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There are a lot of men out there who need help with a very personal problem, but they are afraid to do anything about it. This is because the topic of erectile dysfunction is about as terrifying to face as an appointment with a divorce lawyer, so they try to avoid it altogether. Unfortunately, erectile dysfunction affects not only men, but it also affects their spouses as well, so this makes it impossible to avoid indefinitely. Sooner or later the topic of sex (or lack thereof) will come up at the dinner table, and then they must face the problem head on. That is usually when the name Viagra enters the conversation, and they better be ready to make an informed decision on whether or not to use it. Viagra was invented by a team of scientists in the late nineteen nineties, and it was approved for sale by the FDA (food and Drug Administration) on March 27, 1998. It was considered to be a breakthrough discovery in the medical and science worlds, and the inventors won the Nobel Prize for this invention. They had essentially discovered that when a man gets an erection a chain reaction occurs in the tissue of the penis which causes the levels of a substance called cyclic guanosine monophosphate (cGMP) to be elevated. When the level of this substance remains high, the penis remains erect. They also discovered that an enzyme called phosphodiesterase-5 (PDE5) breaks down cGMP. They found that the cGMP levels tended to breakdown rapidly in some men, and this was the cause of their sexual dysfunction problems. The key to sustaining an erection was to maintain high levels of cGMP for a long period of time, so they invented a drug that would inhibit the levels of the enzyme PDE5. This would allow the cGMP levels to remain high, which would sustain an erection for a long period of time. Before the invention of Viagra men with this kind of problem just had to suffer with their ailment. Many men were too ashamed to even talk about this problem. Beside the obvious issue of questioning their manhood, there just was not a whole lot they could do about it. There was no known cure, and that was a fact. They had to face this problem with very little help from the medical world. It was no wonder that most men kept this kind of thing to themselves. Many marriages were affected adversely due to this problem, and some even ended because of it. Viagra has been a Godsend to many men who were experiencing problems in bed. The scientific name for Viagra is Sildenafil and it basically acts as an inhibitor of the enzyme PDE5. This preserves the high levels of cGMP that are produced when a man is sexually aroused. Similar products like Cialis and Levitra work in the same way, thus, all three products are defined as PDE5 inhibitors. Viagra absorbs quite rapidly in the blood stream, usually within 30 to 120 minutes. It is a highly protein bound drug (96%) which means that is will absorb faster when taken with a high protein meal. Taking it with a high fat meal will reduce the absorption rate. Pfizer is the company who makes the only genuine Viagra, and any other company who claims to make it is a fake. There are many web sites on the internet who claim to be selling “real” Viagra, but most of them are frauds looking to make a quick buck. Only a U.S. licensed pharmacy can sell Pfizer’s Viagra product, so make sure you do a little investigating about the company you plan to buy from before you make your purchase. There are many reputable companies on the internet selling genuine Pfizer Viagra through completely safe and secure web sites. All you have to do is a little research and you will get the same product you would get at your local pharmacy, but without the potential embarrassment. You will even get a better price if you buy your Viagra online than you would if you bought it at your neighborhood pharmacist, for the pharmacist selling his products online does not have to pay overhead costs (employees, building leases, benefits, etc…). Viagra is metabolized in the liver by an enzyme that is known as CYP3A4. Any one with a liver condition (like cirrhosis) who is thinking about taking Viagra must consult their physician first to discuss a customized or reduced dosage. What used to be a problem without a cure is now a problem that can be cured with a little blue pill. Men who take a 50mg dose about an hour or two before sexual activity can regain the sexual vitality and stamina that they have been missing in their lives. They can now enter that dreaded conversation at the dinner table with their spouse (about erectile dysfunction) armed with the knowledge that they have a breakthrough drug on their side that was worthy of the Nobel Prize. They can even order it at a U.S. licensed online pharmacy and have their Viagra shipped overnight to their front door by a FEDEX courier who will hand over their order in a plain-wrapped box. © 2005 copyright. Michael P. Connelly penis enlargement surgery photo vigrx pills cheap penis enlarement pills magna rx plus vimax penis enlargement tool do penis enhancement pills work penis enlargement product vig rx pic

