Several foods contain compounds that improve blood flow through the same basic pathway that Viagra targets: increasing nitric oxide, a molecule that relaxes blood vessels and allows more blood to reach the penis. OTC ED pills typically include herbal supplements, vitamins, and natural extracts claimed to improve blood flow or boost sexual performance. Unlike prescription medications, these products do not require a doctor’s approval and are widely available online and in stores. Contrary to its name, herbal Viagra (or natural Viagra) usually doesn't contain sildenafil citrate, the active ingredient in Viagra. If it does contain sildenafil citrate, it does so. Read about natural remedies for erectile dysfunction (ED or impotence), including exercise, acupuncture, arginine, DHEA, ginseng, pomegranate juice, yohimbe, horny goat weed, and ginkgo biloba. Natural remedies that might help erectile dysfunction include L-arginine, ginkgo biloba, regular exercise, maintaining a healthy diet, reducing smoking and alcohol intake, and managing stress. Plenty of standard erectile dysfunction treatments exist, but many men prefer natural treatments. Here's a look at nine options. There is no single natural substance that works as powerfully or as quickly as Viagra. But several supplements and foods do target the same biological pathway that prescription erectile dysfunction drugs use, and a few have clinical evidence showing real, measurable improvements in erectile function. There are reasons to think there may be, even if there is no scientific evidence to prove the potential of the following foods. This sweet, refreshing fruit has a compound that can have effects. Curious about safe and effective home remedies for ED? Find out what works and what doesn’t in our guide to natural solutions for erectile dysfunction. Herbal remedies like Panax ginseng, Tribulus terrestris, maca root, horny goat weed, ginkgo biloba, and yohimbine may help with erectile dysfunction by improving blood flow, increasing nitric oxide levels, and supporting sexual desire, especially in mild to moderate cases.