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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. Boredom, marital problems or negative feelings toward your partner may contribute to an impotence problem. This form of impotence is rare and often caused by extreme psychological conditions, such as intense fear of intimacy, extreme feelings of guilt and severe anxiety. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger inserted past the anus. Impotence, or erectile dysfunction, was once regarded as a man's worst nightmare. The same goes for alcohol and narcotics, like heroin and cocaine. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. Several types of FDA approved vacuum therapy devices are available with a doctor's prescription. A note of caution: Although there are many Tribulus extracts available over the counter today, almost all of these have been found not to contain any significant amount of the active ingredient. Boredom, marital problems or negative feelings toward your partner may contribute to an impotence problem.

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The ring remains on the penis until intercourse is finished. A vacuum erection device helps draw blood into the penis by applying negative pressure. This device works quite well, although some men complain about the discomfort of the elastic ring in addition to the hassle of, well, pumping up. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge.

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