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Erectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. 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. His radio programs recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon Serge Voronoff. No known side effects are linked with this herb. To date, its effects on treating impotence and other sexual dysfunctions have been extensively studied. Once an erection is achieved, the man places the elastic ring on the base of his penis, which keeps blood from draining from the penis back into the body. There are two forms of impotence: primary and secondary. Tribulus had been used as traditional medicine to treat sexual dysfunction and male infertility in Europe and Asia for many decades before improvement in scientific extraction techniques allowed identification of its active ingredient, protodioscin. 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. There are two forms of impotence: primary and secondary. Several types of FDA approved vacuum therapy devices are available with a doctor's prescription. So, before you invest in costly and potentially dangerous chemical drugs, you may want to consider natural treatments for impotence. Although they are generally safe and free of side effects (unlike chemical drugs), it is important to know that the quality of their extraction and preparation processes varies widely. Impotence, or erectile dysfunction, was once regarded as a man's worst nightmare. Given the advances in medicine and nutrition research, however, it is no longer a scary thing. The practice, which involved inspection of the complainants by court experts, was declared obscene in 1677.