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For men who are experiencing hair loss, one of the more popular treatments worth considering is called Finasteride. This anti-androgen is marketed as Proscar, Propecia, Fincar, Finpecia, Finax, Finast, Finara and Prosteride. For the purpose of this article, we will use the term Propecia to describe the various forms of Finasteride, as Propecia is by far the most asked about, and most widely used version of the anti-androgen.
Propecia is an anti-androgen which works by inhibiting what is called 5-alpha reductase. 5-alpha reductase is an enzyme which converts testosterone into something called dihydrotesterone. It was initially approved in 1992, but was called Proscar at the time, and was a treatment mainly used for prostate enlargement. However, a study on 1mg of Finasteride had demonstrated hair re0growth in male pattern hair loss, which prompted the FDA to approve Finasteride in 1997 as a male pattern hair loss treatment.
Propecia is a drug trade name which is the product of Merck & Co. In Propecia, only 1 milligram of Finasteride can actually be found. The patent on Propecia owned by Merck had expired on June 19 of 2006, allowing the FDA to approve a generic formulation for Finasteride which is available in 5 milligram tablets.
Finasteride is generally not indicated by use for women, and Propecia does not have any affect at all on hair loss in women. Additionally, the Finasteride in Propecia has been known to cause birth defects in unborn babies, and has therefore been placed in the FDA’s Pregnancy Category X. As long as the tablets are not swallowed, they should not be harmful to pregnant women and their unborn babies, but women should avoid the pills whenever possible, especially when crushed or broken. Many professional sports have had to ban Finasteride as it can be used to mask the abuse of steroids.
Propecia shows a 29 to 68 percent success rate, but the treatment is only effective for as long as the treatment is continued. As soon as therapy is ceased, the hair that is gained or maintained will be lost within a period of six to twelve months. Though Propecia has appeared to work more successfully in the crown area, it also works well along the hairline.
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If your man is experiencing erectile dysfunction, there are various pills that have recently been introduced to help, but they're generally expensive and available only through a doctor's prescription. However, there are other means of dealing with male sexual problems, and in this article, we're going to talk about some natural supplements that can help enhance male sexuality, assuming that your man is physically healthy enough to engage in sexual activity and isn't suffering from a mental problem that would cause him to be impotent.
First, let's look at the factors involved in achieving an erection. When a man becomes sexually aroused, nitric oxide is released into his blood stream, which causes the blood vessels in his penis to fill with blood and dilate.
In order to stimulate that process, there are various natural impotence aids that contain substances that contain nitrogen molecules that can help a man's body produce more nitric oxide and increase blood circulation. Another natural strategy involves reducing a man's stress level so he will be free to concentrate on sexual activity in a more relaxed state.
Nature's Viagra
One of the most popular supplements is L-Arginine, which is sometimes referred to as "nature's Viagra." L-Arginine is an amino acid that has been shown to boost the immune system, but it also helps increase the amount of nitric oxide in the body. L-Arginine can be found naturally in chocolate, wheat germ, granola, oatmeal, and dairy products (such as cottage cheese, ricotta, nonfat dry milk, and skim yogurt), but you can also buy it in pill form.
Helped 70% of Men
Ginkgo biloba is another supplement that can help with erectile dysfunction, and the ginkgo is actually the oldest living tree species on Earth, dating back nearly 200 million years. It's been used in clinical studies to postpone the onset of Alzheimer's disease, but it has many other uses, including increasing blood circulation throughout the body, which can be of significant help if a man's impotence is due to decreased blood flow to the penis. In fact, a recent study showed that some 70% of the men tested found some relief from erectile dysfunction when given ginkgo biloba.
China 's Cure
For many centuries, ginseng has been referred to as the "male remedy" in China, and there has been experimental evidence over the past several decades to show that ginseng may indeed improve a man's vitality and sexual desire. It's believed that ginseng has the ability to improve a person's capacity for both mental and physical activity by reducing the levels of cortisol and adrenaline, both of which are involved in causing stress in the human body.
Natural Supplements
There are a number of other promising natural supplements that are worth looking into, as well, including vitamin E, L-Tyrosine, selenium, zinc, magnesium, and niacin. If the man you love is having sexual difficulty, it would be well worth your while to begin researching your options and then experimenting with various natural remedies for his problem. Of course, that's AFTER he'd seen his doctor to make certain there isn't a serious medical condition that's causing his erectile dysfunction.
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The cause of premature ejaculation is not clear and the disease is believed to be mainly a psychological problem. To understand how premature ejaculation can be successfully treated, we need to present some facts related to ejaculation and its mechanism.
The mechanism of ejaculation is actually quite complicated and is associated with three different simultaneous events: release of semen from the prostate (seminal emission), propelling the semen out the prostate and penis (ejaculation ), and prevention of semen going backwards into the bladder (bladder neck closure).
