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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley cheap penis elargement pills vigrx scam enlagement erection penis pill vimax do penis enargement pills really work penis enlarement pills review male pnis enlargement manual pnis enlargement penis enlargment program
Being a natural athlete I’ve always sought to find more ways to increase testosterone levels naturally. The question I’ve always asked myself was what are the variables, which determine how much testosterone is boiavailable. I’ve read articles before, giving some advice on what in my every day life causes my test levels to go up and what causes them to go down. But after an extensive research I couldn’t find an article, explaining in detail how and actually what exactly I should manipulate directly in my system to achieve the effects I desired – namely not only higher levels of circulating testosterone but also how much of it will be available to the corresponding receptors in the cell walls. Moreover, I wanted to know all this in regards to natural bodybuilding… So, I decided to do some good digging and reading and then if I manage to put things together, to lay that in writing form so that others can benefit as well. Without wasting even a minute more I will start this off by describing what testosterone is and what it does in the human body. Testosterone is a steroid hormone with anabolic and androgenic properties. It is the main hormone, responsible for the increase in lean muscle tissue, increased libido, energy, bone formation, and immune function. Testosterone is secreted in the testes in men and in the ovaries in women. Small amounts are also secreted in the adrenal glands. Testosterone is derived from cholesterol. The levels of testosterone in men range between 350 and 1,000 nanograms per deciliter (ng/dl). After the age of 40 these normal levels start dropping by roughly 1 per cent a year. In the blood stream testosterone circulates in great percentage bound to so called binding proteins. Sex Hormone Binding Globulin or SHBG is the one that concerns us the greatest. Why? Because this is the main reason why testosterone might not be available to reach the cell receptor. When testosterone gets attached to SHBG, it is no longer able to perform its anabolic functions. What elevates SHGB: Anorexia nervosa, Hyperthyroidism, Hypogonadism (males), Androgen insensitivity/deficiency, Alcoholic hepatic cirrhosis (males), Primary biliary cirrhosis (females). What suppresses SHGB: Obesity, Hypothyroidism, Hirsutism (females), Acne vulgaris, Polycystic ovarian disease, Acromegaly, Androgen-secreting ovarian tumors Less than 1% of the circulating testosterone is in a free form in males (less that 3% in females). Only when in a free form this hormone can exhibit its properties by connecting to the androgen receptors on the cell walls. Based on a study 14 to 50 per cent of the testosterone is bound to SHBG in males and 37 to 75 in females. It is worth mentioning that SHGB poses very high affinity for binding to testosterone. Therefore, changes in the SHGB levels noticeably influence the level of bioavailable testosterone. Let’s discuss for a moment what exactly a testosterone bioavailability is. Other than SHGB there are two more testosterone-binding proteins, also called carriers. One of them is albumin. It is a low-affinity binding protein, thus testosterone bound to it is considered “bioavailable”. Albumin binds to testosterone in the range 45 to 85 per cent in men (25 – 65 in women). The third carrier is the cortisol binding globulin, which binds also with low-affinity to less that 1 % of the testosterone in circulation. The free androgen index (FAI) indicates the amount of bioavailable testosterone. FAI is the sum of the free testosterone and the albumin and cortisol binding globulin. Or it’s the total serum testosterone minus the SHGB-bound testosterone. It is now clear why we should focus our attention on the properties of SHGB. The levels of this binding protein increase when there is excess estrogen present. Conversely, SHGB levels drop if the testosterone levels are elevated. Here I should mention the fact that SHGB exhibits higher affinity to testosterone than to estrogen. Now, pay close attention… It’s a well-known fact that testosterone is an estrogen precursor – it will convert to estrogen under the influence of the enzyme aromatase. Nothing that we don’t know so far. Here is where it gets interesting. Suppose that we have normal testosterone levels and we don’t suffer from any of the health ailments, which influence the SHGB levels. That means that SHGB levels are normal, too. Bare with me now. If more of this testosterone