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So, how do you distinguish between impotence caused by problems with your body and that caused by psychological factors? A simple stamp can help. Given the advances in medicine and nutrition research, however, it is no longer a scary thing. In these cases, all the plumbing is OK, but the otherwise healthy man is unable to achieve an erection. One of the most promising herbs is the purified extract of Tribulus terrestris. It does not work immediately. If you use these recreational drugs, however, you have bigger health problems than just impotence. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. Tribulus had been used as traditional medicine to treat sexual dysfunction and male infertility in Europe and Asia for many decades before improvement in scientific extraction techniques allowed identification of its active ingredient, protodioscin. If you suspect this may be the cause, you can perform a simple test to see if impotence is just in your mind. It is estimated that over 70% of all serious impotence cases are the result of diabetes, kidney diseases, multiple sclerosis, endocrine disorders, vascular diseases, and high blood pressure, as well as neurological diseases.

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Our Center is the leading USA modern research, medical consulting and production complex on the basis of traditions of scientific schools, close connection with fundamental and applied science using a high level of innovative medical technologies, provides high-quality and effective medical services to patients with cardiovascular diseases.

His radio programs recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon Serge Voronoff. Furthermore, studies have shown that lack of testosterone leads to a range of other sexual performance problems, including premature ejaculation and low sex drive. The current diagnostic and statistical manual of mental diseases (DSM-IV) has included a listing for impotence. One of the most underestimated causes of impotence is cigarette smoking — as if you need yet another reason to quit.

-Mr.Robinson, Ohio