In a very simple representation, the male ejaculatory mechanism consists of two reflexes: the glans-vasal and urethromuscular. Glans-vasal reflex seems to bring the semen to the posterior urethra (the emission phase of ejaculation) and then the urethromuscular reflex ejects it to the exterior (ejection phase of ejaculation).
Deeply involved in mechanism of ejaculation is the paired, striated muscles at the base of the penis called the bulbospongiosus. Once the seminal fluid reaches the bulbous urethra, the bulbocavernosus muscle contraction (BCM) compresses the urethra and expelled its contents.
This introduction was necessary because any dysfunction of all mentioned above seem to induce ejaculatory disorders and any treatment is close related to this dysfunction.
Squeeze Technique aims to educate bulbocavernosus muscle to eliminate involuntary contractions that may cause the ejaculation with minimal sexual stimulation. This technique described by Masters and Johnson is very successful if the sufferer has a willing and understanding partner. The person with premature ejaculation is stimulated by his partner to the point of imminent ejaculation. Just prior to ejaculation, the partner squeezes the penis in its base to prevent ejaculation. Once the sensation of impending ejaculation has subsided, the process is repeated. Gradually, over time, a man can prolong his time until ejaculation.
"Stop and start" method This involves sexual stimulation until the man recognizes that he is about to ejaculate. The stimulation is then removed for about thirty seconds and then may be resumed. The sequence is repeated until ejaculation is desired, the final time allowing the stimulation to continue until ejaculation occurs. To be successful this method also claims the partner co-operation.
Reducing the stimulation For men with premature ejaculation a number of creams are available that can partially anesthetize (numb) the penis and reduce the stimulation that leads to orgasm. Another option is to use one or more condoms. However, either of these techniques may interfere with the pleasure experienced during sex.
Drugs Alternatively, your doctor may prescribe medication that helps to delay ejaculation. Delayed orgasm is a common side effect of certain drugs, particularly those used to treat depression. When this type of medication is given to men who experience premature ejaculation, it can help to postpone orgasm for up to several minutes.
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Aphrodisiacs are drugs or other agents arousing and intensifying sexual desire. Herbal aphrodisiacs specifically affect the hormonal balance of the body and are useful for maintaining existing physical desire.
Aphrodisiacs, made from potent herbs and flowers, are considered a safe and reliable alternate source of medicinal therapy. Documents, dating back to more than 60,000 years, illustrate the usage of herbal aphrodisiacs. These are not recommended for those who have high blood pressure, heart disease, thyroid disease, diabetes, difficulty in urination due to prostate enlargement, or are pregnant. These are harmful if you are suffering from nervousness, tremor, sleeplessness, loss of appetite, or nausea.
Herbal aphrodisiacs are plant substances traditionally consumed in a variety of ways as teas and infusions, decoctions, syrups, mead, and other beverages. Others are used as spices, food, pills, and capsules. Some aphrodisiacs have a slow effect, while others illicit a fast response. These can either be applied to the sexual organs or used mixed with any drink or food. Some are available as oils, salves, and ointments for massage, while others are used as snuffs and enemas. Rose, honey, chocolate, cannabis, angelica, opium, ginseng, and many culinary spices contain proven aphrodisiacs. Essential oils include rose, sandalwood, ylang-ylang, patchouli, cinnamon, and vanilla.
Among available herbs, kava-kava root and Damiana leaves are popular and boost sexual activity. Coriander, cardamom, clary sage, patchouli, neroli, sandalwood oil, lavender, pumpkin pie, black licorice, and donut scents are the commonly used herbal aphrodisiacs. Yohimbe, one of the popular herbal aphrodisiacs, promotes blood circulation and acts specifically on the sex organs, bringing blood closer to the body surface and constricting the veins to keep it there.
Natural aphrodisiacs are safer than artificial enhancers. Today, a variety of herbs, roots, berries, and other eatable substances are available to enhance the libido.
Herbal aphrodisiacs are available through a mail-order service, and a number of international distributors and retailers deal in these products.
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What could possibly be worse than struggling with a painful condition and feeling ashamed to discuss the problem because of its intimate nature? Such is the case for many suffering with pudendal neuralgia, a little known disease that affects one of the most sensitive areas of the body. This area is innervated by the pudendal nerve, named after the Latin word for shame. Due to the location of the discomfort combined with inadequate knowledge, some physicians make reference to the pain as psychological. But nothing could be further from the truth. Unfortunately, discussing the condition with gynecologists, urologists and neurologists often proves fruitless since most know nothing about the condition and therefore cannot diagnose it.
