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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 do penis elargement pills really work pnis enlargement surgeries penis elargement forum vimax penis pills penis enlargment fact cheap penis elargement pills herbal penis enlargment pills enlargement forum free matter pnis size

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Perhaps you are playing a naughty nurse and her patient, and you need to see if your patient is having troubles with orgasms. Well, the best way to check this is to see what 'happens' when a penis pump is used. Hmmmm, how does that feel? Or then the other role play you can use is police and bad guy (or girl). You’ll have to use some cuffs to restrain the criminal and then examine him or her for hidden weapons. Of course, you might think that a vibrator (which makes a good hidden weapon by the way) will get the female criminal to talk a little easier. Bring her to peaks and valleys of pleasure, but not to the ultimate climax until she confesses all. And then want to be bad all over again. Of course, if you have a maid scenario, you can also be a master of toys that you need to test on her, or that she needs to use on you. That sounds like fun—toymaker and test subject. I wouldn’t mind that one at all. Product testing at its best. Doing it for yourself A hot game that a lot of couples like to try is mutual masturbation with sex toys. As men are the visual gender, they love to watch a woman use a vibrator on herself. But that doesn’t mean that the man is left to drool, he can use a penis pump at the same time. See who has an orgasm first. Or last. Who can wait it out? The alternative to this game is that one person could find a remote control vibrator or other discreet vibrator for their partner to use. Play the game of ‘who knows when it will turn on’ with the remote control. It’s sure to create sexual tension. Or with the mini vibrator you can give your partner a schedule of times to use it, as well as places. Do it out in the open for a great rush. Dark parking garages are always hot, or have your partner use it while they drive to meet you. Wet with anticipation is the key. Don’t allow the partner to orgasm until you want them to. Or when you want to watch. Of course, there are some people (you know who you are) who have an active fantasy life and can use sex toys to get pleasure when you’re by yourself. Close your eyes, pinch and caress your breasts or chest, imagine that special person and then taunt yourself with a vibrator or a penis sleeve while you sink into the pillow screaming your own name. When in cuffs… Sex toys and bondage is the ultimate combination. With a helpless partner, you have a whole bunch of tools of pleasure at your disposal to use. Fasten their arms and legs in cuffs and then see how many times and ways you can pleasure them. Vibrators are essential, but put on a blindfold to heighten the experience. They’re never know they’re/it’s coming. You can also use a little anal play in the bondage game. Use the vibrator and an anal plug at the same time for a filling good time. The effect is amazing. And who can resist a little spank with a paddle or whip when you have the person tied on their stomach? For a the more adventurous Other sex toys can be as simple as a feather to create anticipation without any release. Run the feather over the blindfolded person’s body (in bondage or not) for a stunning effect. If you like a little pain mixed with your pleasure, nipple clamps can be just the thing to hurt so good. The slightest tug on these clamps will create a rush of blood to the nipples and intensify the pleasure. These come with a feather too! Sex toys can be used in a variety of ways and areas. It’s really your imagination that guides you. And don’t forget the lube to keep the play going for hours. For more information about lingerie please have a look at this link: Cheap Trashy Lingerie | Exotic Lingerie best penis enhancement pills natural penile enlargement and lengthening compare penis enargement pills safe penis enlargement cheap penile enlargement pills medical penile enlargment vimax penis enlargement device pnis enlargement video does penile enlargment work

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 pills free exercise tip for penile enlargement vimax testimonials herbal penis enlargment pnis enlargement tip pnis enlargement exercise penile enlargement cream penis elargement does penile enlargment work

