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The resent passing of another HIV (Human immunodeficiency virus) testing awareness day this summer made me think about some of my old clients. I was a state certified HIV test counselor for the state of Michigan at the agency where I worked. This meant that I administered HIV tests for those people who believed that they may have been put at risk for contracting HIV, the virus that causes AIDS. This was a stressful job, and some days, down right awful. The awful days, as you can imagine, were the ones when I had to tell a client that they had tested positive for the HIV antibodies. Thankfully, I only had to tell a few people, but those few individuals are forever carved into my mind. I will never forget them or the day that I had to tell them that they most likely were infected with a life altering infection. These people were young, old, and middle aged. They were people not unlike me. Hard working, dedicated to family, goal oriented, future driven. They were beautiful people that are going through life with an ugly, incurable illness. Unfortunately for me, since these individuals tested anonymously, I will never know their true identities and will probably never know how they are and if they are living healthy productive lives, or suffering and alone. Guess what? You could be infected. You could be at risk. You should be one of those clients that walks into an office and asks to be tested. HIV doesn’t discriminate. It doesn’t care if you are rich or poor. If you are male or female. Gay or straight. It doesn’t care how old you are. We have babies in this country still being born with the virus because moms don’t know they are infected. Parents and grandparents are increasingly being diagnosed with HIV. Yes, you need to know that your mom and dad or grandmom and grandpa still have sex. They still can potentially be infected if they are involved with someone sexually that has the virus. HIV is still out there. It is still killing people. We do not know yet how to stop it. Doctors and researchers are developing new ways all the time to slow it down, limit its effects on people’s lives, but we are no where near eliminating it from our world. I have been working with educating about HIV for around 20 years. I am sad and horrified to look at the statistics and see that we are no better off now than we were 20 years ago. The numbers keep rising. There is much in the news about HIV/AIDS rates in Africa and other countries, but I want to remind people that in your own backyard, HIV is still raging. We need to remind people that there are safer ways to behave, to reduce the risk of the infection spreading. The best way to reduce the risk of spreading HIV is to know your own status. There are testing sites available in your state. Get a test. They only take a short time to administer, and usually you can do it without giving blood. You can, in many cases, do it anonymously. Testing is the only way that you will know if you are infected. The earlier the diagnosis, the better the prognosis. Don’t assume you only associate with non-risky people. You can’t possibly know. Ask anyone who has HIV. As a society, we need to become more comfortable with talking about uncomfortable topics. We need to talk to potential partners. We need to talk to our doctors. We need to talk to our friends. I remember thinking when I was a teenager that I wanted to be just like Dr. Ruth Westheimer when I grew up. She was so great about telling it like it was. She called a penis a penis and was proud to do so. I admired that in a time when people didn’t talk to teens about sex, she was willing to. Today, we seem to only talk to teens. We stop talking once that teen grows up. They has become very apparent due to the increasing number of adults over the age of 50 who are becoming infected. So now I am talking. The lessons are fairly simple. Know your HIV status. Know the infectious disease status of your sex partner, or don’t have sex. Use a condom. Don’t share needles if you are using drugs. If it isn’t possible to refuse every time, do it some of the time. Every time you think about your health and act positively for it, you reduce your risk and add another day to the fight against this illness. Find support. There are many wonderful agencies in communities across this country that offer education, help, and the things you need to live a safer life. Everyone has their own story and their own reason not to live safely. These agencies have been trained to help each individual create their own specific plan of action. There are some people who feel that the drugs are available, so it is worth the risk. Certainly we risk getting the flu or infections by going out into the general public with the understanding that there are medications available to make us better if we get sick. So why is HIV different? One reason is that the drugs are expensive. Many people don’t have the insurance coverage to help pay for them, and even if they do, some drugs are hard to come by in certain areas. Secondly, the side effects for many of these drugs are brutal. I know people living with the virus who have chosen to deal with the disease rather than be restricted by the drugs. Another reason is that when you get