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Muira Puama – Is derived from the bark of a tree or its roots. This small tree is native to the Amazonian region of South America and has a plethora of uses among the indigenous peoples of the Amazon, including the following: adaptogen, alopecia (applied topically for hair loss), anorexia, antinociceptive, antioxidant, aphrodisiac, ataxia, beri beri (vitamin deficiency disease), debility, digestive problems, dysentery, fatigue, impotence, neurasthenia, nerve tonic, rheumatism, stimulant, tonic (adding bark decoction to a bath), paralysis, and tremors (Quattrocchi, 2012; Piato et al., 2010; Berdonces, 2009; Duke et al., 2009; Taylor, 2005; Rutter, 1990). Muira puama is an important ingredient of “catuama”, a medicinal poly-herbal combination used in South America, also composed of guaraná (Paullinia cupana), ginger (Zingiber officinale), and Trichilia catigua (Quattrocchi, 2012). One of the main active ingredients in muira puama is an alkaloid known as muirapuamine (Lorenzi and Matos, 2008).

Ginkgo biloba is a popular herbal supplement in traditional Chinese medicine. According to some older research and animal studies, it may treat various issues, including sexual concerns like ED and low libido. This is because it can raise blood levels of nitric oxide, which aids blood flow by promoting the expansion of blood vessels. The potential nitric oxide-boosting effects of ginkgo biloba appear to be stronger in animals and humans with conditions associated with decreased production, such as heart disease. When combined with other compounds like L-arginine, zinc, and Tribulus terrestris, supplements containing ginkgo biloba have been shown to improve libido and sexual function.

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The Royal Government of Bhutan legalized the harvesting of cordyceps in 2004. Since then, cordyceps have been harvested extensively in the alpine meadows of the country at elevations of above 5000 meters above sea level. Environmental conditions play a key determinant in the quality of the cordyceps. When it comes to harvesting, only handpicking is allowed to ensure that there is minimal damage to the environment. The harvesting of cordyceps in Bhutan is highly regulated. Only households belonging from specific region is allowed to harvest and harvesting is only allowed for a month period.

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.

Always practice enthusiastic consent: If you’re not sure whether your partner is into it, always ask! Where does arousal fit into the stages of sexual response? According to the United Kingdom’s National Health Services (NHS), researchers have identified four stages of sexual response — that is, the stages your body and mind goes through before, during, and after sex. Arousal falls into the first stage of the sexual response cycle. The sexual excitement stage — also known as the arousal stage — involves a range of physiological changes in the body. Most of these functions prepare the body for vaginal intercourse. For example, your vagina becomes more wet because the glands produce lubricating fluids. Your clitoris and vulva swell up as your blood vessels dilate. Your nipples might become more sensitive to touch, too.

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Penile enhancement in 2023: 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.