Psychological issues: Stress, anxiety, and depression can all contribute to ED by affecting the brain’s ability to initiate and maintain an erection. The effect typically starts 15 to 30 minutes after you take it [4]. An early trial used Ginkgo biloba extracts to treat low sex drive and other sexual difficulties associated with taking antidepressant drugs. Pfaffia for women Pfaffia Pfaffia paniculata is obtained from a Brazilian vine that has been used as a female aphrodisiac for at least years. Both of these extracts, which have long been utilized in Ayurvedic medicine, have lately been discovered to have a considerable effect on muscle strength and growth. In 41 women with menopausal symptoms, Schizandra was found to be safe and effective for reducing hot flushes, sweating, and heart palpitations. It’s crucial to consult with a healthcare provider to determine the safest approach for your specific situation.Yes, penile pumps (also known as ED pumps) are over-the-counter devices that work to treat erectile dysfunction, similar to Viagra. Viagra (sildenafil) is usually . Unless you live on the border with Mexico, you can NOT buy Viagra over the counter in stores like CVS, Walgreens, GNC, or /5(3).