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Evaluation of Erectile Dysfunction: It is important to understand that both organic and psychosocial factors play a role in the etiology of erectile dysfunction. Hence a thorough detailed history without too many prying questions is key. Sometimes patients may feel embarrassed to answer direct questions and hence a self administered questionnaire may help. Sometimes picture cards explaining the anatomy of erection may also be used for explaining.
Cordyceps have been widely used in traditional chinese medicine (TCM) and some branches of herbalism for centuries. There are many health benefits associated with cordyceps. Cordyceps is a genus of parasitic fungi that attaches itself on insects and other arthropods as hosts. Each species of cordyceps typically infects a very specific bug. The genus has approximately 400 species that can be found worldwide. The most renowned Cordyceps species is cordyceps sinensis (currently officially known as ophiocordyceps sinensis) which infects the caterpillar of Hepialus moth. Cordyceps usually thrive at an altitude above 3800 meters in the mountainous Himalayan Plateau of Bhutan, India, Nepal, Tibet and Chinese provinces. In Tibet, cordyceps are known as Yarsamgumba or yartsa gunbu, in China, it is called literally winter worm and in Bhutan, it’s known as Yartsa Goenbub.
Certain medications such as antidepressants, contraceptive pills or hypertension pills: Because of the estrogen they contain, oral contraceptives can affect the libido, and other drugs can have this negative effect, including those that reduce blood pressure and anxiety. , those for gastro-oesophageal reflux and antidepressants. For some, you can’t do anything because you need to take them, but others can be successfully replaced (such as using contraceptive methods that do not involve hormones, such as condoms or diaphragms).
Oliveira et al. (2013) conducted an in vitro study using the aqueous extracts of various traditional medicinal plants from Amazonia, searching for antimicrobial activity against both human as well as animal pathogenic microbes. The extracts obtained from muira puama and Pentaclethra macroloba inhibited the growth of the bacteria Klebsiella ozaenae and Acinetobacter baumannii. Figueiró, et al. (2010, 2011) evaluated the effects of an ethanol extract obtained from muira puama and identified promnesic (improving memory), anti-amnesic, and acetyl-cholinesterase inhibition properties in laboratory animals (mice) treated orally with the extract. The results of the studies showed that this plant induces acetyl-cholinesterase inhibition in brain areas relevant to cognition. For this reason, we concluded that muira puama extracts could be a potential treatment for Alzheimer’s disease in humans.
Always practice enthusiastic consent: If you’re not sure whether your partner is into it, always ask! Where does arousal fit into the stages of sexual response? According to the United Kingdom’s National Health Services (NHS), researchers have identified four stages of sexual response — that is, the stages your body and mind goes through before, during, and after sex. Arousal falls into the first stage of the sexual response cycle. The sexual excitement stage — also known as the arousal stage — involves a range of physiological changes in the body. Most of these functions prepare the body for vaginal intercourse. For example, your vagina becomes more wet because the glands produce lubricating fluids. Your clitoris and vulva swell up as your blood vessels dilate. Your nipples might become more sensitive to touch, too.
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