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Viagra Alternative: Natural Male Enhancement

Viagra Alternative: Natural Male Enhancement

Viagra Alternative: Natural Male EnhancementIs there a Viagra alternative for natural male enhancement? When Viagra was introduced to the public in 1998, it was the first oral treatment approved to treat erectile dysfunction. Since then, it has earned the moniker “little blue pill” and has gone on to become one of the most widely-prescribed drugs in the world. This is not surprising since Viagra (generic name sildenafil) offers an easy solution to a problem that has frustrated men since times immemorial.


However, since the introduction of sildenafil decades ago, the market for ED drugs has been flooded with various prescription Viagra alternatives. The little blue pill is no longer the only game in town for impotence treatment.


Conversely, beyond prescription oral medications, in which there are now many viable ED oral prescription medications, a growing number of non-medical lifestyle products are on the market as Viagra alternatives for natural male enhancement. These have appeared everywhere. 


“Buyer beware” many of these are marketed to the public without FDA clearance or medical approval, these products are typically, but not always, targeting younger men who may or may not actually have ED. And “Viagra alternatives” sold in this way are suggested by promoters “at a minimum” to be a means of improved sexual prowess.


The lines between proven medical treatments for erectile dysfunction and lifestyle products really became blurry after 1997. This is when the FDA  allowed the pharmaceutical industry to market drugs directly to consumers (DTC) through television and other forms of media. As a result not only are we bombarded by pharmaceutical companies with legitimate medical treatments while watching every sporting event under the sun, lifestyle product advertisements ranging from herbal remedies and vitamin supplements have rapidly begun curing ED (these statements have not been reviewed by the FDA) and looking very similar to FDA approved drugs.


Many well-crafted marketing campaigns are purposely designed to give vitamins and nutraceutical products the appearance of proven FDA reviewed medical therapies, confusing right.  Here is the good news! Clinically proven FDA registered/approved medical treatments that are viable Viagra Alternatives for men who desire to treat erectile dysfunction are available. 


Proven alternatives are penile injections, urethral suppositories, penis pumps, or penile implants.  Each of these treatments requires a prescription or direct interaction with your physician. Except for penis pumps!  The FDA made these devices available without a prescription in 1997 due to a low level of user risk to consumers by medical-grade vacuum erection devices. 


This is now potentially confusing because in 2019 some devices are manufactured to medical standards and some are not. All while the FDA has a vast number of internal medical devices (higher user risk and priority) in which they are responsible for oversight. So a $ 25 dollar sex toy looks like a medical device and users get what they pay for.  Unfortunately, men often dismiss a viable medical treatment category as ineffective by attempting to get positive results by treating ED with a sex toy.


In truth, this wide choice of alternative ED treatments is obviously good news. Especially for men who cannot or do not want to take Viagra and are looking for more natural, effective treatment choices to help with their ED.


How Do Oral ED Treatments Work


Erectile dysfunction makes sexual intercourse challenging or outright impossible. What causes ED? There are a number of physical and psychological factors that can lead to an inability to obtain strong erections. Various risk factors contribute to ED, including treatment with certain medications. The positive is that for the vast majority of men the condition is completely treatable.


Viagra (sildenafil) belongs to a class of drugs called PDE5 inhibitors. It is perhaps the best-known oral medication for erectile dysfunction. Other PDE5 inhibitors such as vardenafil (Levitra, Staxyn), avanafil (Stendra), and tadalafil (Adcirca, Cialis) have a similar mechanism of action. These oral erectile dysfunction treatments work by enhancing the levels of nitric oxide. This is a chemical that relaxes the muscles in the penis and allows blood to flow into the organ, thereby making it erect. PDE5 inhibitors like Viagra do not work without sexual stimulation. They also do not provide instant results and make take up to an hour to become effective. The effects of these drugs may last anywhere from 4 to 36 hours.


Some men desire an alternative to Viagra because the medication is contraindicated for them. Example… men with heart conditions are frequently treated with a class of drugs called nitrates. The combination of nitrates and PDE5 inhibitors is not recommended because it can lead to a dangerous drop in blood pressure. For others, the lack of spontaneity with the use of oral ED drugs is a deal-breaker.


