Erection dysfunction is one of the commonest disorders of male sexual function. Penile dilation depends on a complex interaction of psychological, neural, vascular and endocrine factors. Testosterone has an important role in both central and peripheral domains of this process. Neurotransmitters are also involved in starting and maintaining a better erection including dopamine and nitric oxide. Men who have difficulty with erection or a weak erection seek an erection ring, pump, vacuum device, cream, or search for a prescription pill such as Viagra or search for herbal erection pills. To maintain a strong erection, it is best to have restful sleep at night, have low stress, eat a healthy diet such as vegetables and fish, have a moderate amount of exercise, do yoga, and have an open heart and close intimacy. All these steps can lead to a longer erection time in a man.
   If the above suggestions do not work for you, you have the option to take either natural erection pills or those available by prescription. They both have advantages and disadvantages. The advantage of prescription erection pills is that they work quite quickly, but they have very unpleasant side effects. These prescription erection pills work well as a treatment for impotence, but they have little effect on libido, sexual drive, or sensation. The herbal remedies take longer to work, usually several days, but they also enhance sexual drive, genital sensation, and overall sexual stamina. The disadvantage of the natural erection pills is that they don't work an hour or two before intimacy, you have to take them for at least a couple of days before.

Passion Rx -- Medical Doctor formulated for erection enhancement
Dr. Ray Sahelian and his research staff have tested various doses and extracts of dozens of herbs from a number or raw material suppliers to determine the ideal dosage and combination for optimal erection enhancement with the fewest side effects. After years of trial and error,  a special proprietary blend with 15 herbal extracts, including epimedium and eurycoma, from the best raw material suppliers has been created which works within hours. The exact dosages and potencies of this aphrodisiac blend is a close kept secret only known to the doctor and his research staff. You will only find this exact combination in Passion Rx.

How an Erection Happens and control
A complex interaction of neural, vascular, and biomolecular activity results in normal erectile function. Two chambers in the penis, the corpus cavernosa, contain sinusoids, which fill with blood and expand to become rigid when smooth muscle is relaxed. Blood flow out of the penis is temporarily stopped (veno-occlusion) to maintain and keep the erection. Neural control is complex but, in general, the sympathetic nervous system inhibits, and the parasympathetic system excites erection. The central nervous system can induce erections without peripheral stimuli, e.g. in nocturnal erections. In general, there are 5 recognized phases in erectile response: latent, tumescent, full erection, rigid erection, and detumescent. The key biochemical event in erectile function is an increase in levels of cyclic guanosine monophosphate, which causes smooth-muscle relaxation and allows an erection to occur. This process is mediated by nitric oxide, produced by neurons and elsewhere, which acts as a gaseous messenger molecule.

Viagra medication
There is no doubt that Viagra, Cialis, and Levitra improve and erection problem. However, there are risks to them including optic nerve damage and blindness. I prefer natural erection enhancers such as aphrodisiac herbs.

Erection pill
Quite a number of erection pills are available, from the pharmaceutical ones to single erection herb products to combination erection herbal products. Even though the drugs work quicker, many of the herbal erection pills, over several days, provide a more natural approach to a hard erection. After several days, a spontaneous erection may occur with erection herbs, including a nocturnal erection and morning erection.

Which of the following work better as an erection enhancement pill, Viagra, Levitra, or Cialis?
    Different people have different preferences, they are roughly of equal effectiveness as male penis erection pill drugs.

NO erection - NO meaning Nitric Oxide
Nitric oxide is a chemical, or neurotransmitter, in the bloodstream that helps dilate blood vessels, including those in the penis, thus maintaining and improving an erection. The release of nitric oxide from nerve endings in the penis causes an erection, but nitric oxide stays only just a few seconds before breaking down. After an initial burst of nitric oxide from nerve endings triggers an erection, blood vessels release more nitric oxide to harden and maintain the erection.

Emails
Q. I have a 4 inch erection of my penis but I am looking for a huge erection that is rock hard and stronger. Do you recommend a pill for this?
     A. We are not aware of an erection pill that increases your size to more than 4 inches. But, it is possible keeping a big erection with some of the suggestions listed at the top of the page.

Q. Is maca herb from the Andes a strong erection pill and does it give a nard penis?
   A. Maca does help with sexuality, but its effects are rather in the medium range compared to other herbs such as mucuna pruriens and tribulus terrestris.

Q. According to your personal experience what erection pill herb (other then Yohimbe) works best for increasing the erection duration? I don't use Yohimbe anymore and I don't like the feeling.
     A. We are not aware of any herbs that work as quickly as yohimbe for erection.

I am looking for an erection pill. Have been experiencing erection problem and climaxing difficulties. Recently taken off Atenolol 25 mg. On Tildiem Retard 90 mg twice daily. Atorvastatin 80 mg. Ezetimibe 10 mg. Clopidogrel 75 mg. Been on Prozac 20 mg for 17 years and recently been put on Modafinil 400 mg (last 5 months). Can I take 5 mg DHEA and Passion-Rx without Yohimbe.
   We don't suggest Passion Rx for those with a cardiovascular condition, cardiovascular medicines, or those on stimulants such as modafinil. Tildiem is a calcium channel blocker, atorvastatin is a statin drug, clopidrogel is a platelet inhibitor, ezetimibe is used for high cholesterol. Some of these drugs could influece erection, particularly Atenolol and Prozac and to a lesser extent Tildiem.