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Dial 1-800/AIDSNYC Every Monday and Wednesday morning, promptly at 10 a.m., I leave behind my daily life and turn to volunteering as an AIDS Hotline counselor at New York City’s GMHC [Gay Men’s Health Crisis], the nation’s largest social service agency for AIDS. For the next four hours, my co-volunteers and I sit in front of a bank of constantly-ringing telephones, talking to men, women, and teens who call in from across the nation with urgent questions about AIDS, the ravaging disease that has left 13.9 million people dead worldwide. After almost 20 years, a whole generation, families are still facing the heartache of tending the sick, while scientists continue to be confounded by this stubborn, ravaging virus. Although the federal government currently spends$4 billion per year on AIDS research, and $15 billion worldwide, there is no cure in sight for the viral infection and no vaccine available. Small wonder that the GMHC AIDS Hotline, the nation’s first, is flooded with more than 40,000 calls each year. Listening to callers 8 hours each week, I often think the Hotline is actually a direct link to the soul of callers--an anonymous forum that allows each to reveal secrets and fears that they might otherwise never discuss with anyone. A Morning in May This is the way it began: “Good morning, GMHC AIDS Hotline, can I help you?” “Yes...I have a question...[hesitantly] My son...he’s 21...and he just found out...he’s HIV-positive [voice breaking] I’m.....alone, divorced. And I need some help...someone to talk to...” “Of course....happy to talk to you...it sounds like this has been devastating for you....” “It’s terrible. He told me two nights ago....he’s...he’s so young....I don’t want him to die. He’s my only child....why did this have to happen?” [crying] Her son, she explains, had sometimes neglected using condoms, convinced he wouldn’t contract HIV infection from his female partners. “How could he be so stupid?” she now asks angrily. “Why didn’t he know how to protect himself? I don’t understand. What am I going to do?” We talk for 35 minutes, and by the end of the conversation, I notice I’m barely breathing. The distraught woman’s anguish is palpable. Her situation is every mother’s worst nightmare.The life of her child is in jeopardy and she feels helpless and afraid. I can’t imagine anything worse. During the call, I do my best to employ the GMHC Hotline protocol of “active listening,” which involves using silence, empathy and gentle probing with open-ended questions. I’m also having my own emotional reaction to the panic in her voice, and I’m worried about whether I’m doing enough. Toward the end of the clal, when she exclaims: “I don’t want my baby to die,” my heart plummets: “I know....I understand that, but there is hope,” I tell her. I find myself on the verge of tears. The Bad News This mother’s story is too common. According to the Centers for Disease Control in Atlanta, Ga., 40,000 Americans (half of them under 25) are newly infected with the AIDS virus each year. Unprotected sex and intravenous drug use remain the principal modes of transmission. “Teenagers,” notes AIDS activist Elizabeth Taylor, “are being very hard hit.” She refers to the three million adolescents who contract a sexually-transmitted disease annually. “Heterosexual teenage football players who are healthy and drink milk can get it too!” says the 71-year-old actress, who has singlehandedly raised $150 million for AIDS research. “But teens are very ignorant and feel invincible. They believe there’s an invisible shield protecting them from the virus, when it’s actually aimed right at them.” Taylor believes in addressing the problem head-on: “Tell your teenage son: ‘Maybe a condom doesn’t feel as good, but if it saves your life, it’s better than being six feet under.’ Intelligence must replace random sex.” Although a new generation of AIDS-fighting medications is prolonging the lives of thousands, nearly half of the 900,000 people infected with HIV in the U.S. cannot afford these drugs. Since the virus was discovered in l981, 410,800 Americans have died from AIDS-related complications, and the disease has left 13.9 million dead worldwide. Who Calls a Hotline? Not long ago I took a call from a 15-year-old boy living in a small town who said he feels guilty about his sexual attraction to other boys and is scared to discuss this with his parents. I ask him if there’s a school counselor or relative he might talk to, but he says he’s too afraid to confide in anyone. Being a teenager is hard enough, I thought, without the pressure of keeping this kind of secret. I felt angry and saddened that this child can’t comfortably discuss his feelings with his own parents. I encourage him to call the Gay Community Center Youth Program in a nearby city. In the meantime, I assured him that he could call our Hotline anytime, that we’d be there for him. This call was typical of the many we get from teenagers,whispering from their parents’ homes, confiding their blossoming sexual feelings and concerns. Our Hotline also receives calls from married men who phone from their offices, worried about extramarital sexual