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Sexual health has been defined as the state of sexuality related to physical, emotional, mental and social well-being. A positive and respectful approach towards sexuality and sexual relationships is vital for attaining a sound sexual health. Your feelings have a great impact on your sexual appetite. For example, if you are feeling anxious, bitter or angry towards your spouse you will not feel like having a sex with them. Men’s sexual health is of immense concern nowadays. You could be the most affectionate man in the world but if you are unable to satisfy your spouse in the bed it can lead to relationship issues. Sex is very important for a relationship to go smooth. Your inability to last in bed can turn your relationship bitter. Anxiety builds up in your mind making sex one of the most traumatic things in your life. Various psychological factors are also considered while discussing men’s sexual health. Men’s failure to achieve their goal in life can put them into a state of depression. Avoidance to sex becomes natural in such a situation. Other topics relating to men’s sexual health are as follows-: • Desire • Pleasure • Orgasm • Rapid or delayed ejaculation • Prostate health • Masturbation A decrease in the production of testosterone in men makes them loose their desire in sex. Low sexual desire can also be the result of some chronic disease, hormonal imbalances, stress, fatigue or a poor body image. Most of the men today suffer from erectile dysfunction. Erectile dysfunction is a sexual dysfunction that immobilizes a man to develop an erection of the penis. Health problems such as high blood-pressure, cardiovascular disease, diabetes, high cholesterol or depression contribute to erectile dysfunction. Anybody can be affected by this illness at any stage of life, but more often it is seen in men above the age of 40 years. Early ejaculation in men who are single debars them from seeking an ideal partner. Men usually hesitate to talk about their sexual health as it might hurt their ego. They take it as a curse and begin living with it. Living under such a stress can lead to depression. If your husband feels the same, try taking to him. Make him feel comfortable and share his feelings with you. If necessary consult a doctor. If you want to keep this issue as private, the best option for you is to seek levitra power. Levitra is a drug that helps men to improve their sexual health. It works by blocking an enzyme called phosphodiesterase-5, then relaxes smooth muscles in the penis and helps improve the blood flow. This results in a natural erection of the penis. Erection of penis will ultimately enhance your sexual desire thus giving you more pleasure. Men’s sexual health needs considerate assistance. Do not dither to talk about your sexual problems with your spouse. pnis enlargement doctor penis enlargment information pnis enlargement stretcher penis enargement pic real penis enhancement penis enhancement herb free penis elargement video home penis enlagement

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Impotence or, more clinically, erectile dysfunction is the inability to maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. The recent introduction of effective medication has increased awareness of this previously little appreciated disorder.Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse. ED affects 15 to 30 million American men. ED is treatable at all ages. Its Signs and symptoms is characterised by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other causes leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland). There are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease.The researchers also say that "ED is a predictor of depressed status in men".The association between depressive symptoms in men and erectile dysfunction (ED) appears to relate to decreased sexual activity and dissatisfaction with not being able to have a healthy sexual life, research indicates. Viagra is sold as a medicine... as a treatment for "erectile dysfunction". VIAGRA DOES NOT PROTECT YOU FROM GETTING SEXUALLY TRANSMITTED DISEASES, INCLUDING HIV. Viagra Facts: *Percentage of time Viagra use results in sex: 66% *Percentage of Viagra users who have sex at least once after using the drug for a few weeks: 83% *Average duration of erection with 100 mg of Viagra and 20 minutes of sex videos, among men with erectile dysfunction: 1 minute *Average duration of erection with a placebo and 20 minutes of sex videos, among men with erectile dysfunction: 3.6 seconds *Percentage of men who don't refill their Viagra prescription: 50% *Number of times Pfizer says men should try Viagra before giving up: 8 *Percentage of men who suffer at least one side effect while using Viagra: 48% *Percentage of men who stop using Viagra because of side effects: 1% *Decline in erectile function for every decade increase in age: 12% *Decline in erectile function for every 20 pounds of weight gain: 3% *Price of a single Viagra pill in the U.S.: $9-$10 For more assistance visit: http://www.viagrapunch.com/viagra_info.html discount vig rx penis enlargement program pnis enlargement supplement penis elargement surgery picture elargement forum free matter penis size do penis enlargement pills work best penis enlargment surgery prosolution pennis enlargement pills vimax compare penis enlargement pills

