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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.
Managing Type 2 Diabetes: Diabetes is a disease in which the body either does not produce or respond to the hormone insulin, which normally transports the sugar glucose into the cells for energy. Cordyceps can help to keep blood sugar levels within healthy range by imitating the action of insulin. Some studies also suggest that cordyceps may improve liver function, kidney function and protect against kidney disease, a common complication of diabetes. Cordyceps are filled with antioxidants known to fight free radical damage and help slow the signs of aging. A study conducted in 2000 claimed that cordyceps help to enhance memory, improve brain function and increase antioxidant in blood. Cordyceps contain anti-aging compounds that help rejuvenate the skin, eliminate dead cells, promote skin rejuvenation, and reduce aging symptoms.
These are products like Testim gel or Testogel, available only on a prescription basis. There is also the possibility of receiving testosterone implants under the skin (with a local anesthetic). They slowly release the hormone and can be replaced every four months. The gel can be applied anywhere except the breasts, the only problem being that it is not yet authorized for women, so some gynecologists may be reluctant to prescribe it. However, to increase the level of testosterone there is another variant, authorized for women – Intrinsa patch with testosterone, which is usually applied on the buttocks.
Muira Puama – Is derived from the bark of a tree or its roots. This small tree is native to the Amazonian region of South America and has a plethora of uses among the indigenous peoples of the Amazon, including the following: adaptogen, alopecia (applied topically for hair loss), anorexia, antinociceptive, antioxidant, aphrodisiac, ataxia, beri beri (vitamin deficiency disease), debility, digestive problems, dysentery, fatigue, impotence, neurasthenia, nerve tonic, rheumatism, stimulant, tonic (adding bark decoction to a bath), paralysis, and tremors (Quattrocchi, 2012; Piato et al., 2010; Berdonces, 2009; Duke et al., 2009; Taylor, 2005; Rutter, 1990). Muira puama is an important ingredient of “catuama”, a medicinal poly-herbal combination used in South America, also composed of guaraná (Paullinia cupana), ginger (Zingiber officinale), and Trichilia catigua (Quattrocchi, 2012). One of the main active ingredients in muira puama is an alkaloid known as muirapuamine (Lorenzi and Matos, 2008).
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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