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Moving through pregnancy often raises some tricky questions. In fact, sometimes there just seem to be too many. There are often some common questions like - do you gain weight the first trimester of pregnancy and similar questions. What can I say - read on and we'll try and help you with this one. Recapping; Do you gain weight the first trimester of pregnancy? Is a common question among expecting mothers so we thought we could offer some insight on this. When you are pregnant, you have to be careful with a lot of details if you want to have a healthy baby (and of course you want this!). One of this is the weight you have to gain during pregnancy. If you are an expecting mother, you probably know that an adult normal-weight woman must gain something between 25 and 35 pounds, by the ninth month. You must also know that you have to gain weight mainly in the second and in the third trimester, but many of you ask yourselves: do you gain weight the first trimester of pregnancy? The first trimester is the beginning of this important journey that is pregnancy. Even if it won’t get obvious that you are carrying a baby from the outside, you will feel different and you will notice many changes in your body. These include breast changes, you will urinate more often, you may be much more tired than usual, and you may have nausea, heartburn, headaches. Besides these, some women reclaim feelings of depression, anxiety, fear and mood swings. You might also feel the weight gain (that will most probably occur from the first trimester) as one of the important changes in your body, especially if you’ve had constantly swinging weight gain over the past few years. It is recommended to gain about 3 to 5 pounds in the first trimester of pregnancy. Sometimes it’s difficult to gain weight during pregnancy, even if you want to. You might even lose weight in the first trimester, because of the morning sickness, lack of appetite and tiredness. How risky might this be for your baby? On the other hand, it is possible to gain much more than the normal amount of weight in the first trimester. This is also not healthy for either of you. Let’s discuss these two situations separately. Do you gain weight the first trimester of pregnancy if you eat barely anything? Perhaps not, but you don’t have to worry about this. During the nausea-prone first trimester, few women manage to eat “by the book”. That’s why it is important to enter pregnancy with enough nutritional reserves to provide for you and your baby. If you didn’t manage to gain at least 2 pounds after the first trimester of pregnancy, or even lose some weight you don’t need to panic, this is not a reason for the baby not to develop normally, but you should consult a specialist in nutrition. If you didn’t have healthy-eating habits before, pregnancy is the time to develop these good habits. Even if you don’t have an appetite and you feel a little sick, make sure that what you eat , at least, is high-calorie but healthy food. You don’t have to exaggerate with eating junk food and having endless desserts, even if you didn’t manage to gain the proper weight in the first trimester. This may be harmful for the baby. On the other hand, excessive weight gain can lead to health problems for the mother, such as diabetes, high blood pressure and varicose veins, and will increase the difficulty of delivery. Besides these, it might become difficult for you to manage your weight properly after delivery. You probably know that much of the extra weight goes to your baby (7-8 pounds), the extra blood and fluid volume (8 pounds), amniotic fluid (2 pounds), uterus, placenta, breast enlargement, and extra fat stores (7 pounds) in case of illness or "hard times." But in the first trimester of pregnancy the baby and her “housing” are still yet very small, and your pregnancy weight gain needs are covered with 5-6 pounds. The extra pounds you gain above these 5-6 are yours only. Don’t even consider compensating them with gaining less in the second or in the third trimester. Anyway, it gets physically improbable; even if you starve yourself you could gain weight. The question “do you gain weight the first trimester of pregnancy?” is usually posed by mothers who are concerned about their baby’s health and proper development. buy penile enlargment pills cheap pnis enlargement pills penis enlagement fact penis enlagement testimonials free penis enlagement exercise plus review vig rx vimax natural penis enlargement exercise manual penis enargement exercise penis enlargment surgery picture

