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Erectile dysfunction is not new, although decades ago not many men admitted suffering from it. Erectile dysfunction affects all ages but is also treatable despite age.
There are several causes of erectile dysfunction, and as a result of this the available treatments are also different.
Psychotherapy is a very powerful treatment because often, erectile dysfunction is not due to a medical condition, but is the result of emotional stress. In psychotherapy the role and the attitude of the partner is very important.
Modern men take pills for everything, and erectile dysfunction is no exception. In addition to the famous Viagra (approved by the Food and Drug Administration in 1998), which was the first oral medication for erectile dysfunction, there are other popular drugs that act similarly to Viagra (Sildenafil) – for instance, Cialis (Tadalafil) and Vardenafil (Levitra) also stimulate the flow of blood to the penis, thus making it easier to get an erection when there is sexual stimulation.
But before resorting to erectile dysfunction drugs, consult your doctor because there are cases (for instance a recent heart attack) when you should not even think about them. In the rare cases where the reason for erectile dysfunction is testosterone deficiency, hormone replacement therapy might be enough.
Mechanical vacuum devices create a partial vacuum, which causes the blood to flow to the penis. After an erection is achieved, a special elastic band, which is attached at the base of the penis, prevents the blood from flowing back to the body. This technique delivers a long-lasting erection to make an intercourse possible.
Vascular surgery and penile implants are the “heavy artillery” of erectile dysfunction treatment. In addition to being much more expensive, these methods of treatment are riskier, and are resorted to only when the other methods are not giving results. But it is likely that for lighter forms of erectile dysfunction there will be no need to go that far.
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Fertile mucus is present in the woman’s body during the few days before ovulation, as the ova are ripening. This mucus is produced by the cervix, and flows down the vagina to the outside of the woman’s body. The purpose of the mucus is to protect and nourish the sperm on their journey to the egg. The vaginal canal is normally acid. Semen is alkaline. Sperm die in an acid environment. The fertile mucus is alkaline, like the semen, and so makes the sperm’s journey possible.
Even without ejaculation, sperm are present in the small amount of fluid produced by a tiny gland called the Cowper’s gland. Cowper’s fluid leaks out of the penis during sexual activity. Therefore sperm are often present before ejaculation. The presence of sperm in the Cowper’s fluid may be one reason for the ineffectiveness of withdrawal as a method of birth control. Another reason may be the leaking of a drop of seminal fluid before withdrawal occurs. The first drop of seminal fluid may contain millions of sperm.
In addition, even without penetration of the man’s penis inside the woman’s vagina, pregnancy is possible. During the woman’s fertile, wet, time, the tiny, microscopic sperm can swim from outside the vagina, into the vaginal opening, up the vagina, into the uterus, and into the fallopian tubes. There the sperm may fertilize the ovum, and pregnancy may begin.
For this reason, during the woman’s fertile time, pregnancy is possible with only genital contact. This means, touching of the penis to the vaginal area.
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Here are over 100 ideas to help you keep monogamy hot!
1. Find out what music your lover likes, and play it.
2. Sing to each other, especially if you can't sing. Listen to a song that turns you on and write the words out so you will remember them. Then without any music sing that song as a surprise gift to your lover. Watch the tears come to their eyes.
3. Find out what scents your lover likes, e.g., perfumes and especially essential oils. Get an essential oil diffuser.
4. Wear the clothes your lover likes. Try something wild in latex.
5. Serve the food your lover likes.
6. Select locations for lovemaking that your partner likes.
7. Prepare yourself for stimulating conversation. Do some homework if necessary to have something interesting to talk about.
8. Give lots of compliments on a regular basis.
9. Compliment you lover in front of others.
10. Tell each other all the things you like and appreciate about each other. Do this every day.
11. Show your body to your lover. Let them look as long as they like.
12. Take your clothes off while your lover watches.
13. Tease your partner with partial nudity at unexpected times, like when your mother or children are in the other room. Be artful and naughty about it so only your lover sees you.