Erectile Dysfunction Treatments


With changing lifestyles and an aging American population, the number of men affected by erectile dysfunction has been steadily increasing. According to the findings of the Massachusetts Male Aging Study, about 52 percent of men between the ages of 40 and 70 years old suffer from at least some degree of ED. This means every second American male above the age of 40 has an unsatisfactory sex life.

While oral ED drugs have been a boon for many men, these medications do not always work. It is important to work with your physician on any ED treatment. The information in this article is intended only as general information and does not constitute medical advice. This said, sometimes varying the dose of the medication or providing counseling on its appropriate use may solve the problem.

However, some men fail to respond to Viagra and other drugs in its class despite optimal use. In fact, some sources suggest that non-responders to Viagra are quite likely to be unresponsive to Cialis and Levitra as well. In some users, PDE5 inhibitors may cause unexpected and intolerable side effects. In others, drugs like Viagra are not suitable because of dangerous interactions with other medications the person is taking. Fortunately, other treatments are available when ED drugs don’t work.

In fact, the large number of men dealing with erection problems and the various health conditions they experience has driven the development of newer therapies. Over time, treatments for erectile dysfunction have evolved and improved. Today, there are more options for ED treatment than ever before. These therapies allow men to find effective and healthier alternatives to Viagra. Primary care physicians and urologists have new research and studies on ED treatment to rely on and identify the one that best fits the needs of a particular person.


Viagra Alternatives for ED


Some men who suffer from erectile dysfunction also have other specific health conditions that make them unsuitable candidates for Viagra. For example, in the presence of high blood pressure, it may be best to avoid oral ED drugs. The drug interactions and potential for complications with PDE5 inhibitors have created a demand for substitute therapies. Some of the Viagra alternatives for erectile dysfunction include:


Penile self-injections: A medication called alprostadil (Caverject) can be injected into the base of the penis. This treatment works fast (usually less than 10 minutes) since the drug enters the bloodstream directly. However, it involves sticking a needle into the penis which is a turn-off for some men. It can also lead to bruising and irritation of the surrounding area and carries a higher risk of priapism.


Intraurethral suppositories: A suppository is available under the brand name MUSE and it can be inserted directly into the urethra. It contains the same active ingredient as Caverject. This treatment may cause a burning sensation in the penis.


Vacuum erection devices: These are devices that mechanically simulate the natural male enhancement process. They are relatively easy to use, and with a little practice, can provide almost instant erections for up to 30 minutes. Penis pumps, as they are commonly called, are a safe and effective ED treatment with the least risk of side effects.


Penile implants: These consist of devices that are surgically placed inside the penis. They can either be inflatable or they may keep the penis firm at all times. This treatment is usually recommended to men who have failed other conservative measures for ED management.


How to See Quicker Results with ED Treatment


Erectile dysfunction has a significant negative impact on a man’s quality of life. In addition to the physical effects, it is not unusual for men to suffer from depression and anxiety as a result of inadequate sexual performance. Oftentimes, men experiencing erectile dysfunction want a quick solution to their problem while still being as natural as possible and without risking their health.


While there are several ED treatments available, all of them do not show instant results for immediate sexual intercourse. Oral drugs, for example, may need pre-planning and frequently require a frustrating trial and error with timing. When it comes to having sex, what every man really wants is spontaneity and consistency. At that moment, you need something that’s effective and reliable. With a vacuum erection device, after a little practice, it is possible to achieve a strong erection consistently in a matter of minutes. This alternative to Viagra means you don’t need to wait for an hour to get results.


What’s even better is that penis pumps simulate the body’s natural erection mechanism. This makes them an excellent alternative to pills that can potentially put your health at risk. Vacuum pumps are the ED treatment associated with the least risk of side effects and complications. Penis pumps can be relied upon to consistently achieve and maintain an erection strong enough for satisfactory sex. These mechanical devices are suitable for almost everyone, including men with various other health conditions.


How to Stay Erect Longer Without Pills


In addition to therapies such as Viagra and vacuum erection devices, there are many different ways for someone to deal with their ED. Lifestyle changes top the list of natural treatments for erectile dysfunction. Although they are unlikely to provide instant results, better lifestyle choices can successfully reverse the problem in the long run. Regular exercise, quitting smoking, alcohol in moderation, and an overall healthier lifestyle to avoid obesity, diabetes, and heart disease can prevent or treat erectile dysfunction.


