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Viagra (Sildenafil citrate), which millions of men take for erectile dysfunction (ED), reduces the effects of hormonal stress on the heart by half, according to a study published online in the journal Circulation. Viagra causes genital blood vessels to expand, which helps in maintaining an erection. Recent research also has pointed to its potential usefulness in treating pulmonary hypertension. Prior to the latest findings by a team of Johns Hopkins researchers, it was thought to have little effect on the heart. Viagra, or sildenafil, blunts the strengthened heart beat caused by chemically induced stress, according to study senior author and cardiologist David Kass, MD, a professor at the Johns Hopkins University School of Medicine and its Heart Institute. It thereby lessens both the excess amount of blood and the force used to pump it to the body. "Sildenafil effectively puts a 'brake' on chemical stimulation of the heart," says Kass. Prevents and Reverses Effects of High BP These findings are believed to be the first confirmation in humans that Viagra has a direct effect on the heart. In earlier research, Kass and his team observed a similar effect in mice; Sildenafil blocked the short-term effects of hormonal stress in the heart. Related studies by the group show that sildenafil also prevents and reverses the long-term effects of chronic high blood pressure on the heart. Sildenafil reversed the negative effects on heart muscle weakened by heart failure and enlargement -- a condition called hypertrophy -- in mouse experiments Kass and his team carried out earlier this year. They reported their results in the journal Nature Medicine. "But we had no firm evidence as to whether or how this therapy might work in the human heart," says Kass. "Our latest research provides firm evidence this drug does indeed have an important impact on the heart." Increased Heartbeat Was Slowed Thirty-five healthy men and women, with an average age of 30 and no previous signs of coronary artery disease, participated in the six-month Johns Hopkins study. Within a three-hour timeframe, each participant received two separate injections of dobutamine (5 micrograms per kilogram for five minutes), a synthetic, adrenaline-like chemical that increases heart rate and pumping strength. Between injections, study participants were assigned randomly to a group that was treated with sildenafil (100 milligrams taken orally) or to a group given a sugar pill placebo. All participants then were given the second dobutamine injection to see what effects sildenafil or placebo had on the heart. Measurements of heart function were made before and after each injection. These included blood pressure readings, electrocardiograms and echocardiograms. Blood samples confirmed relatively equal levels of sildenafil and other enzymes. Each dobutamine injection stimulated heart function, increasing heart rate and the force of each heartbeat used to pump blood throughout the body, results showed. "This stimulation is similar to the way the nervous system normally increases heart function when triggered by emotional or exercise stress, or in diseases such as heart failure," notes Kass. After the first injection of dobutamine, the force of heart contraction increased by 150 percent in both groups. In the placebo group, this increase repeated itself after the second injection. However, in the group treated with sildenafil, the increased heartbeat was slowed by 50 percent, resulting in a smaller increase in blood flow and blood pressure generated by the heart in response to chemical stimulation. Between injections, heart function was not altered in the sildenafil group, demonstrating the absence of adverse side effects on the resting human heart. Stops PDE5A Action "Knowing more about the effects of sildenafil on heart function will allow for safer evaluation of its use as a treatment for heart problems," says Kass. "Our results set the stage for further studies of sildenafil's immediate and long-term effects on the heart and its ability to modify other neurohormonal and stress stimuli, including adrenaline and hypertension," he adds. While the precise biological actions of sildenafil in the heart are not fully understood, the drug is known to work by stopping the action of an enzyme, called phosphodiesterase 5 (PDE5A), Kass explains. This enzyme is involved in the breakdown of a key molecule, cyclic GMP, which helps control stresses and limit overgrowth in the heart. PDE5A is also the biological pathway that sildenafil blocks in the penis to prevent the relaxation of blood vessels and thus maintain erections. Copyright 2005 Daily News Central vimax penis girth enlargement magna rx plus enlarement manhattan penis surgeon penis elargement surgery picture penis elargement exercise permanent penis enhancement penis enlarement surgeon best penis elargement

manual pnis enlargement

"This year, approximately 234,460 men will be diagnosed with prostate cancer, and approximately 27,350 will die as a result of the disease."--Centers for Disease Control and Prevention. Prostate Cancer is the most common form of cancer amongst men in the United States and Canada, other than skin cancer. Prostate cancer is the second-leading cause of cancer deaths of men after lung cancer...So now do you understand why you must take control of your prostate! Maintaining prostate health is a major concern for men 40 and over in North America. Despite this, many men are reluctant to broach the subject with their physicians. Prostate cancer occurs when the cells of the prostate begin to grow uncontrollably. When caught and treated early, prostate cancer has a cure rate of over 90%. The prostate is a small, squishy gland about the size of a walnut that sits under the bladder and in front of the rectum. The urethra, the narrow tube that runs the length of the penis and that carries both urine and semen out of the body, runs directly through the prostate; the rectum, or the lower end of the bowel, sits just behind the prostate and the bladder. Sitting just above the prostate are the seminal vesicles, two little glands that secrete about 60% of the substances that makes up semen; running alongside and attached to the sides of the prostate are the nerves that control erectile function. Have you noticed any of these symptoms? * Increased urinary urgency and frequency - especially at night? * Voiding slow, incomplete and sometimes painful or burning? * Decreased sexual activity and occasional impotence? * Lack of bladder control - incontinence? Rate your prostate health Find out now...with the following assessment survey: This survey was developed by the American Urological Association (AUA) and is currently the standard test to determine urinary health. Prostate Symptom Survey For questions 1 - 6, score 0 for not at all; score 1 for less than 1 time in 5; score 2 for less than half the time; 3 for about half the time; 4 for more than half the time; and 5 for almost always. Score Yourself. Over the past month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating? Over the past month or so, how often have you had to urinate again less than two hours after you finished urinating? Over the past month or so, how often have you found you stopped and started again several times when you urinated? Over the past month or so, how often have you found it difficult to postpone urination? Over the past month or so, how often have you had a weak urinary stream? Over the past month or so, how often have you had to push or strain to begin urination? Over the past month, how many times did you most typically get up to urinate - from the time you went to bed at night - until the time you got up in the morning? (0, 1, 2, 3, 4, or 5) Scoring:The sum of the answer scores gives us a better idea of the prostate condition as follows: 1 - 7 = Mild 8 - 18 = Moderate 19 - 35 = Severe If your score shows that you should be more concerned about your prostate health... What are your options? Phytotherapeutic agents (herbs) represent nearly half of all the products dispensed for supporting prostate health in Italy; in Germany and Austria phytotherapy is the first choice for prostate support. ...Do they know something we don't? herbal natural penis enlargment manual penis enhancement penis enargement system pnis enlargement technique does pnis enlargement work vimax penis enlargement device pnis enlargement result male penile enlargement manual pnis enlargement

Once you will learn how to find the G-spot with your lady partner, and with the use of appropriate sexual positions to stimulate it, you can give her mind blowing orgasms time after time. But what is this G-spot, where it is located, and how will you know that you have really found it? A German doctor (a gynecologist) Ernst Graftenburg is the discoverer, which is why it’s called the “G” spot. The G-spot is an area inside the vagina, on its front wall. Strangely enough, this area can be stimulated by constant pressure and it often ends up in an orgasm. It’s not difficult to locate, as it corresponds directly to the area where the urethra is closest to the top of the vaginal wall. The G-spot does vary from woman to woman, so you will need to follow the directions below to locate it exactly. Using well lubricated two fingers, insert them carefully inside your partner’s vagina, touching the top of the vaginal wall. You will feel somewhere a lattice-work of muscle tissue and in that tissue is the G-spot. Be very careful how you touch it; do not hurt your partner! Too little pressure and your partner will be meaningless, while too much pressure and she will cause an unpleasant pain. Now that you have located it (you partner will gladly confirm to you that you have) see these three methods to use to pleasure your partner. •A very good method to stimulate the G-spot is while performing cunnilingus. Insert two well lubricated fingers and apply a steady and firm (but not rough) pressure to the G-spot. You can be very sure that after 20 minutes of cunnilingus, and pressure to the G-spot, your partner will experience a steady and profound orgasm. •The second natural way to stimulate the G-spot is by intercourse. The man will lie on his back and woman will mount on top, facing the man. The beauty of this position is that the man should do nothing at all, only have an erection. The woman move till she finds the G-spot herself, and she will apply just the correct pressure, using the man’s erect penis. Orgasm quickly follows. •Another sure sexual position to stimulate the G-spot is a modified missionary, of sorts. In this position, the woman will lie on her back, and the man faces her, sitting on his thighs. The woman now places her feet on the man’s chest with her legs apart. At this point the man will penetrate the woman, but does not move or thrust. He will just lean back a bit, insuring his penis is firmly touching the vaginal wall. The woman can move if she wishes to adjust the pressure. As it in position, the man’s penis will be tilting upwards pressing directly against the G-spot. Not long after the woman will experience a strong orgasm, as the clitoris is also stimulated. Stimulation of the G-spot one is accomplished by intense and constant localized pressure. Thrusting is not so effective as constant and strong pressure to the G-spot itself. Once learned, both partners will seek to return to its stimulation again and again. free penis enlagement plastic surgery penis enlarement pennis enlargement system free pnis enlargement video free pennis enlargement exercise penile enlargement review penile enlargement testimonials herbal penile enlargment pills manual pnis enlargement

