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Dr Malpani,
Malpani Infertility Clinic.
Jamuna Sagar,
Shahid Bhagat Singh Road,
Colaba, Bombay 400 005.
Tel: 91-22-22151065,
91-22-22151066
Fax (India): 91-22-2215 0223

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APHRODISIACS — Searching for the elixir of love
Just like the age-old search for the alchemist’s mythical stone which would turn lead to gold, man has always longed to find a potent aphrodisiac. Named after Aphrodite, the Greek goddess of love, beauty, and fertility, aphrodisiacs are substances that elicit sexual desire, enhance sex drive and improve sexual "performance”. Since all these are such subjective measures, it’s hardly surprising there is so much controversy about the efficacy of these products.

Aphrodisiacs could be used either to enhance your own sexual drive; or that of your partner. Every infertile couple knows how stressful having timed "baby making sex " can be, so that an effective aphrodisiac would be a big boon ! The good news is that since the most important sexual organ is your brain, practically anything will work as an aphrodisiac if you are convinced that it is effective. Of course, a good night's sleep, time, privacy, and a turned-on partner can do the same thing as effectively – after all, if you are having sex with someone you love, you really don’t need any further stimulation ! Unfortunately , researchers have still not been able to find a magic potion which you can use to seduce another person , but the search still goes on !

There are two main types of aphrodisiacs - psychophysiological stimuli (which turn you on by titillating your sense of vision, touch, hearing or smell ); and internal preparations (food, alcoholic drinks, drugs and love potions). However, studying these scientifically has been extremely difficult. Most scientists have kept away from this field, leaving the way open for exploitation by quacks and so-called 'sexologists” .Most writings on the subject are little more than unscientific compilations of folklore, making it difficult to distinguish facts from myths. Few substances have been scientifically evaluated until recently; and sadly most of these studies have been carried out on men, while women have been completely ignored. ( I guess this is because most men are happy to experiment with anything which may help them to get turned on, while women are more cautious !)The placebo effect is a major scientific stumbling block which makes evaluating these products very difficult, because the mind is the most potent aphrodisiac there is. If you tell them it's an aphrodisiac, the hope of getting a sexual response might actually cause them to get it ! However, experimenting with aphrodisiacs can be fun, so give it your best shot – after all, you are your own expert in this field !

So what can you start with ? Many preparations from plants and animals with reputed aphrodisiac properties have been recorded throughout history. Many ancient people believed in the so-called "law of similarity," reasoning that an object resembling genitalia may possess sexual powers. Rhinoceros horn, for example, has been extensively used by men to enhance sex drive , because it resembles an erect penis ( and is responsible for the derivation of the slang word, feeling "horny”.) However, chemical analysis of powdered horn extracts reveals only polypeptides, sugars, phosphorus, ethanolamine and free amino acids – none of which can improve libido ! Unfortunately, this factual analysis has come too late , and rhinos have been practically hunted to extinction in many parts of the world.

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The word ginseng means "man root," and the plant's reputation as an aphrodisiac probably arises from its marked similarity to the human body. Ginseng has been looked on as an invigorating and rejuvenating agent for centuries in China, Tibet, Korea, and India. The root may have a mild stimulant action, like coffee, but there is no evidence that ginseng has an effect on human sexuality, no matter what the ads claim. Many types of seafood have also gained reputations as aphrodisiacs , perhaps because Aphrodite was said to be born from the sea, and the most famous of these are oysters .

Yohimbine , an extract from the bark of the West African yohimbe tree, has been shown to be helpful in maintaining an erection, but it’s not as likely to enhance sexual arousal or desire. The most famous reputed aphrodisiac of all is Spanish Fly , which is made from ground up beetles of the Lytta vesicatoria species. Its active ingredient is cantharidin, which irritates the bladder and urethra, causing increased blood flow to the genitals and creating sensations of warmth in the private parts, which can be very pleasurable. However, it can lead to an abnormally prolonged or constant erection ( priapism) or an engorged vulva and vagina, both of which are often painful. Prolonged use can permanently scar urethral tissue , infect the genitourinary tract, and can even be fatal. Indeed, many commercially available preparations which claim to be aphrodisiacs can be dangerous. In Asia, for example, a number of people have suffered severe poisoning after taking herbal formulations containing mercury and arsenic complexes to enhance sexual performance, so beware !

What about alcohol or mind-altering drugs such as ecstasy ? Alcohol, marijuana, cocaine, amphetamines, and barbiturates help reduce inhibitions and produce pleasurable feelings that could lead one to feel sexually stimulated. However, instead of this intended outcome, decreased sexual response could occur, often when taking larger amounts, or from long-term usage. Alcohol is actually a depressant, and so, as Shakespeare observed, it "provokes the desire, but it takes away the performance."

The recent introduction of Viagra has helped to revolutionize this field of research into aphrodisiacs. Since Viagra became a billion dollar blockbuster, pharmaceutical companies now realize that this area is a potential gold mine, and are willing to invest millions in developing new lifestyle enhancing drugs , which can improve sexual performance. However, Viagra is not an aphrodisiac. While it helps to enhance erection by improving blood flow, it does not create sexual desire. Even worse, it does not seem to work well on women. In a way, this is hardly surprising, because female sexual desire is such a complex area, which is affected by so many variable, many of which are practically impossible to analyse or study.

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John Morgenthaler, author of the book, Better Sex Through Chemistry , discusses a new class of pharmaceuticals called "prosexual drugs". Niacin, or vitamin B-3, when taken on an empty stomach causes blood vessels near the skin to dilate for several minutes, which produces the well-known "niacin flush.". Taking niacin prior to sex may increase tactile sensations, electrifying the sense of touch, and enhancing orgasms. Niacin is a safe vitamin, which is inexpensive and easily available.

Other popular prosexual chemicals include: deprenyl ( which is a monoamine oxidase (MAO) inhibitor) ; GHB (gamma-hydroxybutyrate) ; L-Dopa which is commonly used to treat patients with Parkinson’s disease, some of whom develop "hypersexuality" as a side effect; and bromocriptine , which works by stimulating the brain's production of dopamine (low levels of this chemical are associated with a decline in sex drive). More recently, researchers have investigated the role of neurotransmitters in sexual behaviour, and as a result many new potential drugs have been explored . ( Don’t worry about missing out on this research - when they find one which works, you’ll read about it on the front page of every newspaper !)

The ideal aphrodisiac would be one which is cheap; easily available; safe; retains activity when used repeatedly; and effective for both men and women. Current trends indicate that psychopharmacological agents - compounds that stimulate both mind and body - will be useful in the future. However, maybe the wishful search for a cure-all drug should be abandoned in favor of an easier, more reliable mechanism: the erotic stimulation of one's own imagination – and your partner’s ! To quote renowned sex expert "Dr. Ruth" Westheimer, Ed.D.: "The most important sex organ lies between the ears."


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