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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 pnis enlargement before and after photo penis enhancement surgeries prosolution pnis enlargement pills top penis enlagement pills prosolution pnis enlargement pills male penis enhancement enhancement manhattan penis surgeon pnis enlargement

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Erectile dysfunction (ED), which is generally called impotence, is the repeated inability of a man to get or maintain an erection of penis sufficiently rigid for sexual intercourse, ejaculation, or both. Today, ED has become a serious sexual health problem in men as it affects a person psychologically. Due to the personal nature of the disease, it is difficult to estimate how many men are affected by it. 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. The most common cause of Erectile dysfunction (ED) is damage to the tissues, nerves, arteries, muscles or fibrous tissue. Conditions such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis and cardiovascular disease account for around 70% of cases of ED. Erectile dysfunction is also a side effect of some common medications, including blood pressure drugs, antihistamiines, antidepressants and tranquilizers. According to health experts, psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause up to 20% of cases. Smoking has also been linked to ED. Being older is primarily associated with impotence in most men. Nevertheless, impotence is not inevitable with age. Clinical studies suggest that men of any age can be affected by this problem at some point of their sexual life. 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. Various options for the treatment of ED are available today. Psychotherapy is prescribed by doctors for patients who are likely to benefit, but alternative treatment includes drugs, vacuum devices, and surgery. There has been a surge of interest among men on the wonder drug Sildenafil citrate or Viagra, which was approved by the U.S. Food and Drug Administration in 1998. Viagra belongs to a class of drugs called phosphodiesterase inhibitors, and it works by increasing blood flow to the penis. Once you take it, Viagra can work in as quickly as 30 minutes. Viagra works for 4 hours. As with all erectile dysfunction medications, Viagra should only be used under a doctor's supervision. 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 most common side effects of Viagra are headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur. With the increasing use of the Internet as a vehicle for buying goods at the ease of one’s home, one can easily buy Viagra or any other anti-ED drugs online. Buying Viagra online ensures anonymity of the buyer and the drug is delivered at your doorsteps confidentially. Moreover, there are numerous pharmaceutical companies offering generous discounts on price for those who buy Viagra online. So, if you are depressed due to ED and ashamed of discussing it to others, come out of the closet and get benefited by buying cheap Viagra online. enlargement manhattan penis com elargement penis penis pump vig rx results enlargement forum free matter pnis size natural penis enlagement and lengthening vimax natural penis enlargement and lengthening natural penis enlagement pills free penis enlargment exercise top rated penis enlargement pills

Before I try to answer this questions I must say that Penis size is one of the greatest self-confidence battles that men deal with. Another important fact is that only 10% of all men are happy with their penis length or their sexual performance. Do you belong to the 90% that are unhappy? A lot of questions are asked everyday by the male population... Is my penis long enough? What is the average penis size? Approximately 75% of the male population has a penis that is 6" or greater. What does my partner thing about it? Will I be able to give more satisfaction to my partner with a larger penis? Penis size can have both a physical and psychological effect on the initial degree of sexual excitement for some women. And how about you? If you belong to the other 25% can you deal with it? If not, there are penis enlargement products and programs specifically developed to increase your penis size. These products were not only developed for people with underdeveloped penises, but those have an larger-than-average penis, who just want more. The existent methods are: 1.- Penis Jelging: Basically jelqing involves "milking" or stretching exercises involving the penis, with the ultimate goal of increasing the length of your penis. Jelqing has been found to have some disturbing effects when repeated for a period of time. 2.- Penis Enlargement Pumps and Electric Pumps: With the pumps you can make up to 2 inches gain but this gain is not permanent and only lasts for approximately 1 hour. It's not an effective method if you desire a permanent penis enlargement. 3.- Penis Enlargement Surgery: Although there has been great improvements in phalloplasty, also called cosmetic penile enhancement or augmentation surgery, the results remain unpredictable and there are some significant risks involved. 4.- Penile Weights: This method works by hanging small weights off the end of your penis to stretch the penis and in the process, make it longer. This method of penis enlargement has been around for some time and has worked in some cases, but comes with several potential risks. 5.- Penis Enlargement Pills: They are 100% natural pills, being blended with a combination of herbal component that very effectively enlarge both penis length and penis girth, as well as enhancing sexual performance. Some of them are developed in advanced laboratories and approved by the FDA. 6.- Penis Extenders: Though there are few people using this method in comparison to other types of penis enlargement, it is proving itself to be a very successful method. The device is used anywhere between 2 and 10 hours a day and causes your penis to build new tissue cells resulting in a longer, thicker penis. 7.- Penis Enlargement Patches: The transdermal patch ingredients are instantly absorbed into the skin and the product does not need to travel through your digestive system, beginning its work immediately for fast and effective sexual enhancement. Some experts recommend the use of combined methods, in order to achieve a better and faster result. Before you choose, please check carefully the advantages and disadvantages of each one them. cheap penile enlargement enhancement manhattan penis surgeon free exercise tip for penis enlarement hgh magna rx penis enhancement excersizes free natural penile enlargement vimax extender enlagement manhattan penis top rated penis enlargement pills

Let's Face it if I mention Rabbit Vibrator you know what I am talking about and needs little introduction but few realise the workings behind this orgasmic sex toy. A rabbit vibrator is essentially a standard vibrator. But don’t be confused as there is one essential ingredient to this vibrator which will be explained later. A rabbit vibrator has a few extra features. The rabbit vibrator is designed especially for the needs of the woman not only for solo stimulation but to enhance lovemaking between couples. Rabbit vibrators truly shine as one of the best sex toys for women. Over the years Rabbit Vibrators having been giving names as they have progressed. For example The Rabbit, Bunny Rabbit, Pearl Rabbit. Essentially these sex toys are all the same with the exception of variation of colour changes. Rabbit vibrators usually have a rotating or gyrating head. Most new rabbits can rotate both clock-wise and counter clockwise with a controller for the speed. The head is most often shaped like a penis to give a realistic feeling but can be found with a curved end for maximum g-spot stimulation. Majority of them have small plastic or metal beads incased in the shaft that vibrates or rotates at varying speeds and directions which can intensify at a touch of a button. These beads serve to enhance the sensation of an orgasm much like a ribbed condom. When the muscles of the vaginal wall contract around these vibrating or rotating beads during an orgasm, the beads provide extra sensations. The beads are found only on a rabbit vibrator and are one of the features that make is so popular. The second and if not most important feature of a rabbit sex toy is the rabbit ears hence the name rabbit vibrator. These ears are shaped much like the ears of rabbit which in turn vibrates and stimulates the clitoral stimulation as they come into direct contact with the clitoris. When shopping for a rabbit vibrator look for variable vibrating speeds and rotations which can easily be controlled either by a fixed handle or a remote control unit. The rabbit is a tried and proven sex toy which was unanimously chosen as the "best vibrator" out of 40 different vibrators on Playboy TV's "Sexcetera" and was selected as the "best vibrator" on a radio station in New York City when pitted against the Hitachi Magic Wand. To enhance your experience when using any vaginal or anal sex toy vibrator make sure to use water based lubricant such as Super Silk. With all this said sex toys can be a wonderful enhancement to lovemaking and a source of truly spectacular pleasure and these toys should not be used in place of your partner but with your partner.