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Evaluation of Erectile Dysfunction: It is important to understand that both organic and psychosocial factors play a role in the etiology of erectile dysfunction. Hence a thorough detailed history without too many prying questions is key. Sometimes patients may feel embarrassed to answer direct questions and hence a self administered questionnaire may help. Sometimes picture cards explaining the anatomy of erection may also be used for explaining.

Cordyceps have been widely used in traditional chinese medicine (TCM) and some branches of herbalism for centuries. There are many health benefits associated with cordyceps. Cordyceps is a genus of parasitic fungi that attaches itself on insects and other arthropods as hosts. Each species of cordyceps typically infects a very specific bug. The genus has approximately 400 species that can be found worldwide. The most renowned Cordyceps species is cordyceps sinensis (currently officially known as ophiocordyceps sinensis) which infects the caterpillar of Hepialus moth. Cordyceps usually thrive at an altitude above 3800 meters in the mountainous Himalayan Plateau of Bhutan, India, Nepal, Tibet and Chinese provinces. In Tibet, cordyceps are known as Yarsamgumba or yartsa gunbu, in China, it is called literally winter worm and in Bhutan, it’s known as Yartsa Goenbub.

Pepper gel: this type of product, which contains, among other things, peppermint extract: Improves blood circulation and dilates the vessels and improves vaginal dryness. Although there is not much evidence of the effectiveness of this gel, it can work in some women and does no harm anyway. Aloe vera gel: this is an intimate gel that helps in the case of a dry, sensitive vagina, these problems may occur due to menopause or a decrease in hormone levels.

Oliveira et al. (2013) conducted an in vitro study using the aqueous extracts of various traditional medicinal plants from Amazonia, searching for antimicrobial activity against both human as well as animal pathogenic microbes. The extracts obtained from muira puama and Pentaclethra macroloba inhibited the growth of the bacteria Klebsiella ozaenae and Acinetobacter baumannii. Figueiró, et al. (2010, 2011) evaluated the effects of an ethanol extract obtained from muira puama and identified promnesic (improving memory), anti-amnesic, and acetyl-cholinesterase inhibition properties in laboratory animals (mice) treated orally with the extract. The results of the studies showed that this plant induces acetyl-cholinesterase inhibition in brain areas relevant to cognition. For this reason, we concluded that muira puama extracts could be a potential treatment for Alzheimer’s disease in humans.

After orgasm, your muscles relax and your blood pressure drops. Your clitoris might feel particularly sensitive or even painful to touch. You might experience a refractory period, during which you won’t be able to orgasm again. Some people experience multiple orgasms, but that’s not necessary for you to have a pleasurable sexual experience. The most important thing is for you to listen to your body and be comfortable. You might struggle to concentrate on anything else — even if you’re not actually having sex! That’s because sexual stimuli activates certain changes in your brain, inducing certain sex-focused brain activity. However, there’s still a lot we don’t know about how the brain works, including how the brain works during sex.

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