Can saw palmetto cause erectile dysfunction?

Men taking saw palmetto have also reported erection problems, testicular pain, and tenderness in the breasts. You may also want to talk your doctor or pharmacist about the following: Interactions: If you take any medicines regularly, talk to your doctor before you start using saw palmetto supplements.

webmd.com - What You Should Know About Saw Palmetto for BPH - WebMD

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Saw palmetto is commonly used in Europe and the United States as a treatment for enlarged prostate. Some small studies have shown benefit. However, several large studies do not show that saw palmetto reduces the size of the prostate or eases the urinary symptoms that come with an enlarged prostate. You might hear a doctor or nurse call that condition “benign prostate hyperplasia,” or BPH. Before you take saw palmetto, or any supplement for that matter, talk with your doctor first. They may interfere with prescription medicines, other treatments, or tests you might need. What Is Saw Palmetto? Saw palmetto (Serenoa repens) is a palm that grows in the Southern coastal regions of the United States. It is about 2 to 4 feet high. Its leaves are fan-shaped and sharp, and it makes a lot of berries. These fruits have a long history of use as medicine. Some Native Americans used them to help with urinary problems in men. Why Do People Take It? Some small studies have shown saw palmetto might help you with BPH symptoms in several ways. Among them: You may need to get up less often at night to pee.

It can improve your flow when you go.

It can ease painful urination.

Can You Take It for Other Problems? You may have heard about people taking saw palmetto for other reasons than BPH. Some of them include: Low sex drive

Hair loss

Low sperm count

Migraines

Ongoing pelvic pain So far, studies have shown limited results for saw palmetto helping with these other types of problems. How Much Should You Take? For BPH, studies have used a daily intake of 320 milligrams of saw palmetto split into two doses. The doses will be different in other forms, such as tinctures (a liquid preparation). Get advice from your doctor. It may take 4 to 6 weeks for saw palmetto to have an effect. There are no food sources of saw palmetto. Are There Any Complications? Side effects are uncommon and typically mild. The most common are: Nausea

Stomach pain

Bad breath

Constipation

Diarrhea

Vomiting Men taking saw palmetto have also reported erection problems, testicular pain, and tenderness in the breasts. You may also want to talk your doctor or pharmacist about the following:

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who.int - Determinants of health - World Health Organization (WHO)

An evidence base about the impact that projects, programmes and policies have had on health is required to carry out health impact assessment (HIA). The best available evidence is used within the appraisal stage of HIA to determine what impacts may occur (both positive and negative), the size of the impact (if possible) and the distribution of that impact in different population groups. It is generally assumed that the evidence for health impacts exists, and that searching and collating will provide the necessary evidence. Unfortunately this is not often the case, and the evidence of health impacts is often not available. This is because of the long causal pathway between the implementation of a project/programme/policy and any potential impact on population health, and the many confounding factors that make the determination of a link difficult. Within the HIA it is important therefore to be explicit about sources of evidence and to identify missing or incomplete information. Providing a comprehensive review of the evidence base is not simple. It needs to draw on the best available evidence – that from reviews and research papers, and including qualitative and quantitative evidence. This information must be supplemented with local and expert knowledge, policy information, and proposal specific information. However, there are examples where the best available evidence has been documented, and in some cases summarised. These are presented below:

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