Strep throat, you take an antibiotic for 10 days and you are done with that medication and that infection. If you get infected with HIV, you take medication for the rest of your life, with the added stress that if you forget to take it to often, it may become ineffective for you, all the while knowing that you never are going to be free of HIV. It is as simple and straightforward as all that. Dr. Ruth couldn’t say it plainer. HIV can’t just be thought about on testing days or awareness days. It needs to be thought about, talked about, and dealt with daily. It needs to have people like you and me to continue to fight the fight for comprehensive sexuality education. To continue to educate everyone about what HIV is about and who it affects. We need to talk equally to young and old alike about the risks that they take with their lives. And mostly we need to not forget those that have died and continue to be infected and affected by a disease that is so easy to prevent. I know that I will always think about my clients and will pray that they are living happy healthy lives. penis enlargment drug penis enlarement review prosolutionpill buy pnis enlargement pills pennis enlargement information herbal natural pnis enlargement penile enlargment pic before and after penis enhancement forum penis enlargement drug
If you are over sixty, you probably don’t like to have your picture taken. Older faces are prime victims to harsh lighting, deep shadows, sharp lenses and unforgiving close ups. You probably look fine at night with candle light on your face but once your grand daughter shows up with her digital camera, your pleasant image is history. Arcsoft, Adobe and Corel all sell image editors with the necessary tools. There are a few measures you can take to alleviate the situation. One is to insist on a full length shot far enough away to produce a small and indistinct face. Another is to slather on the make up and hope for the best. Finally, you can beg to be out of the picture. This last punishes you as well as your loved ones and makes one look vain. A favorite picture of you that everyone likes can be improved digitally quite easily. It just requires a little effort on the photographer’s part to familiarize yourself with the necessary tools and methods. Starting at the top, there are stray hairs and dark roots ruining the hair dew. Stray hair is easily cloned out of existence by copying the adjacent area with a feathered clone stamp set at fifty per cent transparency. Dark roots require cloning an area of the hair of the proper color and running in the same direction if straight. I recommend a thirty per cent transparency using several passes for a realistic effect. Work at the highest enlargement of the working area that fits on your screen. Shiny foreheads are tricky, but can often be improved with a touch of the disturb brush. Set the brush at medium strength and at fifty per cent transparency. Place the size at twice the area of the highlight and feather at 100%. Don’t try to darken the area but a slight fill with the air brush will do wonders. Use the eye dropper to choose an adjacent skin color and fill in the highlight at three per cent transparency. Blemishes will disappear using the clone at seventy per cent transparency, copying from a near by unblemished area of skin. At eighty five per cent transparency, drag the clone over the bags under the eyes for a younger look. Don’t over do this effect. The whites of the eyes can be lightened if done carefully. Outline the whites of the eyes with the dotted line mask and make an object of the masked areas. In the brightness/contrast box click on the brightness once at three per cent. Don’t try to make any other adjustments to this area of the eyes. It is possible to open the eyes somewhat but the method is quite advanced. If there is no highlight in the eye, you can place one with a two or three pixel brush using a light warm gray color. A round 100% feathered shape is normal or a crescent shape for an out of doors picture. If the highlight looks too prominent you can use the softener brush to dull it down without removing it. Teeth often come out dark and yellowish in digital photographs. Draw a dotted circle around the teeth and using the brightness/contrast box, lighten the teeth at five per cent strength and change the color balance with a three per cent magenta adjustment. Crooked teeth can be fixed by reverse cloning a good tooth from the other side of the mouth. However, this method requires a little practice and advanced training to be successful. Too pale skin can be corrected by using the histogram center arrow. Slide this arrow slightly to the right for darker skin. Conversely, sliding it to the left will darken the middle tones for a simulated sun tan. The ends of the histogram representing the whites (right side) and blacks (left side) remain attached to the extreme ends. There are other effects that will improve the face. The softening brush used judiciously will smooth the skin, the soft focus filter has the same effect but might be too strong a result. The color balance can be used to warm up the face by masking the face and head and adjusting the color balance two per cent yellow and two per cent red. If the effect is too noticeable, try one per cent. Remember blemishes, windy conditions and dark shadows are temporary conditions. A photograph is forever. free penis enhancement penile enlargement result penis enlargment excersizes free penis enlargement video free exercise tip for penis enlargement penis enargement pic before and after prosolution penis enlargment pills penis enhancement pic penis enlargement drug
