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One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. free natural penile enlargement compare penis enlarement pills cheap penile enlargment vimax free natural penis enlargement penis enlargement free exercise tip for penis enargement penis enlargement doctor penis enlagement excersizes

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Given the large variations in human penis sizes, discord and dissatisfaction with one's self are unavoidable. The longest erect penis recorded during the famous Kinsey surveys was a shocking ten inches. That is nothing compared to the 12" and 14" behemoths reported in "L'Ethnologie du Sens Genitale", and in Dr. David Reuben's "Everything You Always Wanted to Know About Sex", respectively. If that makes you want to cry, wait till you hear the good news - the shortest functioning erect penis measurement according to the Kinsey survey was 1 inch. There are, however, some reports in medical literature of penises that do not extend beyond 1 cm. when fully erect. Finally, just so you can know which side of the fence you are hanging from, a study by the Lifestyles Condom Co. indicated that the average erect length of a male sex organ is 5.877 inches. Women have often been reassuring towards their mates in this regard. "Size doesn't matter", they would say. Few men really believe that. In an online poll that asked if respondents felt that penis size makes a difference in a man's ability to sexually satisfy a partner, 46% of the respondents answered "Very much: Penis size makes a big difference in a man's ability to sexually satisfy a partner". Only 13% responded "Not at all: Penis size makes no difference in a man's ability to sexually satisfy a partner". The poll did not mention how many of the respondents were women and how many were men, but the fact is - men and women believe that size still does matter! In "The Beefcaking of America," (Psychology Today November/December 1994 issue) Jill Neimark reported the findings from a questionnaire completed by some 1500 male and female readers. The Neimark report suggests that a significant subset of women who are financially independent and rate themselves as physically attractive place a high value on male appearance. A small group unabashedly declared not only an rather unsurprising strong preference for better-looking men, they also indicated that they cared more about penis size, both width and length, than about the physical appearance of the man. Niemark's survey results also suggests that men believe their appearance has a larger impact on women than the majority of women actually acknowledge. Men indicated they feel their specific physical features, from hairline to penis size, strongly influence their personal acceptability by women. "Size does matter". Judging by the number of sites Google.com returns on a search for "penis enlargement", that seems to be a pretty popular opinion. As long as there are men out there running around with 14" monsters, the rest of the mortals will continue to judge themselves and pray at the altar of everything that grants bigger penises. The results of penis enlargement are not always pretty, considering the various methods that are purportedly effective. Claims range from the scientific to the outrageous, and some of them can be downright nasty. Unlike lizards, men do not have the power to regenerate lost appendages, so it is highly advisable to do a little research before fooling around with Mother Nature's precious gifts. The following is a list of some penis enlargement methods other than penis pills, followed by some general comments about each; Enlargement creams do nothing more than increase blood flow in the penis tissue. While this may definitely assist in erection firmness (Which will cause the penis to appear and feel larger), using creams cannot enlarge your penis. There is no known medical evidence too support the claim that topical preparations can do more than increase blood flow, unlike penis pills. Penis pumps create a vacuum and force blood to the penis tissue. According to Menstuff® Sexhealth columnist Dr. Williams, pumps are mainly used by men who suffer from chronic insulin dependent diabetes or circulatory disorders. They have such poor blood circulation overall that they cannot obtain proper blood flow in their penis area. By using a pump instead of penis pills, the skin and underlying tissues are stretched, allowing them to clamp off the blood flow and consequently trap it in the penis. With the clamp firmly in place, brief sexual encounters can occur. There is little medical evidence that penis pumps cause any actual permanent increase in the size of the penis. There is, however, bad news for "pumpers" out there - after using penis pumps over a period of time, some men claimed they were unable to get erections without the aid of a pump. This method of penis enlargement has been around for thousands of years. Weights are suspended from the penis to stretch it. With regular use, it can increase penis length - but at a price: It makes the penis thinner, and because of the stretched tissue, lessens the ability to achieve and maintain an erection. This method can also cause a decrease in blood circulation which can lead to serious problems including tissue damage. Penis