encounters; gay men suffering side effects from medications; mothers caring for a sick child or grieving for one lost to AIDS; even health care professionals themselves confused and requiring burnout support. One particular morning, I’m struck by the number of single women who turn to our hotline for help. At 10:15 a.m. a distraught young woman calls, explaining that she had been dating someone “very charismatic,” after a two- year period of sexual abstinence. “At first we used condoms and I was taking the pill to avoid pregnancy,” she says. But after her partner assured her he was HIV-negative, the couple began having unprotected sex. A few months into the relationship, she recounts, his behavior became “unpredictable,” until he finally admitted he was sleeping with other women and was addicted to heroin. Now she has to withstand the “terror” of waiting 3 months before getting an HIV antibody test. To help her cope, I give her the names of three terapists in her area. The call lasts 43 minutes. At 11:15 a.m. I take a call from a woman who is breathing heavily. She says that four months earlier she’d had a brief affair with a limousine driver, “not out of passion, but because I felt lonely. This was so totally unlike me,” she continues. “I come from a traditional Orthodox Jewish family...” Although they used condoms, and she has since tested negative for HIV, she feels deeply ashamed, and has stopped seeing him. And because she has both a persistent vaginal yeast infection and a rash on her neck, she’s convinced she must be infected by HIV. Although rashes, high fever, swollen lymph glands, heavy night sweats, sore throat, or other flu-like symptoms may indicate HIV, they can just as easily accompany the common cold or flu, or other type of infection. I encourage her to seek medical help and counseling, but the calls ends on a down note. “I must have it [AIDS],” she moans. I’m exasperated because it doesn’t sound that way to me, yet I can’t get through to her. The call lasts 22 minutes. It’s 11.38 a.m. when a well-spoken woman, who says she’s an attorney, calls from her office, asking for the names of anonymous testing sites. At first very businesslike, she calmly takes down all the information. I ask her why she’s considering a test. Total silence. Then she begins to cry: “I....I can’t talk....I’m sorry...you see, I have swollen lymph glands....[crying]....And my doctor wants to rule out HIV...I feel overwhelmed...” Then, abruptly: “Where can I send a donation?” She thanks me and hurries off the phone after just 3 minutes. These were one-time callers, but, as in any epidemic, an element of panic prevails, and our hotline also attracts an army of “chronic” or repeat callers who are intensely fearful no matter how benign their risk, many revealing continued misconceptions and paranoia about a disease that can be effectively prevented. We do our best to help them, but often they’re impervious to counseling. Most poignant are calls we get from AIDS patients, phoning from their hospital beds, attempting to navigate the exhausting labyrinth of insurance and health care matters. One man, in hospice care, said he craved companionship and missed the “good old days” when he was handsome and healthy. That call was a tough one for me as just the day before a close friend of mine, Joe, who had battled HIV for 16 years, had finally succumbed. Although at the end Joe was a mere skeleton, he was nonetheless at peace. “I’ve done what I wanted to,” he told me on our last visit. An avid gardener, he insisted on a final trip to his country house to see his garden one last time. For a moment the caller’s reality and the memory of my deceased friend blurred in my mind and I was overcome. Time for a break. Face to Face One of the most and unique services GMHC offers is called “A-Team Counseling,” a one-time, in-person session that’s free and anonymous. Recently, I was on an A-Team counselling a 26-year-old HIV-infected mother from the Midwest. She had traveled to Manhattan by bus to find her estranged boyfriend, who, she recounted tearfully, had kidnapped her 7-year- old son. Disheveled, painfully thin, the woman was a disturbing sight. She’s learned that the two had already returned home where the boyfriend was, and the child put in his grandmother’s custory. custody of his grandmother. Meanwhile she’d run out of money for the return trip, been refused a loan by her family, lost her ID, gone hungry and spent two nights on the street. Fortunately, this woman was registered at a local AIDS organization in her town. I telephoned her caseworker and persuaded him to buy her a one-way Greyhound bus ticket for $115.00. I also gave her subway tokens, a basket of food, juice and coffee. Smiling shyly, she thanked me for caring. Shaking hands good-bye with this woman was a bittersweet farewell. What will happen to her? I wondered will her health deteriorate or improve? Will she gain control of her life and be able to provide for her son? I’ll never know. One thing I do know: She’d appeared with the sorrow of a difficult life in her eyes, but when she left, she was elated at the thought of being reunited with her child. It seems that with faith and a helping hand, almost anything is possible. * * * * * 10 BIGGEST MISCONCEPTIONS ABOUT AIDS AND HIV (This list would probably be most effective when presented in a vertical chart, the misconception on the left, the correct answer on the right.) 