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1. What is a Vasectomy Reversal?
Vasectomy reversal is a microsurgical procedure which restores the flow of sperm through the vas deferens. During the original vasectomy the vas deferens – the tube which carries sperm from the epididymis to the prostate – is cut and clamped. This results in no sperm being present in the semen which is expelled from the penis during ejaculation. A vasectomy reversal involves removing the clamps and stitching the vas deferens together again, (or in a minority of cases actually attaching the vas deferens to the epididymis – a procedure known as a vasoepididymostomy) thereby allowing the flow of sperm once more.
2. How much does a Vasectomy Reversal Cost?
This varies from country to country. In the USA, the price of a vasectomy reversal is anything from between $4000 and $20000. In some cases it may be possible to undergo the procedure under local anaesthetic at the surgeon’s offices rather than having to incur hospital fees. This will reduce the cost to as low as $2500 but is not possible in all cases – ask your surgeon if this is a possibility.
3. What Are the Chances of Success?
This depends on how long ago the original vasectomy was performed. The longer the time lapse the greater the chance of blockage or damage to the vas deferens. However the current level of technological advances in microsurgery means that as many as 97% of men who undergo a straightforward vasectomy reversal experience a return to normal sperm counts and 50% of cases resulted in pregnancy. However, if the original vasectomy occurred 15 or more years ago this figures drop to 71% and 30% respectively.
4. What Things Should I Consider When Choosing A Surgeon?
Make sure you are well informed when deciding on a surgeon for your vasectomy reversal. The relative skill and experience of your surgeon will have a huge bearing on whether or not your operation is successful. Ask the surgeon if he is able to perform a vasoepididymostomy using an operating microscope. This is a crucial question since it is usually only possible to tell whether this more involved surgery will be necessary once your operation is underway.
5. How Long Will It Take After The Vasectomy Reversal To Have A Chance Of Making My Partner Pregnant?
It will be at least 12 months after your procedure that your partner has a chance of becoming pregnant, although statistically most pregnancies occur 2 years after the vasectomy reversal. The best advice therefore would be not to delay the procedure and additionally the longer the time lapse between vasectomy and reversal the less chance of success.
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Chapter Seven
Lilli Ann [Work and Play and Colleen]
Many things were starting to happen after the tournament was over. It seemed my life had stopped for a moment in time. I had been working five to six days a week, mostly five. Met a guy, my age called Dan, at the karate studio one evening, he was just watching, and we got talking, and I helped him get a job at Lilli Ann. He was assigned to Mr. Green and would eventually be reassigned down stairs in the packing department. I was assigned in another department, which was one floor lower than his. He started falling in love with a Spanish gal, and wanted me to help him out by asking her why she was so down right rude to him. And so I did, it must have worked because they started dating, thereafter.
Well Dan’s brother came into town, he was eighteen-years old, and again Dan and I were both twenty-one. The landlord would not allow two people in their apartment so I talked to my landlady and they ended up renting out the big room. I liked them both, but Dan was a little more level headed. His brother smoked pot night and day, Dan occasionally.
About this time my mother said she was coming down to visit me after Christmas, which was not too far off. And so many things were happening. And as the weeks passed by I would often go downtown San Francisco after work and go to the double feature movies, they were older ones but very cheep, .75 cents during the day, before 6:00 PM, and afterwards walk around. I can remember a few times walking down a side street by a little café and Hell’s Angels were hanging out there. One time one of the Hell’s Angels, gave me a strange look but paid me little heed, and went back playing some kind of game. I had to walk around all the motorcycles for they hand them parked in the street, on the sidewalk, and every which way… and them seeing me trying to dodge the bikes to get around them, probably gave them a little groan, one that might have meant, ‘…don’t tip them over sunny.’ And I didn’t bump any.
At work a few of the Spanish gals up in Mr. Green’s area were eyeballing me up, but I found out they were married and so I paid little attention to them afterwards. And a few Japanese girls, older women talked to me often, but I never got to dating any of them. Then one evening, after work, Colleen with her sparkling white Catholic seen me waiting for a ride by a street car stand, and asked where I was going, I said down by mission street, and offered to give me a ride. She was around thirty-three years old, whit a healthy looking body, and was hunting I presume—that is, looking for something.
