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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 truth about penis enhancement pills penis enlargment procedure penis enargement without pills vimax penis enlargement technique free pnis enlargement technique herbal penile enlargment penis enlarement supplement enlargment manhattan penile

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Who is the master? Your penis or you? Does your penis sleep when he wants to? Learn how to maintain your penis erections and controlling your premature ejaculation moments. Learn to get to know this muscle called the Pubococcygeal (PC). This is the muscle that helps maintain your erections and your ejaculations. Do not let your penis control you any longer. Both men and women have this muscle. This is the muscle that can shut off your urine flow. When you urinate and stop the flow of your urine, the pubococcygeal muscle is what you are working with when you stop your urine flow. Men who experience premature ejaculation and/or leak urine when you sneeze or cough should learn how to strengthen your pubococcygeal (pc). If you learn how to strengthen this muscle, this will help in avoiding the above problems. If you are leaking urine or any ejaculation problems, then you need to put a stop to this right now. Learn to be in control of your erections and ejaculations. In making the pubococcygeal muscle stronger, you will improve the intensity of your erections and ejaculations. You will improve the blood supply that goes through your penis. Better blood circulation through the penis is better erections overall. You will also improve your erotic pleasure. You will intensify your physical sensations and excitement for you and your partner once you learn how to strengthen this muscle. You can exercise the pubococcygeal muscle by tightening and holding back on this muscle for a count of three. Then relax, then tighten again for a count of three. Repeat this exercise 10 times, 5 times a day. Now, do not perform this exercise when you are urinating. I have only show you where to locate this muscle when you urinate only. Again, when you urinate and stop the flow, this is the pc muscle you are working with. You can do this type of exercise anywhere. Standing on the line at the bank, at work, home, anywhere, and nobody will know that you are exercising this muscle. Only you will know. Here are the signs that you need to know if you need to make your pubococcygeal (pc) muscle stronger. A. If stopping the flow of your urine is difficult, then you have a weak pc muscle. B. If you have poor posture, then you may have a weak pc muscle. C. You can not have intercourse longer than 3 minutes before ejaculating. D. Urine leakage when you sneeze or cough. It is a true fact that 85% of men can not have intercourse longer than 3 minutes before ejaculating. This is due to a underdeveloped and weak pubococcygeal muscle. Having a weak pc muscle causes weak erections, weak ejaculations, impotence and premature ejaculation. Learning to control your ejaculations will help in developing a stronger pc muscle. Developing good muscle tone of your pc muscle will help improve your ejaculation control and will enhance your lovemaking pleasure between you and your partner. A strong pubococcygeal muscle gives more blood to the genitals making erections come more easy. Start exercising this muscle. You will gain full erections every time. You will also satisfy your lovemaking activities and naturally this does enhance one's self esteem. Wake up and control your penis. Do not let your penis control you. Learn to control your erections and ejaculations. The pubococcygeal muscle is the organ of energy. Exercise it and control it. And do not let your penis sleep when he wants to. Who is the master? I will leave this up to you. cheapest penile enlargment pills free penis enargement tip pennis enlargement surgery photo penile girth enlargment male penis enlagement top pnis enlargement pills penis elargement before and after picture vigrx penis enlargement pills penis enlargment doctor

It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley surgical penile enlargement penis enargement secret penis enlagement excersizes plastic surgery penis enlagement magna rx pill penis enargement before and after picture natural penis enlagement pills com enlargement pnis pnis pump penis enlargment doctor

