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There are a number of drugs available for the treatment of impotence. They can be taken by mouth, injected into the side of the penis, or inserted into the male urethra. Impotence drugs should only be taken as prescribed by a physician. It is important to understand who can take these drugs safely and who should avoid them.
Viagra, Cialis, and Levitra are the brand names of some commonly prescribed oral impotence drugs. They all act by relaxing the smooth muscles in the penis, thereby increasing blood flow into the penis during sexual stimulation. While Viagra has been used the longest and has the most safety data available, all three drugs are safe and comparable in efficacy. Cialis has the longest duration of action, up to 48 hours, and has been nicknamed the ‘weekender’. These drugs should never be taken with nitrates, a group of drugs used to treat heart disease, as drug interactions can result in a dangerous drop in blood pressure. There are a number of conditions in which taking any of these drugs is contraindicated. Some common side effects such as headaches, flushing, diarrhea, and a stuffy nose may be experienced with any of these drugs. Labels for all three drugs are currently being modified to add nonarteritic ischemic optic neuropathy, a condition in which blood flow to the optic nerve is blocked resulting in vision loss as a rare side effect.
Alprostadil (Caverject), papaverine (Pavabid), and phentolamine (Regitine) can be injected into the side of the penis with a tiny needle. These drugs act by increasing blood flow into the penis, and their dosage can be varied depending on how long they are required to act. The MUSE, or medicated urethral system for erections, involves the application of a small pellet containing alprostadil into the tip of the urethra.
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New breast enhancement pills and breast enlargement pills seem to be popping up one after another on the internet, in magazines and even on television. They are the subject of ongoing controversy and speculation. Do they work? Are they just a pipe dream sold to women wanting larger breasts but not wanting to have surgery, or not being able to afford surgery?
The fact is, there are several very "average" and below average breast enhancement pills being sold today, and I'm sure that many more will continue to pop up since this has become a fairly lucrative market. However, there are only a few pioneers in the breast enhancement pill market who have had staying power over the years, and have proven themselves with a track record of successfully enlarging women's breasts, reshaping and redefining them.
The breast enhancement pill usually consists of herbs and natural botanicals that work together to encourage the breast tissue to grow through the use of powdered phytoestrogens, or plant-derived estrogen compounds that actually help stimulate a woman's mammary glands and trigger further growth of the breast tissue, almost as if puberty were starting all over again and the body's hormones were just beginning to activate the glands responsible for breast growth.
Another type of breast enhancement pill ("non-herbal") uses bovine ovary technology, which is basically animal-derived powdered "estrogenic" compounds that actually go straight to the source of breast development - the pituitary gland, and through supplementation and a few other lifestyle modifications, is very successful in enlarging women's breasts. This breast enhancement pill is the more expensive option, but actually has produced lasting and dramatic breast growth of many of it's customers, and continues to do so after over ten years of successful business practice.
Not to discredit the plant based (phytoestrogen) breast enhancement pill. Many women have had success on the phytoestrogen based breast enhancement pill as well, but must be careful not to select a cheap knockoff that may cause unpleasant side effects such as acne and PMS-like symptoms. There are some excellent choices out their for the herbal breast enhancement pills as well, you just need to know where to get them, how to pick them out, and how to put them to effective use.
It is also important when choosing to go with a plant based breast enhancement pill to choose wisely since they need to have a precise combination of the specific breast enlarging herbs in order to achieve their ultimate purpose - breast enlargement, enhancement, firming and toning.
As long as you go into the buyer's market armed with the knowledge you need, you are on your way to finding the right breast enhancement pill for you, if that's what you so desire.
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Mid life Crisis is not a disease or an event that one can avoid. It afflicts everyone who lives through their middle years. There is no warning as to when it will hit you, but when it does, it likely will come at the worst possible time, but then again, when is a good time for a meltdown?
Most likely your time will differ from that of your friends and others close to you like your Husband or Wife, since our Middle years can begin anytime from our mid thirties through one’s fifties and everyone is different.