Generic levitra is an alternative to the name brand. It is an oral prescription medication used for the treatment of erectile dysfunction. It falls in the group of medicines known as PDE type 5 inhibitor. It works by relaxing the smooth muscles within the penis thereby increasing the blood flow. This helps attain an erection in a natural way making you more avid in bed and gratifyingly achieve an orgasm. Generic levitra comes in the form of a tablet available in the variants of 2.5 mg, 5 mg, 10mg, and 20 mg. The pill should be taken 1 hour before a sexual activity and not more than once in a day. It can be taken with or without food. Keep the medicine away from the reach of children as children use of generic levitra is strictly prohibited. Women should also not consume the drug as the reaction in such a case has not been studied. Generic levitra cannot do miracles. Neither can it result in an automatic erection. For a natural erection to occur sexual stimulation is required. Since generic levitra is meant to cure erectile dysfunction in men, therefore it should not be taken for sexual pleasure. Also it does not offer protection against sexually transmitted diseases including Human Immunodeficiency Virus (HIV). Before taking generic levitra one is advised to consult a physician. As you doctor will be able to judge better whether levitra is suitable for you or not. You may not be able to take the medicine, or may require a dosage adjustment or special monitoring during treatment if you have any of the following conditions:- •Heart disease •Blood pressure •Liver problems •kidney problems •Blood problems •Stomach ulcer •Family history of degenerative eye disease (e.g., retinitis pigmentosa), or •Physical deformity of the penis (Peyronie's disease) Elderly people are quite sensitive to the use of generic levitra. Men who have attained the age of 65 years are likely to experience certain side-effects such as dizziness, chest pain or painful erection. In such a case the doctor may prescribe a lower dose for the patient. Take the dose as prescribed by your doctor. If ever you miss a dose, take it the moment you realize you have missed it. Do not try to double the dose as it can cause serious side-effects. Symptoms of generic levitra overdose are-: •Dizziness •Stuffy or runny nose •Erection that lasts longer than 4 hours •Vision changes •Swelling of tongue or face •Difficulty breathing or swallowing •Fainting •Hives If you experience any of the above reactions, take immediate medical assistance. Generic levitra can help you to get and sustain quality erection for a longer period of time. This in turn can help you derive more pleasure from your sexual experience. penis enargement patch penis enlargement product vimax best penis enlargement surgery penis enhancement herb penis enlagement system real pennis enlargement penis enlargement pills review penis enlarement picture manual pnis enlargement

So, you have a small or average penis and are interested in changing this situation. By accessing this page you have already taken an important step toward making your wish come true. There is a big difference between wanting something and actually doing something to get it. And if you’re looking for a way to get a big penis and rock hard erections that never fail to satisfy your partner, then you came to the right place. In the age of supercomputers, ultra-fast cars and trendy mobiles/MP3 players, man driven science has found a solution to this nature driven problem. So what if Mother Nature was not generous with you? Penis size is not exactly set in stone, you know. There are ways to change that and the business sector has responded to demand from people like you with an entire male enhancement industry. New solutions were found and the old ones are better than ever. But if you’re still in doubt about this whole penis enlargement thing, as well you should be since you can’t trust every new thing that comes along, then you should try the safest option available. Before resorting to creams, penis pills or even penis enlargement surgery, you can use the simplest natural male enhancement solution around. And what can be easier that penis enlargement exercises that can be done any time you wish in the privacy of your own home? The Penis Improvement exercise program is an excellent choice for both beginner penis enlargement users, who want to get a “hands-on” feeling of the whole business, and for advanced users that are eager to add the effect of exercises to that of pills, patches or devices. Featuring detailed pictures and videos for every exercise, Penis Improvement is the best way to go from a small or average penis to perhaps something more fitting.