1)The AIDS virus can be transmitted through saliva, sweat, tears, urine or feces; also through deep kissing. 1) HIV can ONLY be transmitted through four bodily fluids: blood, semen, vaginal secretions and breast milk--and can also be transmitted from a mother to her child before birth, during birth, or while breast feeding. The exchange of saliva through kissing is no-risk, unless the saliva has blood in it and both you and your partner are bleeding in the mouth simultaneously. 2) HIV may also be transmitted through casual contact with an infected person. 2) You can’t get infected from toilet seats, phones or water fountains. The virus can’t be transmitted in the air through sneezing or coughing. You can’t get HIV from sharing utensils or food or from touching, or hugging. HIV dies after being exposed to the air. Therefore, touching dried blood on a shaving blade, a toothbrush or a bathroom counter top is no risk. In any case, unbroken skin is impermeable, like a rubber raincoat, and cannot absorb the virus whether it’s alive or dead. Blood transfusions and medical procedures in the U.S. are safe. Giving blood is completely risk-free. The chance of getting HIV from dentists or other health care providers is too low even to measure.You can’t get it from mosquitoes or other insect or animal bites. 3) Oral sex is just as risky as vaginal or anal intercourse. 3) Although not 100% risk-free, oral sex is considered a low-risk activity,except if: you have bleeding gums, recent dental work, open sores such as a herpes lesion, any cut, blister, or burn in the mouth, or if you’ve just brushed or flossed your teeth. Also, oral sex with an infected woman is riskier if she is having her period, since menstrual blood can contain HIV. Overall, latex barriers, (such as condoms or dental dams) used during oral sex reduce the transmission of not just HIV, but other sexual transmitted diseases. 4) Animal skin, latex and polyurethane condoms are all equally effective in preventing HIV infection and you can use ANY lubrication on the condom desired. 4)Only latex or polyurethane condoms may be used, as HIV can pass through an animal skin condom. With latex condoms, only water-based lubricants--like K-Y jelly or H-R jelly--may be used. No lubricants with oil, alcohol, or grease are safe.Petroleum jelly,Vaseline, Crisco, mineral oil, baby oil, massage oil, butter and most hand creams can weaken the condom and cause it to split. However, with polyurethane condoms, petroleum-based lubricants can be used. 5) Women have to rely on men using condoms during intercourse to protect themselves against HIV. 5) Women may employ the “female condom,” a plastic sheath that can be inserted in their vaginas and used for protection against HIV. It can be inserted up to 8 hours before sex, has rings at both ends to hold it in place and can be lubricated with oil-based lubricants that stay wet longer. In addition, women can carry conventional condoms for their male partners’ use. 6) If a woman is HIV-positive, her offspring will automatically be born infected with HIV. 6) With no medical treatment taken, about 25% of HIV-positive women will give birth to infants who are also infected. However, the use of anti-HIV medications has resulted in a significant decrease of mother-to-child transmission of HIV in utero and during delivery to less than 5%. (NYT 10/19/ 99]. 7) AIDS is fundamentally a gay disease contracted by white males. 7) Recent data compiled by the Centers for Disease Control and Prevention indicate that young gay Hispanic and African-American men and heterosexual women are the fastest growing segment of the population being infected with HIV. Women now account for 43% of all HIV infected people over age 15. [NYT 11/24/98] African-American and Hispanic women account for more than 76% of AIDS cases among women in the U.S. 8) Heterosexual men are not really at risk for contracting HIV, even if they don’t use condoms. 8) The inside opening of the penis is composed of highly-absorbent, sponge- like mucous membrane tissues, which can provide a route for HIV-infected vaginal secretions or blood to enter the bloodstream. Proper condom use protects men from infection. 9) The AIDS epidemic is largely over because new AIDS medications like protease inhibitors and others have turned AIDS into a chronic, not a terminal disease. 9) In the U.S., AIDS is the fifth leading cause of death for people 25-44 years old. Roughly half of all those infected with HIV in the U.S. are not receiving any medications or medical care. AIDS now kills more people worldwide than any other infection, including malaria and tuberculosis.[NYT 11/24/98] In 1998 alone, 2.5 million people died of AIDS worldwide. 13.9 million people have died since the virus was discovered in 1981. 10) If you think you’ve been exposed to HIV through unprotected sex, you can take an HIV antibody test 2 weeks later and get an accurate result. 