Easy ways to increase penile erection in man with erectile dysfunction (ED)

I have followed the following ways to increase the erection function. Please read the basic physiology/pathology of erection and erectile dysfunction so as to have a better understanding and better cure of your condition.

The penile erection in males is largely governed by vascular health because the erection and flaccidity of penis is dependent upon blood flow and trapping of that blood inside the spongy penile tissue. The blood vessels should have appropriate elasticity to do this job. This elasticity is mediated by several mechanisms. Among them, nitric oxide (Chemical formula: NO) is important in mediating penile erection. This nitric oxide molecule is generated by the blood vessel (vascular endothelium) itself. Therefore, bad vascular condition will impair the synthesis of nitric oxide. Furthermore, nitric oxide is short-lived (decompose in few seconds). Antioxidant (endogenous and exogenous) molecules protect nitric oxide from decomposing quickly. Therefore, decreased levels of antioxidants in the body will cause less availability of nitric oxide subsequently leading to erectile dysfunction.

So, what causes decrease of antioxidants in body?

The core answer is inflammation and other related processes will lead to the decrease of antioxidant defense in the body.

Oh.. What causes inflammation in body?

Several chronic diseases/disorders cause inflammation and related processes to rise in the body such as diabetes, cardiovascular diseases, hyperlipidemia, and psychological stress disorders such as anxiety, depression etc. Even in people without these disorders, many young persons have metabolic syndrome. Metabolic syndrome also has inflammatory component in it. Many appear-to be healthy people have insulin resistance. Insulin increases nitric oxide production. So, insulin resistance (cells resist the normal levels of insulin; so higher levels of insulin are required to transport glucose into cells and transport amino acids into skeletal muscle cells). Insulin resistance appears to be a starting point in many people who develop erectile dysfunction as insulin resistance seems to be starting problem for diabetes and cardiovascular disorders. Insulin resistance appears to linked with inflammation.

Then, how to reduce inflammation and decrease insulin resistance?

No perfect medicine is available as of now. Various lifestyle modifications and supplements are recommended to decrease inflammation and insulin resistance. Exercise is the best in this category. Moderate aerobic exercise and weight training are recommended. Avoid heavy and strenuous exercises as it will increase oxidative stress and inflammation.

What should I eat/avoid?

a. Avoid refined sugar, white bread/white rice - these foods increase oxidative stress in body

b. Avoid high fat food - these foods increase oxidative stress in body

c. Eat low low glycemic foods and low-insulinemic foods.

d. Do fasting for at least 12 hours a day. Practice this regularly or in weekends. Consume all your food within 12 hours window and fast during the remaining 12 hours of a day. You can take water. But, strictly no calories.

c. Eat more antioxidants/take supplements

Hmm...I am already following one or more of the above recommendations. What supplements can I take further?

1. Consumption of vitamin C

I have taken 250 mg - 500 mg vitamin C daily 2-3 times after the food. It increases body heat and erection. If this works for you, probably you can assume that you have insulin resistance and inflammation in your body.

2. Folic acid

I have taken 1 mg - 3 mg of folic acid one time daily. This increases my mood and when combined with vitamin C gave better erections.

3. Multivitamin tablets/capsules

I usually take a multivitamin tablet/capsule everyday as it helps to reduce the inflammation and improve the general well-being feeling. Multivitamin with ginseng worked for me earlier. Nowadays, it is not working.

4. DL-phenylalanine

250 mg-500 mg of DL-phenylalanine increased the erections.

Reference:

Lifestyle and metabolic approaches to maximizing erectileand vascular health. International Journal of Impotence Research (2012) 24, 61–68.

Disclaimer: This is not a medical advice and I am not a medical doctor. The above statements are not authorized/validated/approved by any drug approving authority. Please do not take any supplement/medicine on your own. Please consult a doctor for your illness. 

Effect of Wellman multivitamins

 I have taken Wellman multivitamins for last 25 days. It contains general multivitamins in low concentration and Siberian Ginseng extract 20 mg.

Positive effects:

1. Anxiety is very much reduced. No fear / hesitation to go to office

2. Stuttering was manageable in the starting --> gradually worsened a little bit.

Negative effects:

1. Focus and concentration is very much reduced. Unable to concentrate on research and write research papers.

2. Unable to remember the counts of parts of prayer while praying

3. Unable to handle many things at the same time --> led to postponement of many works.

Effect of centrum energy

I have consumed centrum energy multivitamin for past 1 month. This is a general multivitamin with ginseng extract 50 mg and ginkgo biloba 60 mg.

Positive effects:

1. No depressed and anxiety feelings

2. Slightly increased focus and concentration to engage in works

Negative effects:

1. Decreased libido

2. No deep focus and concentration enough to understand new concepts

3. Slightly increased hand pain

Effect of probiotics

I have taken Alesa capsules (Please see the composition below) for last 5 days. Also, I was taking a calcium, magnesium, zinc tablet (Osteocare) for my hand pain (due to laptop mouse usage - work from home - covid 19) and a multivitamin tablet (Diabetone).

Osteocare - 1 tablet in morning
Alesa - 1 capsule in lunch
Diabetone - 1 capsule in lunch


Positive effects

1. First day good mood occurred - after that slowly the happiness declined. But, no feelings of sadness.
2. I am able to remain engaged in a work - sometimes with focus and sometimes without focus and concentration. This resulted in more productive output.
3. No afternoon sleepy feelings.

