Herbs for Sexual Enhancement, guest post by pharmacist Paul Roberts


As we age and encounter sexual challenges, many of us turn to herbs for help. Yet how do we cut through the hyped-up claims and figure out whether a certain herb actually works for the reason we want to use it? And how do we know if it’s harmful or dangerous (“contraindicated”) because of a medical condition or other drugs we’re taking? 

I asked pharmacist Paul Roberts to give us some answers. Here he comments on herbs that people our age often buy, hoping to improve our libido, erections, and sexual responsiveness. 
— Joan
Herbs for Sexual Enhancement
by Paul Roberts
R.Ph., M.S., 
Certified Geriatric Pharmacist and nutritionist
Some herbs are reputed to enhance sexual libido and function. Do they work? Herbs
for sexual function are rarely used alone. Rather they’re found with several
others in combination. Therefore it’s difficult to determine which individual
ones work, and adequate studies for safety are generally lacking. Fortunately
herbs have generally mild effects and a good safety record overall, compared to
prescription medications.
Be sure to tell your doctor what herbs you’re taking or considering taking,
because they may interact with another medication you’re taking or aggravate a
condition you have.
These herbs are commonly used for sexual function:
Tribulus (Tribulus terrestris)
“Puncture Vine”

        Uses: to treat impotence, infertility, and increase muscle strength. Tribulus is widely used in combination with other herbs for sexual dysfunction in men.

Contraindications: Do not use if you are diabetic (it may
lower blood glucose levels); take lithium; have benign prostate enlargement,
prostate cancer, hormone dependent cancers, or other hormone-linked medical
conditions. Tribulus may interact with some heart and blood pressure medicines,
such as beta-blockers, calcium channel blockers, digoxin, and diuretics. Avoid
this herb for sexual dysfunction in women, as it’s likely to aggravate the
condition.
Conclusion: Tribulus is included in most herbal
formulas for sexual dysfunction, although there’s little scientific evidence
that it works. It is possibly effective for men and may be worth a trial for up
to 8 weeks if you do not have any of the contraindications.
Korean ginseng (Panax ginseng)
Uses: to improve erectile dysfunction, libido, sexual
arousal in women, orgasmic function, sexual satisfaction, physical stamina.
Contraindications: Avoid if you are taking blood thinners. Avoid
if you have autoimmune disease (it may stimulate immune function). Avoid if you
have schizophrenia unless prescribed by your doctor. It also has some
estrogenic effects and should be avoided by women with estrogen-sensitive
cancers or conditions.
Cautions: Use caution and check your blood sugar
frequently if you’re diabetic. Use only under medical supervision if you are
taking antidepressants or antipsychotics. It may cause insomnia and increase the
effect of caffeine, use with caution if you have difficulty sleeping. One study of a product containing
Korean ginseng, yohimbine , Horny Goat Weed, Muira Puama, and other ingredients
found the combination can interact with medications and may lead to irregular
heartbeats.
Conclusion: Adverse effects rarely reported in doses
of 500mg to 2,000 mg for 4 weeks to 6 months. Found to significantly improve sexual function over 4 to 12 weeks.
Libido, orgasmic function, and sexual satisfaction have been shown improved
over 8 weeks, but probably not effective for increasing physical stamina. Used
by over 6 million Americans, Ginseng can be considered for improving sexual
function in men and enhancing sexual arousal in women if you do not have any of
the contraindications or cautions.
Maca (Lepedium meyenii)
Uses: for impotence, as an aphrodisiac, and to
relieve stress. Maca root in dried form has been consumed by Peruvians as
regularly for several thousand years, but never the fresh root, which is
considered unsafe.
Contraindications: Avoid in hormone-dependent cancers, or
other hormone-linked medical conditions.
Cautions: Although traditionally used to establish
female hormonal balance, no studies have been done in women.
Conclusion: Maca is possibly effective for increasing
libido and increasing sperm amount at 1.5 to 3 grams daily of the dried
powdered root. More studies are needed to verify other uses. Likely safe (in
the dried form) for short term, up to 3 to 4 months. Due to widespread use and
safety, in spite of lack of studies, combinations with Maca may be worth a
trial in healthy individuals.
Chrysin “Passion
Flower”
Uses: for impotence and increasing testosterone.
It is purported to inhibit the conversion of testosterone into estrogen,
however studies that show this are lacking.
Contraindications: Avoid with prescription aromatase
inhibitors (Femara®, Arimidex®, Aromasin®) because
it may increase the drug’s effect. May interfere with anticoagulant, platelet
treatments or cause low blood pressure. Avoid if you are immunosuppressed or
immunocompromised. Avoid in hormone-dependent cancers, or other hormone-linked
medical conditions.
Cautions: May increase levels of some drugs cleared
by the liver enzyme “Cyp1A2” including caffeine. Ask your pharmacist
or doctor if this could affect any of your prescriptions.
Conclusion: Avoid this herb until more is known.
Wild Yam (Dioscorea villosa) 
Uses: to increase energy and libido in women
Cautions: Claims that Wild Yam is a natural
progesterone or has progesterone effects are not supported by studies.
Conclusion: No reports were found of adverse effects
when used in appropriate doses for short term. However, Wild Yam is not
converted to hormones in the body as is commonly believed, only in the
laboratory. Avoid this product.
Damiana (Turera diffusa)
Uses: to prevent and treat sexual dysfunction and
as an aphrodisiac.
Cautions: The research studied Damiana in
combination with other ingredients, however studies of the herb alone are
lacking.
Conclusion: May be safe in appropriate doses for short
term, but possibly avoid this herb until more is known.
========== 
*WARNING: One study of a product containing Korean ginseng, yohimbine, Horny Goat
Weed, Muira Puama
, and other ingredients found the combination can interact
with medications and may lead to irregular heartbeats. Horny Goat Weed may
increase bleeding if you’re taking blood thinners. In combination with blood
pressure medications, it may lower blood pressure, leading to dizziness or
falls.