14. Explore each other's bodies with your eyes, hands and tongues.
15. Hold a mirror for your partner to look at their own genitals.
16. Women, touch your lover's genitals with sighs of desire from time to time, even when out in public (discretely).
17. Men, nibble on your partner's neck with sighs of desire from time to time, even when out in public.
18. Give each other a sensual massage. Try short 5 minute full body massages on a daily basis, as well as longer versions (one hour or longer) when time permits. Use an exotic massage oil. You can mix some yourself with an excellent essential oil in a base of first cold press grapeseed (canola) oil.
19. Create a temple-of-love space in anticipation of your lovemaking. Make your space beautiful. Keep it simple.
20. Create your own rituals & ceremonies. Keep it simple.
21. Tell each other what turns you on. If they don't know they can't give it to you.
22. Read and/or write erotic poetry and stories.
23. Watch erotic, romantic movies and videos.
24. Take a bath or shower together. Even small tubs are great fun. Make a mess.
25. Wash each other's bodies. Be kind and gentle and provocative, or raucous and wild, whatever you're both into.
26. Wash each other's feet. Use a small dishpan and some wonderful natural soap. Rub on an aromatic foot lotion.
27. Suck on your partner's squeaky-clean toes.
28. Feed each other food and drink. Use your fingers. Make a mess.
29. Read stories out loud to each other.
30. Wear costumes and masks as part of your foreplay. Oooh, mystery!
31. Tie each other up. Men especially love to be tied up.
32. Paint each other's bodies. Use washable/edible body paint or chocolate sauce you make yourself or buy.
33. Wash each other's hair.
34. Give each other pedicures.
35. Prepare sensual meals together. Fondle and tease each other as you work/play.
36. Watch the sun come up or go down, or the moon go across the water.
37. Lie out under the stars. Sleep out under the stars.
38. Make flower arrangements together, fresh or dried.
39. Send each other erotic post cards without any special occasion.
40. Write love letters to each other.
41. Say the words "I love you. I need you. I want you."
42. Whisper words of adoration in your lover's ears before, during and after love making.
43. Talk "dirty" in your lover's ears in the heat of passion during your lovemaking.
44. Hold hands in public.
45. Go on picnics.
46. Call each other by "sucky" pet names.
47. Make foreplay go on and on and on and on and....
48. Men, help your woman come to orgasm before intercourse - at least some times!
49. Men, be sure she is wet, before you put your golden rod into her fig pocket!
50. Romance each other for hours, with intercourse on and off the whole time. Men, learn to delay ejaculation!
51. Cuddle after intercourse. Look into each other's eyes. Say words of love and adoration. Thank the God and Goddess for their favors.
52. Cry in front of each other.
53. Share what you are feeling. Risk being vulnerable.
54. Try different lovemaking positions. Experiment.
55. Try different lovemaking locations. Experiment.
56. Use love toys. Experiment.
57. Laugh during intercourse. Laugh before intercourse. Laugh after intercourse.
58. Offer unexpected gifts. Keep it simple, but thoughtful. Pick the right thing, not the biggest or most expensive thing.
59. Remember special occasions. Special occasions should be special!
60. Say please and thank you for sexual favors and for many small things each day. “Whether the pretty woman grants or withholds her favors, she always likes to be asked for them.” Ovid