Negative effects:

1. Stomach bloating happens when Alesa was taken in night.
2. Mild shortness of breath happens.
3. Not much focus or concentration. But, remain engaged in a work leads to completion of work and produces output.
4. Felt cold sometimes



Composition of Alesa capsule:

Fructooligosaccharides (FOS)	100 MG
Bifidobacterium bifidum	1 Billion CFU
Lactobacillus acidophilus	2 Billion CFU
Lactobacillus casei	1 Billion CFU
Lactobacillus fermentum	1 Billion CFU
Lactobacillus plantarum	1 Billion CFU
Lactobacillus reuteri	2 Billion CFU
Lactobacillus rhamnosus	2 Billion CFU

Composition of Osteocare (Vitabiotics):

Each tablet contains
Calcium	400 mg
Magnesium	150 mg
Zinc	5 mg
Vit D3	2.5 μg

Composition of Diabetone:

Severe headache and ibuprofen

I had severe headache after consumption of becosules Z capsules (just one dose) and applying betnovate N cream for two days. The severe headache may be due to the presence of 100 mg of niacinamide in becosules z capsules. I used to get headache while I was taking niacin before. The headache was right sided indicating that it may be dopamine deficiency-induced. I took 400 mg ibuprofen at midnight. After 40 minutes, the headache disappeared and slept nicely. Earlier, I used to take dicolofenac for such headaches or paracetamol. Diclofenac used to be very effective but due to its enteric coating, it will work after 4 hours only. Paracetamol 650 mg or 1 gm may afford some relief with residual mild headache continuing for next 1-2 days. Ibuprofen seems to be effective. But, I had some stomach discomfort after taking the tablet indicating its ulcerogenic potential.

Effects of egg consumption, abstinence from multivitamin and milk consumption and meat consumption on hand pain

For the past 3-4 months, I have stopped all multivitamins. For the past 20 days (during the fasting month) to 1 month, I have been consuming two eggs per day (one at breakfast and another one at dinner). Also, I have consumed mainly wheat based items for past 15 days.

Positive effects:

1. Reduced anxiety and feelings of joy happened after stopping the fasting. This lasted for few days and start to decrease after that.
2. Reduced stuttering and gasping for breath while talking
3. Increased libido, strong erections, enhanced feeling of orgasm.

Negative effects:

1. Unable to sustain focus or concentration on research related work (review and writing of papers).
2. Reduced productivity in terms of research related work.
3. Hand pain, lower back pain and buttock muscles pain (gluteal muscle) slowly start to occur after 3 months of abstinence from multivitamins. Sometimes, the pain gives much discomfort in continuing the computer work.

Milk consumption:

1. These negative effects are almost overcome by the consumption of full cream milk at night just before going to bed. Half a glass full cream milk was consumed after 4 hours of dinner and just before to lie on bed. Next morning, higher energy levels, positive mood, increased focus and concentration were observed. This effect was observed with all dairy products such as milk, yoghurt, butter and ghee except cheese. However, the pain component stayed there. Not much change was observed in the hand pain, finger pain, low back pain and buttock muscle pain.

Hand pain and meat consumption:

Due to heavy laptop use with mouse, I used to get right hand pain around the wrist, palm and fingers. With rest, this pain usually subsides. Sometimes, the pain is severe. Nowadays, I am not taking any multivitamin. But, I am consuming two eggs per day one in the lunch and dinner. Still, the hand pain is there almost everyday. With rest (not using laptop and mouse), the pain disappears. After consumption of meat (mutton, beef and chicken with mutton being the most significant influencer and chicken the least), I have observed that the pain subsides significantly. Also, this hand pain also subsides after consumption of calcium, magnesium, zinc tablet. These observations suggest that the meat products may contain these minerals and might offer the reduction of hand pain. However, the amount of calcium and zinc in mutton and beef meat are not really that much. So, alternatively, based on my previous experiences, the role of vitamin B12 may be suspected here as meat products especially mutton and beef contain more B12 and might offer some neurological cure to hand pain.

Update on hand pain 2 July 2020:

The hand pain decreased very much after I stopped egg consumption for two days. I am taking osteocare tablets and diabetone capsules every day. Need to analyse which one has reduced the hand pain.

Update on hand pain 25 July 2020:

I have taken magnesium at night after dinner (200 mg of magnesium from vitabiotics brand; They have not mentioned what form of magnesium is present in the tablet) for last few days and found my muscle pain and hand pain decreased substantially. However, the focus and concentration decreased very much with magnesium consumption at night.

Composition of Proviton Multivitamin capsules (with ginseng)

Composition of Proviton Multivitamin capsules:
 

Composition: Each softgel capsule contains		% USRDA
Ginseng IDB         Highly concentrated and standardised (by HPLC) Ginseng Extract IDB (made from the main roots of genuine Panax Ginseng C.A. Meyer)	50 mg
Vitamin A	5000iu	100
Vitamin D	400iu	100
Vitamin E	15iu	50
Thiamine HCI (B1)	12 mg	800
Riboflavin (B2)	5 mg	294
Pyridoxine HCI (B6)	5 mg	250
Cyanocobalamin (B12)	15 mcg	250
Ascorbic Acid	30 mg	50
Folic Acid	1.3 mg	325
Nicotinamide	25 mg	125
Biotin	0.06 mg	20
Calcium	40 mg	4
Copper	0.1 mg	5
Inositol	7.5 mg
Iodine	0.05 mg	33
Iron	5 mg	28
Lecithin	50 mg
LysineHCI	0.3 mg
Magnesium	2 mg	1
Manganese	0.33 mg	8
Phosphorus	18.5 mg	2
Potassium	5 mg
Zinc	0.9 mg	6

Potential advantages of Proviton Capsules: 

• Low vitamin E content (may not cause nonstutterable pause while speaking)
• Low copper levels (may not affect GABA/Dopamine system)
• Moderate amounts of Vitamin B6 (pyridoxine) (may not increase serotonin and dopamine excessively)

Potential disadvantages of Proviton Capsules:

• Contains high amount of folic acid (may increase stuttering)