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A fiery debate has long raged in the medical profession on whether male menopause actually exists and what, if any, is its effect on male sexual performance. The questions are many. If it really does exist, at what age will it begin to affect their sexual performance? What precautions can be taken to avoid its arrival and are there treatments to help reverse it? If it's real, how does it differ from female menopause? It's a no-brainer that men go through sexuality changes as they age, just as women do. The erection-on-demand performance they enjoyed as teens is no longer the case at age forty. Little by little as they age, men begin to notice changes in their sexual performance as the urge for sex also lessens. As they age, it takes longer for men to get an erection to come on and the penis requires more direct stimulation to get and stay aroused. The erection may also be angled, rather than straight and rigid and ejaculation may not be as forceful. Also, the time it takes between erections gets longer. Rather than physical, the decrease in a man's sexual performance could also be due to psychological factors like a mid-life crisis. His waning sexual performance could be blamed on any number of external factors. It could be due to lack of interest in an aging wife who isn't the babe she was ten years ago, the stress of work, demands of growing children, or financial difficulties, even worries about caring for aging parents. So how do you differentiate between a mid-life crisis and male menopause? A mid-life crisis is more a problem of psycho-social adjustment, meaning it may have nothing to do with a man's sex life. However, male menopause is distinctly physiological in nature, similar in many ways to female menopause. Because frequently men can have both physical and psychological factors affecting them, the line between male menopause and mid-life crisis becomes hazy. Although menopause is most often associated with women, men experience a different type of menopause or 'life change.' Where women cease to menstruate and usually can no longer get pregnant, men can continue to father children. Symptoms of menopause in both men and women are similar and can sometimes be just as overwhelming. As reported in Andrology: The Science of Dysfunctions of the Male Reproductive System, approximately 40% of men between 40 and 60 will experience some degree of lethargy, depression, irritability, mood swings, hot flashes, insomnia, decreased sex drive, weakness, loss of both lean body mass and bone mass, making them susceptible to hip fractures, and difficulty in attaining and sustaining erections (impotence). Testosterone (male sex hormone) stimulates sexual development in male infants, bone and muscle growth in adult males and also controls sex drive and male sexual performance. The levels of testosterone diminish gradually after age 40. In healthy males age 55, the amount of testosterone is significantly lower than 10 years earlier, and by 80 decreases to pre-puberty levels. In 1944 what is now described as male menopause was reported in a key article written by two American doctors, Carl Heller and Gordon Myers. Comparing symptoms with that of female menopause, they did a blind controlled trial showing the effectiveness of testosterone treatment. But like many pioneering efforts their findings were vastly unreported due to men being unwilling to accept that they could have 'menopause,' while men with genuine symptoms and sexual dysfunctions were often told it was a mid-life crisis or just in their heads. Around the same time testosterone therapy had come into disrepute in the public eye due to athletes misuse and abuse. So the concept of male hormone replacement therapy for male menopause symptoms, impotence, or sexual performance problems wasn't very well received. Added to that, the hype about side effects and the tie between prostate cancer and hormone replacement further negated its acceptance by many men. Only after HRT (Hormone Replacement Therapy) became popular and produced desirable results for women, providing tangible improvement in symptoms and 'age reversal' in post-menopausal women, did men begin to take notice and jump on the bandwagon, not wanting to get left behind their female counterparts. prosolution herbal pnis enlargement pills cheap penis enlargment pills penile enlargement product penile enlargement drug real penis enlagement best penis enlarement natural pennis enlargement pills

