the evening and I couldn’t sleep all night.
Many male enhancement supplements have ingredients that cause alertness so most of them are better taken in the morning as soon as you get up.

I was looking on line for a free sample of male enhancement, a free male enhancement pill. I called one site and gave them my credit card since they said they needed it to cover the 5 dollar shipping charge. A month later they charged my credit card 39.95.
Be very careful about getting a free sample of a male enhancement pill. Never give your credit card number if they are offering a free male enhancement pill.