enlargement surgery (or phalloplasty) is the Titanic of penis enlargement methods. It is huge, expensive and can end up being the worst disaster of your life. It can lead to serious complications like infection and scar tissue formation which can cause a misshapen penis. A well known horror story is that of Ron Nance, from Monterey, Calif., who claims that following his penis enlargement surgery he contracted a severe infection at the surgery site. He returned to his doctor, who re-sutured the incision. The complications persisted, and Nance claims he flew to Los Angeles a total of nine times for repairs before turning to other surgeons for help. Nearly two years later, with $20,000 invested in the operation and repairs, Nance states that he remains not only permanently scarred, but impotent. Other enlargement surgery patients have complained of disfigurement, shortening, loss of use of his penis, pain, swelling, excessive scarring, lumpiness, shrinkage, uneven surface with what appears to be cysts, and impotence. Many penis pills are nothing more than vitamin pills in disguise, and numerous men have been conned into popping them expecting more than what vitamins can deliver. Penis pill salesmen Michael A. Consoli, Vincent J. Passafiume, and several others have signed a consent agreement forfeiting approximately $35 million dollars in seized cash and property to settle charges that they had marketed penis enlargement pills with false claims. Operating as C.P. Direct, Inc., they claimed that their enlargement pill product "Longitude" would permanently enlarge the penis by 1-3 inches. They are not alone. So what penis enlargement supplements do work? The problem in discovering this lies in the fact that there are approximately 5 new "amazing" penis enlargement pills that appear on the market each month. Most of these products are nothing but Vitamins mixed with a few herbal ingredients to produce a penis pill. Users see NO gains, and this leads to unhappiness and loss of faith in all enlargement supplements. As with most things, the way to do properly choose a product is through systematic research. This will definitely take some time and effort, however if you obtain the results you desire, in the end it will definitely be worth your while. Some things to keep in mind: Stay away from any pill which contains Yohimbe. The FDA has placed this substance on its warning list - supplements containing this herb may cause side effects. A respectable supplement site will contain a list of the ingredients that their products contain. The ingredients only tell half the story, the actual blending and quality of the ingredients also counts. This is somewhat more difficult to determine, however. In general most penis pills are quite safe because their ingredients are non-prescriptive, consisting mostly of natural herbs. However, you should always read the ingredients and consult a doctor before purchasing or taking them. Some supplements have stated that men with diabetes or genital nerve damage should avoid taking enlargement pills. Penis enlargement pills can be expensive. They usually cost anywhere between $40-$80 per month. If the product indicates that you need to take "booster pills", it is usually a bad sign. If the product manufacturer claims you can have a penis so large it will make a stallion turn green with envy, you can most likely be sure they are selling you bottled scam instead of penis pills. If the promise sounds too good to be true, then you can assume it is. Sincere supplements will tell it like it is: Results may and will vary from one individual to another. These can include stronger erections, increased sexual stamina, more intense orgasms, improvement in urinary flow, increased blood circulation to genital area, higher sex drive, increased sperm production and overall improvement in sexual function. Most penis pill programs offer a set of free exercises with their product. These should not be cast aside - they are vital key to your enlargement process. Do them religiously along with your supplement taking and you will NOT be disappointed. The penis inferiority complex has been documented for quite some time, and has no doubt existed since men started bathing and showering in full view of each other. Most men seem to feel their penis is small and are envious of someone else's member. This concern and dissatisfaction appears to stem from the cultural belief that larger penises give greater pleasure to women, and that women prefer a man with a huge penises. So can you pump up with penis pills? My answer is yes. Daily exercises and supplements together can increase the size of your penis. But to do so, you have to be smart, be aware, dedicated, and PLEASE be careful. vimax cheap penis enlargement pills penis enlargement without pill natural penis enlagement and lengthening penis enhancement pills product penile enlargment surgery photo vimax penis enlargement stretcher penis girth enlagement penis enlarement device pnis enlargement pic before and after

