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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 male pnis enlargement prosolutionpills vimax testimonials do pnis enlargement pills work guide to penis elargement penile enlargment photo pnis enlargement surgery best penis enlargment pills

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Testosterones Under Control Testosterones are the male hormones the make you a male and keep your sex drive as you would like it to be. Reduced testosterones might be able to give you sleepless nights by reducing your sex drive and may by unsatisfied wife or girl friend The male hormones are responsible for the male characteristics that you display since onset of puberty. The hoarse voice, the beard and the pubic hair are all the characteristics that you get are due to presence of testosterones. If the testosterones get reduced, you might get a low sex drive, a feminine voice and other feminine characteristics. These characteristics are not liked by men and sometimes ostracism of men can happen. Symptoms of Low Testosterone You might be having low testosterone if you have the following symptoms 1. You are having reduced body hair 2. You show breast enlargement 3. You show violent moods and change your moods very frequently 4. You have a low sex drive and you are unable to achieve penetration while having intercourse 5. You are over the age of 55, you are depressed and lethargic 6. Your work performance has reduced although you cannot find any other reason for it. Testosterone is the chemical that keeps the males in the pink of sexual health. All the males have a tendency of having low testosterone count after the age of 40 or 45. Low testosterone cont is often known as lame menopause. The conditions can be treated by testosterone replacement theory or TRT. How to Increase Testosterone Levels Testosterone cannot be increased by natural means beyond a certain levels. The testosterone levels in body can be increased by regular exercising and keeping the body trim and fit. In case you exercise regularly, the hypothalamus and the pituitary glands become active and secret sufficient amount of testosterone you keep the male in you intact. These glands once activated remain active for long time and change your attitude for life. In the old age, when all your body functions decrease, how can the testosterone remain the same even in the receding years? Testosterone levels decrease during the advancing years and this is reflected in the loss of agility and quickness of the steps. The treatment for the reduced testosterone is the testosterone replacement therapy. The additional testosterone required by the body in advancing ages is supplied by the body is not enough for maintaining body functions The testosterone can be had in form of oral tablets, injections, creams, and gels. While the injections and the oral tablets have their own disadvantages, the creams and gels are not free from the disadvantages and side effects. Essentially, you have to choose between the discomfort from the side effects and good effects that you get from increased testosterone In the final analysis, you might even tolerate the effects of reduced testosterone levels rather than tolerate the side effects of the testosterone supplements. Take your pick between the two but with advice from doctor and not independently. penile enlargment exercise penis enlargement surgery cost free penis enlarement technique penile enlargment video pro solution pills natural pennis enlargement vimax male virility sexual enhancement do penis enlagement pills really work safe pnis enlargement

Vasectomy is a surgical procedure that provides a permanent form of birth control for men. There are two tubes in the penis, known as vasa deferentia, which carry sperm from testicles to the seminal fluid. Under Vasectomy, these two tubes are severed and sealed. Once the surgical procedure is through, your semen will become sperm-free. It means now when you ejaculate during sexual intercourse with a woman, she will not get pregnant. The biggest problem with this method of birth control is that you cannot get it reversed. Therefore, you must understand it pros and cons before going for the same. Is this method suitable for you? In order to determine if this method is suitable for you, it is very important that both you and your partner agree to have a permanent form of birth control. There can be other reasons too, where vasectomy can make a good option. For example, the health condition of your partner has made pregnancy unsafe for her, or you and your partner are not comfortable to use other methods for birth control. On the other hand, there can be many factors that make vasectomy unsuitable for you. For example, if you are unsure about having children in the future, or you are single, divorced or separated. Also, many people think that they will get the vasectomy reversed when they want more children. Well, let me tell you frankly, vasectomy cannot be reversed by any means. Therefore, keeping in view all the things, you have to take your decision very carefully. Result of Vasectomy More than 99% cases of vasectomy are normally successful. That is the reason why it is considered as one of the most effective forms of birth control. However, you must keep in mind that after the surgery is done; you can have sex only after three days. Moreover, the sperm still remain in little quantity in the ducts leading to your penis, which flush out completely only after 20-25 ejaculations. Therefore, if you go for unprotected intercourse before that you may make your partner pregnant. The best way to deal with this situation is to use a back up method for birth control until you have a semen analysis. Meanwhile, you need to have two tests. Once the test confirms that there is no sperm in the ejaculation, the vasectomy can be safely relied upon for contraception. Risks Although 99% cases of vasectomy are successful but in rare cases it may cause certain complications also, such as infection in the incision site (causing redness and swelling), bleeding within the scrotum that may cause painful swelling, scrotal pain etc. However, all these complications can easily be treated. Just call, your doctor and they will suggest you some precautions and treatments. There are certain other signs and symptoms too, which require you to consult your doctor. Such things may include fever, swelling that worsens or does not go down, difficulty in urination, a marbled sized lump in your scrotum, etc. Overall, vasectomy is certainly very effective form of birth control, but before you take a final decision, do keep in mind the above things. vimax manual penis elargement exercise best penis enlargement pill home penile enlargment penis enhancement fact penis enlargement pennis enlargement excercises free exercise tip for penis enlargment safe pnis enlargement

