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ERECTILE DYSFUNCTION (ED) is a common medical disorder which decreases the quality of life in men. Its prevalence is increasing worldwide with estimated 322 million cases by the year 2025.

Risk factors associated with erectile dysfunction which are modifiable include

  • Smoking
  • Lack of physical activity
  • Poor diet
  • Overweight or obesity
  • Metabolic syndrome such as diabetes, cardiovascular disease, etc
  • Excessive alcohol consumption
  • Stress
  • Psychological issues

Medical conditions are a frequent cause of erectile dysfunction. But sometimes, the cause may be related to lifestyle choices. It has been suggested that lifestyle habits have a critical role in reducing the burden of sexual dysfunction.

Both basic and clinical studies have shown that targeting several lifestyle factors commonly associated with ED, such as smoking, alcohol consumption, obesity and limited physical activity can have significant effects on improvement of erectile function as well as testosterone levels.



Lifestyle and nutrition have been recognized as central factors influencing both vascular nitric oxide (NO) production and erectile function. Unhealthy lifestyle is strongly associated with conditions that result in endothelial dysfunction by decreasing the availability of nitric oxide (NO), which is mandatory for the genital blood flow. Changes in lifestyle and nutrition can influence vascular NO production, testosterone levels and thus, erectile function. Therefore, maximal attention should have to be paid on measures known to increase vascular NO production. The promotion of healthy lifestyle would yield great benefits in reducing the burden of sexual dysfunction by increasing vascular NO production.


As with many other medical diseases, prevention may be the most effective approach to alleviate the consequences of ED. Despite the increasing evidence that unhealthy lifestyles lead to metabolic diseases, including sexual dysfunction, the majority of adults fail to meet physical activity and nutritional guidelines. There are some approaches related to lifestyle changes which have been given below to improve erectile dysfunction:

  • Physical activity     2

How is it effective? 

The mechanisms by which physical activity ameliorates ED include improved cardiovascular fitness and endothelial dysfunction, increase in endothelial-derived NO, decrease in oxidative stress and increase in regenerative cells. Moreover, physical exercise showed beneficial effects on self-esteem and mental health, with a positive impact on psychological issues associated with sexual dysfunction.

Recommendation: It is recommended that adults following 30 minutes of moderate to intense aerobic physical activity on most days of the week will benefit greatly from erectile dysfunction. Exercise helps to reduce stress and increase energy levels. It also improves circulation and helps to keep the arteries and heart healthy.

  • Weight loss       3

How is it effective?

Increased abdominal fat and related risk factors are associated with decrease in the availability and activity of NO. The reduced testosterone levels associated with obesity and the metabolic syndrome may worsen both insulin resistance and endothelial function, thereby contributing to ED. Body weight loss is associated with decline in estrogen levels and rise in gonadotropins and testosterone (hormones), which increases consecutively with weight loss.

Recommendation: Weight loss of 5%–10% in overweight or obese non-diabetic or diabetic men can result in effective improvement in erectile function in a short period. Regular exercise without any gap can result in effective weight loss and thus, improving erectile dysfunction.

How is it effective?

The abundant consumption of vegetables, fruit and whole grain and the dietary patterns rich in these foods produce a markedly lower risk of coronary disease. The beneficial effect of the Mediterranean diet on atherosclerosis and ED can be mediated through multiple biological pathways, including the reduction of oxidative stress and subclinical inflammation, amelioration of endothelial dysfunction and insulin sensitivity, which in turn may increase NO release in the penile arteries.

Recommendation: Mediterranean diet has been proposed as a healthy dietary pattern based on the evidence that greater adherence to this diet is associated with lower all-cause and disease-specific survival. Diet rich in fruits & vegetables but devoid of high sugar as well as fat can be effective in improving erectile dysfunction.

  • Smoking        5

How is it a contributor?

Both the direct use of tobacco and second-hand exposure seems to be a risk factor for ED due to the effects of cigarette chemicals on the blood vessels in the penis.

Recommendation: Quitting smoking can improve ED symptoms. If it seems to be difficult to quit smoking, seek help from medical practitioners.

How is it effective?

Alcohol is a depressant and using it heavily can dampen mood, decrease sexual desire and make it difficult for a man to achieve erections while under the influence.

Recommendation: Most experts say moderation is the key. According to the U.S. Centers for Disease Control and Prevention (CDC), moderate drinking, no more than two drinks a day for men, will not give rise to erectile dysfunction.



Along with lifestyle changes, there are natural remedies available for the treatment of ED. The following are some supplements that have been studied and shown to be safe. They may also be effective in the treatment of ED.



Erectile dysfunction can be troubling and affect sexual and psychological health. If you are experiencing erectile dysfunction symptoms, you should examine your diet, try to work towards a healthy weight and seek the guidance of a doctor before starting any medical or supplement treatment. You should especially see a doctor if you have known heart disease, or other vascular disease (such as in the legs) because ED can be a sign of worsening vascular disease.


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UNHEALTHY LIFESTYLE factors such as alcohol consumption have major impact on the severity of erectile dysfunction in men. It is long regarded as a risk factor for erectile dysfunction. Alcohol consumption leads to marked distress and interpersonal difficulty in erectile deficient men. It has been found that 61% of patients dependent on alcohol suffer from sexual dysfunction, the most common being erectile dysfunction followed by reduced sexual desire. Erectile dysfunction and reduced sexual desire are frequently co-exist.

The scientific explanation is that alcohol is a central nervous system depressant. This causes impotence and other disturbances in sexual dysfunction. Erectile failure in alcoholic men is fairly a routine which is found to be higher in men consuming more than three standard units of alcohol (12 g ethanol) daily and in subjects smoking more than 10 cigarettes/day.

SYMPTOMS OF ALCOHOL-INDUCED ED                      

The symptoms of erectile dysfunction originated from alcohol consumption appeared accordingly with the amount of alcoholic beverage consumed. The chance of developing sexual dysfunction appears to increase with increasing quantity of alcohol consumed.

