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One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. vimax pro solution pill side effects penis elargement before and after penis enlargement pic before and after vig rx pic penis enlarement technique penis elargement photo magnarx

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American Urological Association presented in a medical survey that 32 percent of men characterized themselves as premature ejaculators. That's amazing. One of three men feels like a kid not a man because he cannot control himself when aims to please a woman, despite of general male desire to have women say nice things about them. There are several theories about the cause of premature ejaculation. hyperactive and uncontrolled contractions of pubococcygeal muscles releasing the seminal fluid once it reaches the bulbous urethra. penis nerves hypersensivity that makes men come too quick. natural weakness of prostate glands or caused by medical reasons. stress and anxiety experienced in life with a special mention when anxiety is related to first sexual experience. relationship issues can interfere in the way of good sex performance. psychological problems (very often) developing the fear of women and sexual issues. In recent years, scientific evidence indicates that high level of serotonin to the central nervous system appears to increase the latency or period of time from penetration to ejaculation. Depressed guys learned that selective serotonin-reuptake inhibitors (SSRIs) could delay orgasm. This is a negative side effect for some, but positive for premature ejaculators. Analizing the relation between increased amount of serotonim and delayied orgasm, the conclusion is that premature ejaculation cause has an organic basis. vimax truth about penis enlargement pills penile enlargement pills prosolutionpills medical penis enlargement permanent penis enlargement penis enlagement herb plastic surgery pnis enlargement penis enlargment tip pnis enlargement drug

If you're a man in your sixties or seventies then there's a better than even chance that you will be suffering from an enlarged prostate gland and will be experiencing a range of common symptoms including a difficulty in urinating, a need to urinate frequently and with some urgency and a dribbling of urine even after you've visited the bathroom. But should you be worried by your enlarged prostate gland? An enlarged prostate gland is an extremely common condition that will affect most men later in life and is caused by cell growth within the inner core of the prostate at the point at which it encircles the urethra. This causes a constriction on the urethra and interferes with the normal flow of urine. This cell growth is normally very slow, is benign (non-cancerous) and is confined to the inner area of the prostate. As a result, an enlarged prostate gland in itself is really nothing to worry about and many men will find that the symptoms caused by the enlarged prostate are sufficiently minor that they really don't bother them too much at all. Except in cases of severe enlargement, an enlarged prostate gland is nothing to worry about. However, the symptoms which are typical of an enlarged prostate gland, and which are often attributed to a swollen prostate, may also indicate the presence of other or additional problems, some of which you should certainly be worried about. Unfortunately, because most men will suffer from an enlarged prostate, particularly in their sixties and seventies, many men don't worry when the symptoms appear and certainly wouldn't dream of bothering their doctor with the problem. This is a mistake. Yes, an enlarged prostate gland is generally speaking nothing to worry about but, when the symptoms start to appear you should talk to your doctor and make sure that an enlarged prostate gland is indeed the cause of your symptoms. do penis enargement pills work enlargement forum free matter pennis size pnis enlargement video com enargement penis penis pump herbal natural penis enlagement homemade penis enhancement penis enlagement review penile enlargment surgery picture pnis enlargement drug

