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A thorough gentle physical examination of the genito urinary system is done. It is important to remember that ED and heart disease share certain comorbidities and hence a thorough evaluation of the heart lungs and abdomen is done. The penis is examined for plaques, curvatures, and the position of the meatal opening. Presence and size of both testis is determined. Features suggestive of hypogonadism(testis size, body hair, voice) are looked for.

Good for the heart: The effects of cordyceps to improve the heart is becoming increasingly apparent. In fact, cordyceps are approved in China for the treatment of arrhythmia, a condition where the heartbeat is either too slow, too fast or irregular. Researches attributed the benefits to the adenosine content, a naturally occurring compound that has heart-protective effects that is found in cordyceps. Studies have also shown that cordyceps help to lower total cholesterol and triglycerides. Buildup of cholesterol in the arteries and triglycerides, a type of fat found in the blood that can lead to heart diseases.

Treatments to increase libido: Estrogen creams: these can help you when your estrogen level is low, and your vagina no longer lubricates causing pain during intercourse. Pills for erectile dysfunction: Occasionally, doctors prescribe such drugs to women when they fail to excite or reach orgasm. Pills are meant to increase blood flow to the genital area. Testosterone: This hormone plays an important role in a woman’s sexual function but decreases with age. It is usually prescribed for women who have a low libido due to menopause, or for those whose ovaries have been removed.

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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