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Definition of Erectile dysfunction Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”. The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections. Ayurveda defines Erectile dysfunction or ED as follows. Sankalpapravano nityam priyaam vashyaamapi sthreeyam || na yaathi lingashaithilyaath kadaachidyaathi vaa yadi | Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha || mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam | This means even though a man has a strong desire to perform sexual act with a cooperative partner, he can not perform sexual act because of looseness (absence of erection) of his phallus (penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex. Physiology of erection The two chambers of penis (corpora cavernosa,) which run throught the organ are filled with spongy tissue. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa. Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue. The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the chambers, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection recedes. In ayurveda physiology of erection and ejaculation is described as follows Vrishunow basthimedram cha naabhyuuru vankshnow gudam| Apaanasthaanamantrasthaha shukra mootra shakrunti cha|| The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools. Shushruta explains the process of erection and ejaculation as When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This causes arousal or “harsha”. Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the teja or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection. Causes of ED Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED. Lowered level of testosterone hormone: The primary male hormone is testosterone. After age 40, a man's testosterone level gradually declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction. The whole male body responds to testosterone. Even sushruta has illustrated about this response of body to the element “Shukra” . He has said "yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara." This means the shukra (the element which helps in reproduction) is present all over the body. This can be explained with the following examples: 1. The ghee is present in milk in an invisible form. This is extracted from milk using many processes. 2. The sugar is present all over the sugarcane. It is extracted by subjecting the sugarcane to number of processes. Same way shukra is present all over the body. But the cream of shukra (semen) comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body. Decrease in production of “Shukra” causes erectile dysfunction. Over exertion - physically and mentally: Working for long hours in office, mental stress at office and home, short temperedness ,insufficient sleep cause erectile dysfunction. These causes are explained in ayurveda as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror. Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner. Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women. Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction.. According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases, anemia, asthma, liver disorders, tiredness. Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction. Consumption of medicines, drugs and tobacco: Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction. In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food, drinks and medicines" cause impotence or erectile dysfunction. Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction. These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda. Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction. Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. "diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence." Remedies for ED ED is treatable at any age. The total treatment in for impotence is called as “Vajikarana therapy” in ayurveda. As this therapy increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ('Vaaji'=Horse.) Vaajikarana therapy leads to • Happiness. • Good strength. • Potency to produce healthy offspring. • Increased span of erection. Eligibility for vajikarana therapy. 1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age. 2. These therapies should be administered only to a self controlled person. If this therapy is administered to a person who does not have self control, he becomes nuisance to society through his illegitimate sex acts. Psychotherapy Decreasing anxiety associated with intercourse, with psychologically based treatment helps to cure ED. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated. Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac.“ Drug Therapy Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for production of semen. Ayurveda tips to overcome ED 1. Consuming herbal preparations to rejuvenate the reproductive organs. 2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac. 3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress. 4. Sleep at least for 8 hours a day. 5. Avoiding the consumption of alcohol, tobacco, heroin etc. 6. Exercise regularly. 7. Avoid hot, spicy and bitter foods. 8. Favor sweets, milk products, nuts and urad dal. 9. Add little ghee in your diet. 10. Give a gap of four days between two consecutive intercourses do pennis enlargement pills really work penis enlagement review best penis enlargement surgery penis enargement product penile enlargement information free penis enlagement video cheapest pennis enlargement pills get vigrx