61. Surprise your lover with the unexpected. Experiment.
62. Try something new. Experiment.
63. Try something dangerous. Experiment.
64. Try something outrageous. Experiment.
65. Try something kinky. Experiment.
66. Try something you are afraid of. Experiment.
67. Try something forbidden. Experiment.
68. Share your fantasies. Act them out with each other. Don't ever share fantasies about someone else with your lover!
69. Masturbate each other.
70. Masturbate in front of each other.
71. Dress up for a romantic dinner.
72. Eat dinner by candlelight.
73. Make love by candlelight.
74. Put on little skits (acts) for each other. Experiment.
75. Be foolish and playful. Experiment.
76. Drop something that is really important for you to do, and make love instead.
77. Call when you are away and say "I miss you terribly. I can't wait to get home to hold you."
78. Talk "dirty" over the phone to each other.
79. Shop for sex toys and lingerie together.
80. Ladies, wear garter belt and stockings instead of pantyhose.
81. Put blindfolds on each other during foreplay and intercourse, sometimes.
82. Role play: innocent high school student, slut, nurse, stripper, master, slave, bad boy or girl, etc.
83. Look into each other's eyes, if possible until tears follow the opening of your heart in love.
84. Match the rhythm of your breathing during lovemaking.
85. Take rapid breaths to heat up your excitement.
86. Take long, deep, slow breaths to maintain a high level of excitement without going over into orgasm. Prolonging the orgasmic excitement leads to ecstasy.
87. Just hold each other.
88. Talk where one only listens. The one who listens does not try to take any responsibility, does not try to intervene or "fix" anything. Just listen. This is harder to do than it sounds.
89. Give each other a 10-second kiss when coming and going.
90. Make out like high school kids, without intercourse.
91. Practice Tantra Sacred Sex muscle control, breathing and visualization together. If you don't know how, take a workshop together.
92. Give each other flowers regularly. Men love to receive flowers too!
93. Have fresh flowers around as often as possible.
94. Have lots of green healthy plants in the house.
95. Notice all the little things you do for each other, that you regularly take for granted, and let each other know how important they are to you. Show your appreciation.
96. Spend time remembering wondrous past experiences together when you were happy and joyous.
97. Take turns leading when dancing slow.
98. In conversation always use loving names when referring to your genitals, e.g., jade stalk, wand of light, mystery cave, succulent flower, etc.
99. Make plans for the future.
100. Talk about spending the rest of your life together.
101. Write out your vision for the kind of relationship you want to create together.
102. Display your relationship vision/dream where you will see it often.
103. Serve each other breakfast in bed.
104. Sleep together NAKED! Curl around each other like spoons. Roll over together to change positions in the night.
105. In the morning when you wake up lying naked together, the man goes between the woman’s legs. If he is not aroused, he will use the soft entry by wetting his penis with saliva (or any suitable lubricant such as water based or silicone lubricants, or any cooking oil) and inserting it into her vagina. Lie still with your eyes open and match your breathing for 2-5 minutes.
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Rabies- Attacks the nervous system and causes encephalitis. The virus is transmitted in saliva from the bite of an infected animal. It usually takes two-eight weeks before the signs appear. However, it only takes about ten days before it's passable through saliva.
The most common ways for an animal or human to be infected is by a bite from an animal who's infected – usually a skunk, fox, raccoon or bat.
Cats are actually more at risk than dogs – because they put themselves more at risk that dogs.
There are three stages to Rabies:
Prodomal Stage- Lasts two-four days. Signs can include behavioral changes, fever, slow eye reflexes, and chewing at the bite of the site.
The Paralytic Stage- Last two-four days. Signs of paralysis develop, usually beginning in the limb that was bitten. Paralysis of the throat or face causes a change in the bark. Drooling with typical foaming at the mouth, and a dropped jaw. Followed by depression, coma, and death from respiratory paralysis.
Once clinical signs develop there is no treatment! If a pet has been bitten by a wild animal or known related rabid animal – if they've been vaccinated, re-vaccinate them and quarantine them for 90 days. If the pet has not been vaccinated, euthanize and submit tissue for rabies testing. If the owner is unwilling to euthanize the pet, it should be strictly quarantined for six months with vaccination one month prior to release.
Distemper- Greatest single disease threat to the world's dog population. Distemper develops over a course of days. Canine distemper virus is fatal to 80% of the puppies and 50% of the adult dogs that contact it. Symptoms include congested lungs, nasal discharge, vomiting and diarrhea. As it progresses, it attacks the nervous system, often causing partial or complete paralysis and seizures. The disease is highly contagious. Dogs can get the virus through coming into contact with anything another dog infected, including through all secretions of the infected animal and very surprisingly, even through the air.