In addition to a focus on physical health, it’s important to be mindful of your mental health. Depression, anxiety, guilt, worry, and stress are all known psychological causes of ED. There are several healthy ways to manage stress in daily life, including meditation, yoga, hobbies, plenty of rest and sleep, and psychotherapy.


If you suffer from erectile dysfunction, it’s important to see a doctor and find out what is really going on and what is causing the ED. Men don’t need to have sex to stay alive, and even though impotence isn’t a life-threatening condition, it can sometimes be an early warning sign of a more serious problem. Your physician may order some tests to investigate whether your problems with erections are an indicator of a bigger underlying health condition that requires treatment. Once a cause has been identified, you will be given several options including Viagra alternatives and methods of natural male enhancement.

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How to increase blood flow to the penis

Oysters can improve blood to the penis

Blood flow to the penis is a critical component of healthy erections. Men achieve an erection when sexual arousal gives rise to nerve impulses that tell the muscle fibers in the penis to relax. The chemical that causes the muscle fibers to relax is called nitric oxide. Once the muscles relax, it allows blood to flow into the penis, fill the open spaces, expand it, and make it stiff. Therefore, penis blood flow is the natural process by which erections occur. How to increase blood flow to the penis? Do diet and vitamins help? Are there medications and mechanical devices available?

For more information, check out our “Guide to Erectile Dysfunction“.


How to increase blood flow to the penis?


Penis circulation plays an important role in erections. During an erection, the arteries that carry blood into the organ expand to increase blood flow to the penis. In the erect state, the penis contains 8 times as much blood as the flaccid state. The blood fills the corpus cavernosa (two tubes of spongy tissue) in the penis, causing it to swell and enlarge. At the same time, the veins that carry blood away from the organ become narrow, trapping the blood and thereby maintaining the erection. Following ejaculation or when sexual arousal is no longer present, the veins expand and allow the blood to drain out from the penis, returning it to the normal soft state.

It is not surprising that many treatments for erectile dysfunction focus act by improving penis blood flow. Some medications that help men achieve strong erections work by causing the muscles to relax, which boosts blood flow to the penis. In addition, there are natural ways to improve penis circulation and make erections easier and stronger. Certain foods, vitamins, and exercise are believed to dilate blood vessels and stimulate the flow of blood into the penis. For men struggling with erectile dysfunction, perhaps the most important question that needs to be answered is: How to improve blood flow to the penis?

Every device, prescription medication, or homeopathic treatment for erectile dysfunction should attempt to answer one question. How to increase blood flow to the penis when the body isn’t functioning as it should?  Supplements and different types of foods make various claims about properties they possess for improving blood flow. 


Increasing blood flow to the penis naturally


Treating erectile dysfunction with medications isn’t the only option available to men. There are a number of ways to naturally boost penis circulation and maintain male sexual health:


Foods:coffee can increase blood flow to the penis

  • Coffee: Studies show that men who drink 2-3 cups of coffee daily are less likely to suffer from erectile dysfunction compared to men who drink little to no coffee. It is believed caffeine improves blood flow to the penis by relaxing the muscles and arteries, thereby leading to stronger erections.
  • Oats: Wild oats are believed to be aphrodisiacs. Oatmeal contains the amino acid L-arginine that improves the effect of nitric oxide, the chemical that reduces the stiffness of blood vessels in the penis and allows blood to flow into it.
  • Dark Chocolate: Flavanols are known to lower blood pressure and increase blood flow. Men who habitually consume flavonoid-rich foods such as chocolate have been found to have a reduced incidence of erectile dysfunction.



  • Aerobic Exercise: Diabetes, high cholesterol, and high blood pressure are all conditions that affect blood flow and can result in erectile dysfunction. Moderate aerobic exercise for 30-40 minutes three to four times a week can improve cardiovascular health and prevent or improve ED.
  • Kegel Exercises: Pelvic floor exercises can help many men with erectile dysfunction regain normal sexual function by strengthening the muscles that allow the penis to engorge with blood during an erection.