10) The standard “window” or waiting period remains a full 3 months. However, because the widely-used HIV antibody tests (The ELISA and Western Blot) have become so sensitive, about 95% of people will procure an accurate result 4-6 weeks after a possible exposure to the virus. * * * * [Note:The information stated above was reviewed for medical accuracy by Dr. Todd J. Yancey, an infectious disease specialist practicing in New York City and affiliated with New York Presbyterian Hospital, NY, Cornell Campus.] THE CHILD LIFE PROGRAM “Mommy takes a lot of medicine and Mommy’s really tired sometimes and she can’t take you to the park as much as she used to. It’s not that I don’t love you...and that I don’t want to...but Uncle Jack’s going to take you to the park today.” --A mother living with AIDS, a client at GMHC, talking to her 6-year- old son. In New York City alone, 28,000 children have been orphaned by AIDS since the epidemic began [NYT 12/13/98] GMHC’s unique Child Life Program serves HIV-infected parents and their children--who may, or may not, be infected with the virus. “We help families strengthen their ability to cope, relieve the pressure of parenting with support services, and teach parents how to talk to their kids,” says Child Life Program Coordinator Alison Ferst. “Unfortunately, should a parent or child be sick enough to be facing death, we also help them walk through it with grace and dignity---as opposed to feeling alone, isolated and frightened. “We also encourage sick parents to make stable legal plans for their children who may be left behind,” adds Ferst, “and to have disclosure conversations with the children in advance, so you don’t have a child standing at her mother’s funeral, not sure where she’s going next.” When an HIV-infected Mom arrives at GMHC to have lunch, attend a support group, consult with a lawyer, or access the acupuncture clinic, she can leave her children in a spacious playroom, decorated with fanciful murals and a giant tree hand-painted by the famed children’s story writer and illustrator, Maurice Sendak, who donated his art. [see photos] The program provides: child- sitting, nutrition services, a food pantry, art and magic classes, and recreational trips--church picnics, seasonal apple-pumpkin picking, amusement parks, zoos, museums, beaches. Also: homework help sessions, holiday parties, hospital visits, summer sports and weekly support groups for HIV- positive parents and their HIV-negative children. This unique program also features: Cooking classes for kids who sometimes prepare meals for sick parents; Pediatric Buddies, GMHC adult volunteers who play with sick children and also assist with family chores; Fun With Feelings Support Group, Friday Evening Family Time, Birthday parties, and a Holiday Gift Drive. “Children infected or affected by AIDS,” concludes Ferst, “want to be like other kids: They want to play with their friends, want to know that someone will always take care of them, want to know they’re not alone, and often wonder if it’s their fault when Mom or Dad gets sick.” These children need a helping hand and any of us can provide one. penis enlargement video vimax medical penis enlargement penis elargement doctor cheapest penis enlargment pills vimax review vig rx penis enlargement pill penis enhancement pills does penis enlagement work

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Unsatisfactory Sex-Life...is an Important Reason for People to Go For “Extra-Marital Relations” or “Divorces” Introduction In a Country where using the word “Sex” itself is a big taboo; where anyone talking anything below belt is consider as a “Character Less” person, how can one talk about “ Love Making”? I agree that ours is a country which gave to this world “the art of love making” through pictorial presentation of “KAMASUTRA” but we still hesitate and feel shy, when one is asked to explain those positions. Just look into your “Sex Life” and see if what you are doing in “Love Making” or it is just a “Lust”? Are you having “fun” while making-love or you are just “inviting in” or “inserting in” as “fire” there is not bearable? This article is prepared with the inputs from 467 people across the country and out-of them around 287 where females and among them 261 had experienced “Love-Making”. Most of these ladies did mentioned that in their married life...it is just “Roll-on; Roll-Off and Sleep”. There is no doubt that “Physical Relations” are important for the long-lasting “love-relations” between couple. Unsatisfactory Sex Life can lead to “Extra-Marital Relations” or “Divorces”. Lets discuss about it. Why “Love-Making” is important? What is the importance of “Foreplay” is satisfactory “Love Intercourse”. After the game is over, what is that a male or female expects from each other? And things like that. Lets being with “KAMASUTRA”. History...behind KAMASUTRA The KAMASUTRA history leads us back to the ancient India, between the 1st and 6th centuries (although the exact year of its writing still unknown). Considered by many specialists as the most important and influent book on the human sexuality, the KAMASUTRA (which was actually written by Vatsyayana, a scholar on Indian traditions) is today commonly mistaken