It is normal to shed hair every day and the truth is we loose between 100-125 hairs on any given day. Hair that is shed falls out at the end of growth cycle. At any given time 10% of our hair is in what is called a “resting phase” and after 2-3 months resting, hair falls out and new hair grows in its place. Some people, however, experience more hair loss than is normal. As we get older, both men and women experience some hair loss. It’s a normal part of the aging process. Called Androgenetic Alopecia, it accounts for 95% of all hair loss. Androgentic Alopecia often runs in families and affects some people more than others. In men it is often referred to as Male Pattern Baldness. It is characterized by a receding hair line and baldness on the top of head. Women, on the other hand, don’t go entirely bald even if their hair loss is severe. Instead, hair loss is spread out evenly over their entire scalp. Hormones play the dominant role when talking about Androgenetic Alopecia. Simple put, both men and women produce testosterone. Testosterone can be converted to dihydrotestosterone (DHT) with the aid of the enzyme 5-alpha-reductase. DHT shrinks hair follicles causing the membranes in the scalp to thicken, become inelastic and restrict blood flow. This causes the hair follicles to atrophy. As a result, when a hair does fall out, it is not replaced. Needless to say, men produce more testosterone than women and experience more hair loss. While Androgenetic Alopecia is the number one reason why individuals experience hair loss, it is not the only one. Medical conditions such as hypothyroidism, ringworm and fungal infections can cause hair loss. Certain medications such as blood thinners, gout medication, birth control pills and too much vitamin A can cause sudden or abnormal hair loss as can following a crash diet, sudden hormonal changes, chemotherapy and radiation. Emotional stress, pregnancy, or surgery can also cause our hair to fall out and is usually not noticed until 3-4 months after the stressful event has taken place. Stress can cause a slowing of new hair growth because a larger number of hair follicles enter into the resting phase and no new hair growth is experienced. Another way in which individuals experience hair loss is due to mechanical stressors on the hair and scalp. Wearing pigtails, cornrows or tight rollers that end up pull on the hair can scar the scalp and cause permanent hair loss. Hair products such as hot oil treatments and chemicals used for permanents can cause inflammation to the hair follicles which can also result in scarring and hair loss. Note: Hair loss may be the early warning sign of a more serious disorder such as lupus or diabetes, so it is important to talk to your doctor. Recommendations For Wellness If you are taking prescription medications, talk to your doctor and find out if your medication is contributing to your hair loss. Avoid mega-doses of vitamin A. Too much vitamin A can cause your hair to fall out. Exercise, do yoga, meditate or find some other practice that will help to reduce your anxiety and stress levels. If you are a women, have your female hormones tested. If they are imbalanced, talk to your health care provider about bio-identical hormone replacements. If you wear pigtails, cornrows, use a curling iron, hair dryer or hot rollers, try changing your hair style to one that puts less pressure and stress on your hair and scalp. If hot oil treatments or chemicals such as those used in permanents are causing inflammation to the scalp, discontinue their use, or reduce the number of times you are using them. Use gentle shampoos and conditioners to avoid any unnecessary damage to your hair. In men, herbs such as saw palmetto and licorice root help block the formation of DHT. The same holds true for supplementation with zinc. As an added benefit, studies show that these supplements can also help prevent prostate enlargement. Massage your scalp with rosemary oil in an olive oil base. Both rosemary oil and massaging the scalp can stimulate the circulation in the scalp and promote hair growth. Again, if you are experiencing hair loss, check with your doctor to ensure that a more serious disorder isn’t the cause. penis enlargement surgery cost penile enlargement procedure penis enlargement program penis enargement procedure easy elargement free penis surgery way vimax penis enlargement operation penis enlargement tip penis enlarement surgeries pnis enlargement drug

We adopted our first child when he was three months old. When we went to the agency to get him, he promptly stood up on my wife's lap and looked out the window. He was robust and happy, sleeping through the night from the beginning. In fact he was such an easy baby that we really wondered why parenting was considered to be such an ordeal. We found out later. In fact he was such an ideal baby that we assumed all were the same. Not so. Our second had colic and didn't sleep through the night for nearly two years. As Clint got older we saw that he was extremely bright. At nine months he spoke his first sentence. Our cat crawled past him on a sofa, then jumped off and disappeared. Clint said, "Where did it go, the Wow?" A Germanic construction, for sure, but easily understandable. His verbal precocity stayed with him throughout his childhood. At age eight he called the local pizzeria to order a pizza (without our knowledge of course. When he finished, the clerk said, "Thanks for your order, Ma'am." We had to talk to the pizxeria to make sure he didn't make any more such orders. He was very gregarious and adults loved being able to carry on intelligent conversations with him. He never was at a loss for words. When he was about three the mother of a friend of his had another baby. He came home excitedly to tell the news. When we asked whether it was a boy or a girl, he frowned, obviously not sure. Then he brightened and said, "It came out of Linda's 'gina, but it had Mark's penis." OK, enough information; it's a boy. When he was five, a neighborhood grandpa-type died. He had been a heavy smoker and had told the neighbor kids that he was sick because of smoking and didn't want them ever to do it. (It was a great gift, as none of the kids, now in their thirties, ever smoked). Emmett died of lung cancer and my wife took Clint to the reviewal before the funeral. It was his first such experience. They were alone for a while, so she lifted Clint so he could see Emmett in the open casket. The questions were non-stop. "Why does he have a flag?" She explained that he was a veteran. "Why does he have a bracelet on?" She explained it was a rosary, or prayer beads. "Why does he have his glasses on. He can't see, can he?" My wife kept a straight face and explained that Emmett's family wanted him to look the way they remembered him. Clint asked, "Why didn't they put a cigarette in his mouth, then?" He also showed great mechanical and problem-solving ability. Once he was with me when I tried to open the shed to get out the lawn mower. The lock was rusty and wouldn't open. "Why don't you use a rusty key?" Clint asked helpfully. As he approached adolescence, the phrase "too smart for his own good" fit him to a tee. Bored in school. Clint began finding friends who shared his strong interest in cars. Some of them were into stealing car parts or "borrowing" cars for joy rides. He was usually the planner and the lookout rather than the perpetrator, but that didn't keep him from troubles with the law that he couldn't talk his way out of. We had several dismal years of bailing him out of jail, court appearances and stays in correction facilities. We all survived through some very trying times. If there's a solution in dealing with a too-bright kid, it's listening. Try to figure out what he's thinking so you have a chance to avert plans that you know will end in trouble. Let him know you're proud of him but will keep a watchful eye. Remind him that you sometimes need him to slow down and explain things, and think them through. Most of all, do the toughest thing of all and set limits. They'll hate you for it at the time, but in the end they'll thank you.