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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 penis enlarement forum penile enlargement stretcher where to buy vigrx prosolution penis enargement pills do penis enlargment pills work guide to pennis enlargement penis enlargment before and after photo penis enhancement

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Shaving on and around the penis is being done by males not just for surgery anymore. Just take a look around the locker room the next time you're at the gym. Today's males say shaving the pubic hairs on and around their penis is a way to feel fresh and look neat and clean. And cleanly shaving their shaft allows a condom to slip on and off much easier. These are very good reasons to support shaving the penis indeed. But - If a male is being totally honest, he'll tell you that he is shaving his pubic hair because it gives his penis the appearance of being larger and it gets a lot more, ahem, attention when it's cleanly shaved. So for those of you males who are interested - Here are a few things you should know before shaving on and around your penis: 1) Never start shaving your penis unless you're sober and fully alert. The pubic area is much more sensitive than your face, which means it's much easier to hurt yourself, so you want your wits about you. 2) And while penis shaving is pretty easy to do, it does require patience and care. 3) If you're shaving for the first time and have long pubic hairs, trim them with scissors or better yet, a hair trimmer. 4) Take a long, hot shower or bath. This will open the follicles, (the skin depressions from which hair emerges), and soften your naturally coarse pubic hairs to make shaving easier. 5) Pat dry your shaft and surrounding area with a soft, clean towel. 6) Apply a generous amount of a rich lubricant. Allow this to sit for at least 3 minutes before you begin shaving. 7) ALWAYS use a new blade in your razor. Note: It's rumored that if you start shaving your general pubic area, testicles, and inner thighs, you'll get the best optical illusion, er, affect of a larger penis. If you do decide to start shaving your general pubic area and inner thighs while you're at it, make sure another new blade is easily available so you can change blades if your razor starts to drag. Start by shaving the penis in the direction the hair grows, making sure you shave all sides. If it isn't already erect, gently pull your penis upwards. This will make it easier to shave. Once you've removed all hairs, go back and shave against the way the hair grows. This will give you the clean, close and smooth shave you're after. But don't shave the same area more than this second time or apply too much pressure. The last thing you want is a razor burn on your penis from shaving. After shaving your penis, make sure to completely rinse off any traces of the lubricant with warm water. Then rinse with cold water. This will close and calm the follicles and generally tone the skin. Pat, don't rub, your penis dry with a clean, soft towel. Some males apply a non stinging astringent after shaving. But to avoid any reaction, just lightly dust your penis with a talc free powder or plain cornstarch. Ultimately, you want to prevent any kind of irritation to this newly raw skin. So focus on keeping it dry and doing what you can to limit initial friction. If you don't already, wear some loose fitting boxer shorts for a while after shaving. Many males go as long as possible between shaves in the belief that it will reduce skin irritation. But it's been suggested that the incoming hair stubble is what causes skin problems, so shaving more often is actually better. Males who are very physically active are usually shaving every other day. While it's a fact that eventually, after regular shaving, the hairs will become weaker and softer and your penis will remain smoother - If you're not ready, able and willing to follow the regimen outlined here, you probably shouldn't start shaving your penis. Because anyone will tell you, there's only one thing worse than a hairy penis - And that's a stubbly, scabby penis. A dry shaver is definitely the safest penis shaver. Do some research and discover the compact shaver that's designed specifically for safely shaving the penis. buy vigrx penis enlagement compare penile enlargment pills penis enlarement surgery picture penis elargement product homemade pennis enlargement prosolution penis enargement pills penis enlargement surgery cost prosolution penis enargement pills

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"Masturbation ... is not approved of the Lord nor this church, regardless of what may be said by those whose 'norms' are lower", President Kimball of the Church of Jesus Christ of Latter-Day Saints (1981) "Every sperm is sacred. Every sperm is great. If a sperm is wasted, God gets quite irate." Monty Python's The Meaning of Life. A quote often used by various churches in an effort to contain illicit acts amongst its people. Every sermon on masturbation would quote it, atleast all the sermons I have heard. Under the circumstances, is it difficult to imagine masturbation as one of the biggest taboos in our society? Even today? Scientific education has done a little to change it. Does that mean men and women don't masturbate? Certainly not. 99% of men and 70% of women masturbate according to various studies. The problem lies in the acceptance of the fact that you masturbate. Let me tell you a story... a story about you. One night you were sitting alone in your appartment eating pizza. You