Don’t even think you can avoid mid life Crisis, because you can’t! No amount of money or influence can get you out of this one. How you endure the transformation and to what degree you suffer or not, will vary as widely as those who experience it. You know the cliché, forewarned is forearmed, so knowing what will happen and how to survive the experience in tact, can go a long way. Right!
I may have been exaggerating slightly about how ominous Middle aged Crisis can be, because I wanted to grab your attention. However, we have all heard the jokes about middle aged crisis and know that within all jokes, there does contain a grain of truth. The truth here is that some of you will experience a major shift in your lives, while for others the change may be more gentle. Do not doubt that change is on its way. It is inevitable! You may not have say on if or when it will happen, but you do have a say in how you will deal with it. Each and every one of us is equipped with a silver bullet in our personal arsenal to deploy as we see fit. This is something that you may already be using or something that you have yet to take out. It matters not because you never run out of it. It is the most effective weapon we have and that is Attitude!
As a Life Coach, we use our attitude and perspective to help our clients deal with many issues in their lives until their own attitude can take over. In fact, we often say that if we only have one tool to use, Perspective would be it. How you view things, and the attitude you take toward life’s ups and downs, (your perspective), has a dramatic effect on how you cope. Are you a glass is half full or half empty person? Do you laugh in the face of danger or do you run and hide in terror? Are you someone who is afraid of change or do you embrace it like me? Do you see problems or opportunities for improvement? Positive and negative personalities are obviously opposites of each other, with the extremes differing in folks all up and down the spectrum of the pole. I can certainly find folks who exemplify the ends of the pole, those with very strong outlooks, but for those who are fence sitters, you now have an opportunity to change your attitude. Only you know how you experience the world around you, but I know that a positive or negative attitude will affect how you experience what I have coined, The Emergence of our True Self. How would you like to go through life? Seeing opportunities or finding problems everywhere? The choice is yours.
Look at this time as an amazing opportunity for you to take a peek behind the veil, the cloak of mystery that is you. Avidly seek out the answers to questions that have plagued mankind since the beginning of time. I know that as a child I lay in bed and many times looked up at the sky and wondered, “Why am I here”? “What is my purpose?” “How can I be more than I am?” These are the questions that will now be answered for you. This is your time to finally solve the mystery. View this time as a positive experience. This is your time and it has been given to you so that you can emerge as your True Self. Feel all of it; embrace the experience, even the tough stuff. Remember the butterfly and its struggle to emerge from it’s cocoon. You may struggle through this time but you will emerge a more content person for it. I am positive about this.
Middle Aged Crisis, struck this week and it happened to a man we will call Dan. Let’s see how it begins so we know what to look for. Dan is a slightly paunchy, balding middle-aged man in his late 40’s, whose one attempt of rebellious attitude towards his wife, was to go against her thrifty nature and adorn the front end of his mini van with a ‘bra”!
One day, Dan left his ‘bra’ behind and came home wearing a shiny new candy apple red corvette instead. It looks like the van was traded in for this gorgeous sexy rolling piece of penis envy. After the ‘big wow’ fell out of your dropped jaw, was your next thought the same as mine “now there’s a guy whose wife is going to kill him”? Where are the kids going to sit? Is Dan a classic case of a man having a mid life crisis?!”
Will his ‘search” for himself end here or will Dan take it a step further? It seems that several of the guys in Dan’s office have traded their wives of 3o years for 30 yr.old wives. We don’t know if Dan knows any 30 yr; old women so we will have to wait and see about that. Dan seems to be the poster boy for Middle Aged Men in crisis but what about woman? Are they immune to mid life angst and do men and woman manifest their symptoms in the same way? Joan Rivers and her G-force facelift might be the perfect example of a woman who is still searching for more in her life but can’t get past her mirror. We often joke about woman and their hot flashes, but do they wake up all sweaty and then head out in the morning to buy sexy cars or is there another measure of being unsatisfied they go for? I have a few lady friends who were the very last women in the world I EVER expected to radically deviate from their MOM role. It seemed at 40 something, they woke up one day and traded their beautifully decorated home, mommy and wifely duties for a basement apartment and freedom. Did it mean they loved their children less? Nope, it just meant that they were compelled to find out who they were after being a mom and wife. Yes, a few became what is commonly referred to today as Cougars, woman who prey on younger men, but for the most part, they seemed to be genuinely seeking themselves. Either this was something that was lost, or something they never had in the first place.
