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In all, these studies proved that Tribulus works very well in curing sexual dysfunctions and maximizing sexual performance when taken regularly. The same goes for alcohol and narcotics, like heroin and cocaine. Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. So, how do you distinguish between impotence caused by problems with your body and that caused by psychological factors? A simple stamp can help.
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The same goes for alcohol and narcotics, like heroin and cocaine. Ultrasound is then used to see vascular dilation and measure penile blood pressure. A vacuum device composed of a plastic cylinder, pump and elastic ring or band can be used to affect an erection.
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When pharmacological methods fail, a purpose-designed external vacuum pump can be used to attain erection, with a separate compression ring fitted to the penis to maintain it. In these cases, all the plumbing is OK, but the otherwise healthy man is unable to achieve an erection. It is estimated that between 50% and 60% of diabetic men are impotent.
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