Colleen
As she drove down Mission Street, she knew exactly where Lilli Ann was, I guess many people did, it was very famous for women’s exclusive clothing, they had dresses in Harpers Bazaar, some famous magazine, and advertised in London, Paris, New York, and here in San Francisco. I closed the window a bit in the car, the air was cool this morning, I told her, but I shouldn’t complain, it was nothing like Minnesota; for weather in December at 57 degrees is like heaven sent; I had heard them say on the radio, that it was going to get to 66 degrees before the end of the day. Not bad, in Minnesota we’d have about forty inches of snow by now, and most likely it would be about three to five below zero. January was the coldest month, in Minnesota usually, reaching many times ten degrees below zero or lower, and February had all the snow it seemed, sometimes twenty inches in one month; sometimes sixteen inches in one day. Some years we had ninety inches of snow.
I was inclined to ask her for a date, even though she looked much older than I, but she said first, as I opened the door to get out,
“Do you drink wine?”
“Occasionally,” I said, for I used to drink some back home, but it was that cheep Ripple crap or Thunderbird, rotten gut stuff. But I didn’t want to tell her that.
“The dry wine is even better than the sweet if you have the right bottle, and it’s aged some…” she added as I stood up next to the car, “I’ll pick you up after work, say 4:30 PM, does that sound good?” What could I say, the Cadillac girl was leading, and I had nothing better to do. I hadn’t gone to karate practice going on three weeks now. I think Yamaguchi was a little disappointed in me, surely not his black belt bunch though.
“Ok,” I said as I started to turn around and walk inside of the three story building. Things were always happening so fast these days I hardly ever questioned anything. Dan had me meet a friend a week ago, some guy who was selling dope, pot or whatever, we talked and he offered me a job at twice the amount I was making, but I turned him down, I didn’t want to be his or any bodies body guard, end up dead with some heroin stuck in my ass, or down my throat. This was safer, work here at $.1.75 per hour, and just enjoy life; live longer.
It was funny, when I stopped to talk to a young man, my age who wanted a quarter, and back in those far off days, they were all over San Francisco, --at any rate, I told him to go get a job, and he asked how much I made in a week, I said $70-dollars, and he laughed, saying: “I make more than that in a day, $75.” Oh well, I guess I still have values. I just couldn’t sit down on the street corner and beg; it wasn’t even a thought. Or should I say, it never occurred to me.
٭
The day went fast, Dan was flirting with his new Spanish girlfriend, who worked in the office at Lilli Ann; I think she was happy I set them up, but I was a little jealous now, I guess I would have like to date her, but I was always drinking, going to movies, and before karate, running around town. No real time I suppose. I think she was wondering why I didn’t smile as much as I did before when I met her halfway going up and down the stairs a few times a day. But I tried. My mother wrote and said he’d be in town now in January. Not too far off.
It was 4:35 PM, I just slammed the heavy door behind me to Lilli Ann, and there on the street was that white Catholic, and Dan was not too far behind me, he’s seeing me go to the car, I told myself, not looking in back of me, I’ll hear about it tomorrow.
“See yaw later Chick,” Dan said, I think it was to get Colleen’s attention; I turned around and smiled a bit and shook my head.
“I did show up, didn’t I, I bet you thought I wouldn’t?” Said Colleen.
“Not sure what I thought,” I admitted, and I seem to put on a dumb look.
“I always like wine in the fall, --woops, soon to be winter in a week or two.”
“Always --” I said-, opening up her car door, and getting in.
“Always my new friend, now let’s go to the Bay and look at the Golden Gate.” I nodded my head yes, for I even liked walking along the bank and dock area, by the railroad tracks also.
As we got to a certain spot, evening was starting to set in, the once white clouds were turning light-gray, and I opened up the window a little. I loved to grab the moment, absorb what was happening. San Francisco was so very much different than my conservative St. Paul, and it seemed like I was starting to own it a little. There in front of me was the beautiful Golden Gate Bridge, I would never forget it. I had walked across it, seen it a dozen times, and I just never got tired of it; but one thing, I only walked across it once, it is far…longer than one imagines. It was a settling evening. The cars with their horns, the people at work, I was starting to calm down. The night was creeping in. On one hand I was hoping it would never end, and on the other hand, it was a fast pace city for me, it could slow down a bit.
“Are you thirsty Chick,” said Colleen.
“Oh yes, very much…” I took the bottle from her and drank right out of the top. She pulled out two glasses, then hesitated, and put them back in her back seat saying, “We really don’t need them I see.” I guess I might have seemed a little uncouth, but it was me.
For awhile we talked about the earth quake everyone was talking about; how the evangelist’s were saying San Francisco was going to be sunk to the bottom of the ocean. Many people were taking long vacations to get out of town. It was supposed to be on a certain week end coming up (or within the month of January). They talked about it at the bar, at Lilli Ann, every where.