is converted to estrogen due to abnormal aromatase levels, the SHGB I will increase as well. SHGB, being more readily bound to testosterone, will leave us with excess estrogen levels in the system, which in turn will stimulate increased production of the SHGB protein from the liver. This whole process ultimately amplifies estrogen levels. Estrogen readily binds to the androgen receptors in cells thus leaving less opportunity for the free testosterone. Even more important, estrogen is the messenger molecule that signals the brain to decrease testosterone production. Another thing of great importance is the fact that over 40 per cent of the SHGB protein circulates unbound in the blood stream in man (over 80 per cent in women), and albumin circulates unbound almost all of the time. Thus increase in the total testosterone levels does not produce any noticeable changes in the free testosterone levels unless there is a significant increase like the one seen after synthetic steroid hormone administration. Well, this whole story brings us to the conclusion that the main approach should be - to keep the testosterone bioavailability high. In this regard a natural athlete should strive to: · Prevent testosterone levels from getting low · Attempt to increase the total testosterone as a means of keeping the testosterone levels from plunging · Block the testosterone-binding effects of SHBG · Lower the levels of the enzyme aromatase - less testosterone conversion to estrogen 1. How to prevent testosterone levels from getting low? - Obesity. Based on the way the testosterone-estrogen mechanism works, increased levels of estrogen will ultimately decrease the circulating testosterone. Excess fat causes more estrogen production due to the fact that fat cells are those, which manufacture estrogen. So, the more fat cells, the more estrogen in the blood and the less testosterone. - Drug and alcohol abuse. Alcohol has the property to inhibit your ability to remove estrogen from the blood stream by acting as a central nervous system depressant and also by decreasing zinc levels. - Stress elevates corticosteroid levels in the blood steam, which causes the testosterone levels to decrease. - Medications. Some medications, including estrogen and progesterone, lower the lutenizing hormone (LH) levels. LH is the hormone, responsible for the steroid hormones production. - Diabetes. Studies suggest that there is a link between type 2 diabetes and lower testosterone levels. - Hypertension and high cholesterol levels. These both cause the arteries to harden, this way decreasing the blood flow to the sex hormone producing organs. That of course leads to low sex hormone levels. - Aging. Fact is after the age of 40 test levels drops by roughly one per cent per year. We can’t do too much about that. The clock keeps ticking for all of us. However, we can try to manipulate testosterone levels in any other possible way. - Low fat diet. Low fat consumption causes increase of the SHGB, which means one thing – less free testosterone. It is considered that monounsaturated fats play an important role in testosterone levels and bioavailability. - Overtraining can contribute to as much as 40 per cent drop in testosterone levels. That is why it’s important to notice early the signs of overtraining and give the body a week or two well-deserved rest. - Not enough sleep. If you are not getting enough sleep the body is not recuperating well, which causes less testosterone and more corticosteroids to be released. Just to mention corticosteroids like cortisol are in fact catabolic hormones meaning they use up muscle tissue to provide the brain and the heart with energy. - Vitamin C. It suppresses the release of the stress hormone cortisol. Cortisol decreases testosterone levels. So, ultimately less cortisol, more testosterone. 2. How to boost testosterone levels - Incorporate basic movements that involve several muscle groups in your training routine. Good ones are squats, dead lifts, and military presses. Basic (compound) exercises have been shown to play an important role in the testosterone levels. - The greatest workout related testosterone production occurs with the use of heavier weights and lower rep range. A study shows that the best is 85 per cent of your one-rep max. - Tribulus terestris is a natural supplement, which has been shown in some studies to have the ability to increase the leutenizing hormone (LH) levels. As we already mentioned above, one of the functions of LH is to stimulate testosterone production by the testes. 