Intimacy, Sexuality and Dementia by Peggy Brick

BrickOne of my favorite sex educators, Peggy Brick, a true ground-breaker in the sexuality and aging field, has turned her remarkable talents to teaching about dementia. I invited her to guest blog about this urgent topic. As always, I invite your comments. — Joan

Intimacy, Sexuality and Dementia

By Peggy Brick, M.Ed.

What does it mean, “We’re sexual from birth to death,” when faced with the growing specter of dementia? Will the nation acknowledge that over five million of its citizens with Alzheimer’s and other dementias have intimacy needs and rights? Will families, friends, professional caregivers, and institutions respect the sexuality needs and rights of individuals who are increasingly unable to care for themselves or respond to others in conventional ways? Will they learn how to connect by listening, touching, hugging, respecting, and loving the person who remains?

Preparing to Love Someone with Dementia: 8 Ways

1. Dementia is part of today’s reality: if you’re lucky enough to live to be 85, there’s a 50 percent chance you will experience dementia. Now is the time to become an advocate for more research, education, care services, and progressive public policies.

2. Since currently there’s no cure for Alzheimer’s, do your best to prevent or delay it by promoting brain health through regular exercise, a heart-healthy diet, social connections, and brain-stimulating activities.

3. If you’re concerned about someone’s memory, get it checked — first by a primary physician, and then a psycho neurologist. Early diagnosis is key to getting support and planning for a future living with inevitable diminishments. Later, making choices becomes impossible.

4. Read books and view films to understand the experience of dementia. People diagnosed with Early Alzheimer’s have written powerful stories about their feelings and their relationships. Richard Taylor, author of “From the Inside Out” created a powerful DVD challenging the stigma. Many caregivers have revealed their struggles and survival techniques.

5. Stay connected with a person with dementia by meeting them where they are. Learn either the “Best Friends” or the “Validation Therapy” approach that dementia care programs use to help caregivers accept the person’s reality in ways that reduce anxiety and encourage communication.

6. Recognize that dementia profoundly affects partner relationships. A well spouse often experiences decreased attraction after assuming caretaking duties such as bathing and toileting. As the disease progresses, people may no longer recognize their partner or believe they’re someone else.