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Being in the business of the penis enlargement industry, I have heard case after case of horrible situations involving penis augmentation surgery, or commonly known as penis enlargement surgery. All of these cases involve irreversible effects, leaving a man either without a penis at all, a penis that is non-functional, or in best cases a scarred, deformed penis that has lost only some of its functionality. First I would like to address the misconception behind surgical penis enlargement. Being men, we tend to care for our penis quite a bit. We make sure it is clean, if we see some kind of new spot; we immediately become concerned, wondering if everything's okay, in general we place great importance on it. So it is not very hard for someone to realize that being involved in a penis industry will have success. Today we see hundreds of different products, techniques, surgery, pumps, weights, and even hypnosis. Everything and anything that people can scam you out of your money. Now being that we are society that trusts doctors with our deepest secrets, secrets that even our spouse may not know about, we look for doctors when we are faced with a problem that involves our physical body, even the most intimate parts of our body. We trust doctors beyond immeasurable scopes. We will spend from $3,000 to $10,000 so our wives can get bigger breasts. The doctor fills the breasts full of silicone and bam, problem solved. Now this is where our biggest misconception comes from, if women can have it done, why can't men have it done? Why would we not be able to successfully increase the size of our penis with surgery? Doctors are magicians right? Wrong. We fail to remember a few things. Breasts do not necessarily have to serve any function, it is like plastic surgery, and it is done for looks only. The penis is an organ that is required to function on a daily basis however, quite often several times per day. If it was just about looks then it would not be such a big issue. However there are an extremely large number of cases with men whose penis increases in size by several inches, but the problem is that he can't get it up. What is the purpose of that? Just to throw out a few more stats at you, on the average penis enlargement surgery costs around $5,000. More than 50% of these surgeries require additional "reconstructive" surgery generally costing for a total of over $10,000. Why would spend that kind of money? Some people save years for these kinds of operations, only to come out damaged for life. If you would like to read about a few real life stories: San Francisco State University: http://130.212.44.5/custom/magazine/penis.html Discovery Channel: http://www.discoverychannel.ca/sexfiles/season_1/sfs101b2.htm Now what about alternatives? First I'd like to make sure that you even need an alternative. What is the reason for why you want a larger penis? Is it so you perform better in bed? Is it to be able to satisfy your sexual partner more? Is it so you don't feel ashamed at the gym, or any other place where others can see your penis? If you said yes to any of these questions then you do not need penis enlargement. What you need is some confidence, maybe some more skills in bed, or in a worst scenario you just need something to help with the premature ejaculation. There are only a few reasons where I can see a larger penis a must; one includes trying to become a porn star. Whatever your reason is however, there are natural, safe, and healthy ways of penis enlargement. Some of our recommended forms of penis enlargement are penis exercises such as jelqing and penis enlargement pills such as VigRX, Magna-RX+ and VP-RX, among others. There are many penis enlargement products, so please be sure to do your research before making your decision. free exercise tip for penis enargement free natural penile enlargment magna rx picture testimonials vimax truth about penis enlargement penis enargement without pills truth about penile enlargement pills best penis enlargement pills semenax vig rx vimax free exercise tip for penis enlargement

Erection of penis is an essential; without it love making is not possible. Sexual stimulations play an important role in erection of penis; levels of stimulations required for erection of penis vary from man to man. In the earlier phase of puberty, penis of some boys erects on just thinking of sexual activities. Some others get erection on the glimpse of woman’s sexual organs. Hardly any extra effort is required for the erection of penis in a normal man who has high libido. But, slowly man loses capability of erection of penis. Even intense foreplay and oral strokes given by his sexual counterpart cannot erect penis. This is a disease, from which every fifth man of the world is suffering from and is known as erectile dysfunction (ED). ED ruins out the chances of enjoying sex; it generally occurs during forties but in some cases it can affect in early 20s also. Those who are suffering from erectile dysfunction should bear two things in mind that ‘a man and a horse never become old’ and potency is identification of a man. Desire for sex can die psychologically; but if some splinters of desire are still alive in you, then don’t let them die because erectile dysfunction is no longer a problem in the way of enjoying good sexual life. Erectile dysfunction in more than 90% cases occurs because of physical damage of capillaries of penis, and malfunctioning of enzymes released for erection and relaxation of penis. Under the effect of stimulation produced by GMP (erection causing enzyme) penile capillaries are filled with blood, which erects penis. Till blood remains in these capillaries, man continues to have erection. To block GMP, another enzyme phosphodiesterase-5 (PDE-5) is secreted in penis, which helps in bringing back penis in relaxed position. Whenever secretion of GMP lowers down, penis doesn’t erect properly and secretion of PDE-5 earlier than orgasm can be a cause of early-fall of penis. Even during penetrative sex this can happen. It is very embarrassing for a man and frustrating for the lady with whom he is having sex. Levitra stimulates production of GMP and inhibits the working of PDE-5, which can give hard erection for up to 4 hours. Levitra is an oral-prescription medication, which strictly should be used only on doctor’s prescription. Levitra comes in volumes of 10mg and 20mg, generally, doctors suggest a 10mg Levitra pill. The dosages of this sex stimulator are convenient to take; one pill of Levitra should be taken half an hour before sexual contact. The pill should be swallowed with a glassful of plain water. Chewing, crushing and breaking of Levitra pill can bring some harmful