Sexual Wellness in UAE

The most common change is a general lessening of sexual interest and activity, sometimes called hyposexuality.

Country	Regulations for Sexual Tablets	Ingredients Restrictions	Certification Requirements
USA	FDA approval recommended	Some herbs restricted	FDA approval or clear labeling
EU	CE marking required	Limited herbal stimulants	CE certification required
Australia	Therapeutic Goods Administration	Banned substances list	TGA registration required
Canada	Health Canada's approval	Strict ingredient standards	Approved formulations

FearFear often is an underlying factor in sexual problems.

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Foods rich in vitamin C include vegetables like broccoli, Brussels sprouts, and fruits like oranges or strawberries. A cup of Brussels sprouts provides 124% of the daily recommended value of vitamin C for an individual (USDA, 2020), while a cup of orange juice provides up to 206% (USDA, 2020). Vitamin B3 (also called niacin) is a supplement commonly used for vascular-related conditions, and niacin supplementation can also help improve the duration of intercourse.A 2011 study on 160 men with moderate or severe erectile dysfunction divided into two groups—80 men were supplemented with niacin and 80 men were given a placebo. The niacin group showed significantly improved erectile function and intercourse duration compared to the control group. Niacin can be found in foods like turkey, butter, and peanuts.

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Additionally, we can actively supplement vitamin D from sources other than food.Folic acid (vitamin B9) is also related to the production of nitric oxide and the erectile response. Some studies show a clear correlation between folate deficiency and erectile dysfunction.Taking a B-complex supplement can increase vitamin B9 levels in the body, or we can consume more folate-rich foods like spinach, milk and dairy products, and orange juice. Folate deficiency can also be easily identified through simple blood tests.Sometimes poor endurance in both men and women in sexual matters is completely normal, and we can implement various measures to improve this, such as changing habits, eliminating negative lifestyles, or supplementing with certain nutrients and vitamins. However, if it is a persistent issue accompanied by other symptoms, it may be a sign of a serious medical condition. Therefore, it is advisable to visit specialized medical facilities for examination and timely treatment in cases such as: pain or discomfort during or after intercourse, difficulty ejaculating or reaching orgasm, erectile dysfunction, etc.

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To arrange an appointment, please call HOTLINE or make your reservation directly HERE. You may also download the MyVinmec app to schedule appointments faster and manage your reservations more conveniently. It's February — time to think about roses, chocolates, sweethearts, and romance. And if those sentiments bring you to a certain drugstore aisle stocked with pills and potions promising to boost your sex life, you may want to think twice before buying any. "Most are a phenomenal waste of money, in my opinion," says Dr. You may believe that you will be rejected if the other person knows you have epilepsy, so you may not even try to establish relationships that could become intimate. If you are hiding your epilepsy from your spouse or partner, that secrecy will create distance between you.

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You also may be afraid that sex will provoke a seizure.

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Michael O'Leary, a urologist at Harvard-affiliated Brigham and Women's Hospital. With a few exceptions, most supplements for sexual function haven't been studied scientifically. At best, says Dr. O'Leary, they have a placebo effect (a beneficial result from an inactive treatment). "That's not trivial in itself," he notes.

Key takeaways

"For example, when researchers did clinical trials for the prescription medication sildenafil [Viagra], the placebo response was about 30%. Which tells you that the most important sex organ you have is your brain. In men, the brain controls the stimulus to get blood flow to the penis, and furthermore, it controls orgasm and ejaculation. That's why a lot of people with normal vascular function still have sexual dysfunction." But what about the claims that over-the-counter supplements can increase your libido or sexual endurance? They are simply marketing promises designed to sell you a bottle of pills, and nobody's checking in advance to make sure they're accurate.

What you can do

For example, a 2015 review of top-selling supplements for men's sexual health, published in The Journal of Sexual Medicine, found little or no evidence to support claims they could improve aspects of sexual performance. While the FDA has the responsibility to approve the use of any conventional pharmaceutical and to monitor how it is manufactured, the FDA has no such responsibility with regard to supplements. That means unscrupulous companies can sell any products they like, and the supplements won't be pulled from the shelves until and unless the FDA proves they're unsafe. So when it comes to supplements, buyer beware! Some sexual function supplements may contain potentially dangerous impurities or small amounts of hidden pharmaceutical drugs — like traces of PDE5 inhibitors, medications in the same class that includes prescription erectile dysfunction drugs like Viagra. If you think sex is a dangerous situation, you will enjoy it less and may even avoid it. But in fact, very few people report having a seizure during intercourse.

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MedicationsWhen you take any kind of medicine, your body begins to function a little differently.

