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Are you among the millions of people worldwide who are otherwise healthy but who’ve lost interest in sex? Do you find it boring and routine? Are you so tired that you’d rather nap than make love? Do you think TV is more stimulating than your partner? Do you have physical symptoms, like vaginal dryness or difficulty with erection, that make sex unpleasant? As a relationship matures it is common, but definitely not necessary, for sex to become predictable and unexciting. One of the first places to start improving your sex life is to elevate your general mood and increase your energy level. This is good advice not only for improving sex but also for most other things in your life. According to a survey of 153 doctors conducted by Pharmatron Health Products during July and August of 1998: “ Herbal supplements are now entering mainstream medical practice, with one in three primary care doctors recommending them to patients at least weekly, most frequently for people with mood and emotional complaints… About as many doctors recommend herbal supplements for fatigue and lack of energy...Doctors also practice what they preach, with one in four doctors personally consuming herbal supplements.” So, let’s assume you have covered the basics. You pay attention to what you eat and take some nutritional supplements. You follow a regular routine for physical fitness. You are reasonably healthy. There are no organic health problems interfering with your sexual performance, or you have consulted a physician and they are being treated allopathically with drugs. (Note that many prescription drugs are known to interfere with sexual desire and performance. If you are taking any prescription medication, ask your doctor about such side effects. It may be possible to prescribe a different medication that won’t interfere with your sex life. ) If you are not doing these things, you may consider changing your habits before you experiment with aphrodisiacs. Regular exercise, good diet and basic nutritional supplements may be all you need to revitalize you sex life. Ideally we could also assume that you have set aside old beliefs and conditioning about your sexuality. You have moved beyond shame and guilt. You have had help in dealing with any sexual abuse or trauma. You understand and believe that sex is natural, good and wondrous. If you lack sexual skill and technique, and your imagination fails to motivate you to experiment by trying new things, perhaps a workshop or some private coaching is in order. Even if you have done all of these things, perhaps you are still looking for more and wonder if aphrodisiacs might be it. They are definitely worth experimenting with, but be warned, many of them may have side effects for some people. If you want to consume any item mentioned consult your physician first. If you do decide to use them, start out slowly and experiment carefully to see how each of them works for you. Try them one at a time to see what each one does on its own and how your body responds to its use before you consume several at the same time. What are Aphrodisiacs? An aphrodisiac is something that increases your libido. It turns you on and increases your desire to have sex, or it may reduce your usual inhibitions about sex. Aphrodisiacs may also improve your ability to have sex. This means that under the right circumstances, almost anything could have aphrodisiac qualities, but most people think of something to eat or drink when they think of aphrodisiacs. Aphrodisiacs are never an alternative to healthy sexual attitude, doing your inner work to remove psychological barriers to sexual intimacy, or sexual skill mastery, but they can be lots of fun. Aphrodisiacs may also be exactly what is needed when sexual dysfunction is caused by physiological/organic causes, e.g., peripheral vascular disease, hardening of the penile arteries, diabetes mellitus, prostate enlargement, high levels of pituitary gland hormone prolactin, low testosterone, menopause and andropause (the male’s version of menopause). What do you already know about aphrodisiac herbs? Here is a short aphrodisiac quiz. The answers to the questions are at the end of the article. Aphrodisiac Quiz 1. Which aphrodisiac could you say this about? “Occasionally, it causes erections even in the absence of any sexual stimulation.” And, “has a reputation for producing electrifying sexual encounters…” 2. What amino acid will help relax the smooth muscles in your genitals and enable a man to maintain an erection? 3. Which hormone precursor did homerun hitting Mark McGwire help make famous? 4. Which Greek Goddess does the name aphrodisiacs come from? 5. What berry provides protection for the prostate gland? 