Dr. Ray Sahelian, M.D. and his research staff have tested various doses and extracts of dozens of herbs, including tongkat ali, Horny-Goat-Weed, maca, tribulus, mucuna pruriens, from a number or raw material suppliers to determine the ideal dose and combination for optimal aphrodisiac properties with the fewest side effects. After years of trial and error,  a highly evolved proprietary blend with 15 herbal extracts from the best raw material suppliers has been created which works within hours. The exact dosages and extract potencies of this unique sexual aphrodisiac blend is a close kept secret. You will only find this exact combination in Passion Rx.

Drugs that lower male sexual health drive
Drugs that interfere with male sexual health include some anti-hypertensives, SSRIs, sedatives, sleeping pills, and beta-blockers. Alcohol's negative affect on libido increases with age. Smoking can reduce genital blood flow.

Male sexual health exercise
Exercises that focus on strengthening the muscles at the base of the penis, known as the pelvic floor, appear to be a useful treatment for erection difficulties and male sexual health. The exercise training requires men to tighten their pelvic floor muscles as if they were trying to prevent gas passing. In addition, emphasis is placed on the ability to retract the penis and lift the scrotum using pelvic muscles.

Exercise and weight loss improve male sexual health
Exercise and weight loss may improve male sexual health in obese men. A man can regain or improve normal sexual health and function after participating in an intensive weight loss program.

Q. Does exercise lead to improved male sexual health?
   A. Without a doubt. Exercise can help you sleep deeper which does wonders for libido. Exercise also makes you feel better about your body, and this could also have an influence on your sexual drive and enjoyment.

Pollutants and male sexual health decline
A manmade ingredient of many plastics, cosmetics and other consumer products may be interfering with male sexual health and prenatal male sexual development. A study of 85 infant boys found a correlation between increased exposure to some forms of the chemical phthalate and smaller penis size and incomplete testicular descent. may influence the sexual development of human males.

Does abstinence improve male sexual health?
Men who start having sex at a younger or older than average age are more likely to develop sexual health problems later in life. Using data from a 1996 cross-sectional survey of more than 8,000 U.S. adults, Dr. Theo G.M. Sandfort of Columbia University in New York City s found that men who started having sex at a relatively young age were more likely to have certain risk factors for sexually transmitted diseases -- including a high number of sexual partners and a history of having sex under the influence of alcohol. On the other hand, both "early" and "late" starters were at increased risk of problems in sexual health including difficulty maintaining an erection and reaching orgasm. Delaying sexual activity may cause sexual health problems by interfering with the development of the emotional, cognitive, and interpersonal skills that are crucial to satisfactory sexual functioning. American Journal of Public Health, January 2008.

Inflammatory bowel disease
Infertility in men with IBD can be caused by medications used to treat the disease (most notably sulfasalazine), by active inflammation, and by the poor nutritional status that can result from IBD.