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What is Sore Throat? Almost everyone gets a sore throat at one time or another. Children tend to have them more often than adolescents or adults. Sore throats are most common during the winter months when upper respiratory infections (colds) are more frequent. Sore throat (pharyngitis) is a painful inflammation of the pharynx, which is the part of the throat that lies between the mouth and the larynx (voice box). Sore throat is often a symptom of various illnesses such as colds and flu, glandular fever, respiratory tract infections, tonsillitis, and chickenpox. While most sore throats heal without complications, in some cases, they develop into a serious illness. Causes of Sore Throat The major cause of sore throat is infection. Sore throat may be caused by either viral or bacterial infections. But it can also be caused by allergies and environmental conditions. Viral Sore Throat Approximately 90% of sore throats are caused by viral infections. There is no simple way to distinguish a viral sore throat from a bacterial sore throat. Viral sore throats are quite contagious. They can be spread by personal contact and by coughing or sneezing. Cold and flu viruses are the main culprits. When a stuffy-runny nose, sneezing, and generalized aches and pains accompany the sore throat, it is probably caused by virus. For a viral infection, no antibiotic is usually needed and the infection can be expected to run a four to six day course. Another group of viruses that cause sore throat are the adenoviruses. The adenoviruses usually cause infections of the lungs and ears. Adenoviruses may cause white bumps on the tonsils and throat, diarrhea, vomiting, and a rash. Sore throat caused by adenoviruse lasts about a week. One particular virus responsible for causing sore throat is the coxsackie virus. This virus causes a disease known as herpangina, which occurs most commonly among children under the age of ten and is most common during the summer. It is sometimes called summer sore throat. Summer sore throat can be quite severe. Symptoms include a high fever and the presence of tiny grayish-white blisters on the throat and mouth. The blisters erupt in a few days and are followed by a scab which may be very painful. Mononucleosis (mono) is a viral infection caused by the Epstein-Barr virus, a member of the herpesvirus group. This virus lodges in the lymph system, causing massive enlargement of the tonsils and swollen glands in the neck, armpits and groin. Mono can affect the liver, leading to jaundice (yellow skin and eyes). One of the main signs of mono is a sore throat that may last for 1 to 4 weeks. Mono is a severe illness in a teenager or young adult, but it is less severe in a child. Symptoms caused by mononucleosis can last for 4 weeks or more. Bacterial Sore Throat About 10% of all sore throats are caused by bacteria. The most common bacterial sore throat is caused by a bacterium called group A Streptococcus. This type of sore throat is called strep throat. The pain of strep throat often feels much like sore throats caused by other bacteria or by viruses. The tonsils often swell and become coated and the throat is sore. The patient may have a high temperature, sour breath and may feel quite ill. If strep throat isn't treated it can sometimes result in rheumatic fever, which can damage the valves of the heart. The most dangerous throat infection is epiglottitis, caused by bacteria that infect a portion of the larynx (voice box) and cause swelling that closes the airway. This infection is an emergency condition that requires prompt medical attention. Suspect it when swallowing is extremely painful (causing drooling), when speech is muffled and when breathing becomes difficult. Noninfectious Sore Throat Not all sore throats result from viral or bacterial infections. Sore throats can also be caused by allergies and environmental irritation. These forms of sore throat are not contagious. Allergy: The same pet dander, molds and pollens that trigger allergic reactions such as red, swollen eyes and a runny nose can also cause a sore throat. Cat and dog danders and house dust are common causes of sore throats for people with allergies to them. Irritation: Many materials in the environment can also irritate the pharynx. Such irritants include cigarette smoke, polluted air, chemical fumes, and dry air. During the cold winter months, dry heat may create a recurring, mild sore throat with a parched feeling, especially in the mornings. Symptoms of Sore Throat The symptoms for a sore throat caused by both bacterial and viral causes are the same: pain in the throat pain and difficulty in swallowing red throat swollen tonsils coated tonsils swollen neck glands pus covering the throat or white spots coughing fever If the sore throat is due to a viral infection the symptoms are usually milder. Sore Throat Treatment The treatment of sore throat will vary according to the cause. Sore throats are usually mild and can be treated at home with over-the-counter remedies available from your local pharmacy. They usually get better on their own, in 3-7 days. It is extra rare for antibiotics to be needed. This is only the case when the sore throat is the result of a serious bacterial infection. Sore throat treatment and comfort measures: Strep throat requires antibiotics. Sometimes it is difficult to determine whether the cause is viral or bacterial, so antibiotics may be prescribed as a precaution. Pain relievers - nonsteroidal anti-inflammatory drugs, (such as aspirin, ibuprofen, and naproxen) are often more effective pain relievers than acetaminophen (Tylenol). These medications reduce pain and fever that accompany a sore throat. Children should not be given aspirin because of the risk of Reye's syndrome. Salt water gargle can be a good way to relieve a sore throat. It