What are some combination products?

ArginMax is a combination of 13 essential vitamins and nutrients that has been studied at the University of Stanford, University of Hawaii, and Albany Medical College. It is a nutritional supplement composed of Gingko biloba, Panax ginseng, American ginseng, damiana, L-arginine, vitamins A, C, E, B-complex, zinc, and selenium. It is being promoted to help both female sexual dysfunction and erectile dysfunction in men. L-arginine, a major component of the product, may adversely affect asthmatics, so caution should be exercised in this patient group. A small pilot study demonstrated improvement in a variety of sexual domains, including sexual satisfaction, arousal, and desire in women who suffered with sexual dysfunction and in men with erectile dysfunction. Men reported overall improvement in ability to maintain an erection during intercourse and overall improvement in sexual fitness and satisfaction. This product contains ginseng that was shown to have possible estrogenic effects, but other studies did not corroborate this possibility.

Avlimil is considered a dietary supplement that is being promoted to help alleviate symptoms associated with female sexual dysfunction and lowered desire. It consists of sage leaf, red raspberry leaf, kudzu root extract, red clover extract, capsicum pepper, licorice root, bayberry fruit, damiana leaf, valerian root, ginger root, and black cohosh root. Avlimil is thought to enhance sexual satisfaction by increasing blood flow and by promoting muscle relaxation. A small unpublished clinical trial involving 49 women found Avlimil to have a positive effect on sexual response. Researchers mentioned that there were significant changes toward a positive improvement in desire, arousal, and orgasm. There are minimal side effects, which can include minor stomach upset and minor irritation. Some of the ingredients such as sage, kudzu, red clover, and black cohosh may have estrogenic actions and may interfere with tamoxifen. Caution should be exercised if you have a hormonally dependent tumor. However, the ingredients in the commercial product are different from those used in the study.

Xzite is an herbal combination product of Acanthopanax, Ligusticum wallichi, and Chrysanthemum morbifolium and is being marketed as a female sexual enhancer. According to a small unpublished study, Xzite was more effective than a placebo in increasing female sexual pleasure. The mechanism of action is not known. No adverse effects have been reported from use of Xzite.

Libidol is a nutritional supplement used for female sexual dysfunction. It consists of a combination of sage leaf, red raspberry leaf, kudzu root extract, red clover extract, bayberry fruit, capsicum pepper, damiana leaf, ginger root, licorice root, valerian root, black cohosh root, essential amino acid, horny goat weed, wild oats, niacin, L-arginine, and DHEA. The herbal components are thought to relieve symptoms of sexual dysfunction in women. There is no scientific evidence to support use of Libidol.

What is feminine arousal fluid?

Feminine arousal fluid (Zestra) is a topical botanical formulation of borage seed oil, evening of primrose oil, angelica root extract, Coleus forskohlii extract, ascorbyl palmitate, and alpha tocopherol, and it shows promise as a topical formulation for sexual enhancement. The use of feminine arousal fluid results in increased clitoral and vaginal warmth, heightened arousal, and increased sexual pleasure in selected women. A small clinical trial involving 20 women showed that Zestra benefits both normal women and those with female sexual arousal disorder. Zestra was also noted to be helpful in women on antidepressants such as serotonin reuptake inhibitors (SSRIs). The author's clinical experience finds Zestra helps many women achieve sexual wellness, increased arousal, and overall sexual and sensual satisfaction. Caution should be exercised when using this oil when you have dryness or atrophic tissues. Some women report increased irritation or burning after application. The oil can be rubbed into the clitoral tissues prior to self-stimulation or intercourse.

Some healthcare providers also use feminine arousal fluids in the sexual rehabilitation of cervical cancer patients who have lowered sensation in the genital pelvic area. More clinical research is needed to prove its usefulness; however, patients subjectively report improved arousal and sensation after radiation or trauma. Larger clinical trials are in the process of being completed.

The use of feminine arousal fluid results in increased clitoral and vaginal warmth, heightened arousal, and increased sexual pleasure in selected women.

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