penis enlargment procedure

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 penile enlargement program vig rx results vimax com enlargement penis penis pump pnis enlargement information vimax homemade penis enlargement do pnis enlargement pills really work truth about penis enargement pills surgical pnis enlargement

penis enlargment procedure

Genital warts, which appear as small flesh-colored clusters or bumps of tissue, are the most common sexually transmitted disease in the U.S. In fact surveys conclude that at least half the sexually active male and female population may contract genital HPV. “HPV stands for Human Papillomavirus. This indicates that warts are a virus, and can exist in the skin even if no warts are visible to the naked eye. That means that the virus is contagious even when there are no symptoms. So be careful, and be sure to check for STD’s regularly when you visit your doctor for check-ups. This way, you won’t accidentally spread a virus to a loved one. Genital warts are generally found around the genital areas. In women they are found in the vagina, cervix or anus and on men they are found in the penis and anus. Genital warts may be passed on through vaginal, oral, or anal sex and research reveals that a pregnant woman can pass HPV on to her infant during vaginal delivery. There are more than 100 types of HPV and 30 of these are transmitted through sexual activity and are classified as high or low risk. The high-risk variety reportedly causes cell changes that may result in cervical cancer in those infected with the virus if left untreated for a long period of time. Low-risk HPV can cause genital warts, but not cervical cancer. Often, those infected with low-risk HPV are unaware they are infected since low-risk HPV may not present symptoms. best penis enhancement pills manual penis enlargement exercise plastic surgery penis elargement guide to penis enlagement penis enlarement surgery photo penis enlagement result surgical penis enlarement penis enlargement drug penis enlargment procedure

Stage 1 Age 0-8 The preadolescent breast consists of a small, elevated nipple with no significant underlying breast tissue. Stage 2 Age 8-14 (usually 11-12) Breast bud stage; elevation of the breast and nipple as a separate small mound; the areola (the area around the nipple) begins to enlarge, and milk ducts inside the breast begin to grow. This can often be an awkward time for a young girl as she starts getting used to the changes. Stage 3 Age 9-15 (usually 12-13) Enlargement and elevation of the breast and areola (less separation), the areola begins to darken in color, and the milk glands begin to grow. This is the stage that a girl may consider buying her first training bra. Stage 4 Age 10-16 (usually13-14) Projection of the areola and nipple to form a secondary mound. At this stage a young girl may need to start using a bra with cup sizes. Stage 5 Age 12-19 (usually 15) Mature adult breast, projection of the nipple. Now the breast growth is complete, however breast never stop growing, or changing. These stages are used as a guideline for breast development, but all girls develop at their own unique rate. For more information about bras, breast developments, and bra sizes, please visit http://www.myfirstbra.us. best enlargement exercise pennis com enlargment penis penis pump enlargment manhattan penis surgeon does penis enhancement work top penis enlargment pills enhancement forum free matter penis size vimax manual penis enlargement penis enlarement product penis enlargment procedure

Impotence occurs when one is unable to achieve or maintain an erection sufficient for satisfactory sexual intercourse. Although it tends to be more common in those who are over 40 year old, impotence can affect men of any age. A major study of impotence worldwide showed that over half of all men between 40 and 70 have some degree of impotence. At least one in ten men cannot get an erection at all. This website is aimed at helping those of us who believe that our penile size is insufficient to satisfy a woman fully and completely. However, if we have symptoms of impotence or erectile dysfunction, we should seek treatment for these conditions as soon as we can from a doctor. This is because impotence, even if it is just to the extent that the man cannot maintain an erection for a sufficiently long time during sexual intercourse, can also prevent a couple from having a fulfilling sexual relationship. Often, men will avoid sexual situations due to their emotional pain associated with impotence, causing their partner to feel rejected or inadequate. This also shows the importance of communicating openly with your partner, whether you may have symptoms of impotence or believe you have an inadequate penile size. A possible cause of impotency is premature ejaculation. This is the inability to maintain an erection long enough for mutual satisfaction. Primary premature ejaculation is a learned behavior that begins when a male first become sexually active. Like any learned behavior, it can be unlearned. Secondary premature ejaculation occurs when, after years of normal ejaculation, the duration of intercourse grows progressively shorter. This form of premature ejaculation is due to physical causes, usually involving the penile arteries, veins, or both. Other possible causes of impotence include performance anxiety, which is usually caused by stress or anxiety, depression, organic impotence, which involves the penile arteries, veins, or both, diabetes, nerve problems, drug-induced impotence and hormone-induced impotence. Visit Penile Enlargement Blog For More Advice. vimax testimonials vimax natural penis enlargement exercise semenax vigrx penile enlargment procedure penis elargement system herbal penis enlagement pills homemade penis enlargment penis enlagement penis enlargment procedure

Sex is an integral part of life. Without it the very existence of mankind would not have been possible. As we reach our adolescence period some particular glands starts driving our sexual behaviour. And as we reach a certain age these glands stop producing enough hormones to have an effect on our sexual behaviour. This commonly results in Erectile Dysfunction better known as ED. Erectile Dysfunction renders a male useless and helpless while he is to have sex. Though there is an urge for having sex the penis does not come up to its expectations while its performance. The major reason for this is that, as we age our body too starts aging. Aging is a natural phenomenon but we do not wish that our sexual performance too takes a beating for aging. As we age our body functions slowly and so there is less supply of blood in penis. But circulation of blood is necessary to have a penile erection for making love. Penis has porous tissues which absorbs blood when circulated. And when it absorbs blood it enlarges and stops the blood from getting out. Thus an erection of penis is maintained during the sexual act. Once the penis ejaculates the penis loosen up and starts circulating the blood. But in case of a person with erectile dysfunction this process does not happen. And as this process does not happen he remains unsatisfied in his sexual acts. So, ED treatment drugs like Viagra, Levitra, Cialis and Edagra etc. come to your aid at that juncture. These drugs can provide an age old person the much needed penile erection. With it your sexual fantasies could be realised. The dosage for these drugs depends on your health status and food habit. A consultation with a doctor is a must in the event you are to take this drug. If a person has hypertension, diabetes, heart ailments, allergy he should tell the doctor about these diseases. These drugs are not to be used by women and children. Whether it is for satisfying your sexual hunger or simply to satisfy your partner’s sexual need these drugs can stop your penis lying redundant. As successful sexual activity is a major component in any relationship these drugs could be of great help to you to have a bond that would be everlasting. So, go and enjoy the pleasure of love making again. Carry the youthfulness, vigour and agility in your sexual activity as in your youth with these drugs. These drugs also have some side effects like – increase in blood pressure, heartbeat, obesity so it would be wise to consult a doctor before going for the drug. In case any side effects show up it would be wise to stop the treatment right away and consult a doctor. To have an erection one must have the sexual urge to have sex. Erectile dysfunction drugs only help in maintaining the erection during sexual act. After ejaculation the penile erection should go away. In case erection continues after ejaculation or if the erection does not wither after 4 hours of taking it one should consult a doctor. He is the best person to provide remedy in that case.