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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 vigrx results top penis enlagement pills vimax penis enlargement photo vig rx pill pnis enlargement before and after vimax extender penis enlagement review penis enhancement before and after
Bad breath affects children in the same way it affects adults. It is not necessarily a sign of a more serious health condition though, but a frequent bad breath in children can be distressing not only for the child, but for the parents too. There are a number of causes associated with frequent bad breath in children. Some medical researches have noted that a frequent bad breath in children may be caused normally by mouth breathing due to colds, allergies, sinus infections, or enlargement of tonsils blocking the nasal passages; dehydration; thumb sucking; increased bacterial activity in the mouth at night; infrequent snacking and drinking throughout the day; and improper brushing. All of these are deemed culprits for the reason that they tend to cause mouth drying, which in turn allows the increase of the number of bacteria in the mouth resulting to a stinky breath. Knowing the culprits, it is now so far understandable that the real root of frequent bad breath in children is mouth drying. So to prevent or cure frequent bad breath in children, it is necessary to maintain the saliva production so to decrease the mouth bacteria. But, the question is in what possible way will the saliva production be increased? Well, there are actually a lot of ways that parents may consider to treat their child’s bad breath. One of the best ways is to ensure that your child gets plenty of fluids throughout the day. This is pretty self-explanatory as less fluids means less saliva, and less saliva means a dryer mouth. So if possible, offer frequent drinks throughout the day as it may helps flush out the odor-causing bacteria in your child’s mouth. In case of allergy and colds, a frequent bad breath in children can be prevented by treating the problem with saline or a nasal aspirator suctioned in your child’s nose. You can apply this to your child at night before he or she goes to bed. In this way, post-nasal drip as well as mouth breathing can be reduced. Post-nasal drip and mouth breathing as mentioned earlier are two common causes of frequent bad breath in children. To further treat frequent bad breath in children, try to teach your children the importance of oral hygiene. Make your child aware that proper cleaning of the mouth right after every meal is very important in treating frequent bad breath he or she is suffering from. Also, teach your child the proper way of brushing the teeth. Assist your child, but while you are helping, make sure that your child knows the importance of brushing not only the teeth, but also the tongue and sides of the mouth. Also teach your child the proper way of flossing. If after doing all of these suggestions mentioned above and you still find your child suffering from frequent bad breath, don’t hesitate to call or see a doctor. A frequent bad breath in children that appears after four to five days of the initial treatment may signal something serious. It could mean an infection, or something that is chronic. So call your dentist or your child’s physician and talk about the problem. penis enlagement procedure penis enhancement excersizes pennis enlargement tip best pnis enlargement surgery enhancement free penis pills sample penile enlargement before and after pennis enlargement tip vimax penis enlargement drug guide to penis enlagement
Body piercing is truly ancient with the earliest recorded piercing appearing on a frozen mummy found in an Austrian glacier in 1991. The body had several expanded ear piercings measuring between 7mm and 11mm. Other early mentions of body piercing come from the bible itself especially Genesis 24:22 where nose jewellery (often misquoted as earrings) were given as a gift to Rebekah, wife of Isaac. Roman soldiers are also said by many to have had their nipples pierced as some sort of right of passage but there is little or no evidence of this. In fact many articles will state that the piercing was used to somehow ‘hold their cloaks in place’. Anyone who has had a nipple piercing will tell you how uncomfortable this would probably be if worn for any length of time and let’s think about it, there would be far better ways to fasten a cloak. The story seemed to originate from pamphlets published by Doug Malloy in the 70’s to help drum up business for his piercing studio. Many of the pamphlets published by him contained inaccurate or fictional information although there is little doubt that he was one of the pioneers of modern day body piercing in the USA. Many other cultures and civilizations have practiced piercing through the ages including the Aztecs, Mesoamericans and many Middle Eastern and African cultures. Few can have failed to see images from African tribes where lip and lobe stretching using enormous disks is common practice and often considered a sign of great beauty. Piercing in Europe has been around since at least the 16th century with ear piercing being especially popular during Elizabethan times. More ‘exotic’ piercings grew in popularity during Victorian times. Prince Albert is said to have had his penis pierced to allow attachment so that less movement showed when dressed, although little hard evidence exists to support this. However, he still had one of the most popular male genital piercing named after him – The Prince Albert. Apart from the ever-popular ear piercings, body piercing then lost popularity until the 1960’s when the hippy cultures and gay community began to take up piercing again. The advent of punk shortly afterwards gave it more mainstream appeal although it never became truly popular until recent years. We are now in the midst of an explosion caused in the main by the popularity of piercing with many of today’s pop icons. With eyebrow piercing appearing on members of bands such as Take That and other popular musicians quickly following, the public were quick to jump on the bandwagon and a huge boom in facial and the ever-popular belly button piercing resulted. With the plethora of jewellery now available for all piercings to make many look truly stunning there seems to be no slowdown in its popularity in sight. vig rx pill guide to penis enlagement enlargement penis pill vimax vimax prosolution penis enlargement pills safe penis enlargement free penis enlarement penis enlagement cream do pnis enlargement pills work guide to penis enlagement
