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To have sex is a natural instinct. Right from the moment an individual reaches puberty his or her view on sex goes on transformation. There comes a moment in life when one is not able to have sex as he or she is aging. For youthfulness one has to have young mind. Mind is the centre of all things. And there is no better medicine to rejuvenate an old individual’s mind than having sex. But to have sex both partners must be psychologically and physiologically be ready. But if the male partner has erectile dysfunction (ED) problem then it is useless even to think about having sex. ED is a commonly found in aged males. It renders his penis useless while having sex. ED can be even found in other non aged males due to several reasons. So, taking of a drug which can get him out of ED is the best option he can choose. Levitra is such an erectile dysfunction treatment pill. Its constituent is Vardenafil Hydrochloride. It is marketed by Bayer Pharmaceuticals Corporation and GlaxoSmithKline. It works by relaxing the penile muscles which in turn leads to increase in blood flow to penis. As the blood is pumped into the penis, it gets harder and gets an erection. The erection lasts long enough to complete love making. Once the male partner ejaculates the erection should fade away. In case erection does not fade after having sex or the erection stays for more than four hours then the person should consult a doctor. The dose for Levitra is a pill a day or as directed by the doctor. If both the instruction is contradictory then doctor’s direction should be followed. The ED pill too can be used by persons with high cholesterol, type 1 or type 2 diabetes or high blood pressure. It is not for use by women or children below 18 years and persons above 65 years. A person with blood pressure, heart ailments or any other diseases whose medication may contain nitrate is not advised to take the pill. Possible side effects of Levitra which are mild and short-term are chest pain, swelling of limbs or ankles, shortness of breath, dizziness, painful erection and allergic reaction to the drug etc. In case of side effects do not hesitate to consult your doctor. Levitra is an ED treatment prescription drug formulated so as that you enjoy your sexual life. But you must have a sexual arousal for having it. It helps you in getting an erection and maintaining it and not in getting you an arousal. natural pnis enlargement exercise penis enlarement excersizes safe penile enlargment penile enlargement device penis elargement operation penis enlargment penis enlargment fact penis elargement tool

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Don’t let your premature ejaculation problems get you down and don’t wait for your disappointing sex life to ruin your relationship before checking out what you can do. You shouldn’t be embarrassed to seek help for premature ejaculation as it’s a common problem that plagues many men. If you only have a minor issue then there is no point seeking professional help but should instead try using distraction techniques as you near climax. Premature ejaculation is only considered a real issue if you cannot last more than 3 minutes. If you are one of those that definitely fall into the category where premature ejaculation has a major negative impact on your sex life then there are several options to you especially if you are willing to seek professional help. Anti depressant drugs are now being prescribed to help control premature ejaculation as it is widely known that they delay climax. This is not a route I would personally recommend due to the addictive nature of anti depressant drugs. The Master-Johnson is based on a special penis grip which is commonly promoted as an effective means of controlling premature ejaculation as it reduces the desire to climax. It is a technique that really needs to be demonstrated to have the desired affect so it is advisable to seek expert help. There is a new drug called ‘dapoxetine’ which is closely related to Prozac (currently in stage III trials) and reported to have a similar affect on premature ejaculation as anti depressant drugs. It does have some uncomfortable side affects such as dizziness, nausea and headaches and I would be concerned about any possible addictive nature. It is definitely worth trying self control techniques before going down this route. Penile skin creams that contain topical anesthetics which dull sensation in the penis help some men control premature ejaculation. Unfortunately they can prove to be an irritant and can also dull the sensations of your partner. Learning self control techniques, in my opinion, tend to top the list for controlling premature ejaculation being completely natural with no risk of side affects and, other than a little time, having no adverse impact on other aspects of your life. At the end of the day there is a common consensus of opinion that there is no physical reason why premature ejaculation cannot be controlled and therefore is a case of mind over matter. That being the case it is far more preferable to learn to control premature ejaculation through a few basic techniques rather than resorting to the drugged up route that could have other significant downsides which might affect your work and your personal life. penis elargement pills product vimax penis enlargement program penile enlargement product cheapest penis enlargement pill enlagement manhattan penis surgeon homemade pnis enlargement penile enlargment doctor penis enargement pills do pennis enlargement pills really work

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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005