3. Block the testosterone-binding effects of SHBG - Nettle root as a highly concentrated extract has shown to be effective at binding to SHBG and therefore it permits more free testosterone to circulate the system. It also acts as a 5-alpha reductase inhibitor. This is the enzyme, responsible for the conversion of testosterone to dihydrotestosterone (DHT), a more potent form of the male sex hormone, which causes prostate enlargement and ultimately cancer. Methanolic extract of nettle can also cut down the SHBG levels, which is another form of elevating the free testosterone in the blood stream. - Pygeum (prunus africana) is another herb, known to block the testosterone-binding effects of SHBG. Nettle root and pygeum extracts also benefit the prostate gland as a preventive treatment for benign prostatic hyperplasia (BPH) both by blocking the 5-alpha reductase action. - Avena Sativa is an extract from the straw of oats. It has somewhat different properties. It works by freeing bound testosterone, which increases the free testosterone in circulation. 4. Lowering aromatize levels - Zinc. The mineral zinc inhibits the aromatase enzyme that converts testosterone into excess estrogen. The recommended dose for inhibiting aromatase is 80mg daily. However, be sure the combined zinc quantity of all the daily supplements you are taking does not go over this benchmark. - Chrysin is a bioflavonoid that has shown a potential as a natural aromatase inhibitor. Chrysin is poorly absorbed in the system. It is found that when taken along with piperine, chrysin exhibits a lot better absorption. Supplementation with chrysin and piperine together might bring good results in reducing aromatase levels. How does this all apply to the sport of natural bodybuilding Let’s assume you are an individual, who exercises regularly and who doesn’t consider taking exogenous steroid hormones. With other words you are a natural athlete or enthusiast, who desires to keep his natural testosterone levels in the range, favoring good health and lean muscle mass build up. Here is what you do: 1. If you are even slightly overweight consider staring immediately a diet and training routine, tailored toward fat loss and lean muscle retention. 2. Consider also dropping the alcohol intake to absolute minimum if you want your efforts in keeping test levels high to give results. 3. Begin mastering some types of self-control or even meditation. These will take care of the excess stress levels. 4. Take medications only if they are absolutely essential for your health and are prescribed by your doctor. Talk to your personal physician to find out if there are any natural remedies to replace your current medications and if he recommends such approach for your health issue. 5. Keep your blood pressure and the serum cholesterol in check. 6. Eat enough good fats in your diet. Good means monounsaturated and omega-3 and 6 polyunsaturated fats. 7. Don’t ever overtrain. Sleep enough to promote good recovery. Signs of overtraining are loss of appetite, tiredness and irritability, lack of motivation, impaired mental focus, prolonged recovery periods. 8. Start relying more heavily on basic exercise movements. Train in the low rep range most of the time. 5 – 8 reps will ensure that you’re using weights that will eventually stimulate elevated testosterone levels. 9. It will only do you good if you decide to try some or all of these natural supplements: chrysin - piperine blend, nettle root extract, pygeum, avena sativa extract, and tribulus terestris. Try to find them in your local health store. Follow the directions for best results. 10. And you shouldn’t even consider training without supplementing your diet with enough vitamin C (at least 1g a day) and zinc (15mg min.). Take vitamin C with your multivitamin formula after breakfast, and post-workout with your protein shake. Zinc should be present in your multivitamin blend but this is not enough. Take zinc with magnesium in the form of ZMA right before you go to bed on an empty stomach. References: Ron Geraci, Men's Health, December 25, 2000; 13 Ways to Naturally Boost Your Testosterone Levels LE Magazine January 2000; Replenish Testosterone Naturally Plant extracts favorably alter hormone metabolism and improve sexual desire in men Jennifer A. Kelly, Ph.D. and Leo Vankrieken, Eur. Eng. Diagnostic Products Corporation; Sex Hormone Binding Globulin and the Assessment of Androgen Status Cockatoo.com; Avena Sativa - are oats an aphrodisiac? Gabe Mirkin, M.D.; High Cholesterol Causes Low Testosterone Bodybuilding.com, Chrysin Info And Products - Block Estrogen, Increase Testosterone male penis enhancement penis enargement pic penis enlagement forum free penis enhancement tip penis elargement before and after bottle vimax pills penis enargement without pills penis enlarement system cheap pennis enlargement