Most distemper appear in dogs less than six months of age and in old dogs that have not been vaccinated. Once infected, there is no cure. Treatment is supportive -- fluids through I.V to prevent dehydration, and symptoms treated. Dogs who recover from distemper may have vision, nervous system problems, hardened foot pads and nose leathers, throughout their lives. In addition, puppies may also have mottled teeth from damage to developing enamel.
Dogs should be vaccinated, and given boosters, to prevent this disease.
Parvovirus- This disease can overwhelm a dog within hours of first symptoms and result in death within 48-72 hours. It is found through the world, it is highly contagious and attacks the intestinal tract, white blood cells, and sometimes the heart. It is spread with contact through feces of infected dogs. Parvovirus can be carried on shoes, crates, equipment or the hair and feet of infected dogs. Symptoms appear five-seven days after exposure and include depression, loss of appetite, vomiting, severe diarrhea. Feces are generally light gray, or yellow-gray, and may be streaked with blood. Puppies under six months are most susceptible to the disease. If the disease effects the heart, puppies can die within hours, weeks or even months. Doberman Pinschers and Rottweliers appear to be at a higher risk for parvo than other breeds.
There is no treatment that cures the virus. Nursing care consists of replacing fluid, keeping the dog warm, controlling vomiting and diarrhea, and dosing with antibiotics to prevent secondary infections.
Parvovirus can live for several months in an infected area, thorough cleaning of all surfaces is necessary to eradicate the disease. Household bleach is a very effective agent.
Vaccination against parvo has dramatically reduced incidence of the disease. The vaccine protects the dog for several years.
Infectious Canine Hepatitis- It is inhaled or ingested by the dog, enters the bloodstream, and targets the liver, kidneys, eyes, and the cells lining the inner surface of the blood vessels. Some cases barely show symptoms – puppies may show a slight fever or be slightly lethargic and recover quickly.
Some cases are quick and deadly. They may also have tonsillitis, reddened mouth and eye membranes, colic, then shock and death. Sometimes all within 24 hours!
The in-between manifestation of the disease is the one most commonly described. The early symptoms are similar to the other forms – some puppies recover within two weeks, others develop internal bleeding, central nervous system involvement, and liver disease.
There is no cure, only supportive treatment. Vaccination lasts several years.
Kennel Cough- This is a respiratory disease in dogs that covers the actions of several infectious agents, including Bordatella bronchiseptica, a bacteria, canine adenovirus 2, and canine parainfluenza virus.
The parainfluenza virus is related to the canine distemper virus. Symptoms range from hacking cough to inflammation of the larynx, bronchial tubes and trachea. CAV-2 also produces pneumonia in ten-twenty percent of the affected dogs.
They're highly contagious, especially in kennels or shelters where the canine immune systems are stressed. Good ventilation is necessary to prevent and spread diseases.
A combined kennel cough vaccination contains CAV-2, parainfluenza, and Bordatella in one dose of nose drops. Symptoms are no more than a bad cold, vaccination is recommended if dogs are to be boarded, or will come into contact with a large numbers of dogs.
Leptospirosis- This is a bacterial disease spread in the urine of wild and domestic animals and capable of causing illness in humans as well as dogs. Several species of the bacteria produce disease in dogs. Symptoms include lethargy, kidney inflammation, low-grade fever, vomiting, reddening of the mucous membranes, and conjunctiva, and blood clotting abnormalities. A more generalized form of the disease can cause elevated liver enzymes, jaundice, pneumonia, and intestinal inflammation. Chronic kidney problems can result. Antibiotic therapy is effective in fighting the bacterial invasion and supportive nursing (replenishment of fluids, administration of diuretics to flush the kidneys and prevent kidney failure, blood transfusions, if necessary) is required.
Vaccinations are not recommended unless there is a disease in the area. The vaccines help to lessen the severity of the disease, but do not prevent it. It also may not be effective for more than six months. Puppies and small dogs can have adverse reactions to the vaccines. If there is a lepto outbreak occurring and veterinarians do recommend vaccination, dogs should be inoculated against all four strains of the disease, unless the particular strain is identified.
