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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. Men with primary impotence have never had sufficient erections for satisfactory intercourse. Although middle-aged and older men are more likely to be impotent than younger men, impotence can strike at any adult age. Boredom, marital problems or negative feelings toward your partner may contribute to an impotence problem. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. 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 Tribulus shows positive effects only after two to three months. 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 current diagnostic and statistical manual of mental diseases (DSM-IV) has included a listing for impotence. Impotence can be treated — sometimes even without drugs.

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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. To determine this, a man can simply wet and affix a small stamp on his flaccid penis before going to bed. Men with secondary impotence are typically able to engage in intercourse only 25% of the time. 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.

-Mr.Robinson, Ohio