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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 cheap penile enlargment penis enhancement doctor vimax penis enlargement product natural penis enlarement and lengthening vimax home penis enlargement enargement forum free matter penis size penile enlargment without pills cheap penis enlagement

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Why are some people naturally magnetic? Are you ready to make potent first impressions? Release stuck energy from your entire body and crank up your magnetic love energy. Stress, Fear and Anxiety Block Satisfying Sex When you experience stress, fear or anxiety, sex is usually the last thing on your mind. Work dilemmas, relationship woes, family issues and money problems can be devastating to your libido. It's hard to feel sexy when you are worried about the mortgage payment. Fear and anxiety associated with sex itself can also be problematic. Worrying about everything from STDs to fear of pregnancy to sexual performance, dampen your sex drive and hampering your chances to have a satisfying sexual experience. Fear, anxiety and depression about aging can also affect your sex drive. Are you worried about getting older? Stuck Energy Causes Depression According to medical experts, depression is caused by an imbalance of brain chemicals, along with other factors. Energetically speaking, the root cause of depression stems from foreign energy being stuck in your body. When foreign energy dims and over-shadows your energy, you become de-pressed! Do you remember being attracted to someone special in your life? You are attracted to someone because you admire something unique about them. You might think they are handsome, funny or even poised. You like how you feel around them. With every passing day, you start to adopt their energy as your own. When this happens, and you don’t release it back to them, your own energy becomes de-pressed and your relationship takes a nose-dive. Like with computers, you cannot use MAC software in a PC or vice-verse. They each require their own unique software to operate and process their functions. The same is true for people. The very vibe that attracted you to another person, is the very thing that makes you sexually non-responsive, argumentative and emotional. It can affect your attitude, your health and your libido. Viagra Doesn’t Work On Low Self Esteem Viagra only increases blood flow to the genital area to enhance physical sexual stimulation in women or men. It cannot affect your body image, relationship or emotional issues that impede sexual function. Most people dislike some aspect of his or her body. Do you think you have jiggly thighs, a curved penis, small breasts, fat belly or a hairy back? While you might not be 100% satisfied with the way you look, you have learned to live with the perceived flaw. This perception may actually create an energetic block that affects the sexual image of yourself and your ability to express yourself. The reality is however, that to have good feelings about sex, you have to have good feelings about your body. Release Negative Self Talk with Grounding Whenever you find yourself having a negative thought about your body, release it down your grounding cord or put it inside a symbol and explode it. For example, if you're obsessing on your extra roll of belly fat, stop yourself. Throw that thought down your grounding cord or explode inside a firecracker. Then fill yourself up with a shimmering gold sun of self-appreciation and sex appeal. As you start to feel better about yourself and feel a little sexy -- no matter what you look like -- your sex drive will improve. Learn to love yourself for who you are, warts and all. Only then will you be able to have a really satisfying sex life and magnetically draw people who love and appreciate you. Grounding Visualization for the Entire Body To experience self-love and appreciation, release energy by grounding the entire body. Your natural magnetic energy will be stimulated, kicking you into high gear. 1. Create a grounding cord. 2. Visualize a 2nd grounding cord from the bottom of your feet to the main grounding cord coming out from your spine. 3. Allow gravity to pull out any dark colors, white light or any colors you intuitively know are not your energy to be pulled out. 4. Release anything that prevents healing. 5. Ground your ankles, legs, knees, thighs, hips, and abdomen. Release any energy stored in those body parts. 6. Ground your sex organs. Ask yourself, “Is there anyone’s energy stored there?” Do you get a sense of thoughts or judgments from: former teachers, lovers, partners, or friends sitting on your skin or inside these areas? Release both positive and negative energies. If someone likes the shape of your butt, their energy stays with it. And, here you thought it was because of all of the chocolate you ate. 7. Replenish your body and organs with a golden sun by putting some of your own energy back in your body. SECRET TIP -- Positive or negative energy can also block the optimum energy function. What is Past is Past! Don’t get stuck on it. Allow past energy release. It’s no fun to be stuck in the past. It’s no fun to be a victim. Stay present so you can let go, move on and attract the type of loving relationship you desire. You can release the emotional charge of molestation through visualization. Ensure a Healthy Body and Love Life Learn to release stress, fear and anxiety to ensure a healthy body. Eat a balanced diet, drink plenty of water, sleep at least eight hours a night, exercise regularly and practice relaxation techniques such as meditation or yoga. If you won't do it for your general health, do it for your sex life! Amirah © 2006 All Rights Reserved. You have permission to publish this article electronically or in print, free of charge, as long as the bylines are included. 