Higher levels of alcohol intake may result in greater neurotoxic effects. Heavy use of alcohol is also known to alter gonadal hormones (testosterone & follicle-stimulating hormone).



In addition to the effect of alcohol on central nervous system receptors (as given above), alcohol also suppresses the release of gonadotropin and anti-diuretic hormone from the pituitary that may be associated with hypogonadism and hypovolemic shock in alcohol abusers. The chronic abuse of alcohol may cause testicular atrophy, inhibition of testosterone production and impairment of spermatogenesis, apart from its direct oxidative toxicity. These effects of alcohol cause erectile dysfunction because it directly affects the production of hormones responsible for erectile mechanism in males.

All this alcoholism effects are found to cause men to suffer from problems achieving and maintaining an erection, because alcohol can also prevent blood vessels in the penis from closing, inhibiting the ability of penis to remain erect. In a healthy, non-alcoholic man, the penis becomes erect when aroused because it fills with blood and the vessels close, preventing back-flow. Chronic consumption of alcohol damages blood vessels which cause problems in the heart and also in the penis.


  • Physical examination  2
  • Genitourinary examination
  • Attention to any endocrine (including testicular size and secondary sexual characteristics), neurological or vascular causes as appropriate, especially if indicated by the history.
  • Pulse (including peripheral pulses) and blood pressure. Because ED shares risk factors with CVD, a full cardiovascular assessment should be performed.
  • Rectal examination in patients over the age of 50 years.
  • Psychological counseling involving queries regarding stress, depression or alcohol consumption


  • Laboratory examination     3
  • Fasting glucose
  • HbA1c
  • lipid profile
  • Total testosterone
  • Follicle-stimulating hormone (FSH), luteinising hormone (LH), and prolactin when low testosterone is detected



When you drink heavily and frequently, your body becomes physically dependent on alcohol and goes through withdrawal if you suddenly stop drinking. The symptoms of alcohol withdrawal range from mild to severe, and include:

  • Headache
  • Shaking
  • Sweating
  • Nausea or vomiting
  • Anxiety and restlessness
  • Stomach cramps and diarrhea
  • Trouble sleeping or concentrating
  • Elevated heart rate and blood pressure


  • How to quit alcohol?  5

As mentioned here, alcohol consumption is the reason behind the risk of erectile dysfunction. Thus, primary treatment involves the inhibition of alcohol consumption which involves various strategies such as:

  • Avoid the things that trigger your urge to drink
  • Practice saying “no” to alcohol in social situations
  • Remind yourself of your reasons for not drinking
  • Evaluate the costs and benefits of drinking
  • Quit alcohol by diminishing the requirement day by day. Keep a “diary” of your drinking
  • Pick a day or two each week when you will not drink at all
  • When you’re struggling with alcohol cravings, try strategies such as talking to someone you trust, distracting yourself until the urge passes, accepting the urge and ride it out, instead of trying to fight it, etc.
  • Try to have exercise as more as possible and as much scheduled as possible.


  • Prescription for erectile dysfunction 6Phosphodiesterase inhibitors (sildenafil, tadalafil, vardenafil and avanafil) improve the relaxation of smooth muscle. Phosphodiesterase inhibitors are also contra-indicated in patients in whom vasodilation or sexual activity are inadvisable, and where there is previous history of non-arteritic anterior ischaemic optic neuropathy, hypotension.

Try herbal remedies which are devoid of side effects. These herbal remedies include ginseng, DHEA (Dehydroepiandrosterone), L-arginine, fenugreek, etc. Any prescription to be taken for erectile dysfunction should be after consultation with doctor because the dose and schedule of medicine depends upon the severity of the disease which can only be interpreted by the doctor specializing in that particular field.



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ERECTILE DYSFUNCTION (ED) is known widely as ‘impotence’ and is defined as the inability to get and keep penile erection firm enough for sexual relationship. It can make sexual intercourse difficult if not treated appropriately. It is reported that 1 in 5 men affected by this problem and this number increases with age.

Prevalence: In India, the prevalence of erectile dysfunction is increasing drastically and found to be about 6% in the age group 20-29 years and 50-70% in the age group 40-79 years. It has been estimated that this number will get increased over 320 million by the year 2025.

OBSTRUCTIVE SLEEP APNEA (OSA) is defined as the recurrent complete (apnea) or partial (hypopnea) episodes of upper airway obstruction during sleep. In other words, it occurs when tissue at the back of the throat collapses and blocks a person’s airway. This results in a start-stop breathing pattern, making it difficult to sleep soundly.

Prevalence: This is the one of the most common sleep disorder. In men, the prevalence of OSA was found to be 1-5%. This prevalence rate keeps on increasing with age. In clinical studies, it has been reported that 69% of male study participants with obstructive sleep apnea also had ED.


  • Sleeping flat on the back
  • Obesity
  • Chronic sinusitis
  • Large neck circumference
  • Recent weight gain
  • Menopause
  • Large tonsils or adenoids
  • Down syndrome
  • Smoking
  • Family history of sleep apnea
  • Recessed chin or large overbite


OSA induces a variety of abnormalities in neural, hormonal and vascular regulation which contribute to the development of ED (erectile dysfunction).

Apnea occurring during the sleep causes hypoxia (oxygen deprivation) and oxidative stress which result in impairment in hypothalamic-gonadal axis and lead to psychological depression, decreased libido, fatigue, decrease in rapid eye movement (REM) sleep period and neurogenic dysfunction and all these factors results in decline in the testosterone (male hormone) levels which ultimately worsens the quality of erection.


Another reason associated with these co-morbidities is that men produce a large amount of testosterone during night. A disturbed sleep pattern due to sleep apnea reduces the testosterone production resulting in poor erections and decreased libido.


Prevention and treatment of erectile dysfunction associated with OSA includes either the treatment of OSA or the direct treatment of erectile dysfunction.

