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Thirdly, not only does Pycnogenol not cause all those Vioxx-ish symptoms, it actually lowers Blood Pressure according to a randomized, double-blind, placebo-controlled study performed in mildly hypertensive patients.  And blood pressure, you may remember, is one of the number one causes of Erectile Dysfunction, so this is yet another way that pycnogenol battles erection problems.
Fourthly, sometimes venous insufficiency - a sort of Leaky Vein Syndrome - is one of the root causes for erectile dysfunction. One study found just that: 12% of patients studies had documentable venous insufficiency.  Pycnogenol has been found to greatly help those with, at least, advanced venous insufficiency. In fact, it was so powerful that at a daily dose of 150 mg, it actually beat out a medication typically prescribed for this condition. 
Also, if you already have high blood pressure, Pycnogenol has been found to help protect you from the damage that it does to your heart.  High Blood Pressure is very hard on many parts of the body, including the brain and various organs including the heart. Pycnogenol has also been shown to protect people with Blood Pressure from the edema that sometimes results from their medications.  In other words, Pycnogenol may not only help you to improve your erectile dysfunction, but it may buy you time to get to the root of your Blood Pressure problems.
The only downside to Pycnogenol is that it is patented, which tends to keep the price higher than many supplements. This is good, because the company apparently very carefully watches quality control which shows in their stellar research results. You can also save quite a bit by going through an online discounter such as Amazon: TwinLabs Pycnogenol Capsules, 50 Mg, 60-Count Bottle.
If you want to follow what was done in the studies, just couple between 1 and 3 of the above tablets daily (50 mg - 150 mg daily) with about 1.5 grams of L-Arginine. You can get L-Arginine very reasonably at either Walmart or Amazon: L-Arginine (500mg).
I do also want to mention that Pynogenol is very likely skin protective as well. Collagen is the backbone, if you will, of your skin and Pycnogenol has been shown to protect and even reconstruct collagen fibers in aging or damaged connective tissue. Pycnogenol also reportedly protects Vitamin C, which is also a collagen rebuilder. So Pycnogenol will not just help improve your sex life through improving your erectile dysfunction - it will also very likely improve your already dashing good looks while it is at it.
By the way, a hot tip that you can pass on to the woman in your life and score a few points is that pynogenol has been found to relieve the symptoms of menstruation at least in one recent study. Much of the pain associated with menstruation is believed to be associated with inflammation and Pycnogenol, 30 mg twice daily in this case, helped significantly with this woman's issue. 
CAUTION: The only caution that I have about Pycnogenol is that the studies all couple it with L-Arginine, which has some potential issues. However, the dosages of L-Arginine used in the Pycnogenol erectile-dysfunction studies are all relatively low dose (1.5 g - 3.0 g). Read my link on L-Arginine for more details.
NOTE: Some studies have shown L-Arginine helps directly. Still other research with L-Arginine have produced lackluster results. For example, one study of healthy males showed no increased blood flow from 20 g/day, which is a very large dosage . Similar results were achieved in patients were discovered in patients with heart failure as well.  So the bottom line seems to be that L-Arginine, to work effectively, need a solid Nitric Oxide booster.
CAUTION: If you have a medical condition or are on any medications, please discuss any changes with your doctor first. Certain supplements, foods and even juices can alter absorption rates of certain medications for example. Play it safe.
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2) J Inflamm (Lond),2006 Jan 27,3:1
3) Biomed Pharmacother,2006 Jan,60(1):5-9
4) J Phytotherapy Research, April 2008, 22(4)
5) Amer Journ Clin Nutr 2006; 83:780-787, 2006
6) J Reprod Med, 2004, (49)10:828-832
7) Hypertension Res, Oct 2007, 30:775-780
8) Cardiovascular Toxicology, March 2007,7(1):10-18
9) Clin and Appl Thrombosis/Hemostasis, 2004, (10)4:373-377
10) Urologe A, 1989 Jan, 28(1):48-53
11) Clin and Appl Thrombosis/Hemostasis, 2006, (12)211) Clin and Appl Thrombosis/Hemostasis, 2006, (12)2:205-212. See also Phytomedicine, 2000 Oct, 7(5):383-8.
12) Journal of Cardiovascular Pharmacology, Jul 1996, 28(1):158-166, "Effects of In Vivo and In Vitro L-Arginine Supplementation on Healthy Human Vessels"
13) J Am Coll Cardiol, 1996; 27:1207-1213, "Dietary supplementation with L-arginine fails to restore endothelial function in forearm resistance arteries of patients with severe heart failure"
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