Have you ever thought to yourself, "My sex life would be so much better if my partner was a just little more/less _________"? Yes, you have. It's happened. Human beings are all unique, with all sorts of physical and psychological variations that aren't always ideal for the ultimate sex life. Don't despair, however! Technology has brought us leaps and bounds forward in the search for sexual pleasure. Sex toys are no longer limited to cheap, plastic, phallic-shaped things. There is a wide variety of fun, useful products designed to improve our personal, loving sex lives and strengthen our relationships. So if the man of your dreams just happens to be a little under par in the size department, or you find yourself wanting more than he can give, it doesn't mean you can't have ultimately satisfying sex. Read on… Problem 1: "He's too small" There are a few solutions to this problem, if indeed this is a problem at all. 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A huge member doesn't always guarantee pleasure; it can often cause pain for women with tight or short vaginal canals. The best solution to this problem is lots of foreplay! Spend lots of time getting her excited using your hands or mouth. When she's ready, slather on a healthy dollop of lubricant and ease in slowly. Silicone-based lubes tend to work best for easing the friction of a tight fit. If he's really long, try a set of penis donuts. These fit tightly at the base of the penis so he'll still receive stimulation, but they're wide enough keep him from going further in than she's comfortable with. Some positions to try: her on top, so she's in complete control of penetration and speed. Side-by-side also limits how deeply he can penetrate. Problem 3: "He wants it all the time" If your partner is always after you for sex, and you're never "in the mood," you may be setting yourself up for some serious long-term relationship problems. Try not to think of this as his problem; there are a number of solutions you can enact that can directly affect you. Some things to try: *Make sure you're keeping a healthy sleep schedule – Not enough sleep leads to a reduction in testosterone, the hormone that gives you a healthy libido. *Take active responsibility for your sex drive – Figure out what turns you on, don't leave it to your partner to guess. When you pinpoint what gets you in the mood, do it often, share it with your partner, whatever it takes to enjoy yourself. *Identify and work out issues with your body image – The better you feel about your body, the more likely you are to enjoy sex. This may require getting a gym membership or scheduling counseling. *Initiate sex, even if you're not in the mood – By taking the reigns, you take control of the situation, which can be a major turn-on for you. You don't even have to go all the way. Oral sex or even manual stimulation will make your partner equally grateful, and can rev up your own lagging libido. *Fantasize – Let your body and mind get in the mood without the pressure of having to perform or please someone else. Find a fun vibrator or other toy help you enjoy your alone time. The more you exercise your libido, the healthier it'll become. Problem 4: "He doesn't want it as much as I do" Biology has set us up for a cruel trick: as we age, a woman's sex drive goes up while a man's libido starts to fall behind. While many women fear this is because they have become less appealing to their partners, in most cases, this couldn't be further from the truth. Here are some things you can do to help yourself out: *Masturbate – When you need to take the edge off, close the door, turn on some music, and spend some quality time with your favorite rabbit vibrator. *Make sure it's sex you're after – Identify whether you're actually craving sex, or if you're looking for love, intimacy, affection, or a stress-reducer. There are other ways of receiving these without depending on sex. *Know your partner's appetites – Learn what turns him on and off. Explore all the options of the things they enjoy, broaden your repertoire of sexual knowledge, and be sure to mix it up. A simple sex swing can make your sex lives seem brand new again. *Utilize the quickie – Sex doesn't always have to be an hour-long excursion. Use lots of lubricant and make the most of whatever time you have. Take an active role in improving your sexual happiness, and you'll find that you both benefit. Life changes over time, and your wants and needs will forwever be fluctuating, so be sure to communicate, work through whatever issues you may have together, and don't be afraid to try new things. Satisfaction comes to those who work at it! penis enlargment device penis enargement pic before and after penile enlargement penile enlargment program penis enlargment tool vimax best penis enlargement pills best enlargement exercise penis enlargment manhattan penis cheap pennis enlargement