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Most men have been there at one time or another. That moment when total sexual exhilaration turns to pure panic and fear...fear that the "little astronaut" out on his moon walk has lost his space suit. Fear that the knight is no longer wearing his shining armor. The number one reason that condoms break or slip off during the horizontal mambo is that the Johnson in question was not properly suited. Like shoes or bras, careful consideration must be given to condom size. Yes, all men are created equal — but in very different shapes and sizes when it comes to the trouser department. And while it may not be the size of the wave that floats your boat, when it comes to choosing a condom, your size does matter. RESEARCHERS AGREE A recent survey by Durex Condoms revealed that the length of an erect penis can range from four to nine inches, while penis widths can vary from just over one inch to more than two inches. The Durex study also found that 50% of the almost 3,000 survey respondents felt that the condoms they regularly used did not fit properly; 25% said the condoms were "too tight," 10% said they were "much too tight," and 15% responded that the condoms were "too loose" or "much too loose." Not surprisingly, 42% of those surveyed indicated that condoms should be "better shaped." A whopping 44% of those surveyed reported they had experienced condom slippage or breakage problems in the past. The Durex study concluded, "Given the wide range of penis sizes and the relatively narrow range of condoms designed to fit them, it is perhaps unsurprising to find that 50% of respondents felt that the condoms they use did not fit them properly”. The answers provided also indicate that condoms which don't fit properly are more likely to break during use..." Another study performed by La Trobe University in Australia examined the effect of penis dimension on the probability of complete condom slippage and/or condom breakage in actual use. A total over the course of the study, 16% of the men experienced at least one instance of breakage and 19% experienced complete slippage. The study concluded that condom breakage was strongly associated with penis circumference, particularly for men with above-average girth. In fact, each additional centimeter of penis circumference beyond the average 13.19 cm increased the risk of breakage by 50-100%. Like the Durex study, the researchers concluded, "This finding suggests a need to increase either the range of condom sizes currently available or the [girth] of currently available condoms.” of 3,658 condoms were used by 184 men. ERECTION REJECTION It is no secret that many men dislike wearing condoms. Some Men say that condoms interfere with sex, "get in way," or "kill the mood." Most of the time however, these problems arise because the man has difficulty putting on the condom, or is concerned that the darn thing may slip off. If a condom is difficult to put on due to size issues, the little soldier may suddenly be unable to stand at attention. A survey conducted by the University of Sydney, Australia found that two-thirds of the men surveyed reported they "sometimes" or "often" lost their erection while trying to put on a condom. Of course without an erection, a condom is impossible to put on at all. While many men struggle to put on ill-fitting condoms that are too small, many others experience anxiety that the condom may slip off their slimmer girth. This anxiety can also interfere with the ability to keep the flag at full mast. Condoms that are too loose increase the odds of slippage or leakage. Paradoxically, one of the most common reasons condoms slip off is because they are too tight or too long — if not fully rolled down, the ring at the base can enter the man's partner and be dragged off. Condoms that are too short also increase the risk of exposure to STDs. When condoms are too tight, breakage and slippage is more likely to occur, and sensitivity can be significantly diminished. The reality is that condom size is very important. Unfortunately, unlike penises, most condoms around the world today are made in a very narrow range of sizes. In fact, the overwhelming majority of condoms does not refer to size at all, and simply are marketed as a "one size fits all" product. While a few companies like Trojan have shown some sensitivity to the size issue by producing some larger sized models, very few such products exist, and even fewer are available for those needing a snugger fit. Millions of men continue to struggle with the "one size fits all" mentality that the condom manufacturers apply to condom size, often leading to very unfortunate results. Given the inherent difficulties in measuring customers to ensure a more tailored condom fit, condom producers simply continue to force round pegs into square holes. That’s why to fit a condom effectively and snugly, you have to up your size. Visit Penile Enlargement Blog For More Advice. pennis enlargement stretcher penis enhancement technique penis elargement herb free penis enlargment video pennis enlargement secret homemade penis enlargment enlagement penis pill vimax does penis elargement work free penis enlargment tip

