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Penile Implants These are the most irreversible and drastic ways of achieving artificial erection. Only when all other measures have been exhausted with no longer-lasting effects are achieved is that penile implants are warranted. These are prosthetic devices made of inert silicone, which are surgically inserted into the penis. Normal erection cannot be achieved after that. There are two kinds of penile implants: Passive Implants: Two rods of silicone are inserted into the penis, which remains erect all the time. The silicone rods can be put in different angles, but this may be an embarrassment in public occasions such as swimming. Orgasm may be achieved unless there are hormonal or neural factors which impede it. Active Implants: These are inflatable silicone pouches which are also implanted into the penis. The penis remains in flaccid state until a proper manipulation of the prosthesis causes its inflation and consequent erection. One type of implant is activated by pressing the glans (the head of the penis) with one hand. Liquid is transferred from a reservoir to the main inflatable pouches. In another type, the liquid reservoir is implanted into the scrotal sac, and can be pumped by hand. Other Treatments Other surgical and non-surgical treatments for impotence are being tried in an experimental basis, and there may be a promising future for some of them. For instance, groups of physicians in Russia and Germany have been experimenting with electrical stimulation of the pelvic area using an external pad applied to the abdomen and back. There are already commercial devices using this principle, which seems to increase the blood flow in the genital area. Direct stimulation of pelvic nerves (leading to a nerve-induced erection) by using implanted electrodes and an electrical pacemaker-like device are also being considered. "Natural" or alternative methods do abound. They range from "natural" foods which have high testosterone or DHEA levels, such as green oats (marketed under the brand name of SEXATIVA) or saw palmetto; to yoga exercises to increase muscle tone and blood flow in the genital area. It is hard to say whether there are real effects or they are just the effect of suggestion or placebo phenomena. One thing has been scientifically determined, however. The blood levels of testosterone increase just after exercise, or by loosing excessive weight. Thus, a natural way of combating mild hypogonadism might be frequent exercising and keeping a normal weight. Controversial and unapproved treatments Controversial and unapproved treatments Bremelanotide The experimental drug Bremelanotide (formerly PT-141) does not act on the vascular system like the former compounds but increases sexual desire and drive in male as well as female. It is applied as a nasal spray. Bremelanotide works by activating melanocortin receptors in the brain. It is currently in Phase IIb trials. Ginseng A double-blind study appears to show evidence that ginseng is better than placebo: see the ginseng article for links and more details. Enzyte Enzyte is a product that has been advertised by saturation coverage on television channels such as Court-TV. However, the Center for Science in the Public Interest (CSPI) has filed a complaint with the Federal Trade Commission (FTC) about Enzyte for deceptive advertising. It is manufactured by Berkeley Nutritionals, which is alleged to be the subject of an investigation by the Attorney General of Ohio and the defendant in class-action lawsuits. Enzyte is a supplement that claims to increase the male libido or frequency of erections of the penis. Commercials for Enzyte are shown regularly on television. These commercials feature a man named Bob who never stops smiling, apparently because he had taken Enzyte and improved the size of his sex organs. The commercials are riddled with symbolic phallic imagery, e.g. golf clubs, remarkably tall glasses of iced tea, and a hose spraying barely a trickle of water (carried by someone who doesn't use Enzyte). The effectiveness of Enzyte is in dispute. Some medical professionals in fact advise against taking Enzyte, saying that it can lead to damage. The Center for Science in the Public Interest have urged the Federal Trade Commission to disallow further television advertising for Enzyte due to a lack of proper studies supporting claims. Enzyte maker Berkeley Premium Nutraceuticals, Inc., is currently under a class action lawsuit for false advertising. Enzyte is said to contain: Tribulus terrestris; Yohimbe Extract; Niacin; Epimedium; Avena sativa; Zinc Oxide; Maca; Muira Pauma; Ginkgo biloba; L-Arginine; Saw Palmetto. Other ingredients: gelatin, rice bran, oat fiber, magnesium stearate, silicon dioxide. Herbal and other alternative treatments These are generally ineffective when tested blind, but may be useful for their psychological (placebo) effect: if a good result is expected, any highly-praised, and often expensive, treatment can be effective. Reputable drugs can also benefit from the same