6. Which natural adrenal hormone, available as a nutritional supplement, helps balance all the other hormones in the body, for both men and women, and has dramatic effects on improving memory? 7. What topical cream can be used by menopausal women as part of a natural approach to hormone replacement, to help balance an estrogen dominance, assist in reducing bone loss and to build new bones? 8. Which nutritional supplement can help you to stop worrying and be happy now? Hint: It is commonly misspelled as Wart. 9. Which natural sedative available as a nutritional supplement can help you get a really good night’s sleep with no morning after effects so you’ve got the energy for lovemaking? 10. Which Mexican herb is “reputed to induce erotic dreams when drunk at bedtime?” 11. Which adrenal hormone, available as a nutritional supplement, can increase your energy level, enhance your sex drive, decrease body fat, reduce stress and reduce ill effects of stress, enhance memory function, extend lifespan, and improve your immune function all at the same time? 12. There is an antioxidant that improves circulation and “can help in cases where a man has circulation-related difficulties in getting an erection.” It is also well known for enhancing short-term memory. What is it? 13. Which South American aphrodisiac used in the Amazon and Orinoco basins for centuries, can increase libido, stimulate sensuality, increase sexual pleasure, and is used as a treatment for impotence and frigidity? Selected Aphrodisiacs Here is a brief summary of several aphrodisiacs that can enhance your sexual desire, help you experience more pleasure and perform better as a lover. We explain their general properties, how to use them, and where to get them. They may be worth experimenting with, but be warned, many of the substances mentioned may have side effects for some people. Nothing we say here is intended as medical advice. If you want to consume any item mentioned consult your physician first. Where possible use a product with standardized extract. This means that the product is guaranteed to contain a certain percentage of the active ingredient(s). Consult labels carefully to determine quantities of all ingredients. Follow dosage recommendations on the product label. Don’t let the strange sounding names and exotic places they come from throw you off from considering the use of aphrodisiacs. These items are not any more unusual than many things now part of our regular vocabulary and consumption, for instance, aspirin. Androstenedione Available in capsules and spray Androstenedione is naturally occurring in all meat as well as in the Scotch Pine tree. It is a metabolite of the hormones DHEA and progesterone, and is a direct hormonal precursor to testosterone. Androstenedione is short-acting, elevating blood testosterone levels without inhibiting the body's natural testosterone production. Sexually, Androstenedione will be most helpful for men over 50 and for women in the menopausal cycle, because this is when testosterone levels begin to drop. ”Testosterone is… ‘the hormone of desire,’ the substance that acts on the brain to stimulate sexual interest, sensitivity to sexual stimulation and orgasmic ability in both sexes….The most common complaint associated with declining [testosterone] levels is an otherwise unexplainable loss of sexual enjoyment….” [Source: Testosterone: Not Just For Men, Jane Brody, Pro Health, May/June 1998] The hard-hitting bat of Mark McGwire with 70 home runs in a single season has put the spotlight on Androstenedione. In an August 1998 interview with Sports Illustrated, McGwire said “the company that supplies me says most of its repeat business is coming from wives and girlfriends who are very satisfied.” Androstenedione is available in spray or capsules. Recommended dosage: For men, one to four sprays (25 mg per spray) per day. For women, up to one spray per day. Capsules typically come in 50mg dosages, which may be too high for women. Women may wish to take only one or two capsules a month. Men who find adrostenedione works for them may take it daily, on an empty stomach at bedtime and/or in the morning or 30 minutes prior to sexual activity. Long term studies of the effects of this substance have not been done. It is not available in Canada, but is available over the counter at health food stores in the US. Check with the suppliers listed at the end of this article for mail orders. Yohimbe This powerful aphrodisiac is extracted from West Africa's Corynanthe Yohimbe tree. For centuries, tribes in this region have used a tea made from the inner bark in their fertility rituals. It may help to stimulate erection and enhance libido and increase physical energy in men and women. “Most of the current medical literature on yohimbe discusses the treatment of male impotence but an impressive body of anecdotal evidence surrounds the use of yohimbe for making good sex even