Treatment of OSA

OSA can be treated with

  • Lifestyle changes: 3Majorly including weight loss because excess weight is a primary risk factor for sleep apnea in both men and women.
  • Medical treatment: Including oral cavity tools and Continuous Positive Airway Pressure (CPAP) therapy
  • Surgical treatment: 4Surgery is preferred when other treatments have failed or when treatment is needed right away. It includes Uvulopalatopharyngoplasty (UPPP), Tonsillectomy, Tracheostomy, etc.

The above given treatments have shown to improve associated ED also. Currently, CPAP therapy is regarded as the gold standard treatment for OSA. It is a device which is worn while sleeping and keeps the airway from closing. It can diminish or alleviate sleep apnea.

Men with OSA and moderate to severe ED were shown to be improved greatly with the regular use of CPAP. It has been found in a human clinical study that CPAP users experienced an improvement in overall sexual function compared with patients who did not use CPAP.

Treatment of erectile dysfunction

Overcome anxiety & stress: 5It has been proved that anxiety and stress worsens the erectile dysfunction. Talking about these things with a therapist can ease sexual anxiety and help to generate more confidence. Anti-stress activities should be chosen such as playing, daily exercise, yoga, keeping yourself busy, etc. This will help to lose stress and manage erectile dysfunction.

Medications: 6The doctors usually prescribe drugs such as Avanafil, Sildenafil, Tadalafil and Vardenafil. These drugs should be taken after careful prescription and complete guidance because they could cause side effects such as headache, stuffy nose, muscle ache and temporary blue-green shade of the vision in some cases.

Surgery: If all other ED treatments have failed, your doctor may recommend surgery. The operations are:

  • Placement of an implant (prosthesis) in the penis
  • Vascular reconstruction surgery to improve blood flow to or reduce blood leakage from the penis and surrounding structures. This procedure works in very few cases.

Natural treatment: Even though all the above given methods may help some men, natural alternatives can be just as effective, but they remain free of side effects.


The various plants which are clinically proven to manage ED are:


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Erectile dysfunction (ED) is a serious health problem these days which is prevalent in men. It is reported that 1 in 10 adult men suffer from erectile dysfunction. It originates due to various reasons such as stress, depression, hormonal deficiency, etc. Under severe conditions, erectile dysfunction causes many health co-morbidities. In some cases, it has been seen that erectile dysfunction is one of the indicator of other health consequences such as endothelial dysfunction.

Recent studies suggest that there is a very strong link between erectile dysfunction and coronary artery disease (CAD). Due to this, doctors should look more closely at the overall health of erectile deficient men to check if it is an outcome of some other disease.


It is known that the coronary artery disease is a heart disease in which the arteries that supply blood to the heart muscles become hardened & narrowed. This causes the disturbance in blood flow in the entire body. This occurs due to many causes such as the building-up of cholesterol or fat inside the inner walls of the blood vessels known as atherosclerosis.  1

Erection mechanism of the penis involves the extra blood flow towards the muscles of the penis. When CAD disrupts the ability of blood to flow freely, it also causes the disturbance in the blood flow towards penis. As a result, erectile dysfunction originates. Thus, CAD is one of the causes of erectile dysfunction. In turn, erectile dysfunction can be regarded as one of the symptoms of CAD.


 2As it has been told that erectile dysfunction & CAD share a common disease process, it should also be known that they also share many risk factors. These involve:

  • High blood pressure: When the blood pressure is high for an extended time, it can damage the lining of the arteries and interfere with the blood flow. This causes both CAD and erectile dysfunction due to disturbance in blood flow. It is also reported that certain high blood pressure medications such as thiazide diuretics also cause erectile dysfunction.
  • High blood cholesterol: low density lipoproteins (LDL) cholesterol can also damage the arteries. The buildup of this cholesterol in the arteries can clog them and restrict the blood flow. This can contribute to erectile dysfunction, as well as CAD.
  • Diabetes: People with diabetes are at higher risk of heart disease. They’re also more likely to develop ED than people without diabetes.
  • Obesity: Excess body weight and fat can worsen the condition of CAD and erectile dysfunction due to the condition of atherosclerosis.
  • Depression: Depression has been linked to both ED and heart disease. According to a research study, men with sexual dysfunction and severe symptoms of depression may have a higher risk of cardiovascular events.
  • Smoking: Smoking damages the arteries and increases the risk of atherosclerosis. Tobacco use has also been linked to erectile dysfunction.


If any man has erectile dysfunction originated from coronary artery disease, then, he should opt for following treatment plans. Some of them can trigger directly coronary artery disease to treat the whole scenario and some can treat or prevent erectile dysfunction stopping the further prevalence of coronary artery disease. These treatment plans are:

Lifestyle changes

Exercise 3 is recommended as part of a healthy lifestyle and helps to manage chronic diseases. Researchers recommended that daily aerobic exercise should be at least 30 minutes and that men should burn, on average, a minimum of 300 to 500 kcal to achieve the benefits of exercise for erectile dysfunction.

Dietary interventions 4 to improve erectile dysfunction originated from coronary artery disease involves eating a diet high in fruits and vegetables, limiting intake of refined sugars and processed foods, consuming more whole grains, legumes, nuts and seeds, replacing butter with healthful fats such as olive oil, decreasing sodium intake by using more herbs and spices and limiting red meat consumption.

The suggested mechanisms by which weight loss, healthy diet and physical exercise can improve erectile function include the improvement of endothelial dysfunction, insulin-resistance and low-grade inflammatory state associated with diabetes and metabolic diseases – all of which are risk factors for ED. The resulting improved inflammatory status may help contribute to reduce the burden of sexual dysfunction in men.

  • Stop smoking & drinking alcohol

5Both the direct use of tobacco and second-hand exposure seem a consolidated risk factor for ED. The moderate consumption of alcohol may exert a protective effect on ED in both the general population and in diabetic men. When the alcohol intake becomes excess then, it causes reverse effect on the body causing depressed mood and low libido increasing erectile dysfunction.

