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Medicine is the branch of health science and the sector of public life concerned with maintaining or restoring human health through the study, diagnosis, treatment and possible prevention of disease and injury. It is both an area of knowledge – a science of body systems, their diseases and treatment – and the applied practice of that knowledge.

as Tribulus shows positive effects only after two to three months. Ultrasound is then used to see vascular dilation and measure penile blood pressure. 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. 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. Modern drug therapy for ED made a significant advance in 1983, when British physiologist Giles Brindley dropped his trousers and demonstrated to a shocked Urodynamics Society audience his papaverine-induced erection.[30] The drug Brindley injected into his penis was a non-specific vasodilator, an alpha-blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. One of the most promising herbs is the purified extract of Tribulus terrestris. The ring remains on the penis until intercourse is finished. John Brinkley initiated a boom in male impotence cures in the U.S. Although they are often dismissed as ineffective solutions to impotence, more and more clinical research studies have found that herbs can help impotent men. One of the most promising herbs is the purified extract of Tribulus terrestris. Although they are often dismissed as ineffective solutions to impotence, more and more clinical research studies have found that herbs can help impotent men. His radio programs recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon Serge Voronoff. When pharmacological methods fail, a purpose-designed external vacuum pump can be used to attain erection, with a separate compression ring fitted to the penis to maintain it. More drastically, inflatable or rigid penile implants may be fitted surgically. Some of the most popular herbs available on the market today are Tribulus, yohimbe, ginkgo biloba, and others. Surgery on the spinal cord, prostate, bladder, or pelvis can lead to impotence by damaging essential nerves, tissues, muscles, or arteries. This type of device is sometimes referred to as penis pump and may be used just prior to sexual intercourse. It is estimated that between 50% and 60% of diabetic men are impotent.

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