Oregon's Wild Harvest - Ask Dr. Meletis

Intimacy and Performance in Men

June 2018

Q.  I am 32-years old and am starting to worry that my performance is fading when it comes to intimacy. What information can you share with me to proactively address this situation?

A.  I have found over the last 25-years of clinical practice, one of the toughest things for men to talk about is the topic of male performance.

Men often dismiss the fact that male responsiveness requires the brain, hormones, emotions, nerves and blood vessels to work together. So, here’s a check list which includes some information and herbs commonly used to support libido and prostate health:

  1. If you notice things are worse when your mind is stressed, remember that your mind must be present for your body to respond. Herbs like Maca, Rhodiola and Ashwagandha are great for bringing down your stress level. 
  2. Yes, guys can be too tired to be interested in sex. In addition to stress, you might not be getting enough sleep. To get more rest, you may benefit from herbs like Valerian, Kava, Passionflower or Lemon Balm.  And, if you snore, you may have sleep apnea, which lowers your testosterone. 
  3. Low back discomfort, tight muscles and hours of sitting can decrease male performance. If you have nerve issues or numbness in your back, groin or legs, then getting diagnostic imaging and a visit to your medical provider is key for good circulation. For relaxation in the body, I suggest Muscle Relax, which includes Valerian, Hops and Skullcap.
  4. High blood pressure can damage blood vessels to sensitive tissue. Work with your medical provider to de-stress and get your blood pressure under control.  Perhaps try a traditional herb to nurture the heart like Hawthorn, or Ginkgo, which has been used to help support circulation. 
  5. Don’t think of men as always being “ready.” Modern stress, depression and low hormones can all cause a change in libido. If your mood is down, then help lift your spirits with St. John’s Wort, Kava to help with anxiousness or Damiana to support a healthy sex drive.
  6. If there’s a family history of prostate health concerns, the following tests are very important: PSA, Free PSA, Vitamin D and, if indicated, a digital exam by your medical provider. Keep your body in motion throughout the day and get a special cushion that lessens pressure if you sit or drive for a living. A daily dose of Saw Palmetto, Pygeum, Zinc and Lycopene may also help with Prostate Health. 

* If your medical provider does not provide PSA, Total and Free Testosterone or vitamin D tests, you may order your own labs (without insurance and at a discount) via www.Directlabs.com/drmeletis.

Sexual performance and libido are barometers of one’s overall health. A persistent, progressive or pronounced health challenge is important to get checked out sooner than later.  And, it’s rare that a male, or female, patient coming in to my practice does not report an ebb and flow in their health related to intimacy.


Dr. Chris Meletis, N.D.Dr. Chris Meletis, N.D., has 24-years of experience practicing as a Naturopathic Doctor in Portland, Oregon.  He is dedicated to using his vast knowledge about alternative medicine to help his patients and generously give to those in need. He has written over a dozen books and 100's of national articles, and was named Naturopathic Physician of the Year in 2003 by the American Association of Naturopathic Physicians.  Read more about Dr. Meletis here.  Or, visit our "Ask Dr. Meletis, N.D." page for additional articles. 

*Statements herein have not been evaluated by the Food and Drug Administration, and are not intended to treat or diagnose any disease or health condition. The information on this website, and provided by Dr. Chris Meletis, N.D., is intended for educational and informational purposes only. It is recommended that patients check with their doctors before taking herbs, to ensure that there are no contraindications with prescription medications. There is additional information linked within this site to HealthNotes®, a third party educational source, containing the latest research on health and supplements. Oregon's Wild Harvest will not be held accountable for this information and consider it an education reference only.  

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