Lyme Disease- Is a bacterial disease spread by ticks. Symptoms in dogs include lethargy, joint pain, lack of appetite, lymph node enlargement, and fever. Some dogs have antibodies to the disease, indicating they've been exposed, but they show no symptoms.
Treatment is with antibiotic, Tetracycline. Vaccine is available, but is not widely recommended because the disease is self-limiting and protection is limited to no more than six months, following inoculation. Lyme disease is more serious for humans than for dogs.
Coronavirus- This virus causes diarrhea and vomiting, and can be confused for parvo. The mode of infection is direct contact of an infected animal or its feces. Some dogs have antibodies but no symptoms, others lose their appetite, have smelly diarrhea, and are lethargic and dehydrated. Treatment involves replacing lost fluids and controlling vomiting and diarrhea. Vaccine is available, but not widely recommended.
-Information taken from the American Veterinary Medical Association
UC Davis Book of Dogs – By, Dr. Race Foster and Dr. Marty Smith
(authors of the particular chapters).
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Acne is a well-known and extremely common skin disease that affects millions around the world. Although this disorder generally begins during the teenage years, it can persist or even start in adulthood. Symptoms of acne depend on the general type, of which there are two. Non-inflammatory acne is apparent only close to the skin where blackheads and whiteheads can be seen. Inflammatory acne, on the other hand, is characterized by red pimples and pustules, and sometimes even inflamed cysts and nodules. When the skin starts to change, get red, and show bumps, the immediate perception is that this is acne. When acne treatment fails, however, it sometimes turns out that the skin change was due to another, less understood skin condition called rosacea.
Rosacea is a progressive vascular skin disorder that starts as a flush on the central part of the face and across the cheeks. Sometimes the flush is found on the neck, chest, ears, or scalp, but this is less common. Other early rosacea symptoms include persistent redness, red bumps on the skin, burning sensations, and small blood vessels that can be seen just under the surface of the skin.
There are four main subtypes of rosacea. Just as rosacea can coincide with acne, the subtypes are not mutually exclusive. These four subtypes are:
(1) Erythematotelangiectatic rosacea--persistent redness along with easy flushing or blushing. Small blood vessels are often visible under the skin.
(2) Papulopustular rosacea--easily confused with acne, this subtype has persistent redness accompanied by red bumps, some of which may contain pus.
(3) Phymatous rosacea--thickened skin, nodules on the surface of the skin, and enlargement of the nose, including small blood vessels near the surface of the skin.
(4) Ocular rosacea--eyes and eyelids become dry and irritated. There may also be itching, tearing, burning, and other strange bodily sensations.
As a disorder, experts still know relatively little about rosacea. One common theory about its origin is that it's a consequence of damaged blood vessels that were weakened by repeated dilations, such as that caused by blushing, strenuous exercise, and stress. This fits with the subpopulations that are generally most affected with rosacea; many are fair-skinned with European or Celtic origins, and most between 30 and 60 years of age. Women develop rosacea more frequently than men, although it is generally less severe.
Although rosacea is not yet curable, it can certainly be treated and controlled to a large degree. Controlling the disorder usually involves preventing flare-ups. Heat, exercise, spicy foods and drinks, alcohol, wind, menopause, stress, and harsh facial products can all trigger rosacea symptoms. Sunlight is another well-known irritant, so wearing a good sunscreen is a key preventative measure. Dermatologists can recommend several courses of treatment for rosacea, including oral antibiotics, topical antibiotics, and eye drops. A gentle cleansing regimen is also suggested.
Over 45 million people worldwide suffer from some form of rosacea, yet despite these statistics, the disorder is still relatively unknown. Part of this problem is that the more obvious symptoms are sometimes shared with other skin disorders, including acne. Many people take a wait-and-see approach to skin disorders, assuming that they will get easier with time. Since this is not the case for rosacea, the condition may get much worse before treatment is sought, and the skin may take longer to recover. The important thing to note about rosacea is that it can be treated and the earlier the treatment the better. If you think there is a chance that you may have rosacea, make sure you talk to your doctor to rule out this disorder.