Medically speaking, and also by some studies, there is a strong case for keeping the penis intact. Is circumcision a good idea or not? There is a case for circumcision, and it is based on a study done by this author with 46 men, circumcised after their 25th year. The Survey The men who participated in the survey were all mature men over 25 years of age, have had sex with and without circumcision, and were able to comment directly on the difference in sexual gratification, illness, and proclivity to masturbate. Of the 46 men, 31 were recent converts to the Jewish faith, 19 to Islam, and 6 had the procedure done for medical reasons. The Survey Questions: 1. Is your sexual experience (a) greater, (b) the same, (c) less, after circumcision? 2. Have you noticed any difference in your incidence of genital infections since your circumcision? (a) less, (b) more, (c) no change. 3. If you masturbate, has circumcision (a) made no change in your masturbating habits, (b) you masturbate less, or (c) masturbate more. The Results Question #1 was answered by 32 men (a), 10 men (b), and 4 men (c) Question #2 was answered by 35 men (a) 0 men (b) 11 men (c) Question #3 was answered by 23 men (a) 20 men (b) 3 men (c) The Results Interpreted On question #1, an overwhelming majority agreed the sexual experience was more than before circumcision. This is a very subjective question, and to compare, a man would have to had sex with and without a prepuce. No amount of conjecture on the nature of the prepuce can supplant the opinion of those who had it and then did not. The fact that approx 70% said that their sexual experience was greater without a prepuce is significant. The fact that 91% said that is was greater or the same is very significant as a case for circumcision. On question #2 the same majorities exist, and even a stronger case for circumcision is made. Using the studies and reasons for not circumcising men are fairly well refuted here. Question #3 is not very clear, as the men’s masturbating habits are not clearly defined. An old excuse for circumcision is that it would discourage men from masturbating, but this question seems only to have determined that recently circumcised men either masturbate the same as they used to (before circumcision) or less. This would tend to confirm one reason for circumcision. Conclusions While the above survey does not follow scientific method in its strictest form, it does have something to say from men who knew the situation before circumcision and then afterwards. You can certainly make up your own mind as to the conclusions, but statistically, it would seem that circumcision is a good idea, rather than a negative one. It appears the circumcised men are enjoying their sexual experiences more than they used to, are healthier, and if they masturbate, are still masturbating. penis enhancement excercises easy enlargment free penile surgery way penis enlarement product top rated penile enlargement pills best penis enlagement pills buy penile enlargment pills pennis enlargement pills product penile enlargment before and after photo vimax compare penis enlargement pills

Erectile dysfunction (ED), sometimes referred to as impotence, is the repeated inability of a man to get or maintain an erection of penis firm enough for sexual intercourse. Today, ED has become a serious sexual health problem in men as it affects a person psychologically. Since being a very personal problem, a person suffering from Erectile dysfunction rarely come forward to talk it openly with health personnel, but nowadays, it is discussed openly and more men are coming forward to treat it. According to the National Ambulatory Medical Care Survey conducted in the U.S., for every 1,000 men 7.7 physician office visits were made for ED in 1985. By 1999, that rate had nearly tripled to 22.3. ED may be caused by various factors. Damage to nerves, arteries, smooth muscles, and fibrous tissues is the most common cause of ED. General diseases, like diabetes, kidney failure, alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease, are other major factors that causes ED. Psychological problems like depression, stress, financial crisis, performance failure anxiety, relationship conflicts are also accountable for ED. Apart from this, common medications for blood pressure, antihistamines, antidepressants, tranquilizers and appetite suppressants may bring ED as a side effect affecting men’s sexual health. Generally, ED is considered as a natural phenomenon which is associated with the process of bodily aging. But according to several clinical studies, men of any age can face this problem at some point of their sexual life. Most men feel embarrassed to take medication for this ailment but with the introduction of wonder medicine Sildenafil citrate or Viagra in 1990s, men have come forward to treat ED. ED 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 ED. Viagra belongs to a class of drugs called phosphodiesterase inhibitors. Taken an hour before sexual activity, these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow. 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. With the growth of electronic commerce, people can order Viagra or any other anti-ED drugs at the ease of the Internet. Buying Viagra online can protect the privacy of a buyer since online pharmacy is a convenient option. The drug can be delivered to your doorsteps confidentially. Moreover, there are numerous pharmaceutical companies offering generous discounts on price for those who buys Viagra online. So, if you are one suffering from ED and feel embarrassed to discuss it openly, do consult a doctor and get benefited buying cheap Viagra online. penile enlargment excercises online vig rx pnis enlargement herb best penis enlagement pills natural penis enlagement pnis enlargement surgery enlargement manhattan penis vimax penis enlargement herb vimax compare penis enlargement pills

The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005