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Now it is also defined as the inability to maintain an erection or ejaculate. The same goes for alcohol and narcotics, like heroin and cocaine. 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. Their absence may indicate a problem with nerve function or blood supply in the penis. If the stamp is no longer in place by morning, it means that a nocturnal erection occurred. Men with secondary impotence are typically able to engage in intercourse only 25% of the time. Surgery on the spinal cord, prostate, bladder, or pelvis can lead to impotence by damaging essential nerves, tissues, muscles, or arteries. The man's comfort level is also frequently a factor, especially in maintaining an erection. It is estimated that about 10% to 20% of impotence cases are the direct result of various psychological factors, such as low self-esteem, depression, and — especially — stress and anxiety (general and performance anxieties). as Tribulus shows positive effects only after two to three months.

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Boredom, marital problems or negative feelings toward your partner may contribute to an impotence problem. One of the most promising herbs is the purified extract of Tribulus terrestris. To determine this, a man can simply wet and affix a small stamp on his flaccid penis before going to bed. Injecting prostaglandin, a hormone-like stimulator produced in the body, induces erection.

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