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Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity. Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.
Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.
What is Erectile Dysfunction?
Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.
The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.
Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.
Signs and symptoms:
Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).
Here are some causes of ED:
* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.
* Nervous system response : The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.
* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.
Physiology of normal erections:
Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.
Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.
Pathophysiology of erectile dysfunction :
ED is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with ED include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.
Treatment:
An alternative model is the patient goal-oriented approach as suggested by Tom Lue, MD, in which a minimum of testing is performed. The patient and his partner express a preference for reasonable and appropriate treatment options and work with the physician to implement this plan.
The availability of three phosphodiesterase-5 (PDE-5) inhibitors, ie, sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis), has permanently altered the medical management of ED. Many patients no longer expect or are willing to undergo a long evaluation and testing process to obtain a better understanding of their sexual problem, and they are less likely to involve their partner in a discussion of their sexual relationship with the physician.
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So, you've just put up a profile on some online dating or social networking site. Or maybe you've been online for awhile now, and you think you know the ropes pretty good, right?
I'm going to enlighten you on what both sexes have to worry about online and what both sexes have to go thru so you know the truth for once! For one of the online dating guide books I'm writing for guys, I have, for the last 2 ˝ years, been on about 35 different dating websites meeting and getting to know women and discovering the true art of online dating or online meeting people.
What I have learned about men and women is equivalent to a Ph.D. from Harvard on human behavior, sexuality, and psychology.
The biggest things ALL guys have to worry about are women using fake pictures that aren't them and lying about their age online - usually they're older than they say. (Note: The 3 things women lie about the most offline is their real age, weight, and dress size.)
The biggest thing women have to worry about guys online is they're married or have a girlfriend, outdated pictures, and of course their own personal safety. (Note: The 3 things guys lie about the most offline is how much they really make, how big their penis is, and how long they can last in bed.) If a guy says he makes $40K, a FedEx driver, says he has an average size thingy, and can last about 15 minutes, he's probably telling you the truth ladies!
1/2 of all single Americans are now or have been online dating. Why you ask?
Because the bar, nightclub and dating scene just gets old eventually. Maybe it takes you until you're 25, 30, 35, maybe 40 years old, but it will eventually get old believe me. It's not so much in going out and partying that gets old, but more looking and hoping to meet some hot and great person that you want to date, hook up with, or marry down the road.
Having to hear the same drunk meatheads hit on you or grab you. Or for guys look around and see the same unappealing women out and about The intelligent single person of the 21st century also knows it's a numbers game. (I don't mean sleeping around or trying to get a lot of action either for all you players and playettes.
Ladies, you have all heard you have to kiss a lot of toads to find your prince, right? Well, online you can kiss hundreds maybe even a thousand times more toads in a tenth of the time you ever could offline.
I personally know within minutes of reading most profiles, if any woman has a chance or not with me to go to the next levels. I will explain in greater detail in a few moments. From just talking on the phone or IMing with a woman for an hour or so, I can tell if there is some good chemistry or any kind of anything in the future.
I have just honed in on my "Spidey Senses" so much now, and I don't want to waste even a minute of my time or another person's if I don't think anything will ever come of it. This is not rude or mean at all. It's the right and honest thing to do I believe.
You're not leading on someone, wasting their time, or setting them up to really get their feelings hurt. Too much of that crap happening already without you contributing to it with all the heartless, selfish, ungiving, and cheating people in the world today and online.
What are the 7 stages of online dating and what happens in each stage?
Stage 1
In this stage someone winks at you, shows interests in you by posting a comment on your profile, or invites you to their network of friends. Whatever dating site you're on, they all have similar type features.
What does this stage mean? Not a whole lot. The person obviously didn't think enough of you or at least not yet to actually take the time and email you. So in our ADD/lazy ass society we just click a button or two to let you know we checked out your profile (Usually that's a lie. They saw your pictures and then on a purely physically based decision they contacted you because of that).
Then, we hope the other person sees that we commented or invited them to our network and they make the next move back or take it to the next stage - to email you. Basically the person is trolling the whole ocean looking for a few bites and thinking even a broken watch is right twice a day!
Sound familiar?
Stage 2
In this stage, someone actually thought enough of your pictures and/or profile to take the time to email you their opinions, curiosity, or interest in you using your dating sites email account. This is the safe, secure way because you're not letting that person into your life at all, and they can only contact you thru that dating site; not your personal email account that you only share with friends, family, business associates, or people you trust at least a little.
What does this stage mean? Well, the person took the time out of their day to email you something which is a good thing sometimes and shows their level of interest is now past stage 1. The email could be something crude, lude, sexual, sweet, nice, funny, romantic, flattering, etc. so the jury's out on whether what they send you is a good or bad thing.
But unlike a posted comment or invite many people will at least reply back to someone's email that took the time to email them, so if you want to get to know someone I would do this stage for sure.
