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Yes, by all means, but it is technically called hypogonadism (low testosterone levels). Symptoms may vary, but most men will experience decreased libido (sexual desire) as well as erectile dysfunction, hot sweats, decrease in body hair, fatigue, or even depression. They also tend to lose muscle mass and gain weight due to increased subcutaneous fat. Erectile dysfunction is a common complaint of male patients past the age of 50, and although it is most commonly caused by such problems as vascular insufficiency (decreased blood flow) to the penis which usually responds well to such medications as Viagra, Cialis, or Levitra, your physician should check for hypogonadism as a possible cause and also screen for cardiovascular disease as well as diabetes. Certain prescription medications can also lead to problems with both libido and sexual dysfunction; most notably certain anti-depressants and hypertensive medications. Serum testosterone levels are at their highest between the ages of 20 to 30 and tend to progressively fall after age 40. If your testosterone levels come back low, your physician may wish to order a couple of other tests to determine the actual cause. There are other causes of low testosterone other than merely aging. If your testosterone level IS low and you are going to receive treatment, make sure that you are screened for prostate cancer. Your doctor should perform a digital rectal exam, order a PSA (prostate specific antigen) blood test, and your testicles should be examined for size, nodules and other abnormalities. Topical testosterone gel is usually the preferred method of administering the hormone. Topical 1% testosterone is available as Androgel or Testim. The starting dosage is 5 gm a day and applied to dry skin of the abdomen, upper arm or shoulders. The gel should not be placed on the genitals! The area of skin should be allowed to dry and a shirt be worn during contact with children or women as it IS possible to transfer the medicine to the skin of another individual. The serum testosterone level should be determined again about two weeks after initiating treatment. The administration of testosterone replacements have NOT been demonstrated to increase the incidence of prostate cancer, myocardial infarction, cardiovascular disease, or stroke. It can, however, elevate the PSA (prostate specific antigen) level. Treament has come a long way over the past few years with the advent of the topical applications. Testosterone used to be given by intramuscular injection which was both painful and had to be given rather frequently because the levels of the medication would not last long in the blood stream. The topical applications tend to maintain an even level of medication at all times without the peaks and valleys caused by the old injections. Testosterone replacement should improve libido, muscle mass, and well being. It can aggravate sleep apnea, cause mild acne, and gynecomastia (slight enlargement of the breasts), but NOT in everyone. It can enable a male to feel much more vibrant, improve his sexual desire, ability, and performance, and make life a lot more enjoyable overall. Copyright 2006 Ted Crawford top penile enlargement pills vimax herbal penis enlargement pills penis enlargment excercises penis enlargement before and after picture penis enlarement system free natural pennis enlargement enlagement manhattan penis surgeon natural penis enlargment exercise
Nigerian government is advising its people to eat chocolate for enhancing their sexual pleasure instead of spending on high cost drugs like Viagra, Cialis and Levitra. After Goji berry, is that a new gimmick? Dr. Dora Akunyili has proved through her scientific tests that cocoa has libido enhancing qualities, is it not quite an old story? Actually there is a scientific reason behind the trend of gifting chocolate bars and candies to our lovers. It is said to stimulate the hormones that is responsible for the feelings related to love, because of a natural chemical present in chocolate, it works as an aphrodisiac. Now Nigeria's national committee for the development of cocoa is giving examples of marketing campaigns by the British trade association that talks about the sexual enhancement qualities of chocolates. Compared to Viagra, chocolate has no side effect, says Dr. Akunyili. It is a great anti-oxidant known to prevent heart attack, diabetes as well as hypertension. Of course chocolate would have been far better option compared to the PDE5 inhibitors if it was able to treat the erectile dysfunction. Because it tastes better, costs less with no side effect at all. But unfortunately, human mechanism is not so simple, neither is the anatomy of erection. Having high libido is not enough for a satisfactory sexual intercourse until a man can have a strong penis erection and hold it till the end. Do you agree? I think there is no other way to do it right when vaginal penetration is the question. Yet again, this is time to remind you that the terms like ‘low libido’ or ‘less’ or ‘no sexual drive’ do not mean a man has erectile dysfunction. At the same time, a man with ‘erectile dysfunction’ or ‘impotence’ may enjoy high libido or sexual excitement. Goji berry and cocoa may act as a natural aphrodisiac, enhancing a person’s sexual drive, PDE 5 inhibitors like Viagra treat the disease that causes inability to get an erection or sustain an erection even with good amount of sexual stimulation or high sexual drive. Viagra treatment is totally different! It relaxes the muscles in the penis and increases blood flow into it so that the blood engorges the penile section helping a man get a strong erection for a successful vaginal intercourse. Viagra is not an aphrodisiac, so it does not enhance your sexual drive. More importantly, you need sexual stimulation to get an erection after the oral administration of Viagra. Viagra is a treatment for the most common disorder erectile dysfunction in men that makes them ‘impotent’. There is no use comparing Goji berry or cocoa like natural substances with Viagra and other PDE5 inhibitors from sexual perspective. But of course they can be compared for their benefits in life threatening matters like preventing heart attack and pulmonary diseases. ___________________________________________________________________ penile enlargment cream penis enlarement photo enlarement free penis pills sample real penile enlargement top penis enlargment pills truth about penile enlargment pills pennis enlargement surgeries easy elargement free penis surgery way free penis enargement