effect. Uncontroversial treatments for erectile dysfunction PDE5 Inhibitors The prescription PDE5 inhibitors sildenafil (Viagra®), vardenafil (Levitra®) and tadalafil (Cialis®) are prescription drugs which are taken orally. They work by blocking the action of PDE5, which causes cGMP to degrade. cGMP causes the smooth muscle of the arteries in the penis to relax, allowing the corpus cavernosum to fill with blood. Vacuum pump An external vacuum pump will produce an engorged penis with success approaching 90%; a penis ring will maintain this state, although it should be removed after not more than 30 minutes. The erection is not as rigid or hard as a natural erection; drugs or injections, when they work, may be preferable. Various studies show the degree of satisfaction of users and their partners to be vary variable, even when drugs and injections do not work; in one study, about 20% of men who tried a (high-priced) pump decided to proceed to purchase one. Other studies show higher percentages of satisfied users. In some cases frequent use of a vacuum pump can eventually improve the degree of erection attainable without use of the pump. Claims of cheap "penis pumps" to permanently increase maximum penis size should be viewed with caution, however. Some vacuum pumps are sold at a higher price with 100% refund within 90 days to dissatisfied users, with a somewhat lower price with 50% refund guarantee (Osbon Erecaid, [7]). This pump is supported by medical insurance schemes, including the UK's NHS and US Medicare and private insurers. The better-known pumps sell for prices of around 200 GBP/400 USD (2006). There is at least one vacuum pump with rings which sells for around one-fifth of this price (Noogleberry, [8]). Specific devices are mentioned for information only; mention should not be taken as endorsement. where to buy vigrx best penis enlargment pills penis enlargment pump penis enlagement doctor pennis enlargement without pills best pennis enlargement surgery free penile enlargment exercise penis elargement stretcher

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The next time you’re at a party and there’s a lull in the conversation rather than trying to fill the gap with your knowledge of sports statistics, sitcom trivia or movie tidbits wow your listeners with this amazing array of info on everyone’s favourite subject: SEX! Mighty Mr. Willie Size There’s a great variety in the size of flaccid penises, but there’s less difference when they’re hard because smaller penises enlarge more during erection. The average length for a fully erect penis is 15 cm (about 5 ¾”). Ninety percent of men’s pleasure poles measure between 13 and 18 cm (5 - 7”). Records for the shortest and longest fully functional penis are a tiny 1.5 cm and a whopping 30 cm! If you feel the need to see how you measure up first get an erection then, while standing, angle your penis straight out from your body. Extend a ruler from your pubic bone just above the base of your penis out to its tip and count the inches. Helping Him Grow Because there are no muscles in the penis that affect size, exercise doesn’t do anything to make your penis bigger. There are techniques for enlargement but they involve serious surgery and can have very unpleasant side effects or complications. No matter what the advertisements say no creams or ointments will help him grow at all Shape Concerned about the way your equipment stands? There’s no need to be, 25% of all penises bend in some direction. Even when erect some bend downward. Sperm Production Several hundred million sperm are produced daily by a healthy, fertile man. On ejaculation between 5 to 15 ml (1 teaspoon to 1 tablespoon) of semen is released, containing about 300 million sperm. Ejaculation Spasms When a man climaxes the muscles at the base of his penis contract approximately every 0.8 seconds, expelling semen in up to 5 exquisite spurts. The Male ‘G-spot’ In addition to their penises men have other highly erotic parts of their bodies. One is the male ‘g-spot’ or more accurately ‘p-spot’ - for prostate gland. Stimulation of this spot, either externally through the perineum, the skin between your anus and testicles, or internally through the anus can result in extremely pleasurable sensation, including orgasm. “Blue Balls” The medical term for blue balls is epididymitis, an inflammation of the epididymis, which is in the scrotal sac and where sperm mature. In simple terms blue balls occurs when the epididymis get blocked up with sperm that have left the testis but not the penis. The vas deferns are the conduit for the sperm from the testis to the urethra. When they get blocked you get pain. You can usually relieve this by ejaculating. The Honey Pot Women’s vaginas average between 8 - 10 cm in length, about 3 - 4 inches. This expands during intercourse. Including her clitoris, vaginal lips and internal spongy tissue a woman has just about as much erectile tissue as a man, but most of it is inside her body. Women and Orgasm At least 70% of women don’t reach an orgasmic climax through intercourse