better.” [Source: Better Sex Through Chemistry, John Morgenthaler, Pro Health, May/June 1998] “Occasionally, it causes erections even in the absence of any sexual stimulation.” [Source: Viagra: Is The Stampede Misdirected?, Will Block, Life Enhancement, June 1998] The tincture form is recommended rather than capsules. Take one-half dropper under the tongue and hold for sixty seconds immediately before sexual activity. This is a powerful substance. We do not recommend daily or prolonged use because of possible side effects. Stay clear if you suffer from high blood pressure, heart, kidney or liver disease. Yohimbe is available over the counter at health food stores in the US. Check with the suppliers listed at the end of this article for mail orders. Arginine The amino acid arginine is an immune system enhancer and powerful growth hormone stimulant. It plays a role in many body tasks: wound healing, circulation and sexual function. In response to sexual stimulation, your body releases nitric oxide (NO) in your genitals. This causes the smooth muscles to relax and blood flows into the penis resulting in erection. Both arginine and ginkgo biloba have both been shown to enhance NO levels in your body. “If sufficient NO is not produced, erection or sexual stimulation does not occur. Arginine is absolutely necessary for the production of NO….Some scientists studying these phenomena have concluded that up to 90% of all impotency can be reversed by NO (and by implication, the use of arginine).” [Source: Dr. Whitaker Wellness Institute Guide To Nutrients, Julian Whitaker M.D., Summer 1998] The new drug Viagra from Pfizer increases blood flow into the penis, or into the vaginal area for women, but this drug has many known side effects and there were 69 confirmed deaths attributed to Viagra use by the fall of 1998! Arginine should be taken on an empty stomach. You may use it daily and/or 30 minutes to an hour before sexual activity. Not for use by diabetics, borderline diabetics, pregnant or lactating women, cancer patients or persons who have had ocular or brain herpes. Available in health food stores. Ginkgo Biloba The Ginkgo tree is one of the oldest living species on the planet. It has flourished unchanged for over 150 million years has been used in Chinese medicine for over 5,000 years. The leaves and fruit of the Ginkgo tree contain a variety of phytochemicals that have a wide range of clinically proven benefits. Ginkgo significantly increases blood flow to the brain thereby improving cognitive function, memory, alertness and concentration. It also improves peripheral arterial insufficiency (restriction of blood flow to the legs and other extremities, including the genitals). “Because it improves circulation, it can help in cases where a man has circulation-related difficulties in getting an erection.” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] There are no serious side effects with Ginkgo Biloba. It is available at most health food stores. Large doses over a long period of time can result in irritability and headaches, so take no more than 3 grams daily in capsule or tincture form Saw Palmetto For years, berries of the saw palmetto plant have been used to treat bladder and prostate conditions. It helps regulate testosterone levels in both women and men, supports healthy prostate function and is a good source of fatty acids. ”Many herbalists regard saw palmetto berries as safe, mild aphrodisiacs; ten to twelve can be eaten daily for a cumulative effect. Their potency is increased when they are combined with damiana.” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] Recommended dosage is 160-320 mg per day of Saw Palmetto. Avoid if pregnant, planning pregnancy or suffering from a disease of the gastrointestinal tract. Available at health food stores. Zinc Zinc is a mineral that may improve sensory and sexual functions as well as boost the immune system, quicken wound healing, and promote skin health. Virtually every man who lives long enough will have a problem with prostate enlargement. A man with prostate irritation will lose most interest in sexual intercourse. Several years ago I began to have prostate discomfort but have completely corrected the problem with a combination of pycnogenol, zinc, and saw palmetto. Recommended dosage: 50 mg. Daily. High doses may lower HDL cholesterol, cause anemia and weaken immune function. Available at health food stores. Damiana This herb from Mexico has been used by both men and women to enhance and regulate the production of sex hormones. It is considered a potent aphrodisiac. “Chemically this plant has been found to contain several alkaloids that directly stimulate the sex organs… Native Mexican women have long drunk an infusion of the herb a couple of hours before retiring to prime themselves for their men. It is reputed to induce erotic dreams when drunk at bedtime.” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] Damiana leaves for tea or making tincture, or tincture already prepared, is available at most health food stores. Muira Puama Found in the Amazon and Orinoco basins of South America, Muira Puama has long been used “to stimulate sensuality, as a sexual enhancer, and as a treatment for impotence and frigidity…[it] appears to be milder and without the side effects of [yohimbe].” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] It is considered effective in restoring libido and treating erectile dysfunction. For an aphrodisiac drink, mix 2 ounces each of damiana and muira puama tinctures in your favorite adult punch (20 serving size). Muira puama may or may not be available at your local health food store. In the U.S. it is available in tincture and capsule form. Check with the suppliers listed at the end of this article for mail order. Natural Progesterone Cream (For Women) Progesterone plays many roles in the body, one of them is maintaining sex drive. It is particularly important for women in the menopausal cycle. Natural progesterone is identical to what your body produces. It is derived from diosgenin in the wild Mexican yam. Natural progesterones are more biologically active and safer than their unnatural counterparts. Progesterone is a small fat-soluble molecule, which can be easily absorbed through the skin. It is initially absorbed into the fat layers under the skin, then is diffused into the capillaries where it enters the blood stream as needed. This makes transdermal progesterone 100% bioavailable to the body. In contrast, oral supplementation of progesterone has to be taken in very high dosages to compensate for the almost 90% which will be excreted by the liver. Use 1/4 to 3/4 teaspoon in the morning, applied to the softer parts of the body (for better absorption). Rotate the application spot on a daily basis. Because natural progesterone is identical to the body's own progesterone there are no known side effects at 20-40 mg/day. Very large dosages can result in feelings of sleepiness. Available by mail order from suppliers listed. Pregnenolone A supplement derived from diosgenin, the Mexican yam extract, pregnenolone is the building block for all other hormones. Produced by the body’s adrenal glands, Pregnenolone may be one of our most important hormones because it seems to have a balancing effect in bringing the levels of other hormones up or down as needed. Pregnenolone is a direct precursor of both DHEA and progesterone. Pregnenolone levels dramatically drop after age 30. Research indicates that restoration of Pregnenolone to levels of healthy young adults may have dramatic positive effects on memory, mood and energy, and sexual function. Pregnenolone can be taken once daily in the morning on an empty stomach to mimic the body’s normal rhythm. Recommended dosage: 10-100 mg per day. Adjust the dosage to your needs. Safety has been long established—it was used for arthritis treatment back in the 40s at very high doses with no apparent side effects. It is available at most health food stores and can be ordered via mail. DHEA DHEA (de-hydro-epi-andro-sterone) is a hormone naturally produced by your adrenal glands. It is usually the most abundant adrenal hormone in the body, but with age (or certain disease conditions) the levels drop. Lower levels of DHEA are associated with many of the diseases associated with aging and people with naturally higher levels are found to have lower incidence of some of these diseases (cancer, for example). In his Wellness Institute Guide to Nutrients Dr. Julian Whitaker notes “I give DHEA to about 80% of my patients over 40 because of its health-enhancing and anti-aging benefits.” Dosage: most people over 25 can take 25 - 50 mg per day in the morning with food. This amount will bring your DHEA levels back up to the normal range for the average 25-year-old. Check with mail order suppliers. St. John’s Wort This popular supplement has been shown to have antidepressive and antiviral properties. New research shows that St. John’s Wort may actually increase serotonin production. I have a tendency to be a little hyperactive. I have never been diagnosed with adult ADD, but I find that taking St. John’s Wort 3-4 times per week takes the edge off my being speedy very nicely. Look for St. John’s Wort containing 0.3% standardized hypericin extract. Avoid if pregnant or planning pregnancy. May cause photo-sensitivity so avoid strong sunlight and other sources of ultraviolet light (like "tanning booths") when taking St. John’s Wort. Available in most health food stores. Valerian Getting a good nights sleep does wonders for your sex life! Valeriana officinalis, a natural sedative that may be helpful for insomnia, leaves no morning after effects. Take