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GENITAL WARTS Genital warts is a viral disease manifested by a spectrum of skin and mucous membrane lesions affecting the anogenital area. The causative agent is the Human Papilloma Virus (HPV) of the papovavirus group of DNA viruses. At least 60 human papilloma virus types have been identified. Genital or venereal warts are in most instances caused by type 6, 11, 16 or 18. Genital warts are mainly sexually transmitted with worldwide occurrence. The peak incidence is in the sexually active age group of 19-35. The incubation period is between 1 to 9 months with a mean of 3 months. Clinical Features In the uncircumcised men the subprepuce, coronal sulcus and glans penis are affected. Here the lesions appear as pink cauliflower like fleshy growths. This form often called condylomata accuminata are also seen in the urinary meatus and in women on the inner aspects of the vulva, vagina and cervix. The hyperkeratotic, skin coloured or pigmented papular warts are seen as discrete or confluent papules on the keratinised parts of anogenital skin. Flat warts are erythematous or pink requiring application of acetic acid for visualization. They are commonly seen on the cervix. Complications Giant genital warts Bleeding Transmission to neonate during childbirth – childhood laryngeal papilloma Diagnosis Usually based on clinical appearance Histological diagnosis are rarely needed Treatment Podophyllin or podophyllotoxin solution or cream Trichloracetic acid solution Imiquimod cream Electrocautery Cryosurgery Scissor excision Laser therapy easy enlargement free penile surgery way penis enargement video best enlagement exercise penis penis elargement surgery cost pnis enlargement drug natural penis enhancement technique penile enlargement surgeon vimax penis pills

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Some experts believe impotence affects between 10 and 15 million American men. In 1985, the National Ambulatory Medical Care Survey counted 525,000 doctor office visits for erectile dysfunctions. Impotence usually has a physical cause : such as disease, injury or drug side effects. Any disorder that impairs blood flow in the penis has the potential to cause impotence. Incidence rises with age: about 5 percent of men at the age of 40 and between 15 and 25 percent of men at the age of 65 experience impotence. However, it is not an inevitable part of aging. Medical treatment using generic Levitra, generic Viagra and generic Cialis are now FDA-approved oral prescription medications for the treatment of erectile dysfunction in men. It is available in 2.5mg, 5mg, 10mg, and 20mg tablets. In clinical trials in the general ED population, medications improved erections for a majority of men. A lot of men who took generic Viagra, generic Cialis and generic Levitra were satisfied the first time they used it. The Fact is Impotence is usually treatable in all age groups and awareness of this fact has been growing. More men have been seeking help and returning to near-normal sexual activity because of improved, successful treatments for impotence. Urologists, who specialize in problems of the urinary tract, have traditionally treated impotence - especially complications of impotence. Generic Viagra contains Sildenafil Citrate enables many men with ED to respond to sexual stimulation. When a man is sexually aroused, the arteries in the penis relax and widen, allowing more blood to flow into the penis. With more blood flowing in and less flowing out, the penis enlarges, resulting in an erection. generic Cialis Soft Tabs are a faster acting Cialis solution. A generic cialis Soft Tab is an oral lozenge, mint in flavor, containing pure Tadalafil Citrate that is placed under your tongue and dissolved. This method allows for the medicine to enter your blood stream much faster than digesting a pill. For men who need to wait 60 or 90 minutes when taking generic Cialis in a pill form, you can now experience results in 15 minutes or less when using a Soft Tab. Take generic viagra about 15 minutes to 20 minutes before you plan to have sex. generic Viagra can help you get an erection if you are sexually excited. If you take Generic Viagra after a high-fat meal (such as fish & chips, cheeseburger or French fries), the medicine may take a little longer to start working. generic Viagra can help you get an erection when you are sexually excited. penis enlargment review permanent penis enhancement pnis enlargement tool real pnis enlargement natural penis enlargment pills best elargement exercise penis vimax pillss inch guide to penile enlargment free penis enlagement pills

Vimax is a natural penis enhancement supplement that has been shown in various tests to create gains of up to 3-4 inches in length over a 4 month period. Looking at such amazing results, it is hard to believe that they could be achieved with a natural supplement rather than a prescribed chemical or hormone. The secret to the success of Vimax lies in the powerful combination of the herbal ingredients it contains. These are herbs and substances that have been used for years in various cultures to increase libido, lenghten penis girth, enhance sexual arousal, and increase blood flow during erection. Some of the herbal ingredients in Vimax include: Epunedum Sagitum or Horny Goat Weed This is a powerful natural afrodisiac shown by chinese doctors to improve sexual and physical sensation. It does this by increasing the release of testosterone