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Part 2 also ended in a draw :(

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The penis is a male external genital organ which is part of both the urinary and reproductive systems. The penis can be divided into three parts – the root, body and glans. The root is not visible externally. It is the fixed part of the penis, located in the superficial perineal pouch of the pelvic floor. The root contains two crura and the bulb of the penis, which are erectile tissues, as well as the ischiocavernosus and bulbospongiosus muscles. Erectile tissues are tissues that engorge with blood during sexual arousal to create an erection. The two bulbospongiosum muscles are associated with the bulb of the penis and contract to empty the spongy urethra of residual urine or semen. It also contracts during orgasm and ejaculation. The two ischiocavernosus muscles surround the crura and contract to force blood distally from the crura’s cavernous spaces into the corpora cavernosa to add rigidity to an erection. The body of the penis is suspended from the pubic symphysis, which is a joint between your right and left pelvic bones. It is composed of three columns of erectile tissue. Extending from the two crura in the root of the penis are a pair of corpora cavernosa, found along the sides of the penis. Extending from the bulb in the root of the penis is the corpus spongiosum, which runs along the bottom of the penis. The corpus spongiosum contains the urethra, which is the tube which allows for exit of urine or semen. Note that the corpus spongiosum fills with blood to a lesser extent than the corpora cavernosa during an erection so that the pressure does not result in the urethra becoming occluded. This way, semen can make their way through during ejaculation. Finally, the glans is the penis’ most distal portion. It is a distal expansion of the corpus spongiosum and features the external urethral orifice, which is the opening of the urethra. Erectile tissue has fascial coverings. The dartos fascia are found in the penis and scrotum, and the portion in the penis is called the superficial fascia of the penis. The part of the fascia in the scrotum is called the dartos proper. Note that the dartos fascia is continuous with Colles fascia in the perineum and Scarpa’s fascia in the abdomen. Going deeper, we see Buck’s fascia, also known as the deep fascia of the penis. It is a continuation of the deep perineal fascia, and holds the three erectile tissues together. Finally, beneath the deep fascia is the tunica albuginea, a strong fascia surrounding each cavernous body that is fused at the midline of the penis. Loose connective tissue connects the fascias to the overlying skin. Two ligaments support the root of the penis – the suspensory ligament, which connects to the pubic symphysis, and the fundiform ligament, which runs down the linea alba, around the penis, and then attaches to the pubic symphysis. The skin of the penis is more heavily pigmented than skin of the rest of the body. The foreskin, or prepuce, is a double layer of skin and fascia found at the neck of the glans. It is connected to the glans surface via the frenulum – this skin fold seen here. The foreskin covers the glans to a variable extent, and the space between the glans and foreskin is called the preputial sac. Finally, let’s discuss the penis’ neurovascular supply. The penis has dorsal arteries, deep arteries, and the bulbourethral artery supplying it, and all of these branch from the internal pudendal artery, which arises from the anterior division of the internal iliac artery. A deep dorsal vein drains the cavernous spaces into the prostatic venous plexus. The superficial dorsal veins drain the skin and cutaneous tissues. Somatic innervation of the penis is via the pudendal nerve, which arises from the S2-S4 sacral spinal segments. The pudendal nerve continues as the dorsal nerve of the penis. The dorsal nerve of the penis supplies sensory and sympathetic innervation to the skin and the glans penis. The pudendal nerve also supplies the ischiocavernosus and bulbocavernosus muscles. Cavernous nerves arise from the pelvic plexus and provide parasympathetic innervation. Hence, they cause vascular changes resulting in an erection. The cavernous nerves supply the corpus cavernosum and urethra and form a network around the erectile tissue.

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Erectile dysfunction (ED) affects an estimated 30 million men in the United States, and 152 million men worldwide. Suffering from ED can have a profound impact on so many aspects of a man’s life, including his quality of life, self-confidence, body image, and relationships. Consequently, many men are willing to try ED treatments. In fact, that’s where a certain brand of ED gummies comes in. An all-natural, nonprescription, over-the-counter supplement, ED gummies are widely advertised as a way for men to ‘enhance sexual performance’ and overcome the symptoms of ED. On the TV series Shark Tank, a company called Formula Wellness prominently features its gummies as one of their ‘next-gen’ ED treatments.