Pudendal neuralgia is a chronic and painful condition that occurs in both men and women, although studies reveal that about two-thirds of those with the disease are women. The primary symptom is pain in the genitals or the anal-rectal area and the immense discomfort is usually worse when sitting. The pain tends to move around in the pelvic area and can occur on one or both sides of the body. Sufferers describe the pain as burning, knife-like or aching, stabbing, pinching, twisting and even numbness. These symptoms are usually accompanied by urinary problems, bowel problems and sexual dysfunction. Because the pudendal nerve is responsible for sexual pleasure and is one of the primary nerves related to orgasm, sexual activity is extremely painful, if not impossible for many pudendalites. When this nerve becomes damaged, irritated, or entrapped, and pudendal neuralgia sets in, life loses most of its pleasure.
So, where exactly is the pudendal nerve? It lies deep in the pelvis and follows a path that comes from the sacral area and later separates into three branches, one going to the anal-rectal area, one to the perineum, and one to the penis or clitoris. Since there are slight anatomic variations with each person, a patient’s symptoms can depend on which of the branches are affected, although often all three branches are involved. The fact that the pudendal nerve carries sensory, motor, and autonomic signals adds to the variety of symptoms that can be exhibited.
Because pudendal neuralgia is uncommon and can be similar to other diseases, it is often misdiagnosed, leading some to have inappropriate and unnecessary surgery. Early in the diagnosis process, it is crucially important to undergo an MRI of the lumbar-sacral and pelvic regions to determine that no tumors or cysts are pressing on the nerve. In addition, the patient should be screened for possible infections or immune diseases, as well as having an evaluation by a pelvic floor physical therapist to determine the health of the pelvic floor muscles and to uncover whether skeletal alignment abnormalities exist. An accurate patient history is needed to assess whether there has been a trauma or an injury to the nerve from surgery, childbirth, or exercise. Tests that offer additional diagnostic clues include sensory testing, the pudendal nerve motor latency test, and electromyography. A nerve block that provides several hours of relief is another tool that helps to determine if the pudendal nerve is the source of pain.
One of the most common symptoms that accompanies pudendal neuralgia is severe depression. Some people with the disease have committed suicide due to the intractable pain. For that reason, it is important to consider antidepressants, as they can help lessen the hypersensitivity of the genital area in addition to relieving bladder problems. Certain anti-seizure drugs reportedly help to alleviate neuropathic pain while anti-anxiety drugs provide substantial relief of muscle spasms and assist with sleeping. Uninformed physicians are reluctant to prescribe opiates for an illness that shows no visible abnormality, yet the desperate nature of genital nerve pain requires that opiates be prescribed for these patients. While medications are not always satisfactory, they do help take the edge off of the pain for many people. Until the correct treatment is determined, it is imperative that patients with pudendal neuralgia receive adequate pain management since the pain associated with this illness can be intense.
Treatment depends on the cause of distress to the nerve. When the cause is not obvious patients are advised to try the least invasive and least risky therapies initially.
Physical therapy that includes myofascial release and trigger point therapy internally through the vagina or rectum assists with relaxing of the pelvic floor, especially if pelvic floor dysfunction is the cause of nerve irritation. If no improvement is found after six to twelve sessions, nerve damage or nerve entrapment might be considered.Botox is now used in medical settings to relax muscles and shows promise when injected into pelvic floor muscles; though finding a physician adept at this treatment is difficult.Pudendal nerve blocks using a long-acting analgesic and a steroid can reduce the nerve inflammation and are usually given in a series of three injections four to six weeks apart. If physical therapy, Botox, and nerve injections fail to provide adequate relief, some patients opt for pudendal nerve decompression surgery. There are three published approaches to pudendal nerve decompression surgery but there is debate among members of the pudendal nerve entrapment community as to which approach is the best. Since there are advantages and disadvantages to each approach, patients face considerable confusion when deciding which type of surgery to choose. Because there are only a handful of surgeons in the world who perform these surgeries, most patients have to travel long distances for help. Moreover, the recovery period is often painful and takes anywhere from six months to several years since nerves heal very slowly. Unfortunately, early statistics indicate that only 60 to 80 percent of surgeries are successful in offering at least a 50 percent improvement. Patients whose surgeries are not successful or who do not wish to pursue surgery have the option of trying an intrathecal pain pump which delivers pain medication locally and helps to avoid some of the side effects of oral medications. Others pursue the option of a neurostimulator either to the sacral area or directly to the pudendal nerves. These are relatively new therapies for pudendal neuralgia so it is difficult to predict success rates. Some pudendalites have devised ingenious contraptions for pain relief ranging from u-shaped cushions cut from garden pads all the way to balloons filled with water, frozen, and inserted into the vagina. Most have a favorite cushion for sitting and many have special computer set-ups for home and office use in order to avoid sitting. Generally speaking, jeans are a no-no, so patients revise their wardrobes to include baggy pants and baggy underwear – if they are able to tolerate wearing underwear.
Clearly more research is required to find effective methods to better manage the pain and debilitation of pudendal neuralgia. But in the meantime, friends and family close to those who have this devastating illness play a huge role in helping patients cope, thereby maintaining the best quality of life possible. Support, love and understanding are of primary importance for those suffering with this affliction.
