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Horse Chestnut Extract Horse chestnut extract can be used to cure erectile dysfunctionHorse Chestnut Extract (HSE) is often standardized to 10-20% of the active ingredient escin, which has been found to be extremely beneficial for vascular health. The mechanism at which horse chestnut extract improves erection quality is two-fold. Firstly its able to increase nitric oxide levels, and secondly it improves the function of the “vascular valves” and thus prevents and relieves the formation of varicoceles (half-blocked veins with poor valve function leading to testicles and thus impairing testosterone production). The latter mechanism of HSE is particularly interesting due to the fact that roughly 20% of men have varicose veins in their testicles, sometimes noticeable, but often so mild that they go unnoticed. These veins can be surgically operated, but so far escin (the active compound in horse chest nuts) has been identified as the only compound that has proven research backing up its use as a natural varicocele treatment. Grape Seed Extract Grape seeds are often extracted to get a standardized amount of the active ingredient; procyanidin. It’s the same nitric oxide stimulating compound that can be found in pycnogenol. Aside from increasing nitric oxide, grape seed extract (GSE) has been found to inhibit the activity of the aromatase enzyme, (833) which is an enzyme that converts testosterone molecules into estrogen. The mechanism of action in grape seed extract makes it a great erectile dysfunction supplement as it can benefit erectile health by boosting nitric oxide and preserving testosterone. Icariin Icariin is the active ingredient found in a herb called horn-y goat wee (epidemium). 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