Ok, so maybe you started smoking thinking it looked cool and that it might affect your sex life to look cool, or be grown up or rebellious or whatever. You are of course totally correct in assuming that smoking affects your sex life. In fact, several recent studies have looked at exactly this question in regard to male impotence and found that there is a link between smoking and difficulties having an erection. Now tell me how cool is that? That is surely far too grown up, that is as grown up as your aged grandfather! Smoking has been linked to coronary artery blockage, but now we know that arteries in the penis are damaged by smoking, too. In a study of men with penile artery blockage (average age 35), the smokers were significantly more blocked than non-smokers. And the more they smoked, the more their arteries were blocked. Since erections are mainly caused by blood flowing into the penis through arteries, unclogged arteries are very important in enhancing one's sex life. Nicotine is a vasoconstrictor, meaning it tightens blood vessels and restricts blood flow. In the long term, it has even been shown to cause permanent damage to arteries. Since a man's erection depends on blood flow, researchers assumed smoking would affect erections. Studies have confirmed this time and again. In one study published in 1986 in Addiction Behavior, it was shown that just two cigarettes could cause softer erections in male smokers. Results are corroborated by a definitive study published in June 2001 that looked at all studies done on impotent men over the last two decades. The research showed that 40 percent of men affected by impotence were smokers, as opposed to 28 percent of the general male population. Interesting eh? So what does all this discussion about impotence mean for women? During sexual arousal, the labia, clitoris, and vagina also swell up with blood, similar to a man's penis, enhancing sensation and arousal. If nicotine can restrict blood flow and cause erectile dysfunction in men, it can be assumed that blood flow is restricted in women as well, and may have a negative effect on sensation. In the British Medical Associations report: "Smoking and Reproductive Life", the report states that Women who smoke take longer to conceive. Among smokers, the chances of conceiving fall by 10 – 40 per cent per cycle. The greater the quantity of cigarettes smoked, the longer a woman is likely to take to achieve pregnancy. Cigarette smoking can also affect male fertility: smoking reduces the quality of semen. Men who smoke have a lower sperm count than non-smokers, and their semen contains a higher proportion of malformed sperm. By-products of nicotine present in semen of smokers have been found to reduce the mobility of sperm. Of course, quitting smoking would also eliminate stained teeth, unhealthy skin, rapid accumulation of wrinkles on the face, and clothing, hair, and breath that stink of smoke. That might improve one's sex life. Decreasing your risk of cancer and heart disease — which also do tend to have negative effects on one's sex life — can also be sexy in the long run. Smokers may have enjoyed a sexy image in the past, but research tells us that they are not "doing it" as often as non-smokers. Studies show that men between 25 and 40 years who smoked one or more packs per day had sex less often than non-smoking men of the same age. Another study suggested that carbon monoxide in the blood caused by smoking inhibits the production of testosterone (a hormone that creates sex drive). Lastly, smoking affects fertility. Smokers' sperm come in many sizes and shapes - many of them not normal. Some have two tails or two heads, others have giant or tiny heads, and some have split tails. The more a man smokes, the worse the damage. Nicotine essentially poisons the sperm and its ability to fertilize an egg. Smoking isn't good for your lungs or heart as is very well documented, and it certainly isn't good for your sex life. It is no longer cool. Are you sleeping with an inactive ashtray? Is your libido being smoked away? penis enargement tool penile enlargment device penile enlargement technique penis enargement pic before and after vimax penis enlargement surgeon does penis elargement work best enlarement exercise penis penis enlargment procedure penis enlargement drug