Stage 3
In this stage, mutual cooperation is usually needed because you exchange (or one of you gives the other) you're personal email address. Unless of course the person has their personal email address, which most sites block from showing if you try but some people put their personal email addresses on their site so you can contact directly that way.
What does this stage mean? Well, you just let them into your little world a tad bit. Now you can exchange pictures with each other as well as use emoticons and different font styles to get your email message to them more convincingly. That person also, with very little effort, can track down where your internet connection is coming from meaning city/state.
It's a good thing to find out to see if someone's lying about where they live or bad if you don't want to give out the city/state of where you live for safety reasons if you're like a porn star, model, or someone in the media and would be prone to get whacko's and stalker types.
Keep a look out for Part 2, with further explanations of stages 4-7 about online dating.
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This article will tackle the cause of two pandemic forms of cancer, cancer of the prostate and colon cancer. Scientists have determined that prostate cancer is an epidemic so vast that nearly one autopsy in two of older men reveals the presence of this cancer. Fortunately, this cancer is usually so slow growing that most men die of other causes, even as the cancer grows slowly within the prostate gland. Yet deaths by prostate cancer and the debilitating effects of prostate surgery still affect thousands of families today. In addition, nonmalignant enlargement of the prostate afflicts millions of American men with such symptoms as painful and frequent urination. As a therapist who specializes in discovering the underlying causes of disease, I have discovered, once again, the reasons for this pandemic can be found in the cultural habits of our society.
First, let’s ask the obvious question: what is the prostate’s job in a healthy individual? Although prostate conditions including cancer usually show up as problems with urination, the prostate gland is mainly about sex. The prostate’s job is to mix sperm with its own liquid secretions to produce semen, then through contractions associated with male orgasm, it propels this semen into the penis. When I have worked with men who have any prostrate condition I nearly always find that these men feel subconsciously frustrated and often guilty about their sexual behavior. Each case has unique elements. Therefore I will not claim that it is always one particular feeling or trauma. But my experience is that it always is about sex.
One client feels guilty about years of being unfaithful to his wives. Another feels remorse over years of visiting prostitutes, and having meaningless sex. Still another feels badly that he had sex with a wife he didn’t really love. So far I have not met any man whose prostate is complaining because it didn’t get enough sex. While I can’t rule out this possibility, it seems that wasting of one’s procreative life force is the issue which is locked into the prostates of most of my clients. (Incidentally, I always use open ended questions, and never use direct suggestion or leading questions in my work with cancer patients in order to minimize the influence of my own beliefs on the subconscious minds of my clients. In addition, when I began this research, I had no clue as to what might be found in the prostates of my clients)
This discovery of loose sexual behavior among the vast majority of my prostate clients is consistent with the “sexual revolution” of the 1970s, in which sex went from being a form of recreation reserved exclusively for married couples, at least theoretically, to becoming a free for all. The Playboy philosophy, birth control, and the hippie and women’s lib movements combined to create unprecedented opportunities for men and women alike to spread their seeds to the four winds. While I too had the chance to celebrate and enjoy this new freedom, it is our prostate glands, concerned with such “obsolete” concepts as romantic love, families, and children that I have discovered are in rebellion among so many men today.
As a hypnotherapist it is my job to listen to this prostate gland in a way that the client has never done. Indeed most clients are shocked to discover this throwback to conservative values living inside their bodies. Sometimes tears of remorse, dedication to a new lifestyle, even acts of atonement performed for women can help heal this condition. At other times, committing oneself to seeking a loving partner, even to reaching out to ones lost or grown children has proved valuable. I really don’t know what my client’s prostate needs to heal itself ... but fortunately that prostate always does.
Another kind of cancer epidemic is colon cancer. Well, it doesn’t take a rocket scientist to figure out the why of this epidemic either. We know that the colon is the place where waste is produced, and the water we need is pulled out. I have occasionally found unprocessed waste emotions in the colon, including anger, of which the client is often in denial. One client of mine who suffered severe ulcerative colitis screamed at me in a purple faced rage “Damn it! I am NOT angry!!” when I attempted to point out, very politely, what I was feeling from him. Even residual traumas from toilet training can be found in there sometimes.
But the culturally common causes of colon cancer I have found is connected to the diet and lifestyle choices pursued by most Americans. All of these eating habits have been scientifically proven to have debilitating effects on the colon: large amounts of animal fat in the diet, too much melted cheese and white flour products, all of which stick like glue to the colon walls, where they rot and produce inflammation, too little vegetable fiber, including the raw roughage like lettuce and carrots that clean the colon like a bottle brush, and too little water. (okay, how many of you really drink the 8 glasses a day minimum recommended by doctors?) Also critically dangerous to the colon is our lifestyle choice of sitting for most of every day on our sedentary butts. Remember that as a species homo sapiens evolved to spend many hours every day in physical movement.