decided to check out some new sites on the net while you eat. So you log on to your ISP and start surfing. Inadverantely, you come across some piece of pornography(yes, the net is quite full of it!) Looking at those erotic (and often downright nasty photos) you feel a tingling between your legs. One thing leads to another and you end up spoiling your underpants. Now let me tell you another story. One night you were sitting alone in a bar drinking beer. And then a most gorgeous person enters the bar. The person that causes tingling between your legs just looking at him or her. You decide that you can't let go of this oppurtunity to get to know this wonderful creation of god. So you move towards this person and start small talk. One thing leads to another and you end up in your appartment. Whether you are a woman or a man, the next morning you wouldn't be jumping with joy in the first case. When you go out in the evening to meet your friends, you would not tell them about the hot site you found and how you jerked off to it. Nevertheless, in the second case, you would be telling anyone who cared to listen how you had the most wonderful experience of your life last night. Why? Well, maybe because self pleasure is, well, nothing special. You can do it anytime you want. Ofcourse seducing the person of your dreams is quite an accomplishment. No wonder you need an audience. But what if you have a friend like me. A friend who is crazy enough to ask you did you wank off yesterday night? Was it good? What would you do then? Would you tell your friend about the hot site and your experience? Would you simply say, "Yeah! It was great! What about you?" Or would you pretend nothing had happened and lie... something like you were somewhere else yesterday night, or maybe lead your friend to believe you got lucky with someone? I am guessing you would do the latter. Most certainly you won't acknowledge the act of masturbation. Rather you would evade the question and change the topic. And when your friend tells you about a hot conquest the same night, you would wish you had a bowl of water in which you could drown. Shame and guilt would come over you and you would change the topic in double quick time. Are you crazy? Noway! You are just one of the majority. And quite a majority at that! Way more majority that what George Bush had in the last elections! The reason - social conditioning! You are just like the boy who ran out of the cinema hall that was screening an adult film (mind you, he had no business of being there in the first place! But all the cinemas care about is the sale of their tickets!) Later in the day, the friend who had been at the movies with him, caught up with him and asked, "Why in the hell's name did you run out?" The boy answered, "My mom said that if I watched a woman getting naked I would turn to stone. And damn you Harry, a part of me was already turning into stone!" Unluckily, the social conditioning is wrong. It is as wrong as the social condition in 18-19th century India, where widows were forced to burn alive with their husbands. As wrong as the church was in burning Galileo for implying the Earth was not the centre of the universe. Lily Tomlin put it best, "We have reasons to believe that man first walked upright to free his hands for masturbation!" If god didn't want us to masturbate, maybe we would still be walking like dogs and horses! The social conditioning is a result of numerous myths, lies and scams perperated by numerous individuals for personal benefit. Unfortunately, this conditioning is like a hard nut, very tough to crack. However, with effort and chanelising your energies, you can break it. Remember, the nuts that crack the hardest, are often the ones that taste the best! You must be wondering, how the hell does it matter if you feel guilty about masturbation. Why should you spend time breaking this casing? Certain psychologists believe that guilt conscious, whether sexual guilt or in any other form, is the most destructive element for your mental health. Others believe it is one of the most destructive. But the greatest effect of guilt conscious in my experience has been a lack of confidence in self. Now you are an intelligent reader. I don't need to explain you the importance of self confidence. Be it your career, relationships or any other aspect of life, lack of confidence can bring your downfall. Now I am not implying that should you start to feel more comfortable about masturbation, you would succeed in all aspects of life. But it would be a nice step to take. An useless guilt that should, and can be eradicated from your mind. Remember, an ocean is made of small droplets of water. Get rid of a drop at a time and in due time, the ocean would be empty! Ofcourse it would take several millenia! Luckily, you don't have an ocean full of guily! Just some naggings here and there! The first step towards eradication of this guilt is knowledge. There are thousands of myths around masturbation. Most of them perperated by religion, unfortunately. But some perperated by scam runners. Lets take a look at the most important ones. 1. Masturbation is against the will of god. Bullshit. At one point the church considered anyone who was overtly passionate to his wife an adultrater. Follow that teaching and your wife would be committing adultery! Several clergymen have gone on record to say that not only the church's teachings about sexuality were unrelated to the scriptures, but that they caused more harm than good amongst people. Besides, nowhere in the religious teachings of any major religions is masturbation considered wrong. 