Problems of achieving a satisfactory erection are fairly common. If the problem does not originate from lack of lust and is great enough to make normal intercourse impossible, the condition is called erectile dysfunction (impotence). Erection problems are caused by combined physical and psychological factors. THE ERECTION MECHANISM The penis has three bodies containing a dense network of blood vessels along all its length. During erection blood is filled into the vessels of these bodies. The bodies then engorge, make the penis hard and rise it up. The filling of these bodies occur when the vessels leading blood to the penis relax and vessels draining the penis constrict their volume. Before and during erection nerves lead impulses to the genitals. The nerve ends in this area then releases the substance nitrogen oxide. Nitrogen oxide will diffuse through the genital area and the penis and stimulate the reaction of the blood vessels in the penis. PHYSICAL CAUSES OF ERECTION PROBLEMS Erection problems can occur because of disorders in the nervous system sending impulses to the genital area, problems with the blood supply to the penis and anatomical problems in the penis or genital area. Specific causes can be: - Accidents, stroke, surgery or tumours hurting brain areas or areas in the spinal cord responsible for erection impulses. - Multiple sclerosis, a disease hurting the isolating sheets around the neural fibres in the brain and spinal cord, can give erection problems. - Accidents or diseases hurting nerves from the spinal cord to the genital region. - Atherosclerosis caused by age or an unhealthy lifestyle, giving narrowing and hardening of blood vessels to the genital region. - Injury to the erectile bodies caused by inflammation, accidents or diseases. - Congenital malformations in the penis or genital region, for example hypospadias and epispadias. - Peyronie's disease, a common inflammatory disease causing abnormal bending or twisting of the penis, and sometimes also hinder the filling of blood into the erectile bodies, sometimes gives problems for the erections. - Circumcision causing the penile skin to be too tight, or causing extensive inelastic scars. - Side effects of medicines, such as medications taken for high blood pressure or depression. - Zinc deficiency. - Heart disease. - Diabetes causing injury to the nerves and blood vessels to the penis. - High blood pressure (hypertension). - Liver or kidney disease. - Alcohol or drug abuse impairing psychological and neural functions. PSYCHOLOGICAL CAUSES OF ERECTION PROBLEMS Psychological causes can interfere with the erection process by distracting a man from stimuli that normally would give him sexual arousal. Psychological issues account for about 40% of erection problems. Erection problems in men under age 50 are most likely to be caused by psychological factors. Psychological causes of erection problems include: - Anxiety for not being able to perform sexually as well as the partner demands. - Prolonged emotional upset, such as worrying, anxiety or anger due to a man's economical, professional or social situation. - Relationship problems, for example when the woman has different preferences of sexual practice than the man. - A man who loses sexual desire for his partner may develop erection problems. - Recently widowed men can get erection problems. - Some men have difficulty having sexual intercourse with their partner after she has given birth because he does not like the changes that the birth process has caused to the woman's body. CAUSATIVE TREATMENT When a specific organic and psychological condition causes problems for the erections, this problem should be treated with appropriate methods that will vary according to the actual disease. If the cause is heart disease or atherosclerosis, lifestyle changes and training adapted to the medical situation can often improve the general health situation and improve the erectile abilities. If the cause of the erection problems is a problematic penile shape, for example curved or twisted penis by Peyronie's disease, using a mechanical penis reaction device for some time may help. On the marked you can also find herbal products to treat injured or diseased blood vessels in the genital area. These products typically contain herbal elements that experience has proven to stimulate tissue repair in blood vessels. POSSIBLE FUNCTIONAL TREATMENT It is not always possible to cure the condition causing erectile problems. Still the problems can be overcome by medication that stimulates the vessels leading blood to the penis to relax and the vessels draining the penis to constrict. These drugs typically achieve this task by stimulating the release of nitrogen oxide in the genital area or by mimicing nitrogen oxide. Viagra and Cialis are the best known pharmacological treatment for erection problems. In spite of what people often think, these drugs do not increase the sexual drive. If the sexual excitement is there, Viagra can help to achieve erection, if the drive and excitement lack in the first place, Viagra will not help. There are also herbal products on the market that stimulate the erection mechanism. Erection oils give an instant erection response, but the response only last 2-3 hours. Erection or potency pills take a longer time to give effect, but the effect lasts for many hours. The herbal product will often contain components that increase the sexual excitement in addition to improving the pure erection mechanism. If it is not possible at all to achieve erection with any treatment, surgical implants can help to make the penis stiff and raised up enough to perform an intercourse. One type of implant is partly rigid bodies that make the penis permanently partially erected. Another type of implant is inflatable bodies that can make the penis fully erected when the need rises.