just before going to bed. Available in tablets or loose tea form at health food stores. High doses may cause paralysis and a weakening of the heartbeat. Like any sedative, may become habit-forming if used for an extended period of time. Avoid if pregnant. Available in most health food stores. INTERNET and MAIL ORDER SOURCES of Products Life Extension Foundation: http://www.lef.org/cgi-local/welcome.cgi/id=151061148 Vitamin Research Products (VRP): http://www.vrp.com/default.asp?vMBR=467976 Quiz Answers 1. Yohimbe 2. Arginine 3. Androstenedione 4. Aphrodite (Venus in the Roman pantheon) 5. Saw Palmetto 6. Pregnenolone 7. Natural Progesterone Cream 8. St. John’s Wort 9. Valerian 10. Damiana 11. DHEA 12. Ginkgo Biloba 13. Muira Puama vimax pills best penis enlargement vimax penis enlargement excersizes penis enhancement video com enlargement pennis pennis pump penis enhancement patch penis enargement surgeries best penile enlargement

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Any man interested in enlarging his penis, will have heard of the “miracles” of penis enlargement pills. If you go on to any penis enlargement website, or to that fact, any website with the mention of the word penis on it, you will normally see an advert for some type of pill that can add inches onto your member in weeks. Yet those who have actually tried them will be familiar with their rather limited effects. This might produce skeptical claims of their use, yet due to the high number of skeptics themselves who have been converted and produced testimonials on the subject, something must be working? The basic principal behind the pills is to promote the flow of blood in the pelvic area which can in turn enlarge the penis. Think of them as very strong Viagra pills. Most include many types of vasodilators that will enlarge the blood tunnels to help increase blood flow. Potent herbs and natural libido boosters are also a common ingredient which increases how much you are turned on which in turns helps to promote the size of both your flaccid and erect state. Yet all of this only produces maybe a few millimeters of growth to the overall size, and with all the tens of thousands of success stories from men, what’s being missed here? What a lot of manufacturing companies leave out on the instructions is that you’re going to have to combine exercises and other natural penis growth methods with the pills. The obvious reason behind neglecting to tell you this information is that they want to appeal to the lazy side of most men which will induce more sales as a quick fix, rather than a marathon. Whenever a man is presented with something that will take a long time to do, he automatically shies away from it. The pills alone are an excellent supplement to produce a harder and stronger erection, and as I said, increase the size of the penis slightly by expanding the veins around it. Yet this is both a limited and temporary effect, and the need to use other "hands on" methods is essential if you are going to gain any actually growth on your penis. So the matter of the fact is, penis enlargement exercises are the missing link here. You don’t even need the pills to perform these exercises. A lot of them focus on increasing the blood flow naturally anyway, or by forcing the penis to multiply its cells by stretching it. Yet these produce results very slowly, and for those men, who wish to speed up the process, using penis enlargement pills in conjunction with your exercises or even a traction device, will cause results to be seen faster. natural penis enlarement technique truth about penis enlargement pill free natural penile enlargement discount vig rx pennis enlargement pump best enlargment exercise penile penile enlargement surgeries penis enlargment before and after picture real penis enargement

Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. 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When thinking about my patients, I've noticed a pattern to the marital conflicts that they share. Here's my list of the top ten things that put your marriage at higher risk for break-up and the things you must do to strengthen it. 1) Putting-Down Spouse's Friends/Family Don't badmouth your spouse or her/his friends, family or associates. Spouses need to know you appreciate their world outside of you. Rather, compliment her friends and family. 2) Not Using Good Listening Skills This includes indulging pre-occupation, avoiding eye contact, looking somewhere else as the conversation unfolds etc. Rather, use good eye contact, wait 'til your spouse finishes talking and concentrate so much on what s/he is saying that you paraphrase it to demonstrate you REALLY listened. 