She is always demanding on the bed; she wants overt games, the game with high intensity. She requires the same powerful stroke play of young days. She demands you to explore pleasure in some new postures. Her fire has increased many times and you find it difficult to fizzle out her burning desires. If, you are married for past few years and noticing these kinds of changes in her attitude towards sex then you must know there is nothing extra-ordinary with this. In earlier phase of marital life, women are less demanding because of some shyness and certain other factors, but when they are experienced with love making they want to enjoy it with full intensity. But, unfortunately reverse process happens in men; men in earlier phase of life enjoy sex a lot but in later phases lose the capability of penile erection. The inability of erection of penis is known as Erectile Dysfunction (ED). The erectile dysfunction is bad in every phase of life but it is worst when your partner is desperately looking for taking you in. Erectile dysfunction has two kinds; in first kind penis doesn’t not erect even after intense foreplay while in second kind, though penis erects it falls back during the intercourse. Both kinds of erectile dysfunction can ruin out your marital and sexual life; erectile dysfunction is the prime cause of bringing bitterness in the relations of millions spouses. The treatment of erectile dysfunction is possible through proper medication. Levitra is an oral-prescription medication which has high success rate in treatment of erectile dysfunction. This medication stimulates the production of GMP which is an enzyme that starts the process of filling blood in capillaries of penis. Once the GMP is at an appropriate level you can get proper and firm erection. Phosphodiesterase-5 (PDE-5) is another enzyme which by inhibiting action of GMP brings back penis on a relaxed position after achieving orgasm. Levitra also has its orientation on this particular enzyme and blocks its production for a specific time period. The time period can be four hours long so that whatever will be the level of woman’s libido, she would be completely satisfied with the man using Levitra. Levitra is meant for adult males only; women and children should not use it. Levitra may have some mild side effects like nausea, dizziness, dry mouth and painful erection. The side effects are non-permanent in nature and usually disappear once body is adjusted to the medication. If the symptoms of any side effect persist for long, immediately call the doctor. Generally, doctor’s prescribe10mg of Levitra pill which should be taken 30 minutes earlier than sexual intercourse. Levitra tablet should be swallowed not chewed with one glass of plain water. There are many online pharmacies which make this medication available at your doorstep through an online order. penis enlargement pic before and after homemade penis enlargment pnis enlargement fact pennis enlargement picture penis elargement herb free penis enargement video online vigrx truth about pnis enlargement pills penis enlargment doctor

Most men love this. Fellatio is the act of applying your lips to a man's penis with the purpose of giving him pleasure. The lips and the tongue are the major sources of stimulation in Fellatio and it is the lips and tongue that you can use to make your partner enjoy a mind blowing experience. While practice makes perfect, here are some basic tips on how to improve your Fellatio technique. Watch your teeth to prevent hurting him suck in your lips to remove the problem of your teeth grazing or nicking him. Safety. If you're unsure of your partners history play safe and use a condom. Oral sex is easier and gives more pleasure without a condom, but you need to think of your own health and don’t take unnecessary risks. Condoms can actually however be quite fun Try some flavored condoms on the market and applying water-based lubRICANT to the penis before you put on the condom will greatly increase his pleasure when receiving. Positions. Get into a position that is comfortable and allows you unhindered access to all areas of the penis. If you are kneeling use a pillow under your knees so that you can concentrate and don’t be afraid to change angles and positions. Enthusiasm The key to giving your man pleasure is enthusiasm, let him know you are enjoying it to and this enthusiasm will arouse him even more. No one wants to feel like their partner is just doing it to please them they want to know you enjoy it to! It will make the experience that much more pleasurable for him. Variety is the spice of life Don’t always use the same moves or techniques in the same order surprise him each time and this means using your imagination and plenty of variety, keep him guessing Make him respond. Whether it's harder, softer, faster or slower, no one knows exactly what he wants better than your partner so get him to respond to you. This can either be verbally, or more subtle clues such as moans and groans. Whichever way you do it, make him feel that he can let you know exactly how he likes fellatio. Start gently. You can start gently slowly stroke, kiss, and lick, run your tongue up and down the penis shaft, take the penis all the way into your mouth and start to build the experience. The anticipation of the warm up can do wonders for his imagination and expectation. Be uninhibited. Women exert considerable control over their partner’s aroused, erect penis and it is important to be uninhibited and enjoy fellatio. While you can start slowly, the best way to satisfy your partner is to exert more pressure as you progress. Really try and get into and concentrate on what you are doing, free your mind and you will provide a massive amount of pleasure The Sensitive spot On the underside of the penis, just below the head, you will find a small ridge of skin known as the fenulum. This area of the penis on many men is extremely sensitive and learning to hit this spot at the right time while performing, can enhance his pleasure considerably. Bring it to conclusion. Once he's fully aroused and heading towards what will be a satisfying orgasm, its time to bring things to a conclusion. Use gentle but firm suction and use an up and down motion with your head to move him toward conclusion and satisfaction. Use Your Hands as well! You can also use your hands to add some variety to Fellatio. Run your hands over his chest, legs and grab his behind, also gently cup his testicles and fondle them. You can also run your hand up and down the penis shaft as you use your mouth to heighten the experience. This will make him feel great; it adds variety and shows your enthusiasm. So, there you have hit a quick guide to the pleasures of Fellatio. Keep in mind enthusiasm, variety and expectation, combined with lots of practice and you are well on your way to great Fellatio!