  • Dehydration can reduce blood volume as well as lead to a constriction (narrowing) of blood vessels, thereby decreasing penis blood flow.
  • Mild dehydration is believed to cause anxiety and impaired mood in men. A man’s mental state has a profound effect on sexual drive. Therefore, mood changes due to dehydration can potentially cause erectile dysfunction.


Alcohol and Smoking:


Stress Management:

  • Constant stress is associated with damage to blood vessels and this can potentially affect penis circulation.
  • Anxiety can interrupt the messages from the brain that allow extra blood to flow into to the penis during an erection.


Increasing blood flow to the penis with penis pumps

Soma Therapy - ED vacuum pump system


A penis pump is a mechanical device that helps a man obtain and maintain an erection that is sufficiently strong for sexual intercourse. Also known as a vacuum erectile device, it works by using negative pressure to expand the corpus cavernosa and increase blood flow to the penis. It consists of a plastic tube that encloses the penis, a manual or battery-powered pump, and a constriction band that fits at the base of the erect penis to prevent it from collapsing.

Penis pumps are non-invasive and do not involve any injection or insertion. They are effective and less risky than some other treatments with fewer side effects. They can be used in along with other treatments, such as penile implants and medications, and combination treatment works well for some men.

The use of a vacuum pump can help rehabilitate damaged penile tissues. The increase in penis blood flow during pump use is associated with better nutrition and oxygenation of the corpus cavernosa, the tubes that engorge with blood during an erection. In men who have undergone prostate surgery, the use of vacuum erectile devices has been shown to help improve penis circulation, preserve penis length, regain erectile function, and improve sexual health.

For more information, check out our “Guide to Penis Pumps“.


Increasing blood flow to the penis with medication


An estimated 30 million men in the United States and 150 million men worldwide suffer from erectile dysfunction. A number of medications are available to men who are not able to get or keep an erection that’s hard enough for sex. Treatment with these drugs can solve the problem but may be associated with side effects. All the drugs used to treat ED work by stimulating blood flow to the penis.


Vasodilators: These drugs produce erections by relaxing the muscles, expanding the blood vessels, and allowing the penis to fill with blood. They can be used alone or in combination with other treatments. A commonly prescribed vasodilator, alprostadil, is injected directly into the base of the penis. It can also be inserted into the urethra in the form of a pellet. It is available under the brand names Caverjet, Edex, and MUSE.

Advantages of Vasodilators:

  • They work directly by dilating blood vessels and are therefore effective in men with damaged nerves.
  • Regular use may re-establish penis blood flow and promote the return of normal erections.

Disadvantages of Vasodilators:

  • Patients must learn the proper technique for administration.
  • Discomfort, scarring, and priapism (rare) can occur from the injections.
  • Urethral burning may be a side effect of the MUSE pellet delivery system.


Sildenafil: This medication, available widely as Viagra, is an effective treatment for men with mild to moderate erectile dysfunction. It works by enhancing the effect of nitric oxide, the chemical that relaxes the muscles and increases blood flow to the penis. Sildenafil needs to be taken one hour before planned sexual activity. It does not work automatically. An erection only occurs if sexual arousal causes the release of nitric oxide.


Advantages of Viagra:

  • Effective for mild to moderate ED.
  • Convenient (does not require injection or insertion).

Disadvantages of Viagra:

  • Lack of spontaneity due to short time of action.
  • Food in stomach can lower the effectiveness of the drug.
  • Cannot be used with alcohol.
  • Side effects such as flushing, headache, upset stomach, backache, visual changes, nasal congestion, nausea, dizziness, rash.
  • Rare reports of heart attack and stroke.



To check out the various vacuum therapy products available at Augusta Medical Systems visit our online store.  Or contact customer support at Augusta Medical Systems with questions at 800-827-8382.




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Nocturnal Erections and Penile Health

Nocturnal Erections and Penile Health

Night time


Nocturnal erections


Nocturnal penile tumescence (NPT) is a spontaneous erection of the penis during sleep or when waking up. Several less formal and well-known expressions might be morning hard on, morning wood or descriptions like morning glory all used to describe this natural anatomical process.  Have you ever wondered what causes the phenomenon?


What causes nocturnal erections?


man getting into bedSeveral theories are popular, none entirely proven. One is that spontaneous night time erections may be caused by a full bladder, which is known to cause mild stimulation of a region of the spinal cord containing nerves that control a man’s ability to have so called “reflex” erections.

