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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 herbal penis enlargement pills surgical pnis enlargement prosolution penis enargement pills pennis enlargement pills product vigrx enhancement penis enlargement picture penis enargement device pnis enlargement surgery cost

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Drug Uses Levitra is an oral therapy for the treatment of erectile dysfunction. How Taken Levitra comes as a tablet to take by mouth. It should be taken as needed about 1 hour before sexual activity. Some form of sexual stimulation is needed for an erection to occur with Levitra. Levitra should not be taken more than once a day. Levitra can be taken with or without food. Warnings/Precautions Before taking Levitra, tell your doctor if you currently have or have ever had a heart attack, stroke, irregular heartbeats, angina (chest pain), or congestive heart failure; have high or low blood pressure; have a personal or family history of a rare heart condition known as prolongation of the QT interval (long QT syndrome); have liver problems; have kidney problems; have ever had blood problems, including sickle cell anemia, multiple myeloma, or leukemia; have a bleeding or blood clotting disorder; have a stomach ulcer; a family history of degenerative eye disease (e.g., retinitis pigmentosa); or have a physical deformity of the penis such as Peyronie's disease. You may not be able to take Levitra, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Levitra is not indicated for use by women, it is in the FDA pregnancy category B. This means that Levitra is not expected to be harmful to an unborn baby. Levitra should not be taken by women. It is not known whether Levitra passes into breast milk. Levitra should not be taken by women. If you are over 65 years of age, you may be more likely to experience side effects from Levitra. Your doctor may prescribe a lower dose of the medication. Missed Dose Levitra is used as needed, so you are not likely to miss a dose. Possible Side Effects The most common side effects with Levitra are: -Headaches -Flushing -Stuffy or runny nose Levitra may uncommonly cause: An erection that will not go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections. Vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green. These are not all the side effects of Levitra. For more information, ask your doctor or pharmacist. Storage Store at 25�C (77�F); excursions permitted to 15-30�C (59-86�F). Keep Levitra and all medicines out of the reach of children. Overdose Seek emergency medical attention if an overdose is suspected. Symptoms of a Levitra overdose are not known, but are likely to include chest pain, back pain, dizziness, an irregular heartbeat, abnormal vision, and swelling of the ankles or legs. More Information Do not take Levitra if you: -Take any form of medication known as "nitrates" (type of medicine used to relieve chest pain that can occur as a result of heart disease). Taking Levitra in combination with nitrates may result in serious side effects. -Take medicines called "alpha-blockers" (sometimes prescribed for prostate problems or high blood pressure). Taking Levitra with alpha-blockers may drop your blood pressure to an unsafe level. -Your doctor determines that sexual activity poses a health risk for you. You have a known sensitivity or allergy to any component of Levitra. The use of Levitra offers no protection against sexually transmitted diseases. Counseling of patients about protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered. Disclaimer This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information. penile enlargement fact penis enargement picture free pnis enlargement pills penis enhancement photo natural pennis enlargement penis girth elargement pnis enlargement excersizes pnis enlargement device truth about penile enlargement pills

Until recently, guys with premature ejaculation problems had to wait at least a few weeks to see results from natural solutions. However, new research has finally revealed why some guys last and others simply can’t. Based on the training principles of body building, it is now possible to teach your body how to have sex correctly through a serious of specially designed exercises. So what is premature ejaculation, and how long is really enough? Well premature ejaculation, or PE, is commonly defined as the inability to delay ejaculation to a point where both partners are satisfied; and this can be anywhere from 10 seconds to 10 minutes. It all depends on what you and your partner define as "too fast". Research shows that the average man will ejaculate within 1-3 minutes of penetration, while the average woman will orgasm after 12-15 minutes! With such a large gap it is no surprise that more than 30% of guys suffer from the anxiety of premature ejaculation! So how do you stop it I hear you ask? Fortunately, the ability to last a long time is a learned behaviour. Almost every man over fifty will tell you that he can delay ejaculation much longer today than when he was younger. Sexually inexperienced men have not yet learned to recognize the feeling of being about to come inside a woman. Recognizing and dealing with that feeling comes with experience. However, don’t be fooled into thinking that just having more sex will cure this kind of inexperience – it won’t! It’s not the amount of sex you’ve had – it’s the amount of learning and training. Learning to control the penis and taking charge of your own ejaculation are the keys to success. Using traditional methods such as the "Squeeze Method", the "Masters and Johnson Method" and the "Stop Start Method" usually takes a few weeks to see results. These methods are designed for you and your partner