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The man's comfort level is also frequently a factor, especially in maintaining an erection. 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. Furthermore, studies have shown that lack of testosterone leads to a range of other sexual performance problems, including premature ejaculation and low sex drive. Secondary impotence, defined as the loss of erectile function after a period of normal function, is more common. Be sure to select a Tribulus extract that contains at least 45% protodioscin..
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The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis), and subsequently penile erection. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain.
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As testosterone and other male sex hormone levels start to drop after reaching middle age, low testosterone level is often the culprit in most intermittent impotence problems, especially in older men. The active ingredient of Tribulus acts as a natural precursor to these hormones and is converted into its final forms by the body's own natural enzymes. Impotence was once solely defined as the inability to achieve an erection.
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