A Guide to Testosterone Cream Have you ever imagined that one day if you were suffering from low levels of testosterone you could just rub on some testosterone cream, which then becomes absorbed through your skin boosting your levels of this vital hormone? Testosterone therapy using cream is a mixed bag. Though very effective as a form of testosterone replacement, there are possible testosterone cream negative side effects. Other remedies exist such as patches, injections, oral androgens, and the implantation of time release pellets under the skin that might serve better. The testosterone cream negative side effects fall into three classes. Some are well known. Another class happens occasionally and a third category of t negative side effects occurs only rarely. The negative consequences that happen from testosterone cream for women are often different than those for men. The first class of side effects can occur from testosterone cream for women and for men. These negative side effects can include masculinizing effects such as increased hair growth, deepening of the voice, weight gain and acne. In men, prostrate problems can develop and difficulty in urinating can occur. Enlarged, swollen or tender breasts can result from using testosterone cream for women. Irritation of the skin is another commonly encountered side effect occurring where the testosterone cream is applied. The use of too much testosterone cream can express itself as the blood level rises to a toxic level. The second class of testosterone cream negative side effects contains those that occur less often but are also a consideration. These consequences of using testosterone cream include depression, anxiety, and possible mood disorders. High blood pressure can result from using testosterone cream as well as gastrointestinal problems and headaches. Additional testosterone cream side effects include actually reducing sex drive rather than enhancing it. Often changes in cholesterol levels from the use of testosterone cream are detected. Menstrual irregularities and enlargement of the clitoris can result from testosterone cream for women. The use of this topical gel can be continued in some of these cases under the supervision of a doctor. Men who have prostrate problems should not use the cream. A fear of initiating prostate disease, or even prostate cancer in some cases, exists as a concern among the medical community. Using testosterone cream for women in pregnant women or mothers who nurse their babies should not be performed. The testosterone can pass from the mother to the baby. Likewise, people using testosterone cream with a history of liver disease, kidney disorders, cardiac problems or known hypersensitivity to testosterone should not use it. The testosterone cream negative side effects in these cases should be obvious. The rare effects from using testosterone cream for women and men include liver complications. These cream negative side effects can manifest themselves as yellowing of the skin or eyes, nausea, abdominal pain, unusual bleeding, abnormal bruising or severe fatigue. Prolonged erections in men also occur. Breathing disturbances, including those associated with sleep, can result from using testosterone cream for women and men. Nausea or vomiting can also occur from the use of testosterone cream. Swelling of the ankles and changes in skin color are other rare possible negative side effects. Allergic reactions are testosterone cream negative side effects that might result in difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives. In any case, if these serious symptoms from using testosterone cream for women and men emerge seek emergency care immediately. Although unlikely, these offshoots of using testosterone cream are dangerous enough to warrant immediate attention. The use of testosterone cream for testosterone replacement therapy has the advantage of being convenient and effective. However, the testosterone cream negative side effects from using testosterone cream for women and men may outweigh the advantages for some. This article is not intended to scare anyone using or considering using testosterone cream. By and large, many of the cream products are very safe and many people won't experience any discernible side effects. Talk to your doctor carefully about the cream and other testosterone replacement therapies. male penis enlagement vimax forum penile enlargement device bottle vimax pills vimax penis enlargement technique safe penis enlagement penis enlargment traction device natural penis enargement pills does penile enlargment work

Vimax is a new diet pill that is shown to significantly and relatively quickly increase penis length and girth, while at the same time hardening erections, increasing libido and boosting sexual energy. Heard it all before? You probably have. The truth is that people getting great results in their sex lives due to the use of Vimax and similar male performance enhancing supplements. Unfortunately for most unknowing customers there are some things that go on behind the scenes that don't get talked about. For example, tests have shown that natural supplements like Vimax don't work in SOME cases. Not a piece of information you are likely to find highlited in the products promotional material. Luckily enough, and in the hope that I can assure no one is left out from the benefits I believe Vimax can deliver...I have found out why. Study has shown that Vimax sometimes doesn't work ALONE. Here's why: Vimax works by its natural ingredients causing increased blood flow to the genitals. The idea is that upon increased blood flow and circulation the tissues of the penis are forced to expand and grow to accommodate this new volume. That's the theory anyway. While for many men this is the case, for others the simple act of increased blood flow alone does not do the trick. The penis itself has to be physically exercised in conjunction with this increased blood flow to ensure any kind of lasting results. Like a bicep at the gym, when put under physical tension, growth is forced and while the blood flow causes internal physical tension to some degree and expands the blood vessels inside the penis, the erectile tissue surrounding it is left unstimulated and quite often ungrown. There are some simple exercises you can do along with your supplementation program to assist in the speed and longevity of results from taking Vimax. These are known as jelqing and involved prolonged squeezing and stroking of the shaft of the penis in a semi erect state to physically squeeze more of the newly circulating blood into the expanding vessels and erectile tissue. This in effect doubles the effectiveness of the treatment because at the same time you are using two methods of expanding your erectile tissues rather than one. This can cut down on the time you are required to use the Vimax supplement and in doing to lessen the costs involved with continued usage. Also because when exercising as well, you are doubly increasing your blood circulation to the genitals you can safely double the recommended intake of Vimax to two tablets daily further increase the speed and lasting nature of your results!