So any proposed solution to this epidemic requires a radical revision of our diet and lifestyle. Fortunately the services of a clinical nutritionist and hypnotherapist can be combined to make the transition to a healthy diet and lifestyle much easier. Hypnosis can help build motivation for exercise and can help strengthen our new dietary choices. It can also help uncover and heal the emotions that are stored in the colon. Combined with the latest in medical treatments, such methods offer far more promise for recovery than we could have hoped for 20 years ago.
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Pubic hair shaving is done for many reasons. If you are a woman, it is done because you might want to feel sexier for yourself and for your partner. Pubic hair shaving might also be done for practical reasons. This holds true especially if you don't want any embarrassing moments when you have your bikini on!
Lets not count men out. These days more and more men have begun shaving their pubic hairs too. Maybe they want to make their penis look larger and more attractive. Some do it because they feel that it is only fair to return a clean cut penis for their partners to enjoy, just like their partners have been doing it all this time for them. What ever the reasons may be, whether you are a woman or a man, one thing is clear, pubic hair shaving has certainly become the norm!
Like anything in life, shaving pubic hairs has it's pros and cons too. Don't let the cons scare you. When precautions are taken, alot of the negative effects of shaving your pubic hairs can be avoided.
Pros of shaving your haven: Everything down there feels so much more sensitive, in a nice way. It is much easier to keep your playground clean and fresh! Sweaty and musky ordors are kept to a minimal. Can be quite entising for your partner.
Cons of shaving your haven: If you cut yourself it could get pretty bloody. Yuk, not nice. Painful too! When it grows back, it feels thicker. Don't worry, your pubic hairs will go back to normal again once they reach their original size. Shaving your pubic hairs the wrong way can lead to ingrown hairs. Believe me, you don't want this to happen. Can be quite painful. Men, if you have shaved around your penis and on your penis, the stubble can hurt your partner when you are having intercourse. Rub your hands on your face stubble and see what I mean.
I think that what makes a difference between a good shave and a bad shave lies in technique and the tools of the trade. Take the time to first do a little reading on the subject before you get trigger happy with your shaver.
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Rosacea, or acne rosacea, is clinically defined as a chronic "acneiform" disorder which affects both the skin and the eyes. It's location on the human body is usually the most sun-exposed areas, such as the face and the chest. Rosacea usually varies in severity, and manifests in epsiodes of flushing and inflammation of the affected areas.
Clinical research has shown inflammatory episodes to be triggered and/or worsened by the consumption of spicy foods, alchoholic beverages, and hot drinks. The skin lesions which can accompany rosacea (acne rosacea), differ from acne in that spots of inflammation do not swell with fluid and come to a "head" like acne vulgaris postules do.
Rosacea is most common in adults between the ages of 30 and 60, and women are affected almost twice as often as men according to some studies. Although there is much medical speculation that rosacea and acne rosacea frequently affect fair skinned people of European and Celtic descent, there have never been any conclusive findings supporting this theory.
So, if you are an individual who suffers from rosacea, what are your treatment options, and what actions can you take to relieve these symptoms? One course of action is to have a dermatologist prescribe a common rosacea medication, such as oral tetracycline, and maybe a topical ointment as well, like erythromycin.
If you want to skip the doctor's office route, there are now some excellent herbal and all natural rosacea treatments available today that will eliminate rosacea just as well as, if not better than, their prescription counterparts.
Regardless of the course of treatment you end up choosing to cure your rosacea symptoms, there are some guidelines you can adhere to in your daily life and skin care regimen that will also help alleviate your rosacea symptoms.
Since rosacea and acne rosacea symptoms are caused in part by the dilation or enlargement of tiny blood vessels under the skin's surface, avoiding hot and spicy foods, alcohol, and hot beverages should become a general rule of thumb in your daily life. Also, a diet rich in multiple vitamins and minerals, especially vitamin A, has show to benefit rosacea and acne rosacea sufferers.
If you are a smoker, it is imperative you quit. Smoking can aggravate rosacea, and causes problems with circulation, which can lead to other skin problems. Wear a good, non-irritating (PABA free) sunscreen at all times, especially on your face and chest.
Be sure to use a gentle skin cleanser without harsh abrasives or other harsh chemicals/ingredients. Excessive alcohol and harsh chemicals abound in many cleansers, so be sure your cleanser is free of irritants. There are some great anti-redness masks, serums, and gentle cleansers out there for rosacea sufferers that will soothe and calm the skin, bringing back it's normal color and balance.
The good news is, Rosacea is a very treatable problem now, and there are some great natural products available to those who can't afford a dermatologist, or simply have an aversion to doctor's visits and man-made medications and prefer to "go natural". With these high-tech nutreceuticals, your skin will be back to it's calm, gorgeous self in no time!
