Detailed Answer
The 2025 European Association of Urology (EAU) Guidelines on Sexual and Reproductive Health do not include specific recommendations for natural drinks as treatments for erectile dysfunction.¹ Instead, the guidelines emphasize that ED is a complex medical issue with multiple potential causes, including vascular, hormonal, neurologic, and psychological factors, often associated with chronic health conditions.² According to the EAU Guidelines, lifestyle modifications are considered important in managing ED, particularly addressing risk factors such as smoking, lack of physical exercise, obesity, and excessive alcohol consumption.³ While certain beverages like alcohol are mentioned as potential risk factors when consumed excessively, the guidelines do not identify any specific natural drinks that have been clinically proven to improve erectile function.⁴ The guidelines classify ED treatments into first-line (lifestyle changes, oral medications), second-line (intracavernosal injections, vacuum devices), and third-line options (penile implants, specialized therapies).⁵ Penile implants are considered when other treatments have failed or are unsuitable, but there is no mention of natural drinks as either complementary or alternative treatments at any stage of ED management.⁶ For men concerned about ED, the EAU Guidelines recommend consulting healthcare providers for proper diagnosis and evidence-based treatment. This typically begins with addressing modifiable risk factors (including diet and exercise), followed by pharmacological interventions if necessary, rather than relying on unproven natural remedies.⁷ It’s worth noting that while some natural products are marketed for ED, the EAU Guidelines emphasize the importance of treatments with established efficacy and safety profiles. Men experiencing ED should seek professional medical advice rather than self-medicating with natural drinks or supplements that lack scientific validation in the current guidelines.⁸
From the Guidelines
"Erectile dysfunction is a complex medical issue with several known causes, including vascular, hormonal, neurologic, and psychological dysfunctions and is associated with chronic health conditions." (p. 249)