alone, so remember to pay lots of loving attention to her most sensitive genital spot - the clitoris. Female Ejaculation During stimulation of the ‘G-spot’, a small area on the upper inside of the vaginal wall about 1 ½ to 2 inches back from the vaginal opening, some women ejaculate through the urethra. One to two ounces of clear, odourless fluid are expelled in a glorious gush. Baby Making At birth a woman’s ovaries contain up to 2 million immature eggs. After the onset of menstruation 1 egg matures every month and is released into the vagina just waiting for those millions of sperm to come fertilize it! Sperm can survive in the vagina for 3 to 5 days. Anal sex and pregnancy Because sperm can’t travel internally from the rectum to the vagina, technically it’s not possible to become pregnant through anal sex. But beware, after intercourse semen can leak from the anus and drip down to the vagina resulting in ‘splash’ conception. Of those who use anal sex for birth control, every year 8% end up pregnant! Bodacious Breasts Small, large, round, pointy, no matter what their shape, men just seem to love women’s breasts. Mammaries are as diverse as the women they sit so prettily on, but here’s some general guidelines: • It’s perfectly normal for a woman to have breasts that are different sizes, just as her hands and feet differ slightly in size. • When a woman is aroused her breasts swell by up to 25% and her nipples may become very hard. • Many women have hair around their nipples. • About 10 percent of women have inverted nipples. • Breasts are mostly fatty tissue which isn’t very sensitive to caresses and kisses. However, because the nipple itself and the area surrounding it (the areola) are full of nerve endings they’re very sensitive to touch. • Men also have many sensitive nerve endings in their nipples and can become very excited by nipple kisses, sucks and twirls. “Doing It” How Often? According to surveys by condom company Durex, the worldwide average for making love is 106 times per year. Canadians fit right in with the ‘norm’, hitting the sheets at an annual rate of 105 times or about twice a week. That puts us behind the French - 141, Americans - 138, Russians - 131, Australians, Brits and Germans - all at 112, and the South Africans and Poles - 109. But ahead of Mexico - 102, Italy - 92, Spain - 82, Thailand - 80 and Hong Kong - 57. Every day lovemaking occurs about 120 million times around the world, resulting in 910,000 pregnancies. Saturday night is the favourite time for Canadians to have sex and most North Americans do it at 10:34 pm. How Long? What Canadians lack in frequency we make up in stamina. With an average lovemaking time of 22.7 minutes we place second behind the Americans who carry on for 28.1 minutes. Of that time thrusting intercourse lasts between 6 to 10 minutes.For most Canadian couples foreplay lasts an average of 12 minutes All By Yourself 95% of men masturbate, compared to 70% of women. First Time Sex When? Young Canadians start having sex slightly earlier than most. While the global average at which sexually active 16-21 year olds first had sex is 15.9 years, Canadians jumped in at an even 15 years. First Time Satisfaction While we might be starting younger we may be enjoying it less. 37% of young Canadians indicate that first time sex was more disappointing than they expected while only 19% indicated it was much better than they’d hoped. First Time Protection 74% of young Canadian lovers used some form of contraception the first time they had sex. While 58% used condoms and 16% used other methods a much too large 26% didn’t use any type of protection! Was it Good for You? On the whole young Canadians are fairly generous lovers, with 64% of women and 65% of men putting their partner’s sexual satisfaction before their own. Sexual Fears Not surprisingly the top two fears related to sexual activity for young Canadians are fear of unwanted pregnancy - 21% and fear of contracting HIV or other STDs - 44%. But despite these concerns more than one third say that fear of HIV has not changed their sex life. Sexual Problems Sexual Dysfunction More than 40 percent of women and 30 percent of men suffer from some type of sexual difficulty such as no interest in sex, inability to achieve orgasm, painful intercourse, or premature ejaculation. Premature Ejaculation About 25% of men come before they want to, or before their partners want them to. For men under 40 premature ejaculation is the most common sexual problem. The good news is that by strengthening their genital muscles with Kegel exercises and by practicing building up to a climax through masturbation and then stopping to rest and building up again and stopping to rest and building up again and so on… most men can learn to last much longer! best pennis enlargement surgery best pnis enlargement penis enlarement pills review plastic surgery penis enlarement top rated pennis enlargement pills pnis enlargement pic free penile enlargment penis enlargment herb penile enlargment pills

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