Erectile dysfunction, or ED, is a condition where the penis cannot erect itself sufficiently to have satisfactory intercourse. It is extremely prevalent, and its frequency increases proportionately with age. Approximately 40% of men in their 40’s are affected with it, and 70% of men in their 70’s.[i] Below are recommendations from myself, and Anti-aging medicine expert Dr. Thierry Hertoghe, on how to prevent and reverse ED.


Step #1: Identify the Cause


ED can be caused by emotional, psychological or physical factors, but when it occurs in men over 40, it is more often physically based.[ii] Before starting any type of ED therapy, a combination of lab tests with an emphasis on hormone testing, and interviews with attention to symptom complaints, should be conducted. Treatment methods should then be tailored to your personal requirements. ED is also an early warning sign for cardiovascular disease, so if your ED is not psychologically based, then you should ask for a cardiovascular screening.


Step #2: Improve Diet


The first thing all erectile dysfunction patients should do, is to improve their diet. Diet plays a major role in arterial health and you need healthy arteries in order for blood to flow to the penis. Diet also influences several key hormones involved in sexual functioning, and hormone therapy will not be as effective if the diet is not right. Focus on consuming a wholefoods, plant-based diet that is high in fiber. Emphasize cruciferous vegetables such as broccoli, cauliflower, Brussels sprouts, and kale. Cruciferous vegetables are beneficial because they contain DIM and I3C which help reduce toxic estrogens and restore testosterone levels. Also consume plenty of nitric oxide rich foods such as leafy greens, beets, pomegranate, citrus, and watermelon. Nitric oxide helps to relax the blood vessels, enhance arterial health, and increases blood flow to the sexual organs.[iii]


Step #3: Eliminate Alcohol


The third step is to eliminate alcohol. Alcohol is a major cause of erectile dysfunction and studies show the more that is consumed the greater the risk.[iv] Alcohol use negatively affects all three parts of the hypothalamic-pituitary-gonadal (HPG) axis, which is a system of endocrine glands and hormones involved in male sexual functioning.[v] This damage leads to a reduction of testosterone, and testosterone plays a leading role in sexual desire and functioning. Alcohol is also produced with plants that contain estrogen-like compounds (phytoestrogens) and their regular consumption can contribute to estrogen dominance. Estrogen dominance is a common health condition that can not only lead to erectile dysfunction, but also to infertility, male breast growth, prostate and urinary problems, decreased morning erections, and loss of libido.[vi] [vii] If lab tests show high estrogen levels EstroBlock can be used as an additional aid for reversing estrogen dominance and restoring erectile function.


Step #4: Eliminate Caffeine


The fourth step is to eliminate caffeinated beverages such as coffee, tea, and energy drinks. You should also limit your consumption of dark chocolate (don’t consume it daily, or in large amounts) because it contains caffeine. According to Dr. Hertoghe, caffeine is problematic because it increases the conversion of testosterone to estrogen.[viii] Coffee also contains phytoestrogens and if you drink two cups of coffee a day, you’ll increase the female hormones, estradiol, by 60%, states Hertoghe. The combination of low testosterone and elevated estrogen that it causes, can dramatically increase the incidence of erectile dysfunction.[ix]


Step #5: Eliminate Whole Grain Bread


Wholegrain bread is generally considered healthier than white bread because it is less refined and contains more fiber. However, Dr. Hertoghe advises all his erectile dysfunction patients to avoid it because it can lower the amount of male hormones in a man by 20% to 40%.[x] He explains, that 60% of male hormones enter the intestines and we absorb them from there, but the fibers in whole grain bread bind to and neutralize those hormones and then they are eliminated through the stool, leading to a reduction of testosterone levels.[xi]


After making the above dietary adjustments, hormones therapy is prescribed to reverse any identified imbalances. Below are 3 hormones that are commonly targeted:




Testosterone therapy can help to speed up the release of hormones and enhance desire and arousal. It also increases the sensitivity of the penis allowing for quicker, easier and more frequent erections, states Dr. Hertoghe. But he warns it is not the most important hormone when it comes to the treatment of erectile dysfunction, and it will not help enhance the strength, firmness or longevity of erections. Because it plays a key role in libido however, it is important to optimize testosterone levels. If tests indicate a deficiency you can boost your levels with Testro Vida Pro or Testro Vida Cream, which contain proprietary blends of clinically proven herbs and nutrients for optimizing testosterone.


Growth Hormone


Growth hormones naturally decline with age, and its decline is blamed for many age-related symptoms. Studies suggest that growth hormones play a role in the sexual response of the male genitalia and are required for erectile function.[xii] Growth hormone also helps to optimize the production of nitric oxide and to enhance the volume and firmness of the erection.[xiii] Accodring to Dr. Hertoghe, increasing growth hormones also leads to prolonged erections and enhances the effectiveness of other types of hormone therapy.[xiv] To enhance growth hormone, reduce sugar intake, partake in high intensity exercise, lose excess body fat, get more sleep, and take Grow Young daily. Grow Young is a sublingual growth factor spray, and it contains protein peptides that safely stimulate your body’s own release of growth hormones.


Consider Melanotan II


If all of the above fails, consider Melanotan II injections, which are more potent and effective than Viagra. Melanotan II is a synthetic equivalent of the naturally occurring peptide α-melanocyte-stimulating hormone, or MSH. Its exact mechanism of action has not yet been determined but it appears to work in the brain to stimulate penile erections. It’s effects are powerful, and according to the Journal of Impotence Research, 17 out of 20 men with erectile dysfunction experienced an erection with Melanotan II without any sexual stimulation.[xv] Melanotan II also increases sexual desire and penile volume, enhances ejaculation, and boosts stamina – producing  erections that last approximately 40 minutes.[xvi] Melanotan II may also produce emotional benefits – studies on animals found it made the animals more affectionate with their partners, reduced quarrelling, and led to quicker mate selection.[xvii] You can enhance the effectiveness of Melanotan II even further by avoiding alcohol, and in some instances, by combining it with other hormones, states Dr. Hertoghe.


Additional Hormones to Consider:


Other hormones that can lead to sexual dysfunction that you may want to be tested and treated for include cortisol (too high or too low), DHEA (a precursor to testosterone), estrogen (too low or too high), SHBG (too much causes a deficiency of testosterone), PEA, and prolactin (too high or too low).