help soothe the irritated throat and reduces swelling in the tissues. This is the safest, least expensive and probably the most effective treatment of a sore throat. Use over-the-counter throat lozenges every couple of hours or hard candy. It can help relieve sore throat and cough. It does stimulate saliva production, which bathes and cleanses your throat. Drinking enough fluids is very important, warm drinks may be especially soothing. Avoid caffeine because it can cause water loss. Get plenty of rest. Getting extra sleep can promote more rapid recovery, especially if a virus is the cause. Avoid smoking or being around smoke and other throat irritants. Humidify the air. Adding moisture to the air prevents your mucous membranes from drying out. This can reduce irritation and make it easier to sleep. Hot, dry air will aggravate sore throat. Take a high-potency multivitamin and the herb echinacea to build up your immune system. vimax surgical penis enlargement real penile enlargement best pnis enlargement pills penis enlargment device cheap penis elargement pills pennis enlargement pic before and after vig rx hoax penile enlargement excersizes vimax penis pills in uk

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. Many men who are below average size-wise have learned to use other parts of their body to their partner's grateful benefit. But if his little guy just isn't satisfying you, there are quite a few things to try. First, try different positions: let him take you from behind while you squeeze your legs together, or lie on your back with your knees at your chest and your feet over his shoulders. These positions allow deeper penetration, tighten your vaginal canal and increase sensation for both of you. You can also have him try a penis enhancer. These come in all sizes and shapes to lengthen, thicken, support, and satisfy whatever need you both may have. Third, work your PC muscles. A good set of Smartballs, an updated version of Ben-Wa balls, will strengthen and tighten your internal muscles. With your vaginal muscles primed and toned, you'll be amazed at how much more you'll feel during sex. Problem 2: "He's too big" Sorry to disillusion you, guys, but bigger isn't always better. 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! free exercise tip for pnis enlargement top rated penis enlarement pills enlargement erection penis pill vimax free penis enlargement technique natural penis enhancement enlargment free penile pills sample com elargement penis penis pump penile enlargment excersizes vimax penis pills in uk

Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. pnis enlargement doctor penis enhancement secret penis enlargement pill penis enlargement surgery photo homemade pennis enlargement free penile enlargement exercise permanent penis enlargment free penis elargement technique vimax penis pills in uk

Almost all human beings are conscious about their beauty and they adopt all means to improve or maintain it. The quality of skin is having priority in the field of beauty care. Skin is considered as the mirror of the human body and it reflects the physical, mental and emotional status of every person. The number of people attending beauty clinics and dermatologists is increasing day by day. Even though skin diseases are having low mortality, people are worried about skin problems because of the social stigma. A person having a disease of some internal organ may not be worried but another person having a skin disease on the face may be depressed because of the simple reason 'others will come to know about my disease'. Human skin has got several functions like protection, heat regulation, water balance, excretion etc. It gives protection and support to the deep body tissues and has got the ability to stretch to some extent due to the presence of protein fibers in the dermis. But too fast enlargement of the body parts cause excessive stretching on the skin resulting in breaking of collagen and elastin fibers of the dermis. This causes slightly depressed discoloration called stria atrophia or stretch marks. Initially these marks are slightly pinkish and later become white or silvery in appearance. Stretch marks are found in conditions like pregnancy, puberty, obesity etc. It is usually seen in places like abdomen, thighs, breasts, buttocks, shoulders etc. Once these marks appear, time is required for them to be less prominent. Both men and women are the victims of stretch marks but it mainly affects women due to their beauty consciousness and causes psychological trauma leading to depression. On the other hand there are women who are least bothered to get rid of stretch marks and consider them as a badge of mother hood. Still the number of people visiting clinics to remove stretch marks is increasing day by day. Because of the increasing need for the stretch mark treatment modalities, there are number of products in the market to deal with stretch marks cure. But most of those products are not proved effective scientifically but few of them give results in many cases. Modern treatment methods like plastic surgery and laser surgery for stretch marks have been proved effective in the treatment.