which also causes increased circulation, resulting in harder erections. Ginkgo Ginko has been used for over 5000 years in chinese herbal medicine for increased blood flow and oxygenation. Besides improving blood flow to the genitals, Ginko also improves mental capacity and brain function. Furthermore due to these properties Ginko has been shown to cure impotence in 78% of male subjects tested. Cayenne Fruit Is known to prevent strokes without increasing blood pressure and also has properties of rebuilding tissue, especially valuable in the genital lenthening process. Saw Palmetto Known to stimulate low libido in males and have powerful afrodisiac tendencies. Ginseng An ancient supplement known to invigorate the blood, building blood and sperm. It also contains one key ingredient that alters bloodflow to the brain and penis which eventually causes the blood vessels of the penis to expand and grow. It is these ingredients combined in a specific fashion that cause Vimax to achieve results that are equal in many cases to the effects of physical enlargement surgery. Not only this but with ingredients that are all natural there are no side effects and the user can continue to use the supplement safely until the desired size is attained. male penis elargement top rated penis elargement pills plastic surgery penis enhancement real pnis enlargement pnis enlargement device vimax penis enlargement without pills herbal penis enargement surgical penis enargement free penis enlagement pills

Top Questions of our Time Series: Sex Slam bam thank you Ma’am or Mr.? That’s some people’s method and it works for those who mutually agree they want a quick fix. But for most people this is not the method of choice. So, why is it that this is so prevalent? The reason for this could be that American culture is simply not accepting of sexuality in general and that is why sexuality leaks into what many consider to be ‘shadow’ areas, such as pornography, strip clubs, and prostitution. Carl Jung, one of the founding fathers of psychology, would definitely label sexuality as the shadow side of our culture. For most people who watch or visit these areas, it’s not something they discuss with their acquaintances or even their family and friends. In fact, the actual act of having sex with a person is not discussed too openly in our culture. Alfred Kinsey was one of the first and most famous people to openly discuss this cultural issue in public. Sure, sex is flashed in our faces on TV shows, movies, and advertisements, but few people actually openly discuss the act of having sex with another person. For whatever reason that is, this is an article that is going to discuss one of the top questions of our time: What is a great way to have sex, even for those who are inhibited. I am going to explain a term, I am certain I am not the first to use it, or explain concepts like it, however, I have not seen the term before. That term is Mindful Sex. Mindful sex involves slightly slowing down in every aspect of the act of sex, from creating the setting, to the foreplay, to the actual act of sex, whatever you consider that to be. The following is the gist of it: Setting: This part is not necessary if the act of sex is spontaneous in any given moment. If it is not spontaneous, sometimes it is a good idea to set the setting. When creating the setting, whether you are lighting candles, putting on music, or preparing special lingerie, moving slightly slower than you usually would. As you move slower begin to pay attention to your senses. If you are lighting candles, notice what you are lighting it with, is it a match, a lighter? Notice what the flame looks like, how it moves, does the candle have a smell, if so, take a moment to inhale it. If you are setting up special lingerie, take a moment to feel the lingerie. Is it made of silk? How does the silk feel? Are you spraying perfume/cologne on it? Take an extra moment to inhale that. You get the idea, with anything you are doing, move slightly slower and take a moment to pay attention to what you are seeing, hearing, smelling, feeling, and tasting. You do not need to think about any of this, just notice your sensations. If you notice you are thinking about something, notice that and then simply bring your attention back to what you are sensing. By moving slightly slower you have the opportunity to do this and in return make the process more meaningful and enjoyable. Foreplay and Sex: Some people consider foreplay to be sex, some consider intercourse to be sex. So I am putting them together because these ideas apply to both of them. There are many aspects to foreplay and sex and different people will have different variations on what they like. The tragedy of it all is that most people, having not felt free to discuss sex in public and they have only relied on what the media has influenced them to think about how sex should be. While they’ve had sex, they have never freely explored it on their own. Some people like to start out with oils and massage, some people like to start out with kissing all over the body, while others are into more fetish areas such as acting out a fantasy of being ruled over by a dominant figure of some kind (e.g., dominatrix). As far as fetish goes, this goes as far as our imagination can take us. As you practice Mindful Sex you will give yourself the chance to discover what it is that you really like and you will begin to feel more comfortable communicating that to whomever you are having sex with, even