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You take each for its purpose: butea superba and tongkat ali for libido, phosphodiesterase inhibitors for erectile ease
By Serge Kreutz
Pfizer’s Blue is a good drug when I like to ensure an erection, even when I'm not sure how good sex will be with a particular woman. I swallow the pill, and if the pill was an enough dosage, then, about an hour later, I will likely manage an erection (accompanied by a headache).
You cannot do this with butea superba (kwao kruea daeng) or tongkat ali. You will have to take them for a while, and then, the effect is not just an erection but an overall improvement to your sex life: better libido, and because of increased excitability, better erections, and better orgasms.
If I ingests a sufficiently high dosage of a phosphodiesterase inhibitor (let’s say: 100 mg of Pfizer’s Blue), then I can have sex with a woman I do not really find attractive. I can have sex with her, because I have an erection (which doesn’t mean that I necessarily would enjoy it). In fact, on a sufficient dosage of sildenafil citrate, I can have an erection without a woman around, and without having sexual thoughts, just by rubbing my member for a minute or two.
Therefore, if the task is some simple plumbing (increased penile inflow, reduced penile outflow), then Pfizer’s Blue is your decent tool. But there’s more to good sex than is provided by a good erection. Foremost, I want to feel desire. I regard appropriate sexual desire as more valuable than easy erections.
In fact, I can have great sex even with a weak erection. But I had to learn this. Most men, particularly when they are not yet in their 50’s or 60’s, sort-of panic when they are with a sex partner, and an erection does not automatically happen (as it used to). But while a proper erection is needed for standard penetrative sex, an erection is not a requirement for a wholesome orgasm. For an orgasm, not even much of an ejaculation is fundamental.
Orgasms are an affair of your sexual wiring. Not of your sexual plumbing.
Physiologically, your orgasm is an affair of impulsive control of the sympathetic nervous system, while during arousal (and the erective state), the parasympathetic nervous system ruled.
Sympathetic nerve impulses, whether in context with an orgasm or determined by other events (alertness, nervousness, fear, panicking, or simply stress), are always anti-arousal and anti-erectile. This is why when you are scared of not generating an automatic erection when with a woman, you enter a vicious circle: you are worried of not achieving a proper erection, which puts the sympathetic nervous system in command, and since the sympathetic nervous system is in command, you will be even less likely to have an erection. Then you panic, and now you could not achieve an erection even when on 200 mg of Pfizer’s Blue.
Yes, if you take the sildenafil citrate about an hour before being called to sexual duty, you will likely start out with a sufficient erection, which gives you self-confidence (which supports the parasympathetic nervous system), which will put you in a state where you will be capable of sustaining your erection.
Doesn’t that sound perfect? Unluckily no.
The reason for this analysis (which will surely sound strange to many readers): if you over-emphasize the parasympathetic nervous system, then your sympathetic nervous system will be rather flat. Which means: your orgasmic capability will be decreased.
I started out on the sexual enhancement trail with yohimbine. That is an alpha adrenergic receptor blocker, peculiarly in the pelvic area. Alpha adrenergic receptors are crucial for sympathetic tone in the abdomen (sympathetic tone can be caused either directly by sympathetic nerve impulses, or indirectly by adrenaline, released from the adrenal medullas upon sympathetic stimulation). If you block pelvic alpha adrenergic receptors, you reduce any effect the sympathetic nervous system (directly or via the release of adrenaline) can exert in this part of the body.
I can go without a phosphodiesterase inhibitor when I’m with a girlfriend that has a good sex drive. Without sildenafil citrate (but on a butea superba / tongkat ali regimen), erections may not be as fast as they are on Pfizer’s Blue. But I can enjoy sex (and a great erection!) for a longer time when on butea superba /tongkat ali (in this way, men with a premature ejaculation problem will probably benefit from butea superba and tongkat ali, too), and I have the strongest orgasms of my whole life.
I generally consider butea superba and tongkat ali more important than phosphodiesterase inhibitors. One reason is that most phosphodiesterase inhibitors, like sildenafil, vardenafil, and tadalafil, are xenobiotics. But there are natural phosphodiesterase inhibitors, as I have found out after the first version of this blog was written (I have been writting blogs long before the term 'blog' entered standard vocabulary). The most important natural phosphodiesterase inhibitor is kaempferia parviflora (krachai dam in Thai). For me, krachai dam does not cause headaches like I suffer when I take Viagra. Krachai dam is not as strong as Viagra, and it should be taken on a prolonged basis. It's low affinity, which means it doesn't bind to receptors as readily as sildenafil citrate, for example.
My Thai friends tell me that they use this krachai dam for penis enlargement, too. I didn't have the opportunity to inspect visual proof (joking only), but they swear, it works. Makes some sense to me, though, because phosphodiesterase inhibitors increase blood flow to the penis, and when they have more blood flow to the pecker, it should be bigger in size.
What I wanted to say about xenobiotics: The dissimilarity between natural substances and xenobiotics is that natural substances have been part of the human culture and human evolution for hundreds, thousands, and even millions of years. If we just go back far enough, all life forms on earth are associated to each other.
As I have learned, testosterone is a masculinizing hormone not just in humans, but in all mammals. And the nervous systems of humans and chickens, and of humans and fish, are structured in essentially the same way (based on ion channels, which open for impulse conduction).
While some substances in the natural world are poisons to some life forms, all life forms are particularly adapted to a huge number of chemical substances that are part of their environment.
Xenobiotics are artificial chemicals that aren’t part of the natural environment of any life form. While xenobiotics may have a positive effect on some conditions or diseases, we can safely assume that almost always, they will somehow negatively affect homeostasis. The negative effects may only appear after some time, and they may appear in an unexpected context. But they are real, and with enough research, we will be able to trace them. Mind you, DDT was sold to our parents as a substance entirely harmless to people.
A common side effect of xenobiotics is that they often are carcinogenous. Or that they interfere with our sexual function. Only recently, it has been established that non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (which millions of us have been using for many, many years) significantly increase the risk of heart attacks. And dopaminergics such as bromocriptine and cabergoline can, when taken for years, give us pleural thickening, making pulmonary respiration a painful exercise. Who would want this?
I have to laugh when so-called life extensionists or “experts” of anti-aging medicine recommend a whole assortment of xenobiotic pharmaceutical products. Xenobiotic pharmaceutical products are suggested in the treatment of specific medical conditions for which they can bring relief. They’re not suited for a long-term strategy to enhance our overall health. Which is why, most xenobiotic pharmaceuticals justly are prescription drugs. They’re useful only in a somewhat narrow sense, and while I grant that educated non-physicians can make an informative choice on their use, a great many other people should better only use them on the advice of a MD since their unrealistic expectations will certainly not be met by the drug.
The newest style in pharmaceutical advertising (e.g. on the Internet) is that the drug companies aim at the consumer directly by recommending that we, the patients, request certain medications from our doctors. The net result of such advertising is that many misled consumers will avoid their physicians to purchase these drugs anyway. Outside of North America and Western Europe, prescription laws are rarely enforced, so US and European citizens can stock up when traveling abroad. Besides, even US citizens can purchase whatever medications they want from overseas sources via the Internet.
In my opinion, extended use of xenobiotics is the wrong strategy for a long-term improvement of our health. It's a better strategy if we avoid influences that impair our health, if we do proper nutrition, and if we use some herbal supplement (butea superba and tongkat ali to maintain our libido).
Pfizer’s Blue is a artificial, xenobiotic substance. It does not occur in the natural world. And while I could use Pfizer’s Blue to improve my erections, I am also afraid of suffering a stroke. You can search scholar.google.com for "sildenafil stroke risk". You can see for yourself. As for me, I wouldn't mind a heart attack. I will die anyway, and at least a heart attack can be fairly fast. But I don't want a stroke. I don't want to be a vegetable on a hospice ward. And if my sexual attractiveness is gone because because I am disabled, I also don't want to live. So, I avoid Viagra and co.
If the target is a long-term overall improvement of sexual health and sexual ability, then our best options clearly are butea superba and tongkat ali. They have been used in Southeast Asia for thousands of years, and have been part of the human Southeast Asian habitat for millions of years, so in both ways, our ancestors have often been exposed to it, and habituation has occurred. While butea superba and tongkat ali don't provide us with as dramatic an effect as sildenafil, vardenafil, and tadalafil on a single-use basis, butea superba and tongkat ali are a good long-term strategy to improve sexual health. And if you really need something to improve your erections, just use krachai dam on a daily basis. As least you don't run a stroke risk.