By understanding the 4-phase arousal process you can put an end to your premature ejaculation frustration. During this process, your body goes through a number of physiological changes which form a definite, typical pattern. In the simplest terms, this pattern can be described as a build-up and release of tension. Phase 1. Excitement Premature Ejaculation can be set off due to over excitement. This is when you start to feel the onset of arousal. This phase can be brought on by physical contact, your thoughts and your emotions. In the excitement phase your breathing deepens and heart rate increases. You experience increased muscular tension and a rise in blood pressure along with the beginnings of an erection. As the level of arousal rises, there is a resultant increase in muscular tension, pulse rate and blood pressure. Some men have what is known as a 'sex flush' which is a red rash beginning in the lower abdomen and then spreading to the neck and face or even to the shoulders, arms, and thighs. Phase 2. Plateau The word 'plateau' identifies that a certain level of arousal and excitement has been reached. Your erection is full and you feel highly aroused. This is maintained for a period of time before orgasm takes place. This is a difficult stage as the premature ejaculation signs are building up. Although the fully erect penis does not go through any major changes in this phase, your testes will swell and draw closer to the abdomen. During plateau, the bulbourethral gland (or Cowper's gland) emits a clear, viscous liquid known as 'pre-ejaculate' or 'pre-cum'. This purpose of pre-cum is to lubricate the female urethra for sperm to pass through. It also flushes out any residual urine or foreign matter. As a cautionary side note; pre-ejaculate can contain sperm and therefore cause pregnancy (I was amazed how many men I spoke to who did not know this while I was researching premature ejaculation). Phase 3. Orgasm An orgasm is also known as the sexual climax and occurs in response to continued sexual stimulation during the plateau phase. Prior to orgasm there is immense tension in the muscles throughout the body. Breathing is rapid while pulse rate and blood pressure are more elevated than during plateau. It is an abrupt, reflex release from this 'whole body' tension that forms the orgasm. It is the most intensely pleasurable of all the phases and also the shortest, (and for those with serious premature ejaculation problems, even shorter!). It can be physical, psychological, emotional, or a combination of these. It is often accompanied by an obvious physiological response, such as ejaculation, blushing or spasm. Either during sex or while masturbating and the feeling of orgasm is imminent, men find it difficult to stop the stimulation of the penis to the point of ejaculation because the feeling is so intensely pleasurable and satisfying. Phase 4. Resolution This is phase where your body returns to the former pre aroused state. After orgasm your whole body (and in particular your sex organs) require time to return to the former, un-aroused state. The most observable change in this period is the loss of erection. During this phase and immediately after orgasm, men experience what is known as the "refractory period" and are physically unable to have another orgasm. The length of time of the refractory period is different for everyone. Times ranging from ten minutes to several hours are common. There may also be such a refractory period in females, although it is much shorter and many women can experience several orgasms in rapid succession. Gaining an understanding of this 4 step process will get you in the right direction when looking for a premature ejaculation cure. natural penis elargement technique penis enlarement pills review penile enlargement surgery picture pnis enlargement doctor free penis enlargment exercise penis girth enlargment pennis enlargement forum free natural penile enlargment penis enlargment surgery picture

If you have taught your child all the rules of ‘stranger danger’ you have protected him/her from a 1% chance of being sexually abused. This leaves your child vulnerable to the most likely sexual child abuse offender, family members or other trusted adults. 80% of children are sexually abused by a family member, 19% are abused by someone the child knows and trusts. The other little known statistic is the frequency of sexual child abuse. David Finkelhor and Dianna Russell’s research reveals 62% of girls and 31% of boys will be sexually abused by age 18. Unfortunately this statistic is considered low due to the difficulty in gathering data through surveys or reporting agencies. For many decades we have screamed, ranted, condemned, demanded and enacted legislation to punish sex offenders to little avail. The news media and magazines have joined in the campaign to illuminate the problem after the damage is done. As a result of the media’s incessant coverage and hype of ‘strangers,’ we have come to believe if we teach our children about ‘stranger danger,’ we have thoroughly protected our children from this horrific crime. The first response we form when hearing of sexual abuse or incest is denial. ‘I don’t have to be concerned about that in my community. That would never happen in my family.’ The unbelievable reality is that a person who sexually abuses children may seem very average and ordinary to the world. Furthermore, we find sexual abuse and incest even more difficult to believe or accept when the person we like, admire, love, and/or marry is the perpetrator of the abuse. Tragically, the unwillingness to accept the facts concerning sexual abuse perpetrators leaves children vulnerable to becoming victims and increases the likelihood that they will be abused. To understand how sexual child abuse is perpetrated by the person we least suspect one needs to have a comprehensive definition of sexual abuse. “Traditionally, incest [sexual abuse] was defined as: sexual intercourse between two persons too closely related to marry legally--sex between siblings, first cousins, the seduction by fathers of their daughters. This dysfunctional blood relationship, however, does not completely describe what children are experiencing. To fully understand all sexual abuse, we need to look beyond the blood bond and include the emotional bond between the victim and his or her perpetrator. Thus, a new definition has emerged. The new definition now relies less on the blood bond between the victim and the perpetrator and more on the experience of the child. Incest is both sexual abuse and an abuse of power. It is violence that does not require force. Another is using the victim, treating them in a way that they do not want or in a way that is not appropriate by a person with whom a different relationship is required. It is abuse because it does not take into consideration the needs or wishes of the child; rather, it meets the needs of the other person at the child’s expense. If the experience has sexual meaning for another person, in lieu of a nurturing purpose for the benefit of the child, it is abuse. If it is unwanted or inappropriate for her age or the relationship, it is abuse. Incest [sexual abuse] can occur through words, sounds, or even exposure of the child to sights or acts that are sexual but do not involve her. If she is forced to see what she does not want to see, for instance, by an exhibitionist, it is abuse. If a child is forced into an experience that is sexual in content or overtone that is abuse. As long as the child is induced into sexual activity with someone who is in a position of greater power, whether that power is derived through the perpetrator’s age, size, status, or relationship, the act is abusive. A child who cannot refuse, or who believes she or he cannot refuse, is a child who has been violated.. (E. Sue Blume, Secret Survivors).” There are two types of sexual abuse approaches—overt and covert. Overt sexual abuse is openly sexual and apparent. Although there may be an attempt to deny that it is abusive, there is no attempt to hide the fact that it is sexual in nature. Covert sexual abuse is more insidious. Thus, identifying it is harder, because the sexual nature of the action is disguised. The perpetrator acts as if she/he is doing something non-sexual, when in fact he or she is being sexual. The betrayal then becomes two-fold. The child is not only abused, but also tricked or deceived about the act. In this dishonesty, the child is unable to identify or clarify his/her perception of the experience. The unreal or surreal sense that accompanies any sexual abuse is intensified when the child is tricked into disbelief. Thus, the child doubts his/her perceptions and feelings and believes that there is something wrong with him/herself because he/she feels terrible. To make matters worse, everyone around her/him discounts signs of the abuse, because we don’t want to believe someone with a sterling public image would do such a thing. Thus the child feels crazy, as if she/he is the one with the problem. One example of overt sexual abuse whereby the perpetrator disguises his actions and those present are in denial about what is transpiring is exemplified by the incident a client, who is a sexual abuse survivor, reported seeing. Her father (her perpetrator) kissed his granddaughter, her one-year-old niece on the pubic area after her niece finished her bath. Her sister, the child’s mother, the child’s grandmother (wife of the perpetrator) were present. “My sister and mother (the child’s grandmother) laughed and I got sick to the stomach. Am I over reacting,” she asked. Obviously, her sister and mother are unaware of the definition of sexual abuse. Except for the fact this woman was in therapy she would not have considered it sexual abuse either. An example of covert sexual abuse by someone we least expect is exemplified by a 39 year-old woman who came to me after having a severe panic attack. During our investigation as to the root cause of the panic attack she revealed she had been ‘fondled’ when she was nine by a family friend. “He helped me on with my coat at a family gathering. As he adjusted my coat onto my shoulder, he fondled my breast.” This type fondling is often times referred to as ‘coping a feel.’ No matter the label, it is sexual abuse and causes damage. Women know how icky it feels when a man ‘cops a feel.’ Can you imagine what it would feel like for a nine-year-old, who has no information to comprehend and emotionally resolve what she experienced? Another example of covert sexual abuse by someone you least expect was told to me by my client, Rickie (not his real name). He remembered being held by his mother’s best friend in the water at the beach when he was six, while his parents sat on the beach. Fully protected from view by the water, she fondled his penis. This was not the end of the sexual abuse. When Rickie was 15 years old, she enticed him to have sex with her at her home while he waited for her son, his friend to come home. The second incident of her sexual abuse of Rickie was overt. There are six key techniques to abuse-proof your child. •Avoid spanking your child—spanking is a body boundary violation. Perpetrators target children who have had body boundary violations because they are less apt to protest any unacceptable body boundary violations, are more compliant with adults and are less apt to tell. You can avoid your child from falling prey to these cunning perpetrators by doing everything to avoid making your child a target. •Avoid touching your child in erotic areas—buttocks, chest, thighs, etc. Perpetrators state they use familiar touch (rubbing the child’s legs, buttocks or hugging/kissing) to desensitize the child before using touch which is sexual in content and intent. If your child is unaccustomed to being touched in erotic areas, he/she will protest immediately. Protesting will either thwart the perpetrator or alert anyone nearby that something is awry. •Teach your child self-protection by teaching him/her to protest violation of body boundaries or unwanted touch beginning at age two. •Practice and teach your child good body image. •Practice and teach your child to TELL YOU EVERYTHING, NO SECRETS FROM MOMMY and DADDY. •Practice and Teach Appropriate Suspicion—Trust your intuition, (a.k.a Sixth Sense) penile enlargment before and after picture penis enlagement procedure penis elargement information manual penis enargement exercise penis enlargment surgery safe penis enargement penis enlargement surgery cost vimax testimonials penis enlargment surgery picture

Yes, by all means, but it is technically called hypogonadism (low testosterone levels). Symptoms may vary, but most men will experience decreased libido (sexual desire) as well as erectile dysfunction, hot sweats, decrease in body hair, fatigue, or even depression. They also tend to lose muscle mass and gain weight due to increased subcutaneous fat. Erectile dysfunction is a common complaint of male patients past the age of 50, and although it is most commonly caused by such problems as vascular insufficiency (decreased blood flow) to the penis which usually responds well to such medications as Viagra, Cialis, or Levitra, your physician should check for hypogonadism as a possible cause and also screen for cardiovascular disease as well as diabetes. Certain prescription medications can also lead to problems with both libido and sexual dysfunction; most notably certain anti-depressants and hypertensive medications. Serum testosterone levels are at their highest between the ages of 20 to 30 and tend to progressively fall after age 40. If your testosterone levels come back low, your physician may wish to order a couple of other tests to determine the actual cause. There are other causes of low testosterone other than merely aging. If your testosterone level IS low and you are going to receive treatment, make sure that you are screened for prostate cancer. Your doctor should perform a digital rectal exam, order a PSA (prostate specific antigen) blood test, and your testicles should be examined for size, nodules and other abnormalities. Topical testosterone gel is usually the preferred method of administering the hormone. Topical 1% testosterone is available as Androgel or Testim. The starting dosage is 5 gm a day and applied to dry skin of the abdomen, upper arm or shoulders. The gel should not be placed on the genitals! The area of skin should be allowed to dry and a shirt be worn during contact with children or women as it IS possible to transfer the medicine to the skin of another individual. The serum testosterone level should be determined again about two weeks after initiating treatment. The administration of testosterone replacements have NOT been demonstrated to increase the incidence of prostate cancer, myocardial infarction, cardiovascular disease, or stroke. It can, however, elevate the PSA (prostate specific antigen) level. Treament has come a long way over the past few years with the advent of the topical applications. Testosterone used to be given by intramuscular injection which was both painful and had to be given rather frequently because the levels of the medication would not last long in the blood stream. The topical applications tend to maintain an even level of medication at all times without the peaks and valleys caused by the old injections. Testosterone replacement should improve libido, muscle mass, and well being. It can aggravate sleep apnea, cause mild acne, and gynecomastia (slight enlargement of the breasts), but NOT in everyone. It can enable a male to feel much more vibrant, improve his sexual desire, ability, and performance, and make life a lot more enjoyable overall. Copyright 2006 Ted Crawford