So is Mid life Crisis a valid condition or an excuse to be selfish and make up for poor choices along the way? Is it a human condition that we will all experience in varying degrees as we pass through their middle ages, or is it reserved for those who share certain personality traits? Is it possible that it is related to female menopause or male Andropause? Do hormones have anything to do with the ‘stress and distress of those in the eye of this storm? Are these people as out of control as they sometimes seem to be?
I am not a doctor and do not know the answer to these questions but I do know as a Life Coach and a woman in her middle years, that there seems to be a great many people in this age category who are seeking and searching for something that will fill a part of them that is missing. They have a great desire for something more in their life, but what that MORE is they don’t know. It is a time of personal reflection and for some breaking out of a mold that has held them for many years. Perhaps you know someone who has quit their executive position or walked out on their 30 year marriage. It doesn’t always make sense, this behaviour, but there is common theme. CHANGE!
It seems that many are seeking their destiny, and the meaning of life. They want to know what their purpose is and where they fit into the Grand Scheme. They want to know what this thing called LIFE is all about, and they are seeking their soul, their soul mates and questioning long held beliefs. Spirituality is a common theme, and many search for their connection to something larger than the known world and for answers they go to the Unknown world
A metamorphosis is taking place and I see it as our third great struggle of life. The first is being born, the second is adolescence and now this time I will coin, The Emergence of Self. The emergence because it is our true self we are seeking. Not the daughter, son, mother, father, doctor, cook or any other label we have put on ourselves, but OUR true SELF , our true soul, the nature of who we really are. It seems this is a time where anything can happen and does.
Sometimes those who are most surprised by what happens next are the seekers themselves.
As adolescents we go through the change together, it is expected, so resources are in place to help us deal with it. Our families and teachers are there for us, supporting the change. Now in our mid 40’s- 50’s, it seems we face this change alone. No longer are our buddies, families or teachers there to support us. In fact, it may be that those closest to you don’t understand why you are contemplating the things you are. They may argue that you are making a big mistake and you don’t know what you are doing. Even if this is true, and in many cases it is, there doesn’t seem to be anything to do about it except ride it out.
Have you ever wondered at the timing of all this? Why is it so important to KNOW right now? Why upset the apple cart at this stage of your life?
Perhaps it is so that our time here is not wasted in the larger sense. Many of us as children had a dream or a goal. I think that this first memory may be the truth of who we really are and why we are here.
How many of us have stayed true to who we were? I know that there have been many times in my life that duty as a daughter, a mother, and even a wife have taken precedence over who I wanted to be. So maybe this frustration, this time of wanting is really the only way to help us break the chains of ‘good behaviour’ and allows us the time to search for our lost selves or if you believe in the metaphysical then perhaps we are waking up to what brought us here in the first place, our contract or mission. Have you felt that there is a master plan but you haven’t been let in on the details?
The there is a great secret, albeit unknown to you, and almost like a cosmic joke, it is at your expense. Why does this transformation take place? Is there a way of escaping it? I think not. It seems to me a natural progression to a higher state of being if we are lucky. It seems we all go through the process, albeit at slightly different ages and degrees of angst. I believe that this is one “Crisis” that is supposed to happen and rather than describe it as a crisis we could rename it as a transformation. We have all have known a “Dan”, a 50 something guy who finally buys his corvette, or his Harley, leaves his wife or leaves his job- any or all of these are fairly common and classic crisis behaviour. As I said earlier, Women are not immune either. We can all envision the Cougar, a woman in her mid to late 40’s who used to be Suzy Homemaker and is now on the prowl for a 2o something guy to make up for her boring life.
