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It's close to home, but far from ordinary! In the USA, each man with ED spent on average USD 119. The main risk factors are age, smoking, hypertension, coronary artery or peripheral vascular disease, obesity, sedentary life style, hyperlipidemia, trauma or surgery to the pelvis or spine, diabetes mellitus, benign prostatic hypertophy, depression and low urinary tract symptoms. ED has impacts on men who experience it: it can decrease their quality of life and self-esteem and increase the incidence of depression and interpersonal relationship problems (Rosen 2016). Ginseng has been one of the most popular trade goods for health care and treatment of diseases in Asia, and is currently consumed in 35 countries around the world (Baeg 2013). The production ratio of fresh North American ginseng root is estimated 9. Ginseng has been used for various conditions in East Asian countries for at least two thousand years (Xiang 2008). It belongs to the genus Panax and includes Panax ginseng, Panax quinquefolius and Panax japonicus.
The therapeutic effects of ginseng are very diverse, and the evidence for its efficacy in treating several conditions such as cardiovascular disease (Buettner 2006), Alzheimer's disease (Lee 2009), common cold (Seida 2011), and hypertension (Hur 2010), has been evaluated. Ginseng is a herb that contains various chemical compounds. Consequently, pharmacological ingredients that are related to the effect of ginseng on ED should be identified to elucidate the underlying mechanism of action (Ernst 2010). Order cialis canada.
In the case of Panax ginseng, ginsenosides (a class of steroid glycosides and triterpene saponins) are reported as the most important active components. To date, about 150 different ginsenosides have been identified (Christensen 2009). The mechanisms underlying the effect of ginseng in treating ED are thought to be related to multiple pathways (Moyad 2012). Second, ginseng has the potential benefit of improving cardiovascular risk factors including hypertension, hyperglycemia and hyperlipidemia, which are regarded to be important risk factors of ED (Buettner 2006). In addition ginseng is a natural sexual enhancer (West 2015), whose effect might be related to central humoral regulation involved in sexual arousal as well as physical energy enhancement through its alleged anti-fatigue effect (Moyad 2012). Compounds containing ginseng are some of the most popular and best-selling herbal medicines in the world (Ernst 2002).
One systematic review presented evidence in support of red ginseng as a treatment for ED (Jang 2008). Another systematic review analysis was recently published that evaluated all of the current RCTs of ginseng in the Korean literature (Choi 2013). This review included an additional two Korean RCTs related to ED compared to the previous review, which had demonstrated positive effects of ginseng on ED. The addition of these studies is likely to reinforce the evidence for the favourable effects of ginseng for ED. Recently, several primary studies have been published. Thus, there is a need for a well-organised and up-to-date systematic review to evaluate the efficacy of ginseng for ED. This review will update and critically appraise the current evidence regarding the use of ginseng to treat ED.