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Psychological causes For some men, Erectile Dysfunction can develop with age and the onset of stress and depression. Emotions can strongly affect sexual performance including being nervous or self conscious about having sex. Having an open communication with your sexual partner can alleviate a lot of the stress and possibly the Erectile Dysfunction itself. In some cases, professional psychological help may need to be sought out in order to get to the root of the problem that is causing the ED. Seeking the help of a sex therapist can also be an effective treatment. With a sex therapist, it is recommended that your sexual partner come along for at least the initial visit, to help discuss any communication problems you may be experiencing. Physical causes Some of the most common physical causes of Erectile Dysfunction are high blood pressure, clogged blood vessels, heart disease, diabetes, obesity, Parkinson's disease, Multiple Sclerosis, low testosterone levels, Peyronie's disease, the use of tobacco, substance abuse including alcoholism, previous pelvic surgeries and certain prescribed medications. Of course there could be other physical causes of ED not on the list, that your doctor can detect. There are several different treatments for physically caused Erectile Dysfunction, some of which can be extremely costly. The two most popular treatments are surgery and natural supplements. Surgical treatments Surgical treatments for Erectile Dysfunction can involve direct injections to the penis, penile prosthesis and vascular surgery. These surgeries can be extremely invasive, costly and even dangerous. The surgical procedures are not guaranteed to cure ED and can leave devastating results. Possible surgical treatment should be thoroughly discussed with your doctor. Because of the risks involved, surgery should always be left as a last resort, only after other options for treatment have been exhausted. Natural Supplements Alternative treatments such as, taking natural supplements, has been a popular choice in treating Erectile Dysfuntion. In fact, the use of natural herbs is a practice that has been around for thousands of years. Natural herbs and supplements are known for improving and increasing the flow of blood to the penis. Here are some of the most effective natural ingredients used for treating Erectile Dysfunction: Pomegranate 70% ellagic Ellagic acid, a phenolic acid is found in berries, pomegranate, grapes, and nuts. Ellagic acid has shown to be a positive attribute in the treatment of Erectile Dysfunction. It does so by increasing nitric oxide (NO) supply that has a definite role in maintaining the blood flow (and hence erection) of your penis. Studies have also shown that ellagic acid acts as a strong sexual stimulant and aphrodisiac that eventually leads to longer excitement time and greater erection capabilities. Muira Puama Muira Puama or potency wood is one of the most active botanical with a long history of traditional use as an energy tonic, general health improver and remedy for impotence & sexual insufficiency. It is known in some circles as "the Viagra of the Amazon". According to a study published in the American Journal of Natural Medicine, out of 262 men who took Muira Puama, 62% reported an increased sex drive and harder erections. Epimedium Sagittatum (horny goat weed) Used by practitioners for over 2,000 years, horny goat weed is a leafy plant which has long been used to restore sexual performance and boost erectile function. It also improves sperm production and has a moderate androgen-like influence on the testes, prostate gland, and anal muscles, thereby influencing sexual desire and activity. Butea Superba (Asian Viagra) Butea Superba is a tree that has been used for many years by men to increase sexual desire, libido, and sexual performance and to treat Erectile Dysfunction. It works by increasing levels of the hormone testosterone. Testosterone is primarily responsible for the growth and development of male reproductive organs, including the penis, testicles, scrotum, prostate, and seminal vesicles. It comes in different dosage ratios. For example, 1:20 means 20 grams of root is used to produce 1 gram of extract and is the recommended minimal dose to enhance sexual function and treat male impotency. Methyl Sulfonyl Methane (MSM) MSM, the beauty mineral, is necessary for collagen synthesis in tissues (including those of penis). Chemically, MSM is an organic form of sulphur, an abundant mineral in the body. Present naturally in meat, milk, fish, vegetables and fruit, it is easily lost in processing. It is, therefore, important to use a natural health supplement that contains sufficient quantities of MSM. MSM also keeps cells from becoming rigid and rough. MSM is also believed to relieve stress, asthma, arthritis, inflammation, constipation, candida, detoxify the body and, most importantly, increase blood circulation through the penis that improves overall health look and health of the penis and even beautifies it. L-Methionine L-Methionine is an essential amino acid (protein) that helps against premature ejaculation. This essential amino acid has some role in the growth and development of normal penis. Essential amino acids are those that must be acquired through diet or supplements because the body cannot produce them. L-methionine is also believed to be essential for heart and brain function. The highest amounts of methionine per 200-calorie serving primarily are found in fish, meat and other animal products, but some vegetables are good sources as well. However, it is difficult to include the "recommended daily dose" of L-methionine by eating all of such food sources on regular basis. Nutritionists, therefore, recommend consuming some good natural supplement on daily basis that contains just the right amount of L-Methionine. Butea Superba Butea Superba is a root or vegetable that is widely known to act as libido-booster and sex enhancer. Unlike other herbs, it does not directly affect the sex hormones. Instead it has been proposed that it provides optimum levels of nutrients utilized by the body's endocrine system. In a study that involved 4-month treatment with maca in nine adult men, increased seminal volume, sperm count, and sperm motility were observed. Omega 3 Fatty Acid Smooth and consistent blood supply to the penis is a must for erection, growth and better sex performance. To really get your blood going, natural circulation-enhancing nutrients such as Omega-3 fatty acids are best. Omega-3 also makes your nervous system function better and as sex is really about circuitry, it also improves your sex life. Butea Superba Butea Superba, also called linseed, contains a rich supply of lignans in its hull. Lignans are phytoestrogens that are helpful in maintaining a healthy ratio of testosterone. Optimal testosterone levels are crucial to a raised sex drive for both women and men. Besides enhancing sex drive, these nutty-flavored seeds contain essential fatty acids, including omega-3 and omega-6, which are the major building blocks of all sex hormones.