as a plain and simple compendium of sex positions, or a manual to the art of sex. Other than that, the KAMASUTRA is a real document of an important part of Indian customs and traditions, showing many thoughts and ideas that still fit in our today's society values. There are, indeed, descriptions and paintings of sex positions on the original KAMASUTRA. The author Vatsyayana regarded lovemaking as being much more than physical encounter, but also an important spiritual act of love and learning, a "divine union" as the author refers on the book. He considered that there were only eight possible sex positions, multiplied by eight. The total amount of 64 sex positions being called "The 64 Arts". However, only about 20% of the KAMASUTRA was dedicated to sex positions, and the rest is in fact a compendium on insights about the relationships between men and women and in the ancient India's social and religious life. The KAMASUTRA only reached the Eastern civilization in 1883, thanks to Sir Richard Burton, who wrote the first English translation for the book. Since then, other two key translations from the original KAMASUTRA in Sanskrit were made: one in 1970 by Indra Sinha and the most recent one by Wendy Doniger in 2002. However, we may find plenty of "unofficial" translations focusing only on the sex positions (and including several positions not listed on the original), specially on the Internet. Most of these versions have little in common with the original KAMASUTRA. KAMASUTRA in its true Sense For many people – especially in the Western world - KAMASUTRA is merely a collection of different love-making positions, a combination of acrobatics and pornography. But for the Eastern mind, the true meaning of KAMASUTRA reaches beyond this purely physical interpretation. For them, sex – in all of its forms - is sacred. It reproduces the ultimate creative act, the union of the masculine and the feminine cosmic principles. Sex is the cause of the creation and manifestation of the universe. According to Tantra, sexual intercourse, however trivial it may seem, is sacred, cosmic (even when the lovers do not acknowledge this fact, which is usually the case). When doing the asanas (the yoga positions adopted for the ritual), tantra seeks to "divinize" the couple and their sexuality. Without this spiritual element, KAMASUTRA and Koka Shastrano wouldn't evoke divine rituals. These two treatises aim to increase sensual voluptuousness. To this end, they propose several sex techniques, with a focus on love-making positions. In fact, the asanas, or traditional positions for joint meditation, are specific and scarce. Tao teachers have chosen the most comfortable positions for prolonging intercourse, sometimes even up to two hours without having to move much, for this would hinder interiorization during divine intercourse. They are usually so comfortable that complete physical and mental relaxation is achieved, and alternative consciousness levels, or even sleep, can be reached. The asanas must also favor magnetic interchange of vital energy, and facilitate control over ejaculation and the body's health. Tantra dismisses (at least at the beginning) the most common position used in the Western world - the so-called "missionary position" (Uttana bandka in Sanskrit), in which the man lies over the woman. This position is rejected by Tao followers because it does not facilitate control. Famous Love-Making Positions Genital Sex: -Missionary Sex Position: The most famous and common position: man on top and woman at the bottom, with her legs spread, there is direct penetration; -Feet on his shoulders Sexual Position: While man is kneeling, the woman rests her legs on his shoulders; From Behind: -Leapfrog Sex Position: It looks like the doggy position, but here, the woman's torso is lower; -Spread-Eagle Sex Position: While the woman is laid and facing down, the man must be on top; Woman on Top: -Cowgirl Sexual Position: With the man lying down on his back, the woman sits on top facing him; -Reverse Cowgirl Sex Position: The same as above, but in this position the woman faces away; Sitting and Kneeling: -Black Bee Sexual Position: The man sits on the floor with her hands behind him. The woman sits on top, with her hands on his shoulders; -Watching the Game Sex Position: Man sits in a chair and the woman sits on top of him, face-to-face; Standing: -Wheelbarrow Sexual Position: The woman must be lifted by something, so the man penetrates her, standing; -Stand and Carry Sex Position: While the man, standing, holds the woman, she wraps her legs around his waist and holds on his shoulders. What is Foreplay and what is its importance in “Satisfactory” Love-Making Foreplay consists of sexually stimulating activities that usually lead to intercourse. Since it generally takes women longer to physically become ready for intercourse, foreplay is important in ensuring that the female partner will find lovemaking as satisfying as the male. As foreplay intensifies and a woman becomes increasingly sexually excited, she experiences physiological changes: The labia gradually become swollen and turn a deeper color of pink, the vagina secretes a lubricating fluid that