  • Clinical implications
    • Phosphodiesterase 5 (PDE5) inhibitors: 6 They are very effective for the treatment of erectile dysfunction in patients with CAD. Numerous studies have shown that this class of drugs is safe in patients with stable CAD. Other drugs which can be beneficial include angiotensin and statins, etc.
    • Androgens: Men who present with diminished libido and erectile dysfunction may be found to have low serum testosterone levels. Hormone administration may benefit men with severe hypogonadism and may be useful as adjunctive therapy when other treatments are unsuccessful by themselves. Libido and an overall sense of well-being are likely to improve when serum testosterone levels are restored to the reference range.
    • Supplements: Beside medications, it has been seen that food supplements or herbal supplements have been shown to improve the condition of erectile dysfunction in men. These involve Korean Red Ginseng, L-Citruline/L-Arginine, Yohimbe, etc.

One such herbal supplement originated from fenugreek seed extract, Chemforce is an innovative product rich in protodioscin, which plays significant role in maintaining and improving testosterone levels, which further contributes in muscle mass building and safe sports supplement. It’s a unique blend of highly powerful ingredients, Furosap® which is a patent protected and clinically evaluated fenugreek seed extract and Alpha Yohimbine which is a known aphrodisiac. Furosap® has been proven safe and effective for maintaining overall energy and vitality in men.


Balloon angioplasty has been studied as treatment for erectile dysfunction in men with focal atherosclerotic narrowing of the penile artery.



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ERECTILE DYSFUNCTION,inability to maintain stable erection for sexual intercourse, is known to have high prevalence worldwide. It was estimated that there were over 152 million men suffering from erectile dysfunction worldwide. It is also predicted that there will be an increase of nearly 170 million men with erectile dysfunction till 2025, thus, the prevalence rate will hike to approximately 322 million men. According to Aytac IA et al., this prevalence rate has been observed to be high in Africa, Asia and South America.

As we look at URINARY TRACT INFECTION (UTI), then, it is one of its outcomes of erectile dysfunction. UTI is an infection that occurs within the urinary tract system, which consists of the urethra, bladder, ureter, and kidneys, as well as the prostate and testicles. It has been observed by Schaeffer A J et al. that the urinary tract infection is uncommon in men younger than 60 years of age (0.9 – 2.4% per 1000 men). The men older than 60 years of age have seen to be more prone to UTIs (7.7% per 1000 men).

Erectile dysfunction and urinary tract infection are correlated conditions. It is recommended that patients seeking consultation for one condition should always be screened for the other condition. Both erectile dysfunction and UTI affect sexual function and hence quality of life of men. In a large epidemiological study, 28.8% of men were reported to have a fall in sexual enjoyment and 24.8% had decreased or stopped sexual activity due to the disorders of prostate or bladder.

UTI is a strong enhancer of erectile dysfunction. Any patient with confirmed erectile dysfunction is always tested for urinary infection. Mild to moderate or moderate to severe UTIs, have a greater impact on erectile dysfunction.


Infection of the prostate (prostatitis) can also lead to erectile problems. Prostatitis can be caused by a sexually transmitted disease or from the bacteria common in the feces (E. coli, etc.). Younger patients are more likely to get a sexually transmitted disease than a very old patient. Patients may get the infection from incomplete bladder emptying and the residual urine serves to propagate the bacteria. This condition can cause

  • Severe burning with urination
  • Painful ejaculation
  • Blood in the urine
  • Fever
  • Chills
  • Need to strain or push to get the urine out

None of these symptoms make sexual relationship a very attractive activity, which can ultimately lead to erectile dysfunction.



It is truly said, “Prevention is better than cure”. Prevention of urinary tract infection is more important than its development and treatment. Following are some of the tips, which can be acquired to prevent urinary tract infection in men:

  • Drink a lot of fluids especially water. This can help flush the bacteria out of the urinary tract, and in mild infections can even help treat it completely.
  • Urinate as more as possible. Don’t hold your urine when you feel the urge to go.
  • Empty your bladder as much as possible when urinating.
  • Cleaning of the area is important, so that bacteria doesn’t get trapped and enter the urinary tract.

Other treatment strategies for UTI and erectile dysfunction include:

Lifestyle modification

  • Simple lifestyle changes, such as termination of smoking, weight loss and even modest but regular exercise, very often improve and can often resolve erectile dysfunction symptoms. Improvement in these domains serves to improve blood flow, tissue health and nerve function of penile tissues.
  • Diabetes also can be a risk factor for erectile dysfunction. Uncontrolled diabetes leads to poor long-term blood sugar control, and when blood sugar remains uncontrolled, this can cause nerve and blood vessel damage, negatively affecting the blood supply to the penis. Thus, blood glucose levels should be regularly monitored and managed accordingly.

Natural supplements

  • D-mannose is a naturally occurring sugar found in apple, blueberries and cranberries and is the most effective treatment for urinary tract infection. D-mannose sugar is effective because it attaches itself to the infection-causing bacteria and prevents them from sticking to the walls of the urinary tract, eliminating them while urinating.
  • One supplement popular among individuals with erectile dysfunction is Korean red ginseng, also called Panax. It’s thought that the ginsenoids found in ginseng are the active ingredient that improves sexual function. They are believed to have multiple potential health benefits, such as being antihypertensive, antidiabetic, antiatherosclerotic, and anti-inflammatory, as well as having positive effects on the central nervous system.
  • The body uses L-arginine to make nitric oxide, a gas that increases blood flow. Nitric oxide triggers the smooth muscle of the penis to relax, which then allows blood to flow into the penis, causing an erection.
  • Other natural supplements for the treatment of erectile dysfunction and raise overall energy and vitality in men include:
    • Yohimbine: It is believed to activate the penile nerves to release more NO, widen the blood vessels to increase blood flow in the penis, stimulate the pelvic nerve and boost adrenaline supply, increase sexual desire and prolong erections.
    • Fenugreek: Fenugreek has been known to boost testosterone levels to cure erectile dysfunction. Fenugreek-based supplement –CHEMFORCE is a natural dietary supplement for overall energy and vitality in men. Fenugreek extract, the major ingredient in Chemforce, has been known to boost testosterone levels to cure erectile dysfunction. It is a clinically proven and patented herbal supplement which helps to maintain overall health of men including healthy sexual function, healthy muscle development, maintenance of overall energy, etc.
    • Ginkgo: Ginkgo biloba may increase blood flow to the penis, thus, causing improvement in erectile dysfunction.
    • Mondia whitei: It is believed to increase libido and manage low sperm count in men. Studies suggest that this natural supplement increases human sperm motility, testosterone levels and NO production, thus, increases sexual desire.