On the outside, this behaviour seems selfish and I suppose in some ways it is. But remember, this Emergence is about self and change and change never comes easily. There is always a struggle and in this instance, doing what is opposite in nature of what one has always been done may be one of the catalysts to the next step. These folks are in the midst of a chemical and physical transformation. Alchemy is taking place. When all is said and done, they will be different.
They are reaching out for their world to make sense and hopefully when all is said and done, they will have found peace. Peace within themselves and peace with their outside world. We know that these folks want more, but and the sexy car, younger mate is not the whole answer because change on the outside does not equate with change on the inside. I feel that this transformation may actually be harder on us than adolescence. When we are young, we have out parents to support us. We walk en mass with our friends to school and we are all going through stuff together. But mid life, we do that one by ourselves and many times, we wreak havoc on the lives of those we love the most. This change, this metamorphosis, cannot likely be stopped, anymore that you can stop breathing, but for some, it comes with great cost. Our bodies change- we don’t child bear anymore. We have wrinkles and grey hairs sprouting from places they aren’t supposed too. Our skin on our hands begin to thin and become translucent, showing the blue of our veins. We fear we are losing our sexuality, our vitality and our ability to be ‘seen’ as one of the players. We fear this invisibility and we fight to be more than we are, because we want to stay in the game. We also know that we are more than we are showing. We wake to an unknown dream or assignment and strive to fulfill our life’s mission, but the guide book is missing. The map is gone and our hands flail in the wind seeking something solid to grip onto. It’s a turbulent time until one day, you wake up and your life begins to make sense again. You start to realize what is important. Who you are and what you are passionate about. You know what you love and whom you love and you have a sense of the greater picture. You know why you are here. You understand your ties to the past and what you bring to the future. The Emergence of Self will happen whether you plan for it or not. At some point in your life mid life, an amazing discovery of self will take place, and I hope that you complete your transformation all the way until you feel at peace within your heart and the world around you. For those of you who are wondering what signs to look for or if you are currently experiencing your transformation, below you can find a list of common features:
Typical features of mid-life include:
Experiencing healthy dissatisfaction……..yearning for more…..is this it??
What worked before no longer rocks your world.
The changing body becomes your guide.
You get used to uncertainty
You want to give back
You become much more than you thought you were.
Your values change significantly
You are getting a hefty whiff of you own mortality.
The emergence of wisdom
Mid-life challenges that Coaching can assist with:
• Finding your Passion
• Removing FEAR from the Change Process
• Learning how to acknowledge and accept others
• Learning to Communicate at heart level
• Reconnect with your SELF
• Leaving Guilt Behind
• Trusting your instincts
• Creating a vision
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What do you do if you have no idea what does some word mean? You probably open the dictionary and look for that word. However, what if you do not have a dictionary and there’s nothing and nobody who may help? You’d probably try to guess the meaning. Very often it is not difficult because a lot of words have the same origin, or, are internationally used and the spell itself is very similar in different countries. For example: “Mother” can be recognized almost everywhere for this word has rooted that is used in many languages.
But, when it comes to languages of different origins, it would be of a great difficulty to guess a word, as cognates do not exist. Thus, an Arab learning English would such difficulty and would have to guess the meaning through context with the help of an English dictionary.
It would be even more difficult for an English learner to look up an Arabic word in an Arabic dictionary. To do so, all word affixes have to be omitted and word has to be clipped off to its root by following the rules of the pattern system. Such process is not that easy as it is in English when all one might have to do is to take off the prefixes and the suffixes of a word then look it up in a dictionary.
Synonymy and polysemy are two areas of vocabulary all languages including English and Arabic share and that lead to the enlargement and enrichment of languages.