Best Supplements for Improving Women’s Libido

This can produce dangerous, even life-threatening, reactions. Popular sexual performance supplements often contain a blend of ingredients (sometimes dozens of them). Some of the best-selling include DHEA (short for dehydroepiandrosterone, an adrenal hormone), ginkgo biloba, fenugreek, ginseng, horny goat weed, L-arginine, maca, tribulus, yohimbine, and zinc. Dr. O'Leary says most of those won't help your love life.

Do you think a pill alone can solve low sexual desire in women?

But there may be a few exceptions. This amino acid provides the raw material from which the body makes nitric oxide, a molecule that helps relax and open blood vessels, a necessary step to achieve an erection of the penis. "But putting that into a pill isn't proven to produce an erection," Dr. O'Leary says. Moreover, people with heart disease should avoid it.

Is low libido common in women? +

A study of L-arginine's effect on heart attack survivors had to be stopped early after six people taking the supplement died. This comes from bark of a tree native to Africa. "It does promote increase libido in women penile blood flow, but you have no idea whether the supplement you're taking has too much or too little," warns Dr. O'Leary. Another warning: yohimbine may damage heart function and may cause high blood pressure (hypertension), headaches, agitation, insomnia, and sweating. You may eat less, sleep more, or feel drowsy, for instance.

Ingredient	Purpose	Typical Effect	Possible Side Effects
Ginseng	Boost libido & energy	Increased desire, stamina	Insomnia, headache
Maca	Hormonal balance & libido	Enhanced sexual response	Digestive issues
L-arginine	Improve blood flow	Stronger arousal	Low blood pressure
Horny Goat Weed	Increased libido	Improved arousal & stamina	Dizziness
Hyaluronic Acid	Vaginal lubrication	Moisture retention	Allergic reactions

In the same way, seizure medicines can affect your sex life. Several common seizure medicines, including Dilantin (phenytoin), Tegretol (carbamazepine), and phenobarbital, have been shown to affect hormone levels.1 In men, these medications may reduce the level of free testosterone (the main male hormone).

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Low levels of testosterone are linked to reduced sexual desire.

Side Effect	Common Causes	Severity	Recommended Action
Headache	Excessive dosage	Mild to Moderate	Reduce dose, consult doctor
Digestive upset	Certain herbs or ingredients	Mild	Take with food
Allergic reactions	Hyaluronic acid or plant extracts	Mild to severe	Discontinue use, see doctor
Dizziness	Blood flow related effects	Mild	Rest, hydrate

In women, these medications may increase the level of luteinizing hormone (LH). Increased amounts of LH can lower sexual drive. Changes in the brainSome researchers suggest that certain kinds of damage to the temporal lobe (which frequently occur in partial epilepsy) leave people unable to recognize subtle cues that are part of establishing an intimate relationship. Support for this idea has been found in studies of animals. Primates (animals like apes or monkeys) that had such damage were unable to socially interact as well as others.2 They had difficulty in a wide range of areas, from increased fear in social situations to decreased contact with others. The jump from primates to humans is a big one, but clearly people with epilepsy often have a difficult time making connections to others. One study of patients with poorly controlled epilepsy found that 68% had no personal friends and over half had never been in a steady relationship.3 Changes in other body systemsBoth changes in the brain due to seizures and extended exposure to seizure medicines can affect the way your body functions.

Aphrodisiac Foods

Lifestyle changes can help boost sexual activity without medication. "Very good data have shown that in men, weight loss alone improves sexual function. It's probably because fat makes estrogen, which fights testosterone needed for sexual function," Dr. O'Leary says. Other things that can help for both sexes: exercising and smoking cessation, which improve blood flow to the sexual organs; limiting alcohol intake, since large amounts can dampen sexual reflexes and the ability of men to maintain an erection; and eating a healthy diet, which helps maintain a healthy weight.

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If these approaches aren't helping, your doctor may be able to find a solution — that could involve treating an underlying condition or prescribing medication (for men) or lubricants and low-dose vaginal estrogen products for vaginal dryness and painful sex in women. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. As many as two-thirds of people with epilepsy face some change in sexual desire, behavior, or activity as a result of their seizures.

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Even if this kind of problem has affected you, you may not have discussed it with your doctor or someone else who might provide real support and help. Doctors often are reluctant to bring up such intimate topics up in the course of a visit, and many patients do not feel comfortable talking about sex. According to one study, only 13% of epilepsy patients have had a conversation about sex with their doctor. Whatever the reasons behind the silence, there is no need to suffer. What kind of change is most common? In one study, an erotic videotape was shown to men and women with temporal lobe epilepsy and to other adults who did not have epilepsy. The people with epilepsy had a much smaller increase in genital blood flow, a key factor in sexual arousal.4 Men with epilepsy are known to have a greater risk for erectile dysfunction.

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