The collapse of socialistic block by the late 1990s gave rise to doubts as to timeliness of the North Treaty Alliance Organization that in fact had accomplished its mission and essential role. Realistic logic concerning military alliances, based on historic experience of the Cold War, gave reasons to believe in incapability of either military block to outlast the collapse of the other. American and European experts and politicians who shared these ideas, adhered to the opinion of necessity to disband NATO or at least limit this organization in its claims. For instance, Germany, represented by the Minister for Foreign Affairs Hans Ditrih Gensher and backed by the Czechoslovakia, pursued a policy towards "deeper institutionalization" of the CSCE, trying to transform this forum into decisive element of new European security system. Moscow in early 1990s gave rise to the idea of "European Security Council" which would consist of the largest European states. Nevertheless, drastic measures taken by the USA and its closest allies not desiring to turn down time-proved mechanisms of transatlantic ties in late 80s-early 90s ensured NATO's survival as defense alliance. Except NATO-centric project, all other rival projects of European security architecture were rejected. Paris Summit demonstrated reluctance of many influential states to give preference to the CSCE in ensuring European security, while the concept of "All-European Security Council" failed to succeed due to its contradiction with processes of international relations democratization after the end of Cold War. NATO's central role and American influence on European security could have been put into question only by development of integration processes in foreign policy and security within the framework of the European Communities converted into the European Union. Notwithstanding intense economic cooperation with the USA, Western Europe, along with South-Eastern Asia, in 1990s and especially in early 2000s wasn't very inspired by the prospect of unconditional support of the USA in carrying out their "global mission" which required huge resources and geographically broad interpretation of European countries. The United Stated in their relying on closest European allies needed, on the one hand, to back up European initiatives in security sphere, and on the other hand, to guide its partners in necessary direction evading degradation of American-European political-military connection. Understanding the directions of NATO reforming to maintain the organizations' vital activity emerged in American political circles quick enough. Already in 1992 Colin Powell, then chairman of Joint Chiefs of Staff, in his speech in London International Institute for Strategic Research mentioned NATO's new peacemaking tasks and switch of the alliance to more definite actions on spreading democracy and political liberalism throughout Europe. Then, the task of the American administration included elaboration of strategy for carrying out the actions proclaimed along with reaching consensus on necessity of those actions among the concerned international subjects - American allies in NATO and Central Eastern Europe as well as American domestic political forces. The next sections will reveal the evolution of the USA towards the North Atlantic Treaty Organization and include analysis of such issues as NATO enlargement to the East and shift of organization's purposes, tasks and functions. The particular attention will be attached to the American policy evolution towards NATO's purposes and functions as for now and place of this military alliance in the US foreign policy. homemade penile enlargment natural pnis enlargement and lengthening penis enlagement surgery photo vimax penis enlargement patch penile enlargement before and after photo penile enlargement program pennis enlargement video health pro solution free penis enargement
Penis size and "maleness" seem to be tightly woven together. It seems our mentality and society itself equates the size of the male penis with stature, importance, pride and accomplishment. Since that's the case, it's really no wonder many men have walked down that path. Most of you have seen the movie "Austin Powers" where he was stopped in the airport luggage check point. The worker discovered a swedish penis pump in his baggage. Of course, our man of intrigue flatly denied any wrongdoing and ownership. In fact, he acted surprised it was even there to begin with implying "I don't need that...my penis is already large!" Let's look at that above scenario and see how it relates to men today. Penis Pumps Most of you have seen the penis pumps advertised in magazines. Of course, they always have the endorsement of some adult movie movie star with claims of achieving huge gains as long as you use it. The trouble with penis pumps is their promise...it's as hollow as the vacuum tube the pump itself uses. Penis pumps were not designed to increase size...it was designed to trap blood inside the penis caverns allowing the user to clamp off the base of the penis in order to have sex. The only men who need to use a pump, are men who have severe diabetes with resulting erectile dysfunction. These men need to use a pump simply because their internal anatomy has been decimated by the ravages of the disease which destroys their penile arteries and blood flow. Austin Powers Reaction Remember he denied it was his? Men