She smile, said,
“Of course,” as she took a drink. I think she was thinking about her youth; --for whom at twenty-one runs around looking for a glass when you got a bottle. We sat just drinking, and looking at the Bay and the bridge, silent for awhile, some people don’t like too long of a period of silence, but it can be golden, --she lit a cigarette, and so did I, and we took turns drinking. She told a few dirty jokes, and I pretended to think they were funny, and when she laughed I laughed, not because they were funny, but because she was.
She commented, “You’ll have to let me know when they have the fabric sales down at Lilli Ann, I want to buy as much as I can.” I didn’t quite understand what she was talking about then, but I did find out later on that they had sales about every four months, and employees could buy fabrics not usable. I would however purchase some for her, during our short time romance.
“Let’s go eat,” she commented.
“Where…” I said.
“I’ll pick up something at a store or restaurant.”
“That’s perfect,” I replied, as I put the cork back into the bottle, there was not much left to the wine.
Colleen stopped in front of a fancy restaurant, --went inside and ordered some burgers made up for us.
“Dolores Street right,” she asked, and I gave her the address, “They’ll taste better relaxing at your apartment.” She said. I explained she was welcome but I only had a small room, and my friend, whom was Dan, she remembered the person who had said, “By Chick”, lived in the other room next to me, --I explained we shared bathrooms.
“So she rents out rooms,” she commented.
“Yaw, why, you need one?”
“Not quite yet, but could be soon, or in a month or so,” she ended her replied with.
As she stopped in front of the mansion I lived in, my hunger had changed from food to lust, or so it seemed, the burgers did not seem at all appealing; none the less, we went directly to my room.
As we entered the room she looked about, “Quite cute, and yes, you were not kidding, it is small, but cozy, enough for a single man. I had a little dresser by the side of the bed where I kept an ashtray, and a light, along with a little radio. A closet in along side of the bed, a little to the right of the doorway you might say, a window behind me overlooking my bed, and the door to the bathroom on the right also, of the bed; --if I was laying on my back I’d be looking at the doorway in front of me
She put the burgers on the small table, took a last drink of the wine, gave it to me, there was one swallow left, I drank it, as she undressed, then she jumped under the covers. She had big breasts and a semi tight body for her age. She was not thin, nor fat, quite healthy looking. I got a hard-on immediately, and like a dog in heat, we pulled our lust together and she grabbed my item and directed it to her warmth.
We made love for about 45-minutes, and I fell to my side a bit, rested, and pulled her over to me again, and stuck my penis back into her private area. She was very warm inside, and my body shook as I climaxed.
“We should get some sleep Chick,” she said with a chuckle. It seemed she found what she wanted, but I felt a little out classed for some reason. She had a degree I had found out while sitting by the Bay over looking the Golden Gate and she worked as a legal assistant. I couldn’t sleep, so I looked at some of the roof tops of the houses out my window; San Francisco was very complicated for me, all its old and new mixed into a whole, and Colleen laying next to me. But I told myself to go to sleep, tomorrow was another day. As I rolled my body back under the covers, I could not hear anymore car horns, the radio was quiet, Dan and his brother must have fallen asleep, and his girlfriend gone home. The wind was making a bit of noise on the window sill, but that was tranquilizing, if anything.
Chapter Eight
The Christmas Party
Well, Dan was dating the Spanish lady, and Colleen was coming over picking me up on regular bases now. She even got to know the Colonel a little, and Dan and his brother Jack. I think she was eyeing up the little bedroom by Dan’s big room. In-between our dating that is.
During this period in San Francisco I was working, and I wasn’t seeing Goesi much, going to the movies as I usually did, and we had a Christmas party coming up in a few days. Mom had written and I expected her to be flying into San Francisco, in two weeks. From here she’d stay a week then fly down to see my brother in Montclair, Southern California.
The weather got a little colder also, but why argue it was still in the 50’s during the day, and low 40’s at night. Some rain but not much. I now was running the dogs for the Colonel; I had a hell of a time taking the “Beast,” out. I called him that because he was up to my waste when on all fours, and had teeth almost like a saber tiger; he looked more like a wolf than a dog. He ran like a horse, and I had a choke chain on him; --thank god I could run with him, I think he liked that. And people jumped every which way when they seen us coming: --and a few times he got away from me whereas the panicked started all around me, people jumping far away from the on coming beast, I didn’t blame them.
The Confrontation
I knew when I left San Francisco, I’d miss the dogs. Matter-of-fact, one night a neighbor came over and was hollering at the Colonel, and threatened her about the dogs, I was in the hallway upstairs listening, had a few beers in me, I came down slowly, and she told the guy to go because I was the one running the dogs, which the guy noticed, and that with my karate, and temper it might not work out too good if he sticks around;” adding, she said,
“I think he heard you hollering at me.”
