Impotence, or erectile dysfunction, was once regarded as a man's worst nightmare. Furthermore, studies have shown that lack of testosterone leads to a range of other sexual performance problems, including premature ejaculation and low sex drive. 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. 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.
One of the most underestimated causes of impotence is cigarette smoking — as if you need yet another reason to quit. It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). More drastically, inflatable or rigid penile implants may be fitted surgically.
The ring remains on the penis until intercourse is finished. If you suspect this may be the cause, you can perform a simple test to see if impotence is just in your mind. John Brinkley initiated a boom in male impotence cures in the U.S. To determine this, a man can simply wet and affix a small stamp on his flaccid penis before going to bed. So, before you invest in costly and potentially dangerous chemical drugs, you may want to consider natural treatments for impotence. Although they are often dismissed as ineffective solutions to impotence, more and more clinical research studies have found that herbs can help impotent men. This type of device is sometimes referred to as penis pump and may be used just prior to sexual intercourse. Surgery on the spinal cord, prostate, bladder, or pelvis can lead to impotence by damaging essential nerves, tissues, muscles, or arteries. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections.