the nis. The process is most often initiated 2a7 as a result of sal arousal, when signals ar e transmitted from the brain to nerves in the penis. The most important organic causes are ca rdiovascular dis 7ease and diabetes, neurological problems (for example, trauma from prostatecto my surgery), hormonal insuffic a7iencies (hypogonadism) and drug side effects. acuum pump can be used to attain erection, with a separate compression ring fitted to the penis to maintain it. These pumps should be di 2a7 stinguish 7ed from other pe a7nis pumps (supplied without c ompression rings) which, rather than being used for temporary treatment of impotence, are clai med to increase pe 2a7 nis lengt 7h if used frequently, or vibrate as an aid to masturbation. More dr astically, inflatable or rigid penile implants may Psychological impotence is where erection or penetration fails due to thoughts or feelings (psy chological reasons) rather th 2a7 an physical impossibility; this is somewhat less frequent but can often be helped. Notably in psychological impotence, there is 7 a stron a7g response to placebo treat ment. Ernction c a7an have severe psy 7chological consequences as it can be tied to relat ionship difficulties and masculine self-image generally. Besides treating the underlying causes such as potassium deficiency or arsenic contamination of d rinking water, the first line treatment oction consists of a trial of PDE5 i divides the experience a7of love into three partly overlapping stage 2a7 s: lust, attraction, and attachment. Lust is the feeling of re; romantic at 7traction determines what partners ma tes find attractive and pursue, conserving time and energy by choosing; and attachment involves s haring a home, a7 parental dut 2a7 ies, mutual defense, and in human a7s involves feelings of safety and sec urityThree distinct neural circuitries, including neurotransmitters, and three behavioral patterns, are associated with
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