The PDE-5 inhibitors

So, before you invest in costly and potentially dangerous chemical drugs, you may want to consider natural treatments for impotence. This form typically comes on gradually and is usually more easily treatable than primary impotence. 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. It is estimated to affect between 10 million and 15 million men in the United States alone. The vacuum forces blood into the penis, which in turn causes an erection.

So, how do you distinguish between impotence caused by problems with your body and that caused by psychological factors? A simple stamp can help. To determine this, a man can simply wet and affix a small stamp on his flaccid penis before going to bed. The same goes for alcohol and narcotics, like heroin and cocaine.

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. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain. These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation. Given the advances in medicine and nutrition research, however, it is no longer a scary thing. This type of device is sometimes referred to as penis pump and may be used just prior to sexual intercourse. Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Tribulus had been used as traditional medicine to treat sexual dysfunction and male infertility in Europe and Asia for many decades before improvement in scientific extraction techniques allowed identification of its active ingredient, protodioscin. 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. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge.