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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.

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). Surgery on the spinal cord, prostate, bladder, or pelvis can lead to impotence by damaging essential nerves, tissues, muscles, or arteries. It is estimated to affect between 10 million and 15 million men in the United States alone. A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection. as Tribulus shows positive effects only after two to three months. Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. 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. Given the advances in medicine and nutrition research, however, it is no longer a scary thing. John Brinkley initiated a boom in male impotence cures in the U.S. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems.[17] Restriction of blood flow can arise from impaired endothelial function due to the usual causes associated with coronary artery disease, but can also be caused by prolonged exposure to bright light. A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection. If you suspect this may be the cause, you can perform a simple test to see if impotence is just in your mind. It works as follows: The cylinder is placed on the penis and the pump is then used to draw air out of the cylinder. The active ingredient of Tribulus acts as a natural precursor to these hormones and is converted into its final forms by the body's own natural enzymes. Prescribed drugs used to treat high blood pressure, ulcers, depression, and prostate cancer, as well as medications to prevent baldness or aid in dieting, can have side effects that include impotence. Impotence caused by psychological factors is often temporary; it lasts as long as the underlying factor is still there. If the stamp is no longer in place by morning, it means that a nocturnal erection occurred. Impotence, or erectile dysfunction, was once regarded as a man's worst nightmare.

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