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What Causes of Erectile Dysfunction? Medical causes such as hypertension, diabetes, heart disease, kidney failure; Neurological disorders such as multiple sclerosis; Trauma; Increasing age-more common in men around 60’s; Surgical injury to nerves as in prostate surgeries; Smoking –as it causes narrowing of arteries of the penis which are involved in erection; Psychological causes –performance anxiety, stress, mental disorders; Drugs such as antidepressants, nicotine etc; Low testosterone levels.
The Royal Government of Bhutan legalized the harvesting of cordyceps in 2004. Since then, cordyceps have been harvested extensively in the alpine meadows of the country at elevations of above 5000 meters above sea level. Environmental conditions play a key determinant in the quality of the cordyceps. When it comes to harvesting, only handpicking is allowed to ensure that there is minimal damage to the environment. The harvesting of cordyceps in Bhutan is highly regulated. Only households belonging from specific region is allowed to harvest and harvesting is only allowed for a month period.
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).
Is there anything you can do to increase arousal? To increase sexual excitement, you can prolong foreplay. This means that before sexual intercourse or masturbation, you take time to arouse yourself by experimenting with different erogenous zones, using different toys, or trying different kinds of sensual touch. For example, you might feel turned on when you touch your nipples, kiss your partner for a long while, or use a sex toy. It might be helpful to attend couple’s counseling or sex therapy to help you and your partner communicate better and practice healthy forms of intimacy.
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