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Medicine is the branch of health science and the sector of public life concerned with maintaining or restoring human health through the study, diagnosis, treatment and possible prevention of disease and injury. It is both an area of knowledge – a science of body systems, their diseases and treatment – and the applied practice of that knowledge.

Other studies have suggested that Tribulus also acts by increasing the level of dehydroepiandrosterone (DHEA), a naturally occurring substance in the body believed to be important for a healthy sex drive. As testosterone and other male sex hormone levels start to drop after reaching middle age, low testosterone level is often the culprit in most intermittent impotence problems, especially in older men. Modern drug therapy for ED made a significant advance in 1983, when British physiologist Giles Brindley dropped his trousers and demonstrated to a shocked Urodynamics Society audience his papaverine-induced erection.[30] The drug Brindley injected into his penis was a non-specific vasodilator, an alpha-blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. If you suspect this may be the cause, you can perform a simple test to see if impotence is just in your mind. It is estimated that about 10% to 20% of impotence cases are the direct result of various psychological factors, such as low self-esteem, depression, and — especially — stress and anxiety (general and performance anxieties). Boredom, marital problems or negative feelings toward your partner may contribute to an impotence problem. Impotence can be treated — sometimes even without drugs. Ultrasound is then used to see vascular dilation and measure penile blood pressure. In fact, almost 100% of men who use cocaine regularly are impotent. The man's comfort level is also frequently a factor, especially in maintaining an erection. The vacuum forces blood into the penis, which in turn causes an erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis), and subsequently penile erection. Secondary impotence, defined as the loss of erectile function after a period of normal function, is more common. It is estimated that about 10% to 20% of impotence cases are the direct result of various psychological factors, such as low self-esteem, depression, and — especially — stress and anxiety (general and performance anxieties). as Tribulus shows positive effects only after two to three months. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. Men with secondary impotence are typically able to engage in intercourse only 25% of the time.

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