Are you expecting a baby? Are you planning on having a baby soon? Want to know how to make a baby? No, I’m only kidding. The thing is, if you have, or will have a baby some time soon, you may just like to consider what to do to treat and to prevent wasp and bee stings. I will also cover houseflies. Wasp stings should be treated by rubbing vinegar onto the affected area of the skin. Alternatively, there are many lotions available that will treat wasp stings. Bee stings are a little more troublesome as the bees leaves its stinger in the victim’s skin. If you try to pinch the sting out of the skin, you may actually pump more venom into the body. The best thing to do is to scrape horizontally across the skin in order to knock the sting out (try using a credit card). Apply the appropriate lotion or use baking soda mixed with water (this should reduce irritation). For both wasp and bee stings, it may improve things if you apply something cool to the affected area. This should reduce the pain. Wasp and bee stings can be distressing to baby or young child. In most cases the pain will go away in time. In a minority of cases an allergic reaction may result. If your child develops breathing difficulties, any swelling around eyes, lips, tongue or penis, any red blotching, light-headedness or fainting, then they must be seen by a doctor immediately. Houseflies do not sting of course, but their presence can actually be worse than that of wasps or bees. They can carry some quite nasty germs and they have a habit of depositing some of those germs wherever they land. When babies start to eat solids, they can be very messy indeed. This mess will lure houseflies and wasps. Apart from troubling your baby, they will be in danger of being stung by the wasp or infected by the fly. How do you prevent these flying insects from troubling your baby? If you are out, then it may be a good precaution to drape a net over the baby buggy, especially if your baby is eating an iced-cream or a cream bun! When indoors, it may be best to have a fly killer machine fitted in the rooms your baby spends time in. There are many units to choose from at www.eeeee.co.uk. The machine must be just above door height (never in reach of baby). We all know that babies cry for all sorts of reasons. It can be distressing, however, when they cry as a result of something that we could have prevented. cheapest penis enargement pills safe penis enlagement magna rx patch buy penis elargement pills free penis enlargment technique enlargement erection penis pills vimax natural penis enlagement pills magna rx results review pnis enlargement pic before and after

It's no surprise that both genders rely on lying to some extent. They just do it differently and sometimes for different reasons. All humans, especially women say they want their partner to be honest. Is this the truth? Can you keep a relationship up and running if you are telling the truth all the time? Imagine that you just have brought your girlfriend at your home, to spend the night together for the first time. You have made a great effort to arrange and clean your home and especially the bedroom. You are proud about this and ask your partner what she believes about your home. She responds "It is a little old fashioned... and something smells bad in here". Ups! Ok. You two pass through this awkward moment, then you start kissing each other, but you make a joke about... the size of your penis, and instead to hear the most used reply: "hey, relax, size really doesn't matter", she tells you that her ex was quite huge. Ups... Not again. :) If she were to say just two little lies everything could be great, but now... The truth is, telling a few lies can be one of the best ways to keep your relationship healthy. So if you want to keep her happy and keep getting laid, you're going to have to learn how to lie - and lie convincingly. The trick is figuring out what she wants to hear. 1. Never mention your sexual past... especially if it was a good one. If your girlfriend asks you what it was like or how good your ex was, you can tell a lie if you have to. Say it wasn't all that good. Don't ever mention her. Even if what you're saying is uncomplimentary, it will still have a negative effect. You bringing her up hints that she's still on your mind. 2. When it comes about how she looks, if you picked her to be your partner, you have to make her feel that she is a WOMAN. Every woman has something beautiful, something sexy and attractive, and if you make her know that you find her attractive she will be more confident, wilder and more passionate. But when she asks you about something you don't really like at her look, never but never tell her your true opinion. Just say that it is OK and pass over the moment. If you are telling her that you don't like something at her, she will feel frustrated and become more inhibited. 3. Everybody knows that women have more sensibility than men. So pay attention to her sensibility and don't make bad jokes about other people (especially her family) or let her know when you are up to take the cat and throw it out through the window. She will find you insensitive and you will lose points. Use your common sense and try not to hurt your woman’s feelings even if you have to say a little lie from time to time. Overall, lying is a bad thing to do. But when it comes to women, you really have no choice. The little white lies don't hurt anyone and are only meant as reassurance every now and then It's therefore okay to tell a person what they want to hear. vigrx side effects safe penis enargement penis enlarement tip vimax penis pill truth about penis enlargment pills cheapest penile enlargment pills free exercise tip for penis enlagement penis enlargment surgery cost pnis enlargement pic before and after