Looking for someone else? One of the biggest complaints I hear from women is that their partner, boyfriend, husband, whatever bought them the biggest vibrator or dildo that they had ever seen. And while the common thought is that bigger is better, this isn’t always the case for every woman. Some women aren’t designed for that kind of load capacity, so you’re going to need to think a little more compact, perhaps. Shoving something big into something that is small isn’t pleasurable in the least bit. And the sad part is that a lot of the women won’t even say anything because they don’t want to offend your choice. Why make these poor ladies suffer? Be sensible about size unless you know she can take it! For some os us, bigger is indeed better... Look at yourself. Yes, unzip your pants and look at what your woman is already accustomed to feeling inside her. Be honest, this isn’t the time to start bragging about the size, length, whatever, no one is looking but you. That’s the size that you want to choose for a vibrator for your woman. Slightly bigger is okay too, but don’t go for the foot in diameter version. Her eyes may widen when she sees it, but that’s in fear, not anticipation. Looking for yourself? A penis pump can be a great way to stimulate yourself when you’re flying solo for a while, but you have to give this purchase a little thought as well. A lot of these pumps are not designed for all sizes of men. You want to read the package carefully to see what the design is. Sometimes there is a cup at the end of the penis pump that will catch your juices as well as stimulate the tip of the penis. Be a little wary of the texture that a pump has - it can be irritating if the material sticks to places where it just shouldn’t stick. So use LOTS of lube! Does that still seem stimulating? The lashings of lube sensation can be very different if you haven’t tried it… If you’re here online, you’ll want to read the reviews on the site. These folks aren’t paid to give their opinions, so you’re sure to read the truth. And if you’re still not sure about the product, ask! The touch, the feel of vibrators When it comes to vibrators, the material can make all of the difference. It can be smooth or textured in the same way as a real penis. There are also others that come with special textures and grooves for her ultimate pleasure. These are supposed to hit the g-spot and though each woman is different, they can help in other ways. If you end up buying a vibrator, a little lube can help here as well. The extras that matter Oh, and I almost forgot— why not find a vibrator that’s waterproof and has a lot of speed settings. Waterproof comes in handy because it can be used in pools and bathtubs. And who wouldn’t like a little pick me up in the morning shower? Or for the ultimate private experience, use the (waterproof models only!) vibrator in the tub—it’s ultra quiet and discreet. Speed settings help to control the pleasure of the experience, plus the vibrator can then be used on the clitoris as well. With a little lube and a good vibrator, the woman can feel waves of orgasms—repeated over and over. Yes, multiple orgasms are possible—especially with a good vibrator. And when the man has picked out a great vibrator for himself or for his partner, they’re going to be thanked in very special ways. For more information about lingerie please have a look at this link:Exotic Lingerie | Blouses See Thru pennis enlargement video cheapest penis enlargment pills surgical pennis enlargement pennis enlargement excersizes pnis enlargement surgery photo vimax penis enlargement surgery vimax pills inch best enlargement exercise pnis safe pnis enlargement

Pelvic pain is a widespread chronic pain condition that affects the lives of men and women all across the world. But most people don't realize how big the problem is because those who suffer don't talk about it. Why? Would you talk about your pain if it involved rectal pain or vaginal/penis pain to your pals? My guess is no. You would keep it a secret and just try to "brush it under the rug" so to speak. There are so many people that suffer and just accept their pain which is sad. But change is coming... In the past few years, pelvic pain is getting much more recognition. Awareness is beginning to grow and people are coming out and talking. So you may be asking yourself, do I suffer from chronic pelvic pain? In a nutshell, chronic pelvic pain conditions usually consist of urinary pain, rectal pain, muscle spasms or tightness in the pelvic muscles, and usually there is no sign of any major abnormalities. That is what makes the condition so tough, is that there is nothing actually found to be wrong with the sufferer. Previously, most doctors would prescribe rounds of antibiotics or pain killers to take care of the pain. In most of the cases, there wasn't even any sign of an infection. Doctors would just prescribe what they thought might work. Overtime, this method didn't work. Today, there is a whole new approach to how pelvic pain is treated. One of the popular methods that has had good success is The Pelvic Pain Solution, an ebook written by a sufferer that beat pelvic pain (see www.redmaven.com )It is highly recommended if you suffer from chronic pelvic pain. The whole approach focuses on the body and the mind to beat pelvic pain. It is a more holistic approach that doesn't involve antibiotics or other invasive procedures. Finally, people that suffer from chronic pelvic pain conditions such as prostatitis, vulvodynia, interstitial cystitis, levator ani syndrome, etc. can have hope. The old methods involving pointless procedures (dilations, pain killers, antibiotics, invasive procedures) are about to bite the dust. There is a new turn to a more realistic treatment that puts the sufferer in charge of healing themselves...instead of someone else trying to heal them. This is new breath of fresh air for people with pelvic pain! For more information on chronic pelvic pain conditions, visit: www.chronic-pelvic-pain.redmaven.com