Genital warts are caused by a group of viruses called human papilloma virus, also termed condylomata acuminat and are spread by sexual contact with an infected partner. Today, sexual transmitted diseases infect nearly 20 million people. There are one million new cases per year and another one million don’t know they’re infected because they have no symptoms. Like other STDs HPV, infection may not be symptomatic. Infected cells from a partner with no genital warts may adhere to the genital area of a partner with no warts spreading the infection. In men, genital warts can be found in the urethra, penis and rectal area. Warts are soft raised masses with a surface that can be smooth or rough with many projections. They can vary in shape, size and color. They are mainly whitish or flesh colored and some times, invisible to the naked eye. Some genital warts may appear as cauliflower shape as individual growths or in clusters. Some of these types of genital warts show absolutely no signs at all, so that you could spread the virus without even knowing you have it. For this reason, you should get a check-up every time you switch partners; that way, the risk is reduced. In women, warts occur on the lips of the vagina, inside the vagina or around the anus with an increase in dampness and moisture in the infected area as well as an increase in vaginal discharge. Abnormal vaginal bleeding occurs after the sexual intercourse. As symptoms of genital warts may appear after several days of viral infection, regular checkups are recommended. male pennis enlargement permanent pnis enlargement cheap vigrx pnis enlargement video penis enhancement pic vimax safe penis enlargement erection penis pill size vimax enargement manhattan penis surgeon cheap pennis enlargement
After skin cancer, prostate cancer is the most common form of cancer seen in men today with more than 230,000 cases been diagnosed annually in the United States alone. It is also a major cause of death amongst men in the United States and claims more than 30,000 lives every year. Although prostate cancer is more likely to be seen in African American men, men with a family history of the disease and men over the age of 60, it does not otherwise discriminate in choosing its victims and claims the lives of poor and rich alike including some well know figures like Don Ameche, Bill Bixby, Telly Savalas and Frank Zappa. While any death is clearly regrettable, the deaths of such well known personalities from prostate cancer has done much to raise the visibility of the disease and this, combined with other figures such as retired General Norman Schwarzkopf, Supreme Court Justice John Paul Stevens and comedian Jerry Lewis who have all publicly fought prostate cancer, has led to greater public awareness and earlier medical intervention. And the results are clear to see. While some 230,000 people will be diagnosed with prostate cancer this year, the figure 10 years ago was 330,000. Similarly, while in the region of 30,000 will die from prostate cancer this year, the figure again 10 years ago was nearly 42,000. There are two major problems with prostate cancer. The first is a reluctance on the part of many men to talk about anything to do with their sex organs or to visit their doctor until the symptoms are so bad that they simply don’t have any choice. The second is the fact that it is quite common for men to suffer from an enlarged prostate and therefore to experience problems with urinating as they enter their 60s. Because an enlarged prostate is a benign condition and enlargement of the prostate generally progresses slowly, they simply put up with the problem as simply another sign of growing old. The problem here is that, while an enlarged prostate does not cause cancer, the symptoms produced by an enlarged prostate can mask the symptoms of a developing prostate cancer. As with many forms of cancer, the secret to finding a prostate cancer cure lies in the early detection of the condition. If the disease is detected at an early stage when it is still confined to the prostate gland then it can be treated without too much difficulty. Once it starts to spread however into the surrounding tissue, and particularly into bone tissue and the lymphatic system, treatment is far more difficult and less effective. There are now a variety of tests available to detect the presence of prostate cancer and a prostate cancer cure is certainly within the reach of most men as long as they act quickly as soon as the first signs of trouble appear and consult their doctor.