Hypertension is the term doctors use for high blood pressure. It’s often referred to as a Silent Killer since many people may have no noticeable symptoms. Over 50 million people suffer from high blood pressure, but nearly one third aren’t even aware of it. Hypertension is a major risk factor for heart disease, the nations’ number one killer. Those who do experience the symptoms of high blood pressure feel dizzy, headaches and sometimes nosebleeds. Unfortunately, by the time symptoms are felt, blood pressure is dangerously high. But many people with uncontrolled high blood pressure never have any of these symptoms. Blood pressure is the force of the blood through your arteries as your heart pumps blood through your circulatory system. Blood pressure is reported as a fraction, with one number over the other. The top number, called the systolic pressure, is the force when your heart contracts, the bottom number, called the diastolic pressure, is the pressure when you hear relaxes between beats. To measure your blood pressure, an inflatable cuff is wrapped around your arm, and air is pumped in. The doctor or nurse, while watching the pressure gauge, listens with a stethoscope for your pulse to disappear. The pressure at which your pulse can no longer be heard corresponds to the systolic pressure. The cuff is released and the pressure at which your pulse can be heard again is the diastolic pressure. Like the pressure in your car tires, pressure is measure in millimeters of mercury or mmHg. Typically, healthy people have a blood pressure at or below 120/80mmHg. Your risk of heart or CV disease has recently been found to begin increase at a much lower level, blood pressure of 115/75. Blood pressure above 120/80 is considered by the National Heart, Lung, and Blood Institute (NHLBI) to be pre-hypertenson. A BP of 140/90 mmHg is considered too high, and represents a significantly increased risk of heart disease. Unfortunately, high blood pressure is more common in certain racial and ethnic minority groups, including blacks, Hispanics, and American Indians/Alaska Natives. Factors controlling your Blood Pressure High blood pressure can result from several factors. The heart itself can impact blood pressure. The heart muscles itself can enlarge, causing higher pressure of blood exiting the heart. Cardiomyopathy or enlargement of the heart muscle also increases blood pressure. Excess weight makes your heart work harder to pump blood through the body. Extra fluid in your circulatory system as a result of lots of salt intake, kidney problems or other medical conditions also puts a higher demand on the heart. Increased blood volume also causes more constriction within the blood vessels, translating into higher blood pressure. The blood vessels play an important role in your blood pressure. Usually, the arteries are elastic and can expand and contract in rhythm with the hearts pumping action. High cholesterol and the plaques that form cause the arteries to lose their elasticity. Each time the heart pumps, the vessel can no longer stretch, and a higher pressure is created. Just think about what happens if you step on a garden hose. Smoking cigarettes constricts, or tightens your blood vessels, pushing the blood pressure even higher. Some medications you take such as steroids, non-steroidal anti-inflammatory drugs (NSAIDs), nasal decongestants and other cold remedies, diet pills, cyclosporine, erythropoetin, tricyclic antidepressants and a type of anti-depressant called monoamine oxidase inhibitors can also contribute to increased BP. Oral contraceptive, which are hormones, can raise blood pressure and should be used cautiously and carefully monitored in patients with HTN. Treatment for Hypertension If you are diagnosed with high blood pressure, your doctor will most likely order additional test to determine the cause of your elevated blood pressure. He or she will also recommend more frequent visits to monitor you. For moderate hypertension, lifestyle changes may be enough to normalize blood pressure. One of the first things you can do is change your diet to avoid sodium or salt, and lower your fat intake. The National Institutes of Health's DASH diet (Dietary Approaches to Stop Hypertension) is rich in fruits, vegetables, and low-fat dairy foods, and low in total and saturated fat. The DASH diet also reduces red meat, sweets, and sugary drinks, and it's rich in potassium, calcium, magnesium, fiber, and protein. Increasing physical activity can help to lower your blood pressure. By doing at least 30 minutes of exercise a day, your risk of complications can be reduced. If you are overweight, starting a weigh loss plan can also help bring your blood pressure into the normal range. If dietary and lifestyle changes alone don't normalize your blood pressure, the next step is medication. If your doctor recommend medication, it is vital that you take it exactly as directed. Because most people don’t notice any symptoms of hypertension, even if you are feeling well, it is crucial to stick to your medication regimen. Never stop taking medication without discussing it with your healthcare team, even if you feel fine.