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Case Study - Possible side effects of Tribulus, Penile shrinkage and growth,  and male menopause for no sexual orgasm.
Reader: 11/28/2001>
#1- Want to know if there is any side effects to Triblus Terrestris when taken to restore a low testorrone count?

#2- When I get an erection the head of my penis doesn't get stiff, to the best of my knoledge I have never hurt it, but this has been like this for 3 years?


Dr. Lin: 11/29/2001>
1. Due to your age, Tribulus at a high dose (500-600 mg and above) may overdrive (over-stimulate) your hypothalamus/pituitary-testicular axis if your testicular function is weak. The result is hot flushes - menopause symptoms due to the overworking of the hypothalamus without sufficient testosterone (estrogen for women) in the brain's hormone receptors.
You should elevate your hGH production and power your brain's dopamine system for the hypothalamus/pituitary-testicular axis to kick in.
For young men, Tribulus Terrestris at a high dose will cause premature ejaculation - the other symptom of the hypothalamus/pituitary-testicular axis.

2. Your penile parasympathetic nervous endings don't release sufficient Nitric Oxide (NO) for the cGMP synthesis in the smooth muscles of the penile arteries for arterial dilation. The penile arterial dilation that causes the blood flow rushes into your glans and seal off the flow-return penile veins, is responsible for a hard erection. The release of NO and cGMP requires DHEA, androstenedione (for testosterone and estrogen), and neurochemicals in the local tissues, where the relaxant and elastic hormone prostaglandin E-1 is also synthesized in the penile spongy tissues. Prostaglandin E-1 and NO/cGMP promote frequent, spontaneous, hard erection during the puberty, the conditions for penile growth in conjunction with the presence of super-potent DHT (DiHydroTestosterone) in the penile spongy cells.

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