7. Sexual expression is especially important in a nursing home when physical contact may be a beneficial means of communication, serving to calm and reassure. Ask whether a home you are considering has a sexuality policy that documents residents’ sexual rights, adequate staff training, and abuse prevention strategies.

8. Most caregivers experience loss and grief as they interact with someone who is both there and not there. Unlike a death that is final, this loss continues, often for years, and is difficult and exhausting. You must take care of yourself, which is challenging – but essential — when you who love and care for someone with dementia.

Peggy BrickPeggy Brick, M.Ed., teaches “Alzheimer’s: New Perspectives” at Osher Lifelong Learning Institute, University of Delaware, and is the founder of the Sexuality and Aging Consortium at Widener University.

Original Magic Wand + Accessories

magic wandYou’ve read so many vibrator reviews from me where I say, essentially, “It’s good, but it’s not the Magic Wand.” Time to tell you exactly what is the Magic Wand (and about some great accessories!).The Magic Wand has been around since the 1970s, almost as long as I’ve been having vibrator-assisted orgasms, and it’s been responsible for a good many of them. It was called the Hitachi Magic Wand until recently. (I reviewed it here.)

Now, after Hitachi sold distribution rights to Vibratex, it’s the Original Magic Wand. Hitachi still manufactures it, but doesn’t want its name on a tool for female orgasm anymore, if I understand right. Vibratex rescued the Wand from being discontinued, which would have led to dire and ugly consequences.

So the new Magic Wand is called the “original,” probably to assure us that it’s the same product (it is — thank goodness!) and to distinguish it from the knockoffs that rattle around. Don’t be fooled. Buy it from a reputable retailer.

The two models are identical in these ways:

    • The strongest vibrations of any popular sex toy.
    • Two intensities, labeled low and high, but actually high and yowza-high.
    • Big — a foot long, with a head the size of a tennis ball.
    • Heavy. Noisy. But you won’t care once you feel what those vibrations can do.
    • Need to be plugged in. A hassle, but that’s what a motor this size requires.

positions of massaging chart

  • Really, really stimulating. (Did I already say it?)
  • Silly diagram for how/where to use it, ignoring the real reason/location that we’re using it.
  • Oh yeah, it’s a great massager for sore muscles, too, and we do get those.

 

Here’s how the models are different:

magic wand

  • Controls have different appearance and the new one has a more ergonomic feel.
  • Vibratex says the new one will last longer (the old ones lasted 20 years!) and is quieter (not that I can tell).
  • The head is made to be a little lighter and last longer.
  • Several internal features have been upgraded to make it work even better.

Now here’s another cool idea — if you like the Magic Wand, but you’d like to subdue the vibrations a little, or have a way to turn your Wand into a penetrating toy, check out the Pop Tops and the G-Spotter. These are silicone attachments that fit on the Magic Wand and add versatility.

magic wand accesoriesI tried the three pictured. I like the soft, cushioning layer that the Pop Tops give the Wand and I love the ease of washing them. But they did diffuse the strength a little, and personally, I want all the strength I can get.

The G-Spotter was a surprising pleasure. The whole attachment vibrated strongly but not wildly, and not in a pounding way that I would not have enjoyed. The little bump that’s supposed to stimulate the clitoris while the G-Spotter is inserted did not land right for me, but it might for you.

To get one on, just stretch it apart and push and pull a little for a perfect fit. (Don’t put lubricant inside the attachment or it won’t stay put as well. Do use plenty of lube on the outside, though.) It removes easily when you’re ready just by stretching and sort of peeling it up and wiggling it around. It’s easier than it sounds.

These accessories also make clean-up easier. You can’t remove the Wand’s head for cleaning, and you have to be careful not to get anything wet but the outside of the head. You can’t sterilize it, so it’s not wise to share it with different partners. But with these attachments, you can pop one on, use it at will and with whomever, then pop that top off. Being silicone, these attachments are nonporous and can be washed easily with toy cleaner or in the dishwasher.

You can get any of the attachments separately, or in a kit with or without the Wand. See the options here. Enjoy!

