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Modern Potency Treatment
Once an erection is achieved, the man places the elastic ring on the base of his penis, which keeps blood from draining from the penis back into the body. The same goes for alcohol and narcotics, like heroin and cocaine. 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). Men with secondary impotence are typically able to engage in intercourse only 25% of the time. In fact, almost 100% of men who use cocaine regularly are impotent.
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Secondary impotence, defined as the loss of erectile function after a period of normal function, is more common. A note of caution: Although there are many Tribulus extracts available over the counter today, almost all of these have been found not to contain any significant amount of the active ingredient. 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.
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Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Impotence can be treated — sometimes even without drugs. Men with primary impotence have never had sufficient erections for satisfactory intercourse.
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