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Fenugreek Extract: An Alternative Sports Supplement

Fenugreek (Trigonella foenum-graecum) is a plant and its seeds are commonly used as a spice in Asia and many Indian cuisine. It’s not surprising to say that about 80% of the Fenugreek in the market comes from India known as the home of Ayurveda. The fenugreek extract appears to significantly improve muscle strength and weight lifting power output. Recently, fenugreek seed extract has made its way to bodybuilding supplement stores, as recent studies have shown that the seeds of the plant were able to increase testosterone levels, strength output, and even growth in hormone level.

Men dramatically improved their performance and athletic abilities with Fenugreek extract’s help in building stronger muscles. Some of the benefits of the seed extract are explained. 

2Protein content in Fenugreek

Fenugreek is extremely rich in proteins; eleven grams of the extract contain about three grams of protein. This may not sound like a lot, but proteins found in fenugreek are of extremely high quality and more importantly, they are natural and safe due to which bodybuilders avoid exposing themselves to synthetic ones, which are not natural and may cause damage.

Iron content

Iron increases blood’s abilities to transport more oxygen to muscle cells, which makes it really important for building strong muscles. Having low iron levels does not allow muscles to stretch and increase in size.

Energy levels

Fenugreek extract is associated with an increase in resistance levels and the energy levels available in the body. Thus we may say that consuming fenugreek is going to make bodybuilders train more, and do more in less time!

Lowering inflammation levels

By lowering the inflammation levels in the body, energy levels increases. High inflammations are going to increase the body’s risk to diseases, lower resistance to infections, and on the long run, make the body look older and unhealthy. Fenugreek is very rich in anti-inflammatory compounds and especially antioxidants, which are the ones responsible for lowering inflammation levels and are crucial for preserving overall health by protecting healthy cells from damage.

Zinc content

Although zinc may not “appear” as very important for bodybuilding, it is. It’s responsible for keeping energy levels healthy, and without zinc, body feels fatigue and exhaustion very quickly. Fenugreek is very rich in zinc and provides the body with healthy amounts that is not only very beneficial for keeping energy levels up, but is also very important for maintaining the immune system healthy and functioning optimally.

Getting rid of toxins and germs

A lot of bodybuilders are training extensively and consuming very rich food without ever achieving “amazing” results! This may be because of excessive parasites and germs in their intestines with which they share their food, energy, and even more. They release toxins in the blood stream of the bodybuilders. Fenugreek seeds and extract are very rich in anti-inflammatory, anti-septic molecules and more importantly, fibers, which are responsible for getting rid of toxins and parasites.

3Chemforce is an innovative product rich in protodioscin, which plays significant role in maintaining and improving testosterone levels, which further contribute in muscle mass building and safe sports supplement. It’s a unique blend of highly powerful ingredients, Furosap® which is a patent protected and clinically evaluated fenugreek seed extract and Alpha Yohimbine which is a known aphrodisiac. Furosap® has been proven safe and effective for maintaining overall energy and vitality in men.



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Testosterone (T) is a powerful male sex hormone produced by the testicles and is responsible for the proper development of male sexual characteristics. It controls sex drive, regulates sperm production, promotes muscle mass, increases energy and also influences human behavior (such as aggression and competitiveness). Levels of testosterone are at highest during adolescence and early adulthood. The first physical signs of testosterone or androgens in the body are apparent during puberty characterized by change in voice; broadening of shoulders and masculinization of facial structure. But as men get older, their testosterone levels decline about 1% per year after age of 30. The changes in testosterone with age in males are given below in the table:

Age Testosterone Level (ng/dL)
0-5 months 75-400
6 months-9 yrs. <7-20
10-11 yrs. <7-130
12-13 yrs. <7-800
14 yrs. <7-1,200
15-16 yrs. 100-1,200
17-18 yrs. 300-1,200
19+ yrs. 240-950
Avg. Adult Male 270-1,070
30+ yrs. -1% per year

In men, serum concentrations of testosterone get decreased to a greater extent with increase in age. This decrease in serum testosterone levels in men is referred as “andropause” or “late-onset hypogonadism (LOH)”. Several cross-sectional and longitudinal studies showed a decline in serum testosterone concentration, an increase in sex hormone-binding globulin concentration (SHBG) and a decrease in free testosterone levels with advancing age. Approximately 2.4 million men, aged 40 to 49 years, have low testosterone levels, with a new diagnosis of about 481,000 androgen deficiency cases a year.

Mechanism of decline in testosterone level during aging:

  • Male hypogonadism is a clinical syndrome caused by lack of androgens and may reflect abnormalities of the hypothalamus, pituitary, testes or target tissues. Testosterone levels found to be reduced in aged men. 20% of men aged over 60 years have total testosterone levels below the normal range and the figure rises to 50% in those aged over 80 years. Levels of gonadotropin rise during aging and testicular secretory responses to human chorionic gonadotrophin (hCG) are reduced. This shows that reduced testosterone level may be caused primarily by testicular failure.
  • There is also elevation in luteinizing hormone (LH) and the follicle stimulating hormone (FSH) levels (hypergonadotropic hypogonadism). Therefore, it seems like that there are changes in endogenous production of GnRH (gonadotrophin releasing hormone), which cause the changes in LH secretion and play a role in the age related decline in testosterone.
  • With increase in age, there is also a reduction in androgen receptor concentration in some target tissues and this may contribute to hypogonadism or LOH. Thus the decrease in testosterone levels with aging seems to reflect changes at all levels of the hypothalamic-pituitary-testicular axis

Consequences of low testosterone level during aging in men:

Testosterone is sometimes thought as “fountain of youth” hormone. Decreased testosterones levels lead to changes in sexual function and mood changes including

  • Reduced sexual desire or low libido
  • Fewer spontaneous erections
  • Erectile dysfunction or impotence
  • Osteoporosis
  • Changes in sleep patterns or depression
  • Emotional changes, such as low self-confidence or lack of motivation and energy
  • Physical changes, like increased body fat, reduced muscle bulk and strength, and decreased bone densitynew-1



Fenugreek extract and its effect on testosterone boosting:

Medically, testosterone deficiency may be treated by using testosterone supplementation i.e. testosterone replacement therapy (TRT), which can boost testosterone levels back to normal. Testosterone deficiency can be treated by, intramuscular injections (given anywhere from two to 10 weeks apart), testosterone gel applied to the skin or inside the nose, mucoadhesive material applied above the teeth twice a day, long-acting subcutaneous pellet, testosterone stick (apply like underarm deodorant).  But this therapy has certain risks (such as blood clots and stroke) and side effects (such as sleep apnea, acne, and breast enlargement). Losing excess weight and being physically active can also raise a man’s testosterone level.

In traditional medicine systems like Ayurveda and Homeopathy, herbs and spices have been used since the beginning of time. Fenugreek (Botanical name: Trigonella foenum-graecum) is a plant, cultivated annually in Arabic regions and India, for use in food. The seeds are used as a spice in Indian cooking. Fenugreek seeds contain 45% dietary fiber, vitamins, plant sugars and minerals. Seeds and leaves of fenugreek provide various bioactive components such as steroidal saponins including diosgenin, yamogenin, gitogenin, tigogenin and neotigogens, other bioactive components including choline and trimethylamine, retinol, vitamin D, riboflavin, pyridoxine and essential oils.

Studies on Testosterone Boosting effect of Fenugreek:


Maintenance of healthy testosterone levels:   

A clinical study conducted by Steels and co workers on 60 healthy males, aged between 25 – 52 years. The duration of the study was six weeks and 600mg extract of fenugreek seeds was consumed orally, by all the subjects. Serum testosterone and prolactin levels were estimated at the end of the study. The major outcome of the study was that levels of testosterone and prolactin were maintained within the normal physiological limits. Increased muscle strength and improved libido was also observed without any change in mood or sleep patterns. So it was concluded from the study that fenugreek extract helps maintain natural healthy testosterone levels.

2. Improvement in lean muscle mass and body composition:

Fenugreek is considered to possess aromatase and reductase inhibitor activities, the enzymes responsible for breakdown of testosterone in body. To determine this activity, a clinical study was conducted by Wilborn and co workers; in three groups of healthy trained men for 2, 4 and 8 weeks and 500mg of fenugreek extract per day was administered to all subjects. Testosterone levels, body fat , muscle gain and strength was evaluated at the end of study. Increase in testosterone levels was observed at the end of the study. A reduction in body fat was also observed that is directly linked to improved androgenic activity. Therefore it was concluded that fenugreek extract improves the testosterone levels by partially blocking the enzymes responsible for breakdown of testosterone.

3. Fenugreek acts by inhibiting enzymes that breakdown testosterone:

Fenugreek is considered to possess aromatase and reductase inhibitor activities, the enzymes responsible for breakdown of testosterone in body. To determine this activity, a clinical study was conducted by Wilborn and co workers; in three groups of healthy trained men for 2, 4 and 8 weeks and 500mg of fenugreek extract per day was administered to all subjects. Testosterone levels, body fat , muscle gain and strength was evaluated at the end of study. Increase in testosterone levels was observed at the end of the study. A reduction in body fat was also observed that is directly linked to improved androgenic activity. Therefore it was concluded that fenugreek extract improves the testosterone levels by partially blocking the enzymes responsible for breakdown of testosterone.

CHEMFORCE is a precise & powerful blend of cutting edge natural ingredients designed to support healthy testosterone activity levels. It has been devised exclusively for men over the age of 18, featuring one of the highest ultra powerful protodioscin contents available.

CHEMFORCE is a natural and promising dietary supplement comprising Furosap® containing Protodioscin as the major fraction. It is reported to improve sperm count, sperm morphology and has a protective effect on male reproductive system. Furosap is a patented and clinically evaluated product with proven efficacy and safety,chemforce-boxReferences:

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  • The inability to maintain or develop an erection of the penis during sexual activity in humans is termed as erectile dysfunction.
  • The development of erectile dysfunction in men increases with age. It increases from 5% to 15% as the age increases from 40 to 70 years. It is also estimated that the prevalence of erectile dysfunction will double in the next 25 years.



  • Mechanism of cause: An erection occurs when blood 2fills two chambers known as the corpora cavernosa. This causes the penis to expand and stiffen, much like a balloon as it is filled with air. The process is triggered by the action of free radical e. nitric oxide, impulses from the brain and genital nerves. Anything that blocks these actions or restricts blood flow to the penis can result in ED.
  • Other causes of erectile dysfunction are:
  • Cardiovascular disease
  • Diabetes: Men with diabetes are more likely to have erectile dysfunction. They experience the problem as much as 10 to 15 years earlier than men without diabetes.
  • Lifestyle: Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis.
  • Surgery: Treatments such as surgery for prostate cancer, bladder cancer or BPH can damage nerves and blood vessels near the penis. This causes the lowering of blood flow and interferes with normal erection.
  • Hormonal insufficiency
  • Side effects from drugs such as including certain blood pressure drugs, antidepressants, and tranquilizers.
  • Psychological causes: performance anxiety, stress or mental disorders
  • Bicycling: according to the reported studies, the shape of the bicycle seats put pressure on the perineum. This area contains arteries and nerves which are damaged due to cycling for long time. This causes ED.