to simply get used to sex and that is often the biggest part of early ejaculation problems anyway. Fixing Premature Ejaculation with the help of your partner only makes it even more embarrassing and awkward for you and it’s no wonder these techniques take so long to see results! Doctors will sometimes prescribe medications that have ejaculatory retardation as a side effect. Even if those medications work (they don’t always), this doesn’t cure anything. You can’t stay on the drugs for a lifetime, and in relying on the external aid, you’ll never learn to control your orgasm for yourself. Also, most of these sprays and drugs simply numb the penis so you don’t feel the excitement. What’s the point of sex if you can’t enjoy it? If we change our approach to having longer sex by focusing on the actual love making muscles rather than just waiting to get used to coming slower, then results can be seen inside a week. In the sporting world, different training methods are used to build the two types of muscle fibres know as “fast twitch” and “slow twitch”. Generally weight lifters have denser slow twitch fibres for more power, and sprinters have denser fast twitch fibres for speed. If we apply their training methods to the muscles of sex, then we are able to develop total control much faster. Gaining control during sex is as simple as taking control over your breathing, and control over the PC muscle. The PC muscle is located between the scrotum and the anus, and contracts both quickly and slowly during sex. By training it correctly, premature ejaculation can be controlled far quicker than by simply waiting for it to happen with traditional methods. Also, anxiety is also a major contributor to fast ejaculation, and as a result your body tenses up and can’t perform correctly. By learning correct breathing techniques you can relax your body, and coupled with the confidence of controlling your PC muscle, you can be well on your way to stopping this embarrassing problem for ever! Outlining a full program to cure PE would take more than this article allows, however a basic program involves holding your PC for 10 seconds, then relaxing for a few seconds and repeating this cycle for 10 repetitions. You can also do short fast holds, for 20 reps each time. This will let you to begin to gain control over your PC muscle, and over time your PC worries will become a thing of the past! Believe me, everyone is capable of lasting as long as they want to, and it has nothing to do with you thinking that you are in some way different to all the other "normal" guys. You simply need to build new habits for sex and to understand how to control the correct muscles to last as long as you should be! safe penis enhancement compare penis enargement pills free penile enlargment pills best penile enlargement pills penile enlargement without pills pnis enlargement secret free penile enlargment technique pennis girth enlargement truth about penile enlargement pills

Coldsores, also called fever blisters and oral herpes, are a global epidemic - or pandemic. Coldsores are the visible symptom of an active herpes virus infestation. More specifically, coldsores are the result of the reproduction process of the herpes virus. The World Health Organization estimates 85% to 91% of the world population currently carries the herpes simplex virus type 1 or 2 (HSV-1 and HSV-2). For all practical purposes, that means just about everybody is infected with the coldsores virus. Recorded history shows that this has been true since about 500 years prior to the Roman Empire. HSV-1 is responsible for about 80% of reoccurring coldsores. The other 20% of coldsores are caused by HSV-2. Of those infected with the herpes virus, 76% will have one or several coldsores within the next 12 months. The other 24% often go a lifetime without experiencing any symptom of coldsores. The herpes virus most of the time is latent, or in hibernation, in the nerve ganglia nearest to the site of your coldsores. In the case of facial coldsores, this would be in an area behind the jawbone, near the brain stem. When the coldsores virus becomes active, they travel up the nerve fibers to the surface where they replicate and create those painful coldsores right on the end of the nerves. Coldsores normally occur on the face, appearing on the edge of the lip, called the vermilion border. The nostril is also a common site for coldsores. What most people don't know, however, is coldsores can appear anywhere from the waist up. For example: fingertip coldsores do occur. They're often a much more painful event because of the constant use of the fingers in our daily routine. Coldsores are extremely contagious. The coldsores virus spreads externally, not internally. Kissing is the primary way coldsores are transmitted to others - especially from adults to children. Most people are infected before they're a dozen years old. The lips, mouth and nose are not protected by skin and are an easy target. Coldsores can also spread to anywhere on the body where the virus can find an opening - like a cut on the finger. Although coldsores are not life threatening, coldsores can cause a lot of grief and damage if spread to the eyes with contaminated fingers. This can cause loss of sight. Also, with oral sex, the coldsores can be spread to the vagina or penis, creating the dreaded genital herpes. Coldsores are contagious from the first itching stage to the disappearance of the final red spot. They are most contagious during the open weeping and crust stages. The crust cracks frequently when you move your mouth, as in smiling. The fluid from these coldsores is absolutely teaming with the coldsores virus. Extreme caution must be taken with active coldsores. Coldsores itch and hurt a lot, so we tend to touch them