if that person is yourself (i.e., masturbation). Here is the gist: As you begin to practice mindful sex, it is important to remember one thing: Whatever it is that you are doing, do it slightly slower than usual. This does not mean go in slow motion, it means just go slightly slower than you would think to go. As you move slightly slower, you give yourself the opportunity to really be there in that moment and notice things that you may not have noticed. If you are giving a massage, you get to feel how the person’s skin actually feels, is there a scent to the oil? If so, inhale it. If the oil is edible, take an extra moment to lick it and truly taste it in your mouth. Look over your partner and take a moment to take in all the little nuances of the person’s body. By slightly slowing down, you also allow yourself to relax a bit, and this not only helps in making this a richer experience, but also helps reduce anxiety if that is an issue (e.g., being overly sensitive or premature ejaculation). You can apply this in every moment of sex that you find yourself in. For example, when you are giving oral sex, go slightly slower and notice the smell and taste involved, feel the texture of the other person, is it soft/rough? What does the person’s vagina or penis look like? As you go slightly slower you’ll find that it is not so difficult to notice these things and it will draw you deeper into the experience and give you the gift that you have not been privy to experience in the past. Ofcourse, you can apply this to intercourse as well. No matter your gender or sexual orientation, there is often some sort of sexual intercourse involved. It is important to let your partner know that you want to go slightly slower this time in whatever way you feel comfortable communicating that. As the intercourse begins, notice the sensations you are feeling. All parts of you are experiencing sensations from your head to your penis or vagina to your feet. If you find yourself thinking about something, notice that you are thinking about something and gently bring yourself back to your sensations. If you find yourself judging your self or the other person, just notice that you are judging and gently bring yourself back to your sensations. Gifts: Paying attention to your sensations may also broaden your horizons on things you want to do. Maybe you notice that while having intercourse that you are not tasting anything so you decide to taste your partner by kissing or licking him/her. Maybe you want to smell your partner more to bring in that sensation. Maybe you open your ears and begin to hear what the sex you are having sounds like. Maybe you’re now noticing for the first time what other areas of your body are being touched during intercourse besides your penis, vagina, or nipples. You might just discover an erotic area of your body that you had not noticed before (e.g., back of the knees, toes). Having mindful sex is simply a teaching and a suggestion. If a spontaneous act of aggressive sex comes out and it is not a slightly slowed down process, than that is Ok too. This is simply an opportunity to broaden your awareness about yourself during the act of sex and deepening the richness of your experience. Of all things we have to experiment with on this planet, this is surely one of the top. So, responsibly, go off and try this out, have fun, and broaden your horizons! 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It is not uncommon to notice unusual visual symptoms at night after LASIK. Patients often report symptoms of haloes, glare, or a general feeling of poor night vision. Fortunately, these symptoms almost always resolve with time. There has been a large amount of debate as to the cause of night vision symptoms after LASIK. What is known is that it is much less common than it was with the older generation laser treatments. There are some patients who had LASIK surgery many years ago who will require frequent eye drops to minimize the symptoms. The major debate has surrounded whethere the size of a persons pupil at night plays into night vision symptoms. In the dark,a person's pupil will enlarge in size. Some people believe that it is this enlargement of pupil size that causes the night vision complaints. More specifically, the pupil size has enlarged to allow light in that is outside the optical zone created by the laser. Therefore, this light is reflected in a different manner than light inside the optical zone; this leading to night vision complaints. A study published in a peer-reviewed journal has suggested this is wrong. At this point, it is unclear as to the true answer. However, pupil measurement is a standard part of the preoperative workup. A major development in laser vision correction has been the measurement of higher order abberations. It is felt that these abberations, such as spherical abberation and coma cause a lot of the post-operative visual symptoms that may cause a patient to have a less than satisfactory post-surgical outcome. The development of wavefront abberation treatment or custom cornea treatment is designed to address the treatment of these pre-existing abberations and to minimize the induction of these abberations. It is felt that by treating these abberations symptoms such a night vision haloes and glare can be minimized. Many surgeons will agree that the advancement with this technology in addition to creating smoother optical zone treatments has minimized these symptoms compared to earlier generation lasers.