  • Oxidative stress: It is the imbalance between the production of free radicals and their detoxification by antioxidants inside human body. Superoxide (O2) is the most important among other free radicals such as hydrogen peroxide (H2O2), hypochlorous acid (HOCL) and peroxynitrite (OONO) which are involved in pathophysiological mechanism of many diseases.
  • Mechanism: Normal erectile function is dependent on the action of free radical e. nitric oxide. It acts as a neurotransmitter in the process. Under oxidative stress, the free radicals are started to produce in excess amount. The reaction of nitric oxide with other free radicals such as superoxide, leads to the disturbance in normal erection mechanism. During this imbalance, nitric oxide starts to deplete in the human body and the target action of nitric oxide i.e. penile smooth muscle relaxation, starts to fade away. This causes the ineffective relaxation in cavernosal tissue and lack of penile blood flow which results in erectile dysfunction.




  • Antioxidants: Antioxidants are those molecules which react with free radicals to stabilize them and inhibit their unwanted reaction at other sites in the human body. They are one of the treatment options for oxidative stress-generated erectile dysfunction.
  • When free radicals cause erectile dysfunction through reacting with nitric oxide then, antioxidants work by one of the following two mechanisms:
  • Antioxidants either interfere in the production cycle of free radicals i.e. they inhibit the production of free radicals.
  • Or, they react with free radicals to stabilize them and block their reaction with nitric oxide.
  • In any case, antioxidants inhibit the reaction of free radicals with nitric oxide due to which oxidative stress is released from the cells. This causes the smooth muscle relaxation and penile blood flow which results in cavernosal tissue relaxation. Thus, erectile dysfunction originated from oxidative stress is prevented. This has also been proved by animal studies that antioxidant therapy is a good pharmacological approach to prevent erectile dysfunction.



Introduction to fenugreek: Fenugreek is an herb, which is used traditionally in many countries as a therapy against some diseases. The seeds & leaves of fenugreek are responsible for the therapeutic properties of it. Seeds and leaves provide various bioactive components such as steroidal saponins including diosgenin, yamogenin, gitogenin, tigogenin and neotigogens, other bioactive components including choline and trimethylamine, retinol, vitamin D, riboflavin, pyridoxine and essential oils which contribute to the antioxidant property of fenugreek.



Fenugreek helps in the treatment of erectile dysfunction by any of the following two mechanisms given below:

Fenugreek as antioxidant: In-vitro studies prove that fenugreek has great antioxidant property. The phenolic and flavanoid compounds present in fenugreek seeds help to fight against oxidative stress. Thus, fenugreek is able to block the chain of the formation of free radicals inside body. Due to the chain inhibition, oxidative stress is also inhibited. Thus, free radicals do not react with nitric oxide in the cavernosal smooth muscles and make its availability for erection mechanism.


There are many published studies, which prove that antioxidants inhibit the reaction of excessive free radicals with other molecules in the body to reduce oxidative stress so that erectile dysfunction can be treated. Some of those studies are given below.

  • Kaviarasan S et al. (2007) conducted an antioxidant analysis on fenugreek seeds. Their results showed that fenugreek was able to scavenge hydroxyl radicals and also inhibited hydrogen peroxide-induced lipid peroxidation. This proves that fenugreek inhibit the free radical chain reaction. Thus, according to Azadzoi et al. antioxidant therapy by fenugreek will help to inhibit the reaction of free radicals with nitric oxide. This will further help to carry out normal erection mechanism by nitric oxide.
  • An in-vitro study conducted by Naidu MM et al. (2011) showed that fenugreek seeds are a valuable source of saponins, protein, dietary fiber and phenolic acids. These bioactive components are a natural source of antioxidants. Fenugreek was able to inhibit the activity of free radicals under in-vitro This analysis shows that fenugreek will be helpful in relieving body from oxidative stress. This in turn, will help to enhance the activity of nitric oxide.
  • Achike FI & Kwa CI published a study showing the role of nitric oxide in many physiological pathways. They showed that polyphenols have a major role to boost the effect of nitric oxide. Fenugreek also contains polyphenols as one of its bioactive components which will be beneficial to boost nitric oxide activity. Boosting of nitric oxide activity will help in normal erection mechanism.


Fenugreek as testosterone booster: The erectile dysfunction also originate if the body does not have sufficient amount of testosterones. It has been proved by many clinical studies that fenugreek has the testosterone boosting activity. When the testosterones are boosted-up then, the body also shows improvements from erectile dysfunction.

  • It is suggested that herbs for treating erectile dysfunction are better than testosterone replacement therapy. Natural treatment for erectile dysfunction does not give rise to side effects such as heart attacks or becoming dependent on therapy. Fenugreek is reported to restore the normal testosterone levels in the body by acting as an antioxidant.
  • Fenugreek has the ability to treat erectile dysfunction originated from hormonal deficiencies. It helps to promote natural testosterone levels and improve libido. It contains phytochemicals such as saponins & sapogenins which are responsible for raising testosterone levels in men.
  • It has been proved by a clinical study that standardized extract of fenugreek had positive effect on physiological aspects of libido of 60 male subjects with 25-52 years of age. Fenugreek extract helped to maintain normal testosterone levels in men. Fenugreek was able to increase muscle strength, energy and well‐being in males. Due to this, the erectile dysfunction originated from testosterone deficiency can be prevented.
  • In a randomized, double blinded and placebo controlled clinical study on 16 male subjects, it was observed that fenugreek seed extract was able to increase free testosterone and total testosterone levels in the subjects. Fenugreek was also found to be safe and well-tolerated. This clinical study shows that fenugreek supplementation has potential androgenic benefits in males.
  • CHEMFORCE is a natural and promising dietary supplement comprising Furosap® containing Protodioscin as the major fraction. It is reported to improve sperm count, sperm morphology and has a protective effect on male reproductive system. Protodioscin is known to increases levels of the hormones; testosterone, dihydrotestosterone and dehydroepiandrosterone. It boosts testosterone levels via stimulating pituitary gland. CHEMFORCE consists of a patented and clinically evaluated ingredient establishing its efficacy and safety for overall energy and vitality in men.