makes insertion of the penis easier, and her nipples harden. For a man, foreplay generally strengthens an erection and increases the urge to have intercourse and ejaculate. Some Basic Techniques Considered as Foreplay are : Kissing and deep kissing on the mouth and across the body Stroking the erogenous zones Fondling the breasts Nipple stimulation and sucking Sensual massage Frottage (rubbing) and digital manipulation of genitals Oral sex Strip tease Lap dance Body painting Showering together Use of vibrators and other sex toys There is no time limit to foreplay. And some couples routinely engage in foreplay that does not lead to intercourse and ejaculation. However, most consider foreplay the appetizer and intercourse the main course. In any relationship where sex is involved, foreplay can be almost as important as if not necessary for the actual sex act to occur. Technically I think of foreplay as any activity that occurs as a precursor to the sex act that has the intent of increasing the level of excitement in your partner and yourself or for preparing one another for the sex act. After discussing about “KAMASUTRA”...”Various Positions involved” in love-making...and importance of “Foreplay” ...lets share what male or female want from each other...after sexual intercourse Most of the people just sleep over without even asking their partners as how they feel or what they want. As a result they feel dejected and hurt. So, what males like after sex? After asking many a man what he likes to do after making love, taking a nap topped the list by a landslide, and having a snack came in at second. Now, in a man's ideal world, every woman would get up after lovemaking, prepare a warm snack for her man and then stroke his hair while he takes a long nap. And although there are women out there who do comply with such a request, chances are it won't become the post-sex routine you're hoping for. It just ain't going to happen. Relationships are about give and take, and while giving her an orgasm and taking a nap fit the rhetoric, that's not the way it's going to be. Recent statistics released by the University of Chicago also reveal an important fact: Married men, and not their single counterparts, are the most physically and emotionally fulfilled when it comes to sex. They say that the feelings of sharing have never been stronger than in the moments that follow sex. Which isn't to say that both men and women don't complain of spouses who get out of bed too quickly to wash up, or go back to chores, or turn on the TV, or roll over and fall asleep. They just want to talk about each other...not about their kids or relatives etc. It should both of them. For many men, the loss of an erection after sex can also beckon the loss of a bond, a shrinking and even shirking away. Want some useless words of advice? Try not to take it personally. If your husband's haste to jump out of bed upsets you, therapists recommend looking at the act of lovemaking as a process that can start as early as dressing for dinner and not conclude until you're both emotionally ready to end your intimacy. The word postcoital implies there's something that happens before and something that happens after, and that there is an it. All there is is a whole. Now, what is that a female want after “Sexual Intercourse”? I can't pretend to know what every single one wants after sex. The desires range from cuddling and talking to being left alone and being fed. But from what I could gather, touching definitely topped the list. They want to cuddle. It's no secret; just about every woman loves it when her man finishes doing his thing only to flip her around and hug her in the spoon position. That's the goldmine of affectionate actions. Flipping her around isn't even necessary, but chances are that some kind of bodily touching may be. Why? Well, because sharing in a very sacred experience with a woman likely leaves her feeling vulnerable. And something as small as wrapping your arm around her can make all the difference. They want to talk. Although many guys aren't big fans of the "cuddle," there are even less men around who want to talk once the deed is over. But if she wants to talk, you may have to keep your ears open and listen up. Chances are that she will likely talk about what went down -- especially if you had her yelling out like a banshee. And I'm quite sure that your "stork able" ego will overtake your need for some shuteye when it comes to such a topic anyway. She may pamper you by saying, “Let's do it again”. If she's still raring to go after the first round, chances are she'll be all over you, doing her best to let you know that the evening call for a second round. Between playing with herself and stroking your penis, you may just find yourself going into round two before you know it. But if you're older and more comfortable in your relationship, chances are that you may not be as easily aroused for round two, and, of course, that isn't your fault. Add that to the fact that you probably did all the work and it's quite possible that your little man won't be good to go right away. Conclusion “Love-Making” is a process. There is a beginning...there is Delivery and then there is an end. More than “just” physical, it is an emotional bonding. And let me tell you, if people are going for “Extra-Marital Relations” one of the main reason for that is “Unsatisfactory” Sexual Relations. Even law says that unsatisfactory “sex relations” is a valid reason for divorce. You can make your love life interesting and enjoyable...you just need “imagination” or “innovation”. Have a “enjoyable” and “fun filled” life. Always be together and love each other. Looking forward to your comments and feedback. With lots of love and care cheap penis enargement penis enlarement pump penis enlargment photo pennis girth enlargement best enlargement exercise penile vigrx store pnis enlargement information penis enlargement supplement pro solution wealth

Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction. Viagra, Levitra and Cialis Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc. Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation. Cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC. The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug. Mechanism of Action PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body's response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Effectiveness of PDE-5 Inhibitors All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%. Pharmaceutical Forms, Onset of Action and Duration of Effect Viagra and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences. Viagra: 25 mg, 50 mg 100 mg tablets Onset of action: 30 minutes (effect delayed if taken with food) Duration of action: 4 to 5 hours Levitra: 2.5 mg, 5 mg, 10 mg, 20 mg tablets Onset of action: 25 minutes (effect delayed by fatty meal) Duration of action: 4 to 5 hours Cialis: 5 mg, 10 mg, 20 mg tablets Onset of action: 16-45 minutes (effect NOT delayed by food) Duration of action: 36 hours All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis has a slower onset of action and longer duration of action, which is attributed to its longer half-life. Patients who wish for spontaneity may opt for Cialis, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects. Dosage The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day. Possible Side Effects Although all three drugs are generally well tolerated, side effects are still possible. Most common side effects: Viagra: facial flushing, headache, indigestion Levitra: facial flushing, headache Cialis: headache, indigestion Less Common Side Effects: Viagra: altered vision, dizziness, nasal, congestion Levitra: indigestion, nausea, dizziness, nasal congestion Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness Precautions and Contraindications All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates. Alpha-blockers Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. The 25 mg dose of Viagra has not been shown to significantly decrease blood pressure and in patients who take 25 mg of Viagra, use of any of the alpha-blockers is considered safe. Levitra is contraindicated in patients taking alpha-blockers. Cialis is contraindicated in patients taking alpha-blockers, except for tamsulosin (Flomax). Since both Viagra and Levitra have moderate vasodilatory and hypotensive effects, they should not be given in the presence of marked arterial or orthostatic hypotension, and should only be administered with caution in aortic stenosis or hypertrophic obstructive cardiomyopathy. Men who have had a heart attack or stroke within the past 6 months and those with certain medical conditions (e.g., uncontrolled high blood pressure, severe low blood pressure or liver disease, unstable angina) that make sexual activity inadvisable should not take Cialis. Dosages of the drug should be limited in patients with kidney or liver disorders. Conclusions The differences between the 3 drugs are not great. All appear to be effective and safe. Levitra has less side effects compared to Viagra and lasts about the same time as Viagra in the body. Cialis has few side effects and lasts longer in the body. This allows increased spontaneity and less frequent dosing than either Levitra or Viagra. However, the longer half-life of Cialis imposes increased risk for drug interactions. natural penis enargement pills plus vigrx home penile enlargment vimax penis enlargement surgery picture free penis enlarement exercise penis enhancement herb surgical penis elargement pennis enlargement stretcher pro solution wealth