Some clinical studies suggest testosterone is thought to be at its highest levels in the morning at that this may provide an explanation.  The connection between testosterone levels and nocturnal erections is not very conclusive.

There is evidence that spontaneous erections begin early in the life of males.  Fetal penile erections have been recorded in ultrasound scans so it is difficult to imagine that these types of erections are related in any way to acts of sex, so what physiological role do they play?


Sleep Cycle

REM sleep is associated with spontaneous erections


Most men have 3-5 spontaneous erections during deep sleep.  REM sleep is one of five distinct phases of sleep.  Because sleep cycles repeat, everyone enters REM sleep several times a night.  This is when dreaming is most common.

REM-related erections have been observed in all mammalian species where they were looked for. No-one knows why REM-related erections occur.  So why do men wake up with an erection?


Man waking up in the morning



Why do men wake up with an erection?


Scientific explanations as to why men get erections in the morning may vary, and the absolute cause may not be exactly known.   However, the way scientist and medical doctors use the presence of nocturnal erections as a diagnostic tool is very clear.

A study in the Urologic Clinics of North America noted that Nocturnal Penile Tumescence (NPT) monitoring remains the best single non-invasive examination to distinguish between whether erectile dysfunction or impotence has a physical cause or psychological cause.


Nocturnal penile tumescence test


Nocturnal penile tumescence tests are used to determine if the cause of impotence is physical, psychological, or both.  By determining if men achieve 3-5 erections during rem sleep a physician maybe able to begin the process of understanding how to treat the underlying conditions that have created ED.


The stamp test is one of the most common and simple ways to test for nocturnal penile tumescence. Types of erectile dysfunction tests can vary depending on your symptoms and the recommendation of your doctor.


The chances are if you do not experience nocturnal erections spontaneously during sleep that there is a physical cause to the impotence or ED you are experiencing.  If this is not diagnosed by your physician it’s time to work with your doctor to determine the cause.


Penile Health and exercise


Penis Health


Routine erections in a 24-hour time period are necessary to keep your penis in shape. Penile rigidity and erections bring oxygen to the penis. Use it or lose it is a common term and applies to penile health.

The penis in its flaccid or non-erect state it does not have adequate blood flow and oxygenation to keep penile tissues healthy. Without blood flow every 24 hours in the form of spontaneous nighttime erections penile atrophy, programmed cell death, and penile shrinkage may occur due to the lack of erections.

In a clinical study published in the Journal of Sexual medicine theories that support penile rehabilitation using a vacuum erection device are presented.


Penile rehabilitation


Time to heal stopwatch

Many physicians who treat prostate cancer focus on minimizing the side effects of erectile dysfunction resulting from treating cancer.  Erectile function, including nocturnal erections, may be lost if nerves are severed during removal of the prostate.

Penile rehabilitation is the process of preventing penile atrophy, programmed cell death and penile shrinkage by using a medical intervention to create erections that “exercise” the penis.

The goal of penile rehabilitation is to maintain and create penile health through artificially induced erections so a man may return to natural erectile function when severed nerves heal.  The effectiveness of penile rehabilitation for maintaining and creating penile health is widely debated.

Vacuum erection devices are considered first-line therapies of erectile dysfunction and preservation (rehabilitation) of erectile function following treatment for prostate cancer. 

An erectile dysfunction pump is considered the treatment of choice for penile health and rehabilitation because multiple erections (5-8) can be created and released in one therapeutic session (during a 10 minute session). 

This process is thought to mimic the creation of multiple nocturnal erections that would normally occur during REM sleep in a 24-hour period without the use of drugs or needles.  Thus, it is a natural way to bring blood flow and oxygenation to penile tissues to prevent penile shrinkage, atrophy, and programmed cell death.

Much research and debate will be needed in the future. Will the practice of penile rehabilitation translate to all men who do not achieve nocturnal erections?

Will similar penile rehabilitation treatment protocols be used for men who are diabetic, suffer from metabolic syndrome, or take medications that eliminate nocturnal penile tumescence? 


Best Penis Pump


Soma Therapy ED Penis Pump



You can purchase a medical grade penis pump, formally available by prescription, without a prescription from Augusta Medical Systems!


Learn about Soma Therapy ED