According to these reported studies, choosing fenugreek as a natural therapy to treat erectile dysfunction has proved to be safe and effective in men.









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The Relationship between Testosterone and Weight



No matter if you’re in your early 20s or early 40s, your body may not be producing enough testosterone for optimal muscle growth, weight loss and sexual function.

Don’t think you need to visit a doctor for a simple blood draw to test for low testosterone? Try this test as home: when you step out of the shower, stand up straight in front of a mirror then look down at your feet. If you can’t see your testicles, then your T levels are likely below normal.

That belly blocking your view is a prime culprit in men who have low testosterone. Extra body fat also contains aromatase, an enzyme that converts testosterone into estrogen, the main sex hormone in women. This extra estrogen floating around in your body triggers a response that slows the production of testosterone and, the less testosterone your body produces, the more belly fact you gain leading to a vicious, harmful cycle.

Don’t believe your beer belly is to blame? A study of 1,822 men by the New England Research Institutes (NERI) confirmed that a man’s waist circumference is the single strongest indicator of low T levels. This factor is even more accurate than age and overall health. Studies have further shown that extra weight around your midriff is another key indicator of a condition known as symptomatic androgen deficiency (AD) characterized by low libido, erectile dysfunction, osteoporosis, depressed mood, fatigue and diminished physical performance. In fact, the Massachusetts Male Aging study found that the prevalence of AD among American men aged between 40 and 79 is nearly 8 percent.

Put a Stop to Low T

Losing testosterone gradually after age 40 is normal in men however, weight gain can speed up the process. NERI researchers who monitored the health of men aged 40 to 70 for 9 years found that the men who became overweight or obese experienced a more rapid drop in testosterone than those who had maintained a healthy weight.

If you’re experiencing symptoms of low T, consider that testosterone can help prevent muscle loss as you age. Researchers at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University found that muscle mass will begin to slip roughly 1 percent a year after age 30. On the other hand, a 4.5 year Kaiser Permanente study found that men with higher levels of testosterone retained more muscle mass than men with lower T levels.

Fortunately, you can get normal testosterone production back up and running by losing fat, belly fat in particular.

Lift Weight, Lose Weight

2Figure 2 Source:

We’ve said if before and we’ll say it again. This fact applies to both men and women who want to see more fat loss. Moderate resistance training with heavy weights gives your body a testosterone boost. Compound lifts like squats, dead lifts and rows are the most effective as they work multiple muscle groups at once. This approach will stimulate the body’s production of growth hormone which increases muscle mass and fat loss.


The average person needs 7 to 9 hours of sleep per night however, depending on your level of activity, we recommend logging at least 8 hours per night. A 2011 University of Chicago study found that an average of 5 hours of sleep per night decreased men’s T levels by as much as 15 percent.

Drink Less Alcohol

Increasing T production, fat loss and muscle gain ultimately means drinking less alcohol. In fact, research shows that alcohol speeds up the conversion of testosterone and other androgens into estrogen.

Avoid BPA

Bisphenol A, otherwise known as BPA, is a chemical used in food cans and plastic containers which can lower your testosterone. These containers expose you to chemicals that mimic estrogen in your body so avoid buying, cooking with or using food containers with the recycling numbers 3, 6 or 7.

No Dieting



Eat Vegetables. Be Manly.

Mainstream diets promote calorie restrictive, high protein, high fat diets. These will not improve T levels, promote long term health, and certainly won’t help you lose weight and keep it off. With a high carbohydrate, low fat plant-based lifestyle, you will consume every nutrient the body needs including antioxidants needed to recover from workouts as well as enough protein from whole grains, lentils, beans and legumes. If you’re considering a crash diet, know that men who adopted an intense exercise regimen while consuming only 1,800 calories a day experienced a 40 to 50 percent drop in testosterone after only 5 days.

In addition to whole grains, lentils, beans and legumes, foods like potatoes, sweet potatoes, green vegetables, apples, bananas, apricots, dates, cherries and blueberries are rich in antioxidants and promote weight loss and stable T levels.

4Figure 3 Source:

Fenugreek, a lesser known super food, is great to consume as a spice or hassle free supplement.

Produced primarily in India and traditionally used to prepare curry powders, pickles, and pastes, studies are now investigating Fenugreek for its anabolic properties.

A study out of University of Mary Hardin-Baylor in Belton, Texas examined the effects of fenugreek supplementation on strength and body composition in resistance-trained men. Researchers found that while both the placebo and fenugreek groups significantly increased their strength during the first four weeks, only the fenugreek group saw significant increases in strength after eight weeks of training and supplementation. These findings suggest that fenugreek could help men continue to increase strength after reaching a dreaded plateau. Additionally, only the fenugreek group saw significant increases in lean body mass at both four and eight weeks. Fenugreek has also shown to improve sexual function and well-being.

Fenugreek is the primary ingredient in a safe and natural supplement called Chemforce. In addition to boosting testosterone, it has shown to improve sperm count, sperm morphology, and can help protect the male reproductive system. For more information, visit

The statement and product have not been evaluated by the FDA to diagnose, treat, cure or prevent any disease. 


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Signs of Low Testosterone Level

Testosterone is a hormone produced by the human body. Generated mainly by the testicles of men, it stimulates sperm production, a man’s sex drive and also helps build muscle and bone mass. Testosterone production typically decreases as men age however men can experience a range of symptoms if it decreases more than it should. Below is a list of common symptoms of Low Testosterone Level

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