Insights from the Show

When two men behind a line of ED gummies turned up on the television show Shark Tank in 2016, the ‘sharks’ seemed divided between openly rolling their eyes and quietly clucking their tongues over ‘that stuff’. The entrepreneurs explained how they struggled with diminished erections after experiencing their own prostate issues before finding natural ways to fix them. They told the ‘sharks’ that their product would help restore men’s confidence in their bedroom performance. Undoubtedly, the ‘sharks’ smelled blood in the water. The ED gummies that resulted from the show would propagate a kind of forgetfulness about those ancient times, but one ‘shark’ was sympathetic to how standard treatments could lead to interpersonal strife.

In truth, the big ‘sell’ point for the founders of Lovehoney on the show was that their ED gummies contained natural ingredients. The listening shark mentioned ingredients like ‘herbs’ and ‘vitamins’ that the founders noted had been scientifically proven to enhance sexual function and performance. The emphasis on naturalness satisfied at least one of the sharks, who saw an opportunity for better and safer ED alternatives to what he called ‘synthetic pills’.

At one point in the pitch, they also shared testimonials from men who had used their ED gummies and reported improvements. These testimonials lent more credence to the pitch by providing testimony of how the product helped men with ED. In fact, some of sharks were willing to invest in it because they accepted the market demand for a more natural way to relieve ED.

Benefits of ED Gummies

Convenience is indeed another great advantage of ED gummies. Unlike other ED medications which have to be taken along with water, you can chew, and swallow an ED gummy in a minute even in public.

One more advantage is the natural ingredients of ED gummies Since prescription pills for ED are safe and effective, many men still prefer not to use ED drugs. The main reasons for this is the fear of the side effects and drug-drug interactions. You can find a lot of pills that contain Sildenafil or Tadalafil, which can treat ED effectively and safely – that’s not a problem. But some men are afraid of dose, onset delay and uncomfortable effects like faster heart rate, facial flushing and so on. ED gummies have natural ingredients that are generally safe and well-tolerated. This makes ED gummies popular among men who prefer the natural ED treatments.

Furthermore, gummies are less expensive than the prescription drugs used to treat ED. The high cost of prescriptions for ED is a barrier to people seeking treatment for ED, especially if they do not have insurance. These ED gummies offer an affordable option for men who suffer from ED but are unable to afford prescription treatments.

Risks and Limitations

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ED gummies can be helpful but they are not a miracle cure. The reason for this is because ED gummies will not work for everyone. The efficacy of any ED gummies for ED can be unpredictable, and it is likely that the gummy will not improve erections for those who suffer from it. As FDA-regulated prescriptions are not required for ED gummies, this means that the FDA does not regulate any ED gummies. That’s why it is difficult to tell if ED gummies are safe or effective.

Men are advised to also be mindful of the risk for two-way drug interactions – and should seek medical advice before trying ED gummies if there is a possibility of interacting with other medications or health concerns. Above all, if you have underlying health issues, always seek professional attention before ED gummies are tried – those with heart disease or diabetes for example, should be especially cautious.

In conclusion, I believe that although the ED gummies are a promising alternative for some men with ED, however we need to use them with caution and we should consult a healthcare provider before taking them. Each supplement or drug has its risks and also limitations, therefore we should consider Time to make decision whether it is worth trying them or not.

Frequently Asked Questions

Q: Are ED gummies safe to use?

A: You may find that ED gummies are safe for most men but, as with any new medication, ask your healthcare provider if it is safe for you.

Q: How long does it take for ED gummies to start working?

A: There is some variation in how well ED gummies work for different men, however, some men report seeing results within a matter of weeks.

Q: Can ED gummies cure ED completely?

A: ED gummies are not truly a cure for ED, but could potentially help some men with their sexual function and performance. Setting realistic expectations and discussing with your provider a plan that works for you could be important.

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