Too many men look at their penis as a separate entity instead of a functioning and necessary part of their body. Your penis if you wish it to perform on command must stay healthy. Besides having regular sex not only for the health of your penis but your body, you should also remember to keep the rest of your body in tip-top shape to ensure that your penis is getting all the blood flow, nutrients, and oxygen it needs. In order to do this you should use this guideline for a healthy body and healthy penis. Eating Healthy You should eat five or more servings of fruits and vegetables per day and eat items with less saturated fat. Eating well-balanced meals can keep your weight where it should be and provide your body with the necessary vitamins and nutrients it needs to function properly including your penis. Exercise Exercise is an important part of maintaining proper weight for your height. Sex is one great exercise that burns more calories than most other exercise and is of course a lot more fun. Being overweight can cause all kinds of health problems and can affect your sexual activities. Obesity leads to diabetes, high blood pressure, heart disease, and stroke. In addition, if you are really overweight you may not be able to perform sexually, since you will more than likely not have enough energy to enjoy a sex session. The doctors recommend that physical activity promote many healthy benefits such as gets the heart pumping blood and oxygen flowing throughout your body. In order for your penis to stay healthy, it requires blood and oxygen. However, instead of running a mile or two when it is freezing outside, jump in bed with your partner. A 20-minute sex session will also increase your heart rate, blood flow and give you a feeling of well-being. Quit Smoking! Smoking is associated with lung cancer and heart disease. You need your heart and lungs to function properly and provide your penis with the blood flow it needs to have those rock hard erections. Manage your stress Did you know that sex could also aid with stress related situations in some cases? Sex is also a great antidepressant. Next time you feel stressed or anxious, do not run to the medicine cabinet to pop a pill, jump in your partners arms. Try a more natural way of reducing stress and depression than medication. Of course, sex will not eliminate all of the problems that you may encounter in your life but it will not hurt you and it could help you in more than ways than you can imagine. Keep your body healthy so your penis will be healthy. Your body and your penis work hand in hand to maintain a healthy body. To be sure, that your penis is actually receiving adequate blood flow you can also begin a penis enlargement program, the exercises that can be used also help with other healthy issues besides the size of your penis. buy place vig rx medical penis enlagement manual penis enlargement male penis enlargement pennis enlargement review easy enhancement free penis surgery way prosolution penis enlargement pill penis elargement guide to penis enlagement
What exactly are stretch marks and can they be treated? Yes, stretch marks can be treated, but, before we get to the methods of treatment, let’s first understand what stretch marks are. Stretch marks, also known as stria atrophica or striae distensae or as it’s known during pregnancy, striae gravidarum, are caused by tearing in the skin and its underlying connective tissue. These marks occur as a result of direct trauma or stretching due to the enlargement of muscle or adipose(fat) tissue. Now, the skin has three different layers. The top layer is known as the epidermis, the middle, elastic layer is called the dermis, and the deepest layer is called the subcutaneous layer. Stretch marks actually occur in the elastic dermis layer. As underlying tissue enlarges due to sudden and drastic weight gain, the dermis is stretched too far too quickly and its connective fibers break, thus, leaving some microscopic bleeding and inflammation that quickly evolve into the dreaded stretch marks. At first, stretch marks appear slightly raised and pink, reddish brown, or dark brown lines that then turn purple or violet. Over time, these lines will lose their color and will turn almost silvery in comparison to your normal skin tone. marks often appear where the body often chooses to store its fat. So, in other words, places like the abdomen, the breasts, the upper arms, thighs, and buttocks are all prime targets for stretch marks. Although, they may look unappealing, stretch marks pose no sort of health risk and treatment is only sought for cosmetic reasons. With that said, what are some of the recommended approaches in preventing stretch marks or getting rid of the ones that you already have? First of all, let’s start with the diet that one should be eating. You need to make sure that your diet is supplying enough vitamins C and E as well as the minerals, zinc and silica. All of these have been known to help form collagen among other things that could help eliminate and prevent stretch marks keep your skin healthy. Another option that is more costly, but more effective, is getting a prescription for a Retin-A cream which is derived from Vitamin A and is applied to the problem areas. It has been shown to reduce the prominence of stretch marks, but pregnant women are strongly advised not to use such creams since the high vitamin A content can greatly affect a developing fetus. Furthermore, science isn’t even quite sure how Retin-A affects breast milk content. Still, the cream is effective when used properly. According to one study, Retin-A cream actually reduced the length of stretch marks by 14% and the width by 8%. In another study, Retin-A contributed to a 20% reduction in stretch mark length. Costlier still is the option of laser therapy. According to the American Society of Dermatological Surgery, a surgeon will use different lasers for different colors of stretch mark. One of the lasers reduces the dark pigmentation of the stretch mark while another stimulates pigmentation with the cells that have already turned a light silvery color. There is even a newer type of laser therapy that stimulates the cells to produce more collagen and help restore the elasticity in the dermis. However, it is unlikely that your health insurance plan will cover such procedures. So, be aware of the price tag. Stretch marks are a part of life that many will have to learn deal with, but there is hope if the embarrassment of showing your skin is too great. Let’s approach treatment in a stair-step fashion. First, begin with the easiest approach by eating more fruits and vegetables and drinking more water. Also, supplement your diet with a good multivitamin. If that is not enough, then look into finding a reputable dermatologist to prescribe you some Retin-A cream. For many, this is enough to restore the much needed confidence to pull out that old, dusty bathing suit once and for all. But, if you want the best results possible and money happens to grow on trees, then look into a good cosmetic surgeon and see what can be offered in the way of laser therapy.