Absolutely true. Young guy with organic ED should never expect GP to be of any help, other than temporary with the pills. Then again most young guys only suffer from psychological ED for which reason the ones that don´t wont get the right help in public sector.
That is why you should seek ED specialist in private sector if your life is really suffering from it, it´s a good investment. That is rather than starting to mess around by self medicating with herbs or prescription drugs from online stores. And the thing with "herbs" is that they very rarely work. I think only prelox has any scientific proof to work.
Yeah, depends on the herbs in question, I find that the biggest issue is the quality and source. Companies that just find the cheapest source and production method, and then try to throw a little :" standardized extract" in addition - not taking into account possible heavy metals that might be in the soil (especially ASIAN herbs) - and also not using the proper extraction method that would correlate to any positive study outcomes. For example, ethanolic vs glycerin extracts..or alcohol vs water extracts. Alcohol and Ethanol are both endocrine disrupters, and in most cases they should not be used or should be used lesser than glycerine based products (which there aren't many around).
In addition, most herbal products for either sexual enhancement or purported "alternative E.D treatment" often are spiked with illegal versions of PDE5s...and EVEN IF they aren't - what's to say the long-term effects of some of these herbs. Some of them do have some good science and background, and positive effects long-term (ideal even) but you have to get the RIGHT SOURCE. Which often means spending a hella lot more money in the long-term, enough to over ride the usual bandaids like Viagra,Cialis etc
I am not just a fan, but a firm believer in OVERALL HEALTH being the most important, and individuality not second to that but on equal. Know yourself, get bloodwork and examine the Whole Picture.
That being said, some cases of Psychogenic/Organic E.D should be treated with higher affinity PDE'5I's like Cialis..but in the long-term if one has the money to invest, High Potency Icariin extracts and / or testosterone re-balancing and hormone toning is the most important course of action.
Another big one is figuring out why one's adrenaline respondancy is higher than another.
Some people are naturally pre-disposed to E.D and psychogenic forms particularly, based on their GENES.
Two in particular.
-An alpha-2receptor mutation or deletion (causing Extra adrenaline to be secreted, especially in response to stress)
-The "Warrior Gene" (MAO-L) gene, causing extra catecholamine release and higher serum adrenaline levels.
Both of these are better resolved by long-term therapies and possibly alpha 1 blockers.