2. Masturbation will cause impotency. Most males and even some females seem to think so. Wrong again. Lets tackle the males first. It is understandable that seeing their sperm flow out of their body, they think it may end sometime. Well, it will end one day... maybe when you are 100 years old. But until then don't worry. Your sperm bank is quite unlike Standard Chartered. You have unlimited credit here! Sperm is a completely renewable resource, renewable on an hourly basis! For women, well, there is no basis in the theory. Probably perperated by old ladies who never had an orgasm in their entire life! 3. Masturbation causes acnes, hair loss, skin diseases. This one is my favorite. Mainly because it is one of the better scams of all times! Your social conditioning would have you believe that masturbation is bad for your health. But bad how? No one would give you a satisfying answer! Now some scam artists saw this as an good oppurtunity to sell their products like hair growth lotions, etc. Since most people start masturbating during their teens, (the times of acne and other skin problems), they would have you believe that this is caused by masturbation! Unluckily for them, this is as untrue as the sun rising from the west! Masturbation has no physical side effects! 4. Masturbating will make you thin and skinny! Then there would be no need for diet pills and fitness regimes my friend! And most certainly 70% of USA wouldn't be overweight! 5. Only Kids masturbate! Why would you say that? I wonder! Well quite untrue, most adults masturbate... yup even after marriage! 6. Masturbation is for males. And it is for 70% of the women too. Thats right, two thirds of all females masturbate! 7. Only losers masturbate! Another of my favorites. Just goes to show just how much of a taboo is masturbation! First thing, 99% of males and 70% of females have masturbated atleast once in their lives. Now that is a hell of a lot of losers don't you think! Nothing more that I can add really... this is really the epitome of insecurity amongst people regarding self pleasure. 8. Masturbation is for homosexuals. Wow. Where did that one originate! Someone must make a etymology of these myths, would make for an interesting read! Just as untrue as all these myths, masturbation and homosexuality have nothing in common. Some people masturbate to their fantasies of opposite sex, others to their fantasies of same sex. Thats it. 9. Masturbation will make you blind! Others claim that masturbation is bad for your eyesights. However, their claims are unsupported by facts and medical advice. I suggest you talk to your general physician and he will explain you what a load of bull this is. 10. Masturbation changes the shape of your penis Well, it does make it rock hard. But believe me, once you orgasm, the hardness is gone! So no. Masturbation has absolutely no effect on how your penis looks. There are loads more of these myths circulating around the world. If you have a query about masturbation, ask me, I would happily lay your fears to rest. My email is advice@pornographytimes.com Now lets move on in an attempt to get rid of your guilt. Clearly, all the reasons that made masturbation such a taboo are baseless. So why should you feel guilty about something that is normal and actually healthy? Healthy? Yes that too! This January, I recieved an email from a woman who had some major problems in her marriage. Due to her career and that of her husband, their sexual life was inexistant. Both held jobs in big MNCs and were frequently out of town. Sometimes, they would see each other once a month! Nevertheless, they were very much in love. Her problem was, that inspite of all their love, they were getting into petty fights with each other. The woman was even experiencing problems during work, getting angry for no apparent reasons, shouting on her team. Her temperament was a creation of the stress caused by extensive work and lack of pleasurable activities. Add to that sexual frustration. My advice to her was twofold. First, I told her that she would have to slow down, and so should her husband. They must make time for their hobbies, maybe try and get in some physical exercise when they could. Most certainly, they needed to see more of each other. They should onsider talking off a couple of days and just be together. Second, while she was alone, she should consider fantasy therapy. Namely, reading erotic novels, watching erotic movies... exciting herself and eventually masturbating as regularly as she could. Three months later, I recieved a thank you letter from her. Apparently she had put my advice to practice (which is quite rare!) and it had actually helped. (Which is not so rare!) How did masturbating help her? Because most of her problems arose from stress and lack of physical activities. And masturbation, like sex, is the perfect medicing. When you orgasm, your mind gets cleared of the regular day to day problems. Your body gets excited and the blood flow increases. Sometimes, you even sweat! A complete and perfect exercise for those with lack of time! The next step in getting rid of your guilt is self belief. Something, no outsider can help you with. Here is what I would counsel. Read as many articles on the internet as you can relating to masturbation. Just so that you know that I am not bullshitting you. Any queries you have, don't be afraid to ask me or another sex advisor on any of the reputed websites. Remember, the first step is knowledge and the second step is belief. And knowledge leads to belief. Good Wanking!