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

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Genital warts are uncomfortable, unsightly and unwelcome. The medical establishment claims that its method of treatment is best, and that there is no genital wart cure as such. Alternative medicine claims otherwise, and backs this up with a growing body of evidence. Meanwhile, the question of how to get rid of warts in the genital area is the only thing uppermost in the minds of those who have them! Genital warts are a common type of sexually transmitted disease that take the form of small flesh-colored lumps, sometimes very small. In men they grow on the tip and shaft of the penis. In women they can be found on the vulva, in the walls of the vagina, and on the perineal area between the vagina and anus. They can also develop in the throat or mouth of any person who has had oral sex with an infected partner. Warts of all types are caused by a virus, which is transmitted through sexual contact, and common with young people in their 20s. If treated medically, this is likely to involve the removal of the warts by surgery, using freezing or laser treatment. In mild cases they can be treated by applying podophyllotoxin. This is a poison derived from a plant from India. The toxin has an adverse effect on the nuclei of genital warts cells, thereby re-stimulating healthy tissue growth. Alternative medice takes a different, non-invasive approach, generally using oils, creams and ointments in a topical treatment to combat the problem. By and large, claims for a "cure" are to be found more often in the alternative field than in the medical, but that is more an observation than an established "fact". If you think you may have genital warts, you should visit your doctor in the first instance instead of wasting your time searching for a genital wart cure. Put embarrassment aside, for this disease is serious and can lead in some cases to cancer. Your health is far too important. penis enhancement without pills enlarement manhattan penis surgeon penile enlargment surgeries herbal pennis enlargement pills home penile enlargment penis enlargment excersizes penis elargement surgery vimax best penis enlargement surgery vigrx penis enlargement pills

“How Body Image Affects Sex” A person’s body image affects his or her entire life. Body image can affect a person’s outlook, their career, their relationships with others, and especially their sex life. A person who has a poor body image will perceive him or herself as unattractive to other people. This unhealthy mental outlook will start to influence their personality and behavior to the point of projecting negative feelings. This is a shame because people who have a good body image, who see themselves as attractive to others, usually are happier. They tend to advance in their career. They enjoy more productive relationships. And yes, they have more sex. (And better sex) Body image has little to do with physical attributes, and more to do with self-confidence. People who have a poor body image might actually be physically attractive to others, while people who are just average looking may have a good body image and be exceptionally appealing to others. Body Image Is Powerful Due to many different factors, including upbringing and the modern media’s distortion of sex appeal, a man or a woman may develop a very poor body image and become outright embarrassed about their physical appearance. This can cause a person so much stress and worry, that they simply withdraw socially. They do not date or try to meet new people and so end up sexually starving themselves. Whereas body image is known to affect more women than men (over 70% of women polled stated they were not happy with their bodies, compared to 33% of men), men also can develop a poor body image; whether late in life after physical changes take place or starting from puberty and on into adulthood. Common body areas in men that are brought into question when a poor body image develops are skin, hair, nose, body shape, eyes, penis size, chest and stomach. Some of these worries could be media influenced just as it is in women. Top male movie stars, porn stars—or worse yet computer-generated action heroes?—may have perfect bodies and set too high a standard to reach. On the other hand, psychological problems, a hard upbringing, or any recent traumatic experiences could also account for a poor body image. The Truth About Your Body Are you happy with your body? Are you proud of who you are and do you feel sexy whenever you dress for the occasion? If your first reaction is no!, or just an uncomfortable cringe, then maybe you have a poor body image. If that’s the case, then we have good news and better news for you. First the good news. Poor body image is just a condition of the mind. While most people who suffer from low self-esteem are worrying about their physical appearance, other people are noticing the features they do like. If a man doesn’t have a perfect waistline, then many women will find beauty in his eyes, his smile or sense of humor. Just because a woman frets over her voluptuous figure doesn’t mean many men don’t find her curves quite sexy. Ironically, in many