“So what, let him come…” and then out of the blue I was five feet from him on the outside stairway, he was two steps down, and the Colonel was against the beam of the door way.
“You better take care of them dogs and shut them up before…”
“Before I kick you ass, that that…” I leaped toward the man with my hands in the air as to block the man if he thrust the knife at me, and landed on the second to last step, about two feet in front of him, and in a circular motion, threw several blocks to off set his focus, he jumped back, pulled out a two inch knife, he was terrified.
“You better not come closer,” he said. I started laughing.
“And you mister, better shut your mouth, go home and never, I mean never come around here again, and if I find out you’ve cause any trouble for my landlady, I’ll find you and stick that knife up your ass…….get out of her NOW!!” He moved as fast as he could. Yes, I had my wild moments, as most people have.
Said the Colonel, “I hope he doesn’t cause trouble for me, but I sure liked the way you handled him,” and she had a smile half a mile wide.
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New breast enhancement pills and breast enlargement pills seem to be popping up one after another on the internet, in magazines and even on television. They are the subject of ongoing controversy and speculation. Do they work? Are they just a pipe dream sold to women wanting larger breasts but not wanting to have surgery, or not being able to afford surgery?
The fact is, there are several very "average" and below average breast enhancement pills being sold today, and I'm sure that many more will continue to pop up since this has become a fairly lucrative market. However, there are only a few pioneers in the breast enhancement pill market who have had staying power over the years, and have proven themselves with a track record of successfully enlarging women's breasts, reshaping and redefining them.
The breast enhancement pill usually consists of herbs and natural botanicals that work together to encourage the breast tissue to grow through the use of powdered phytoestrogens, or plant-derived estrogen compounds that actually help stimulate a woman's mammary glands and trigger further growth of the breast tissue, almost as if puberty were starting all over again and the body's hormones were just beginning to activate the glands responsible for breast growth.
Another type of breast enhancement pill ("non-herbal") uses bovine ovary technology, which is basically animal-derived powdered "estrogenic" compounds that actually go straight to the source of breast development - the pituitary gland, and through supplementation and a few other lifestyle modifications, is very successful in enlarging women's breasts. This breast enhancement pill is the more expensive option, but actually has produced lasting and dramatic breast growth of many of it's customers, and continues to do so after over ten years of successful business practice.
Not to discredit the plant based (phytoestrogen) breast enhancement pill. Many women have had success on the phytoestrogen based breast enhancement pill as well, but must be careful not to select a cheap knockoff that may cause unpleasant side effects such as acne and PMS-like symptoms. There are some excellent choices out their for the herbal breast enhancement pills as well, you just need to know where to get them, how to pick them out, and how to put them to effective use.
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Who says impotence is a death nail for a man’s love life? This is a myth and the reality of erectile dysfunction or popularly known as ‘impotence’ is not a birth defect or disease. In fact it is a symptom of more serious diseases which ruin the blood vessels and nervous system. There are many diseases causing ED, these particular diseases effect the erectile function because penis erection involves interplay of hormones, emotions, nervous and vascular functions. If any factor fails, the erectile function is bound to be effected.
Main reasons of ED can be divided into two categories: Physical and Psychological. The physiological reasons behind erectile dysfunction according to scientists and medical practitioners are high blood pressure high cholesterol diabetes scleroderma (stiffening or hardening of the skin) chronic obstructive pulmonary disease epilepsy stroke multiple sclerosis guillain-barré syndrome alzheimer disease parkinson disease atherosclerosis a history of heart attacks peripheral vascular disease prolonged tobacco use sickle cell anemia leukemia liver cirrhosis kidney failure hemachromatosis hyperthyroidism (overactive thyroid gland) hypothyroidism (under active thyroid gland) hypogonadism (lower testosterone levels) malnutrition zinc deficiency drugs for hypertension, heart disease, antidepressants, tranquilizers, sedatives nerve and vascular damage due to surgery of the colon, prostate, bladder or rectum prostate or bladder alcohol and drug abuse.
The psychological reasons behind erectile dysfunction are Depression or GAD, guilt, stress in the relationship or at work, performance anxiety.