frequently. Then the virus sheds to our fingers - and is easily transmitted to another location or person. Self-control is imperative. Each time you touch your coldsores, you must wash your hands. Keep little bottles of hand sterilizing soap or baby-wipes on hand. Baby-wipes have a sterilizing ingredient and are particularly handy and useful. You can dab the coldsores with them instead of your fingers. This also speeds healing of coldsores. Coldsores are brought on primarily by physical stress. Keep in mind even mental stress will manifest itself physically. Colds (thus the term coldsores), fever (thus the term fever blisters), pregnancy, injury, and nearly any physical trauma can easily bring the virus out of hibernation and cause coldsores. Fact is, upcoming weddings, according to the mail I get, are one of the biggest causes of coldsores. There are a huge variety of treatments for coldsores. These include over-the-counter medications, prescription anti-viral pills and salves, and many natural remedies. You'll find over-the-counter products are mainly comfort medications. None of them have ever proven to shorten your coldsores. One exception to this - some have antibacterial agents. This prevents secondary bacterial infections. If you do get a bacterial infection, and this is common, it will greatly lengthen the healing times and discomfort of your coldsores. Much of the benefit of over-the-counters is a numbing agent to reduce pain. Some contain oils that help keep the scab softer so it doesn't crack. Prescription medications for coldsores, up to this point, have been dismal failures. There are several brand names but the generic name for the active ingredient is acyclovir. The antiviral salve will take, maybe, one or two days off your 3-week coldsores. The antiviral pills helped reduce the number of coldsores for only 47% of the people tested. This was a very short study so it wasn't very accurate. Please note this medication is not to be taken if you're pregnant or going to be pregnant soon. Also, there is some concern for liver damage. Your best option, in fact your ONLY option for coldsores right now, is the variety of known natural remedies for coldsores. In real life studies, natural remedies have shortened the duration of coldsores by as much as 85%. Among these are honey, DMSO, tea tree oil, zinc, lysine, aloe vera, certain herbs and a few others in certain forms and combinations. Coldsores can literally be a real pain. But you can easily, like many thousands of others have, discover the right combination of remedies for yourself and enjoy a lifetime of freedom from coldsores. penis enlargment technique do penile enlargement pills work penis enargement cream vimax do penis enlargement pills really work free penis enhancement video penis enargement traction device plastic surgery penis enlargment penis enlarement tool truth about penile enlargement pills

People who smoke, or live with smokers, often cough a great deal. It’s usually referred to as smokers cough, but in over 80% of all cases, it's COPD. To just take some over-the-counter cough medicine, or “live with it” is endangering who whole life. COPD? COPD stands for Chronic Obstructive Pulmonary Disease and is usually a combination of two similar maladies, i.e. chronic bronchitis and chronic emphysema. COPD is the chronic obstruction of the air flow through the vessels into and out of the lungs. This obstruction generally is progressive and becomes permanent. With early care, some patients with COPD can have the symptoms partially reversed, with asthma medications (bronchodilators). These medications both enlarge and dilate the air passages. Without care, great complications can (and will) develop with an early death as a result. It seems that COPD mixes the symptoms of both diseases; so people with exhibit the characteristics of. It works the same for bronchitis and emphysema. Chronic bronchitis Chronic bronchitis exhibits inflammation and swelling of the lining of the airways of the lungs. This will leads to narrowing and obstruction of the airways. The inflammation evokes production of mucous, which itself further obstructs the airways. This eventually leads to bacterial lung infections, and other dangerous complications. Chronic bronchitis is a daily cough with production of mucus for 90 days. The cough is persistent, often accompanied by fever. Emphysema Emphysema is the permanent enlargement of the alveoli (air sacks in the lungs). This is caused by the destruction of the alveolar walls, reducing the elasticity of the lungs generally. This loss of elasticity results in the collapse of the bronchioles, further obstructing airflow out of the alveoli. Air cannot leave the alveoli, so the lungs lose their ability to shrink during exhalation. The reduced exhalation reduces then the amount of air that is inhaled. It follows that less air and the normal exchange of gasses gets into and out of the lungs. The result of improperly exchanged gases means that the person with will not be able to properly expel carbon dioxide and take in the necessary oxygen. Emphysema also causes difficulty in breathing, and great complications follow. Smoker’s Cough? If you are coughing over 2 months, and producing mucus, you must see a doctor to test what exactly you have. Smoker’s cough is only a symptom in about 12% of the cases, and usually the problem is COPD. If you have COPD, there are medications and techniques to help you. If you do not seek medical care, you are only reducing your life expectancy, and certainly watching the quality of what is left of your life diminish daily. Remember, COPD is the main reason for the chronic cough, not smoke or some leftover from a cold. You need to seek out professional help. You life is at stake, nothing less.