relationships the one physical flaw a person thinks he or she has can be charming to the partner. Looks aren’t everything. And for the most part, people actually look good. But remember that whatever you are feeling inside is what you will project. So don’t spell out with your body language that you’re unattractive and unlovable. Sexiness, attractiveness and an appealing presence is determined by your own level of confidence and understanding, not your physical imperfections. (Which by the way, everybody has. Even movie stars, off camera) Now the better news. The better news is that if think you have a very poor body image (meaning you think you’re ugly in some way) and are afraid to start dating because of the way you look, then sex surrogacy can help you! How Sex Surrogacy Can Help Sex therapists and sex surrogates can help men or women with body image problems. They can restore a person’s confidence. They can teach clients the fundamentals of dating, and better yet, the importance of loving themselves. Anyone can be told “to love himself”; but few educators can teach another person how to go about doing this, how to put away their fears and come to a healthy readjustment of their attitude. Sex surrogacy can do this. Sex surrogates can teach you how to perceive your body image in a kind and gentle way. This education can be done in many ways including talking concerns through with a therapist, receiving reassurance and comfort, engaging in emotional and mental exercises, and learning physical and sexual touching. Surrogate therapy has proven successful for many people who were once lonely, but who are now enjoying a better life and healthy outlook on life. (And yeah, better sex) Thousands of people every year would rather have cosmetic surgery done than simply come to a better understanding of themselves, their bodies and what society expects of them. There’s hope for you too and it’s not by going under the knife. If you have low self-esteem or a poor body image, then running away from social activity (or from all of society and reappearing with a brand new face) is not the answer. Improving your body image is. And seeking solutions through sex surrogacy may be just what you need. penis girth enlarement cheapest penis enlagement pills enlargement manhattan penis surgeon penile enlargement supplement penis elargement before and after photo pennis enlargement pills product natural penis enlargement and lengthening free penis elargement exercise vigrx penis enlargement pills

Sometimes overcoming premature ejaculation is a matter of learning effective relaxation techniques and bringing more awareness into your sexual experiences. Interestingly, this idea contradicts a lot of prevailing wisdom around 'numbing' sexual sensations and distracting oneself from the experience. I want to share a very simple exercise to increase what I call your "cock awareness". The more you are present with all your feelings and sensations, the greater the level of your control and arousal and so the more intense your orgasms can become. Remember orgasm and ejaculation are two separate physiological events for a man (and oh, just by the way, for a woman too!). The final outcome is that you will develop more control, simply by increasing and refining your awareness, especially of your cock. The focus and development of awareness is one of the gifts of Tantra. The word Tantra is a Sanskrit word that means expansion of consciousness and liberation of energy. I'd need a whole other series of articles to begin to delve into that. For now, I want you to focus on an exercise. We are all in the chronic habit of holding ourselves away from our genitals, so try this! THE EXERCISE: Sitting or laying down, be comfortable. Relax your breath, notice each breath moving through the nostrils. Then after a few minutes, drop your breath awareness to the navel. Next drop awareness to the perineum, between the testicles and anus. And then to the pelvic floor. Bring your awareness to your pelvic floor and relax everything. Relax your buttocks and anus. (The pelvic floor is the web of muscles across the base of the pelvis, attaching to the sitz bones, pubic bone and coccyx, forming the base of your torso) The genitals are enmeshed in these muscles. Usually you are continually pulling up the pelvic floor unconsciously with your inner tension, cutting of sensation. From this point on, every moment you remember, bring your awareness to the pelvic floor and RELAX EVERYTHING! As you are sitting or laying down, feel with your awareness the full length of your cock as it extends from the deep core within and away from the body. Feel the deep root, where it joins and emerges from your body. Visualize your sacred cock, as a generator of love energy, a magic wand. Imagine and feel a fire filling up and flooding of the pelvic area. Feel the intensity of the most subtle sensations. Relax into the genitals. Feel them from the inside out. Relax. Be more rooted in the base of your penis. Hold the entire penis in your awareness, not just the tip. Ask yourself, "How can I open more?" Focus on how it feels, not where it is. Notice how your sensitivity and arousal increase by feeling in a relaxed manner. There is no