When two words share the same meaning (not identical meaning), they are considered synonyms. Synonymy imparts variety of style and helps express the nuances of meaning.
Synonymous words may differ in their dialect, their degree of formality, or their evaluative meaning. For instance, "Lift" and "Elevator" share the same meaning but the former being American and the later being British. The word "die" is neutral, "decease" is formal, and "kick the bucket" is very informal. The word "thrifty" is approving and "stingy" is disapproving.
The same goes for Arabic as in أهلا بك ، أهلا فيك and مات ، توفى ، غار في داهية and حريص ، بخيل ، جلده
Polysemy is when a word has more than one meaning. Polysemous words in English may have equivalent meanings in Arabic corresponding to each polysem and the same applies on polysemous words in Arabic. For example, in English the word "Bank" could mean a place where money is kept:مصرف , or could mean the riverbank: ضفة . In Arabic a word like طويل could mean either long for distance or tall for height.
Synonyms and polysemous words could constitute in an incorrect understanding or mistranslation for an incompetent Arab learning English. And a competent language learner should determine the accurate meaning of word through good understanding of the context.
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For a few men the arrival of middle age brings with it increasing urinary difficulty caused by an enlargement of the prostate gland. Instances of urinary difficulty increase with age so that by the time that most men reach retirement there's a better than 50/50 change they'll be experiencing difficulties and, if they're lucky enough to reach the age of 80, then they'll almost certainly run into difficulty as prostate problems affect about 90% of the male population by this age.
While enlargement of the prostate is extremely common it is also a benign condition that is confined to the prostate gland and for many men it will develop very slowly over a period of years. There are a variety of symptoms, almost all associated with problems in passing water, and these can range from the quite mild which are really not too bothersome and which you can certainly live with as just another sign of the ageing process, to more severe symptoms which are sufficiently annoying to warrant treatment.
In addition to the common problem of an enlarged prostate, which will affect almost all men at some point, a significant number of men will also develop prostate cancer which, while it starts life in the prostate gland, can eventually spread throughout the body and is an extremely dangerous condition and the second most common form of cancer death in the United States today.
An enlarged prostate and prostate cancer are two quite separate conditions and, despite what you may have heard, an enlarged prostate does not cause prostate cancer. The two conditions can however exist side-by-side and one problem with prostate cancer is that the symptoms of an enlarged prostate can mask the presence of a growing cancer.
The first step therefore is to call in and see your doctor as soon as you start to experience any sort of problems passing water and get him to establish the root of the problem.
If you consult your doctor at the first sign of trouble and he diagnoses prostate cancer then it is very likely to be at early stage of development and confined to the prostate gland, in which case your doctor will almost certainly suggest prostate surgery. In this particular case, unless there is a very good reason why you should not have surgery (such as the presence of other medical conditions that you place you at risk from surgery) then the answer to whether or not you should have prostate surgery is invariably going to be "yes".
There can be no question that the best way to deal with cancer is to remove it altogether and, when it is confined to the prostate gland, the easiest and best way to do that is to have it surgically removed.
If, however, your doctor diagnoses nothing more than an enlarged prostate the question of whether or not you should have surgery become a bit more complicated and you will need to discuss your options with your doctor.
There are a range of treatments available for an enlarged prostate including drug therapy and non-surgical treatments, as well as several different surgical treatments and each has its own advantages, disadvantage and risks.
The major difference in the case of an enlarged prostate is that the vast majority of treatments are not designed to cure the problem but are aimed at reducing symptoms so that it does not unduly interfere with your quality of life.
The question of whether or not you should have prostate surgery is very much dependent upon the cause of your problems. If you have prostate cancer and prostate surgery is the recommended option then, unless there is a good reason for deciding otherwise, you should almost certainly accept your doctor's recommendation. If, however, prostate surgery is being considered for an enlarged prostate, then there will be a range of other options open to you and you will need to make a very personal decision, in consultation with your doctor, about whether or not prostate surgery is the choice you feel would be most appropriate.