I bought my original Hitachi Magic Wand in the 1970s, and it lasted a shockingly long time — decades! — until the head started to get hard and discolored. Good Vibrations sent me a new Hitachi wand in 2009, which is still going strong, but of course I owe it to you, my readers, to review the latest model.

Thank you, Good Vibrations, for sending me the Original Magic Wand, plus these delightful accessories.

magic wand accessories

Iroha: Cutest Vibrators Ever


The Iroha Rechargeable Silicone Vibrators from Tenga are adorable and cushy. I want to cuddle and squeeze them. And yes, they’re dynamic little vibrators, and they work! It’s hard to imagine one of these without being able to touch it firsthand, so I hope my description helps: The vibrator has a cushy layer, covered by a body-safe silicone skin. It’s not soft through and through (there’s a motor in there) — just a layer — so you can press firmly and feel just a little cushioning, or press lightly, and it all feels soft. Delightful.

You can choose from three distinct styles:

Midori is green, sort of egg-shaped with a nubby protrusion. The big part stimulates the whole vulva if you lay it cushy side down,or you can elevate it and position the nub directly on top of your clitoris. The nub is harder than the rest of the Midori for more targeted pressure and less cushion.

Yuki is white, figure-8-shaped with a smaller and larger end. Again, you can lay the whole thing down over your vulva and get stimulation everywhere. Or you can press the smaller part shallowly into your vaginal entrance. Some might scoff at how small the penetrating part is, but for those of you with vaginal pain and/or tightness, it could be just right for pleasure without pain. Yuki doesn’t have any hard parts — it’s all cushy, with some parts especially soft. This was my favorite and seemed the most versatile, though your mileage will vary.

Sakura is pink, oval-shaped with a flexible, V-shaped, squishy notch that can hug the clitoris. It looks like you could use the notch to pinch a nipple in a stimulating fashion, but you really can’t with lubed fingers — too slippery. Try it dry for nipple play. Well lubed, it does hug the clitoris in a lovely way if you just position and press. This was almost my favorite.

 

All styles have these lovely qualities:

    • The whole thing vibrates. It doesn’t matter how you position it, whatever touches you is vibrating.
    • It’s easy and ergonomic to hold. No wrist tweaking, just cup it (control side towards the hand) and press, glide, rub, tap, or circle on your vulva.
    • The controls are large and easy to see and use. You won’t turn it off by mistake. Your lubed finger may slip off the button, but it’s still much easier than most.

  • It’s self-charging with an elegant charging base and storage lid. Charge it by USB or plug it into an electrical socket with the provided charger.

Yes, of course I wish these were stronger. I always wish that. The settings take them from gentle to medium to strong, plus a pulsation pattern. For you, strong might be plenty strong. The older I get, though, the more intensity I need.

But I’ve also discovered the pleasures of using a toy that feels as good as these softies do, then upping the ante at the very end with my Magic Wand. Just a suggestion for those of you who, like me, need a long time and lots of intensity, but enjoy the feel of a soft toy like one of these.

I love how long these vibrators last before losing their charge! I couldn’t believe the claims that it kept a strong charge for 90 minutes. “Maybe on the lowest setting,” I scoffed. So I tested Midori’s duration by letting it run on the highest setting until it stopped — a full hour and five minutes! Granted, it lost some intensity long before it actually stopped, but still, that’s a long time for those of us with slow-burning arousal!

Use plenty of water-based lubricant, especially with post-menopausal, thinning tissues. Otherwise, the silicone skin starts dragging or pulling on vulvar skin and pubic hairs. Lube is your constant companion anyway, right?

I’m glad I read the itty bitty directions in the accompanying manual and the “Water-resistant, do not submerge” on Good Vibrations’ Iroha page, because I would have guessed it could be taken into the shower or tub. Nope — although it can be cleaned in water, it doesn’t like hot water or staying wet or humid.

 

These Iroha toys are designed for vulvas, though of course they can used by any gender and any external erogenous zone. Thank you, Good Vibrations, for sending me these sweet toys to review!