Can You Get the Same Benefits from an Herbal Viagra Alternative That You Can From the Real Thing? It seems every day there is a new, touted herbal alternative to the male enhancement and impotence drug Viagra. The drug has ingrained itself so much in modern American culture that there are entire web pages devoted to Viagra jokes and millions of internet searches a year to buy Viagra online. But are there really safe supplements that act as natural alternatives to Viagra that work just as well, without the possible side effects that have scared some men off, and prompted them to seek herbal versions of the drug? While most herbal supplements that are said to match their medical couterparts in effectiveness are naturally met with a lot of skepticism by the medical community, I for one have witnessed first hand their effectiveness and life-changing abilities for men who suffer from impotence, low sex drive, inability to sustain erections, and general sexual and erectile dysfunction. My Second Hand Experience with an Herbal Viagra Alternative Supplement My significant other actually had a very positive experience with one such herbal alternative to Viagra, which I also noticed since I am his sexual partner. He described his experience with the supplement as having a heightened sensitivity in his penis, getting sexually excited much more easily, and more blood flow to his penis, making his erections last longer and get much harder. He also said that when taking the herbal supplement and subsequently participating in sexual intercourse, he had much more intense sexual peaks (orgasms), than he did when he did not take the supplement that day. Why Viagra's Safety Has Been Questioned in the Past Viagra was approved for sale by the FDA in 1998. Right from the start, American pharmacists dispensed over 215,000 Viagra prescriptions within the first month Viagra was released for public sale, launching a media blitz and the subsequent skyrocketing of Viagra manufacturer Pfizer's stock. The most notable and well publicized hazard of prescription Viagra has been the possibility of heart attack if your heart is not in the best condition, and if you are not physically fit or are at an age where heart attacks may become more probable. While most deaths occurred in elderly men, this scare has prompted many men to seek natural alternatives and herbal supplements that provide results either comparable to Viagra or identical to Viagra, without the necessity for a prescription, doctors visit, or high expense of necessary dosages. So, despite what your personal opinion may be on herbal supplements and natural equivalents to medically prescribed drugs, you can't deny the fact that there must be a reason for the rising popularity of herbal viagra alternatives. The reason is, it does work, and it does work very well for thousands of men. You just need to find the right one. free penis enargement tip penis enlargment procedure penile enlargement supplement enhancement manhattan penis penis enlargement surgeries penis enhancement surgery picture vimax penis enlagement truth about penis enlagement free penis enlargment tip

For many women, the size of their breasts causes constant self-consciousness. Breast enlargement provides many women with the boost in self-confidence that they need by giving them the body shape they want or need. “I help many women achieve their appearance goals,” says Dr. Reid in Austin, Texas. “Breast enlargement allows many women to walk taller, smile more, and be more confident.” As women age, the size of their breasts can change, age can affect skin elasticity, and gravity can cause breasts to sag. Also, after pregnancy and breast-feeding, a woman’s breasts may not return to the size and shape they once were. Some women never develop breasts proportionate to the rest of their body. Having breasts that are too small can make a woman self-conscious about the way they look when they are in public, and clothes may not fit correctly. Also, women can have asymmetrical breasts that can cause them to be very self-conscious. When a woman has one breast that develops significantly more than the other, it can cause serious self-consciousness. Breast enlargement can correct all of these problems and provide women who suffer from being too self-conscious a much-needed boost in self-confidence. Women who are self-conscious about the size of their breasts should contact an experienced breast enlargement plastic surgeon. During your initial consultation, your plastic surgeon will discuss with you what problems you have with your breasts. After determining what goals you would like to reach through breast enlargement, your plastic surgeon will be able to prescribe a breast enlargement treatment that will correct you problems. Often times, women choose to increase their breast size so that they are more proportionate to the size of their body. Other times, women want to restore their breasts so that they are returned to their original size after breast-feeding, growing older, or pregnancy. Candidates for breast enlargement surgery are almost any women who are unhappy with the appearance of their breasts. Breast enlargement surgery is a way to provide breasts with improved shape, size, and firmness so that women can be happy about the way they look.