outcome here, except to relax and feel more. That is the exercise, practice it often! While it seems at odds with so much theory around distraction from, and numbing of, sexual pleasure, the basic principle of increasing awareness during sex is this; Feel your body, sexuality and orgasms; and Learn your body, sexuality and orgasms; then Master your body, sexuality and orgasms!!! In an upcoming article I will explore how the idea of sexual control and mastery is not about control at all … but that would be getting ahead of myself. Until then enjoy yourself practicing. Love, Mukee Okan Copyright 2005 Mukee Okan natural penis elargement exercise vimax prosolution penis enlargement pills penis enlargment penis enlarement before and after picture penis enlargement video vigrx ingredient penis enlarement program vimax penis enlargement procedure vigrx penis enlargement pills

Until recently, the very mention of erectile dysfunction or impotence could bring about a blush to even the most manly of men. Embarrassing as it may be, erectile dysfunction affects more than 18 million men in America. It can vary in severity from an inability to achieve, maintain and sustain an erection, to an inability to achieve an orgasm, even though a healthy sexual desire exists. Because of the sensitive nature of this disorder, it often goes unreported. Achieving a normal erection is a complex process. It involves psychological impulses from the brain, adequate levels of testosterone (male sex hormone), a functioning nervous system, and healthy vascular tissue of the penis. Electrical impulses from the brain, when stimulated, cause the nerves in the penis to release nitric oxide. This, in turn, increases the production of guanylate MonoPhosphate (cGMP) in the muscle cells of the corpora cavernosa (the tissue of the penis, consisting of smooth muscles, fibrous tissues, spaces, veins and arteries). The cGMP triggers the muscles of the corpora cavernosa to relax and fill with blood, which causes the penis to expand. Because of the intricate nature of the physiological processes involved, a number of different factors can interfere with a man’s ability to achieve a normal and healthy erection. The most common of these is aging. As a man gets older, his ability to produce nitric oxide decreases, thus affecting the proper functioning of the corpora cavernosa. A number of health issues can also underscore this disorder. The most frequently seen are diabetes mellitus and hypertension. Diabetes, for example, can damage the sensory nerves in the body. In turn, individuals who suffer from hypertension exhibit low nitric oxide production. Other factors that can contribute to erectile dysfunction include cardiovascular disease, nerve or spinal cord damage, cigarette smoking, low testosterone levels, prescription medications, depression, stress and anxiety. Until recently, it was believed that little could be done to help a man who is suffering from erectile dysfunction, but there are a number of natural alternative health remedies that can be tried before having to rely on the “little blue pill”. Recommendations For Wellness If you think your stress, anxiety or depression is affecting you physically, perhaps psychological counseling, meditation, bio-feedback or hypnotherapy can help. If you are taking prescription medications such as MAO inhibitors or anti-hypertensives, talk to your doctor about their possible side effects. Have your hormone levels checked. You might be suffering from low testosterone levels. In some men, low levels of the hormone dehydroepiandrosterone (DHEA) have also been reported. DHEA is essential for the production of testosterone. Quit smoking. Try supplementing with the amino acid L-arginine. Nitric oxide formation depends on sufficient levels of L-arginine in the body and has been found particularly effective for men with abnormal nitric oxide metabolism. Yohimbe bark has a history of helping men with erectile dysfunction. Yohimbe dilates blood vessels and may help regardless of the underlying cause. If you are on prescription medications, talk to your doctor before taking yohimbe. Muria puama can be used to increase the libido and erectile strength. It works best when combined with yohimbe bark. This combination can be found in Nature’s Sunshine’s X-Action for Men. In Mexico, the herb damiana is used as a male aphrodisiac and is an herb traditionally recommended for men with erectile dysfunction. In Peru, maca is known as a potent aphrodisiac. Maca is often called the herbal “Viagra” and does not alter circulation. Instead it works to regulate hormones and bring the body back into balance. Asian (panax) ginseng is an herb that has long been used to support male potency. Sarsaparilla has a history of being used as a tonic for male sexual potency and is thought to assist in the production of testosterone. Some men find relief when taking ginkgo biloba. Ginkgo biloba supports blood circulation and may help by increasing blood flow to the penis. This supplement is not recommended if you are taking any kind of prescription blood thinner. Traditionally used to lessen the symptoms of an enlarged prostate, saw palmetto stimulates a low libido and increases sexual energy.