Levitra, the potent pill for erectile dysfunction can give you an erection even in toughest situations like diabetes mellitus, hypertension and even save your heart from heart attacks. If you are experiencing erectile failure, you should go for a thorough physical check up especially if you are not suffering from any disease. You will find that the problem is not there in your penis, but in other parts of your body. You can treat that part of your body and get your erection back naturally…because there are diseases causing ED, while the PDE5 inhibitors like Levitra can look after your sexual life while you get the treatment for the serious conditions. Yes, Levitra ensures a strong erection even if you have any of the above mentioned diseases.
The United States of America is now worried about the huge number of baby boomers who are turning 40 + this year. With increasing age, the hormone level in the body decreases and men show physical and mental changes. Their hairlines recede and waistlines expand, they become more sentimental and emotional and experience a loss of libido, so require more mental and physical stimulation for an erection. Levitra can certainly help in this situation too, with growing age; men are victimized by diabetes, high blood pressure and heart problems. People now-a-days know the relationship between hypertension and Levitra, and even about diabetes and Levitra and so they are not worried about erectile dysfunction. There is no medicine that can defy age, but men can ensure to remain healthy and happy by using latest medicines and healthy life style. And to ensure good sex till death, Levitra is there.
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It is normal to shed hair every day and the truth is we loose between 100-125 hairs on any given day. Hair that is shed falls out at the end of growth cycle. At any given time 10% of our hair is in what is called a “resting phase” and after 2-3 months resting, hair falls out and new hair grows in its place. Some people, however, experience more hair loss than is normal.
As we get older, both men and women experience some hair loss. It’s a normal part of the aging process. Called Androgenetic Alopecia, it accounts for 95% of all hair loss. Androgentic Alopecia often runs in families and affects some people more than others. In men it is often referred to as Male Pattern Baldness. It is characterized by a receding hair line and baldness on the top of head. Women, on the other hand, don’t go entirely bald even if their hair loss is severe. Instead, hair loss is spread out evenly over their entire scalp.
Hormones play the dominant role when talking about Androgenetic Alopecia. Simple put, both men and women produce testosterone. Testosterone can be converted to dihydrotestosterone (DHT) with the aid of the enzyme 5-alpha-reductase. DHT shrinks hair follicles causing the membranes in the scalp to thicken, become inelastic and restrict blood flow. This causes the hair follicles to atrophy. As a result, when a hair does fall out, it is not replaced.
Needless to say, men produce more testosterone than women and experience more hair loss.
While Androgenetic Alopecia is the number one reason why individuals experience hair loss, it is not the only one. Medical conditions such as hypothyroidism, ringworm and fungal infections can cause hair loss. Certain medications such as blood thinners, gout medication, birth control pills and too much vitamin A can cause sudden or abnormal hair loss as can following a crash diet, sudden hormonal changes, chemotherapy and radiation.
Emotional stress, pregnancy, or surgery can also cause our hair to fall out and is usually not noticed until 3-4 months after the stressful event has taken place. Stress can cause a slowing of new hair growth because a larger number of hair follicles enter into the resting phase and no new hair growth is experienced.
Another way in which individuals experience hair loss is due to mechanical stressors on the hair and scalp. Wearing pigtails, cornrows or tight rollers that end up pull on the hair can scar the scalp and cause permanent hair loss. Hair products such as hot oil treatments and chemicals used for permanents can cause inflammation to the hair follicles which can also result in scarring and hair loss.
Note: Hair loss may be the early warning sign of a more serious disorder such as lupus or diabetes, so it is important to talk to your doctor.
Recommendations For Wellness
If you are taking prescription medications, talk to your doctor and find out if your medication is contributing to your hair loss.
Avoid mega-doses of vitamin A. Too much vitamin A can cause your hair to fall out.
Exercise, do yoga, meditate or find some other practice that will help to reduce your anxiety and stress levels.
If you are a women, have your female hormones tested. If they are imbalanced, talk to your health care provider about bio-identical hormone replacements.
If you wear pigtails, cornrows, use a curling iron, hair dryer or hot rollers, try changing your hair style to one that puts less pressure and stress on your hair and scalp.
If hot oil treatments or chemicals such as those used in permanents are causing inflammation to the scalp, discontinue their use, or reduce the number of times you are using them.
Use gentle shampoos and conditioners to avoid any unnecessary damage to your hair.
In men, herbs such as saw palmetto and licorice root help block the formation of DHT. The same holds true for supplementation with zinc. As an added benefit, studies show that these supplements can also help prevent prostate enlargement.
Massage your scalp with rosemary oil in an olive oil base. Both rosemary oil and massaging the scalp can stimulate the circulation in the scalp and promote hair growth.
Again, if you are experiencing hair loss, check with your doctor to ensure that a more serious disorder isn’t the cause.