are no different and their response to penis enlargement is almost exactly the same as Mr. Powers. Men want to increase their size because they believe their size could be bigger and they would feel better about themselves. That's why natural male enhancement websites are visited by thousands of men every day. All of whom are looking for some "secret" to improving their size. Don't be fooled by the male persona and bravado...Men want to have a larger penis for a variety of reasons and like Austin at the airport, they will deny they had anything to do with it. Does that make them bad or liars? Not in the least. Men simply want privacy for personal issues, but in public especially to members of the opposite sex, men will deny they need any help or have any kind of problem needing help. That's why doctor's offices around the world are filled with women...not men. easy enlargment free penile surgery way vigrx pill vimax penis enlargement fact vimax penis enlagement enhancement manhattan penis surgeon penis enhancement surgery picture free penis elargement exercise penile enlargment program free penis enargement
There are a lot of men out there who need help with a very personal problem, but they are afraid to do anything about it. This is because the topic of erectile dysfunction is about as terrifying to face as an appointment with a divorce lawyer, so they try to avoid it altogether. Unfortunately, erectile dysfunction affects not only men, but it also affects their spouses as well, so this makes it impossible to avoid indefinitely. Sooner or later the topic of sex (or lack thereof) will come up at the dinner table, and then they must face the problem head on. That is usually when the name Viagra enters the conversation, and they better be ready to make an informed decision on whether or not to use it. Viagra was invented by a team of scientists in the late nineteen nineties, and it was approved for sale by the FDA (food and Drug Administration) on March 27, 1998. It was considered to be a breakthrough discovery in the medical and science worlds, and the inventors won the Nobel Prize for this invention. They had essentially discovered that when a man gets an erection a chain reaction occurs in the tissue of the penis which causes the levels of a substance called cyclic guanosine monophosphate (cGMP) to be elevated. When the level of this substance remains high, the penis remains erect. They also discovered that an enzyme called phosphodiesterase-5 (PDE5) breaks down cGMP. They found that the cGMP levels tended to breakdown rapidly in some men, and this was the cause of their sexual dysfunction problems. The key to sustaining an erection was to maintain high levels of cGMP for a long period of time, so they invented a drug that would inhibit the levels of the enzyme PDE5. This would allow the cGMP levels to remain high, which would sustain an erection for a long period of time. Before the invention of Viagra men with this kind of problem just had to suffer with their ailment. Many men were too ashamed to even talk about this problem. Beside the obvious issue of questioning their manhood, there just was not a whole lot they could do about it. There was no known cure, and that was a fact. They had to face this problem with very little help from the medical world. It was no wonder that most men kept this kind of thing to themselves. Many marriages were affected adversely due to this problem, and some even ended because of it. Viagra has been a Godsend to many men who were experiencing problems in bed. The scientific name for Viagra is Sildenafil and it basically acts as an inhibitor of the enzyme PDE5. This preserves the high levels of cGMP that are produced when a man is sexually aroused. Similar products like Cialis and Levitra work in the same way, thus, all three products are defined as PDE5 inhibitors. Viagra absorbs quite rapidly in the blood stream, usually within 30 to 120 minutes. It is a highly protein bound drug (96%) which means that is will absorb faster when taken with a high protein meal. Taking it with a high fat meal will reduce the absorption rate. Pfizer is the company who makes the only genuine Viagra, and any other company who claims to make it is a fake. There are many web sites on the internet who claim to be selling “real” Viagra, but most of them are frauds looking to make a quick buck. Only a U.S. licensed pharmacy can sell Pfizer’s Viagra product, so make sure you do a little investigating about the company you plan to buy from before you make your purchase. There are many reputable companies on the internet selling genuine Pfizer Viagra through completely safe and secure web sites. All you have to do is a little research and you will get the same product you would get at your local pharmacy, but without the potential embarrassment. You will even get a better price if you buy your Viagra online than you would if you bought it at your neighborhood pharmacist, for the pharmacist selling his products online does not have to pay overhead costs (employees, building leases, benefits, etc…). Viagra is metabolized in the liver by an enzyme that is known as CYP3A4. Any one with a liver condition (like cirrhosis) who is thinking about taking Viagra must consult their physician first to discuss a customized or reduced dosage. What used to be a problem without a cure is now a problem that can be cured with a little blue pill. Men who take a 50mg dose about an hour or two before sexual activity can regain the sexual vitality and stamina that they have been missing in their lives. They can now enter that dreaded conversation at the dinner table with their spouse (about erectile dysfunction) armed with the knowledge that they have a breakthrough drug on their side that was worthy of the Nobel Prize. They can even order it at a U.S. licensed online pharmacy and have their Viagra shipped overnight to their front door by a FEDEX courier who will hand over their order in a plain-wrapped box. © 2005 copyright. Michael P. Connelly