Increased sexual pleasure has been a goal common to both men and women throughout history. However, achieving such a goal is not always as easy as one would like to think. While we commonly see depictions of intensely sensual sexual activities, hear about climatic orgasmic experiences, and can read about extremely long love-making sessions; bringing this flavor of enjoyment into our actual lives is not always easy as these media outlets make it seem. Some men might have problems achieving a hard erection and women often find they have a decreased sexual appetite. What them, can be done to achieve the type of sexual experiences that we currently only fantasize about? After intense research into this dilemma, it has been discovered that the intake of a high level of amino acids is of great assistance to redeveloping sexual desire and performance. For men, amino acids work to escalate the amount of ejaculation fluid which results not only in increased sperm count, but also greatly amplifies the sexual experience through prolonged orgasms. Not only is the penis able to increase in size and hardness, but stamina and desire is magnified. For women, amino acids allow a larger amount of blood to flow into their clitoris and vaginal tissues. This results in heightened sensitivity, which encourages sexual desire and activity. In addition, when a woman is taking amino acid supplements, her orgasms are extremely enhanced, leading to a drastic increase in sexual pleasure. One of the most popular amino acids on the market is L-Arginine, a semi-essential amino acid. It has been proven to create increased blood flow to the sexual organs of both men and women. L-Arginine is described as a free-form amino acid, one that is crystalline. Not only has L-Arginine been shown to improve sexual quality and performance, it is also known to work in relocating nitrogen throughout the body. It is also highly important to the body’s metabolism and is known to be beneficial to the activity of the blood vessels surrounding the heart. L-Arginine can be found in numerous sexual enhancement products. When looking for an L-Arginine supplement, try to find one that uses natural herbs in addition to high levels of amino acids. The combination results in increased stimulus for women, and penis enlargement and increased fluid ejaculation for men. In addition, L-Arginine has been proven to aid the body in many other ways, such as lowering blood pressure levels and is an overall healthy supplement to one’s health regime. free penile enlargement technique truth about penis enlagement pills penis enlargment photo penile enlargement doctor free penis elargement pills best enlargment exercise penis pennis enlargement pills review best enargement exercise penis pro solution wealth

I happen to operate an unusual business. I make men's penises larger. Sounds strange doesn't it? But the reason I chose this line of business was because I used to be a primary care doctor taking care of the needs of my patients. Many times, my patients would pull me aside asking me about penis enlargement surgery and if it really works. Of course, I read all of the journal reports and it was a relatively new procedure but still, it was an interesting proposition. Forget about lowering high blood pressure and serum cholesterol levels...I soon became intimately involved in the subject of penis enlargement because of disastrous results sustained by a friend of mine who happen to under male enhancement surgery. Being a man, I know first-hand what men think and feel about the subject of penis enlargement because quite honestly, I've thought the very same thoughts as most men wondering if their size could be improved. To be honest...the following list encapsulates the most commonly held views by the majority of men concerning sexual difficulties and issues pertaining to genital size: Men don't like to admit they have troubles or need help. When the subject happens to be in the bedroom performance arena, men simply clam up and try to figure things out on their own. It's only been since the introduction of Viagra that men are beginning to speak with their doctors about their erections. Prior to that...mum was the word. Men have been led to believe that their penis size is of relative little importance to their significant other. While it is true that the first 2-3 inches of the vagina is the most sensitive, it's also true that if a man is of smaller size women want more because they have not received enough "physical" stimulation. While erectile dysfunction (ED) affects 1/3 of men worldwide, this number is steadily climbing. Dr. Kinsey's study into the average male penis size was to say the least controversial at it's inception. His findings that the average penis size is 5.5" have recently come under criticisms. The most common form of cancer in the world is prostate cancer which takes the lives of 38,000 men in the United States alone every year. Benign prostatic hypertrophy (BPH) occurs in 50-75% of men which directly impedes and effects not only their ability to sleep through the night, but also their ability to perform sexually. 90% of men are unhappy with their current penis size, penis length and sexual performance ability. While some of the above are medical statistics, you'd be surprised how many men actual depend upon obtaining legitimate answers online to their penis needs. For some reason, men feel comfortable and more at ease discussing penis enlargement, testosterone and erectile dysfunction issues via email rather than face-to-face with their own primary care physicians. Because of that...the only conclusion one can reach is that men perceive they are not receiving answers to their most common and basic needs questions via normal means. I should say...from their primary care doctors that is. Men's health education is poorly lacking in this country...and the obvious pre-existing attitudes men have toward the subject doesn't help the matter at all.