3) Lack of Sexual Interplay This is a very ominous sign in marriage. If your partner has complaints that prevent him/her from wanting to engage you sexually, get help. Seek medical and/or psychological counseling, if necessary. Men, don't get hung-up on wanting SEX-SEXUAL INTERCOURSE all the time. Be able to frequently engage your partner slowly and tenderly in a SENSUAL fashion without SEX. Don't worry, your penis won't explode because of pent-up semen. Don't leave your partner clueless as to why you aren't interested in sex. 4) Always Having the Last Word or Need to be Right This includes lecturing, criticizing and over-correcting your partner. Narcissists are HARD to love! Occasionally, admit that you made a mistake, don't know or compliment your partner as having made a "good point" (and leave it at that). Please be concise. Don't answer every question with a lecture on the topic. 5) Not Following-Thru Actions do speak louder than words. Be reliable and trustworthy. When you commit yourself to doing something, do it. This builds the trust necessary to maintain a close relationship. Trust involves everyday things, not just fidelity. 6) Inconsiderate Teasing Believe your spouse if s/he says that your teasing was hurtful or a put down. Don't give a lecture about why that wasn't correct. Just stop it. Ask yourself what s/he would find complimentary and say that instead. If you just LISTEN to your spouse you can learn alot. 7) Deceit, Lies and Falsehoods Having lies and secrets creates distance and serious suspicions in your mate. This leads to lack of trust and robs your relationship of the fuel it needs to keep going. Swallow, bite the bullet, be considerate and be honest. 8) Being Juvenile When you know you are annoying and you continue to annoy, it's immature and VERY wearing on a spouse. Find better ways to get attention and use healthy communication techniques to communicate your gripes. 9) Explosive Anger You must handle conflict constructively EVEN if your spouse doesn't. Having angry outbursts always makes you the loser, even if you ARE right. That's called being "self-defeating." Copyright, Shery, 2006 penis elargement procedure penis enargement surgery cost top rated pnis enlargement pills penile enlargment secret pnis enlargement cream vimax testimonials penis enhancement product compare penis enlargement pills real penis enargement

Naturally Treating Genital Warts is far preferable to a number of other options available. For one, you can treat genital warts in the privacy of your own home. For another, you and your spouse need to undergo treatment at the same time. How likely are you to get your spouse to go to the hospital or doctors with you? Having a sexually transmitted disease can be embarrassing, especially if you are an innocent recipient. While the Christian ethic of staying faithful to, and honouring your spouse, is taught for just this reason - preventing and/or limiting the transmission of STDs - many people in today's world struggle with sexual addiction problems, and inadvertently pass Genital Warts, Genital Herpes or other Sexually Transmitted Diseases on to their spouses. Admitting, even to your doctor, that you both have the condition, can be difficult. While doctors and gynaecological specialists are excellent in treating these condition, they are somewhat limited by what they can prescribe or offer as treatment. Some Treatments for Genital Warts include: - Freezing (cryosurgery) - Electrocautery (burning) - Prescription medicines (including Podophyllin - best applied by a medical practitioner as large doses can have severely harmful side affects) - Poisons (Podophyllum / Phodophyllotoxin) - Laser surgery - Other surgery All of the above can either have harmful side effects, or can lead to irritation, discomfort and scarring. Genital Warts may appear on the penis, vulva, urethra, vagina, cervix and around the anus. The ability to Naturally Treat Genital Warts is available, though not widely known to the public as yet. A Natural Remedy for Genital Warts is topically applied (i.e. no pills and no drugs). A recommended natural treatment for Genital Warts has already been effectively used to get rid of Genital Warts by hundreds of people around the world. If you need to Treat Genital Warts, and if you are reluctant to use prescription medications or undergo surgery, it may be worth trying this Natural Home Remedy Treatment for Genital Warts. It is certainly cheaper, has no known side effects, and comes with a 60 day money back guarantee. If you have it, don't spread it. Genital warts can lead to cancer of the cervix as well as other cancers. It can also cause complications during pregnany, child-birth and can be passed to the infant with life threatening complications. Of the more than 100 types of Genital Warts, 30 are sexually transmitted. Over 25 million people living in the USA have Genital Warts and more than 5 million new cases are reported each year. Be safe. Stay Faithful. Get Treatment.