changes in the chemical matrix of the drug; so it should be strictly avoided. There can be some mild side-effects related with this medication like nausea, sleeplessness, chest pain and painful erection. The side-effects generally disappear once the body is adjusted to the drug. This generally happens with its use for a few days. The capability which Levitra provides defeating erectile dysfunction and enjoying sex life makes it popular among millions throughout the world, particularly in Europe and America. Its easy availability through an online order makes it very convenient to purchase and use. Online pharmacies deliver Levitra at your doorstep. penis enlarement operation vimax penis enlargement product penile enlargement traction device top penis enlargment pills penis enlarement before and after picture penis enlargement pic before and after penis enlargment secret pennis enlargement surgeon vimax free exercise tip for penis enlargement

Hashimoto’s disease (also known as thyroiditis) is considered an autoimmune condition because the immune system mistakenly attacks the thyroid gland located in the front of the neck. The thyroid gland is part of the endocrine system and plays a key role in your overall health producing numerous hormones that orchestrate various bodily functions. The attack by the immune system causes inflammation in this gland which can lead to Hashimoto’s disease. Nowadays, thyroiditis is the most common cause of hypothyroidism in United States affecting approximately 15 million American women. Symptoms of Hashimoto’s Disease Inadequate levels of specific types of thyroid hormone can have an adverse effect on all of your bodily functions, causing the following symptoms: Weight gain Unexplained fatigue Sensitivity to cold Brain fog Depression Constipation Pale, dry skin and rough skin Hair loss Muscle aches Stiff joints If you have Hashimoto’s disease, and it goes untreated, you risk experiencing more severe mental and physical sluggishness that will interfere with your daily tasks and thought processes. The Diagnose In order to diagnose Hashimoto’s disease the doctor will consider the signs and symptoms you’re experiencing and will order blood tests to determine if you’re suffering with thyroiditis. Blood tests help determine if your levels of thyroid hormone and thyroid-stimulating hormone (TSH) are normal. Also, an antibody test is used to detect if there are abnormal antibodies present. As we mentioned before, if thyroiditis is left untreated this can lead to some complications that include Goiter, the enlargement of your thyroid gland which affects your appearance and may interfere with breathing and swallowing, and cause heart problems, depression and decreased libido. Women who have Hashimoto’s disease are at risk of having babies born with intellectual and developmental problems. Treating Hashimoto’s Disease There are medicines that can effectively treat Thyroiditis and help re-establish adequate hormone levels. It’s very important that the doctor establishes the right dose for each individual and closely monitor the progress as excessive amounts of these synthetic hormones can lead to bone loss and increase the risk of osteoporosis. Alternatively, there are three powerful herbs that have been proven to stimulate the thyroid function and increase thyroid hormone production; coleus forskohlii is one of them. To learn more about this and other natural thyroiditis treatments visit, hashimotos disease buy pennis enlargement pills penis enlagement system penis enlargment do penile enlargement pills work penis enlagement result penis enlargement pill magna rx free penis enlargment pills plus review vigrx vimax free exercise tip for penis enlargement

It takes a long time for students of English-as-a-second-language to learn to read well. This is not because they have a reading problem: They can read perfectly well in their own language. The problem is just that they don’t know the meaning of enough English words. In other words, they don’t have a big enough vocabulary. It’s not easy to build a vocabulary that allows you to read as well, or almost as well, as people who grew up speaking and reading English. It's quite easy to build the basic vocabulary of 1000-2000 words that you need in order to speak English to other people and understand what they’re saying. You’ll probably pick up that many words, without really trying, during the early stages of your study of English. And if that doesn’t happen, you can always sit down with a good vocabulary list and a dictionary and start memorizing. However, to be able to read English well, you need to know a lot more than 2000 words — about ten times that many, in fact. You won’t learn all these words without trying, even if you spend a lot of time taking English courses and talking to English speakers. Learning the most basic words in English, or any other language, is easy because these words are used so often. ‘Second-level words’ — words that are not necessary for basic communication, but which are necessary for reading — can only be learned by the hard work of studying. But what sort of studying is most effective and most enjoyable? One method is to take the direct approach and learn words ‘out of context’ — by studying word lists, doing vocabulary ‘exercises,’ or even by reading through a learners’ dictionary. There are plenty of textbooks around to help you with this job and you may find English courses that concentrate on this sort of vocabulary building. It’s also possible to take a more ‘natural’ approach and try to build up your vocabulary by reading English books, newspapers, and magazines — looking up words in a dictionary as you go along and taking notes. Both the direct and the indirect approach can work, but both have serious disadvantages. Most people find studying word lists and reading dictionaries quite boring, and a boring method of studying is likely to be ineffective. In addition, even if you’re not bored, you may find it hard to remember the words you try to learn in this way. It seems that words, and other things, stay in our minds better if we see them for the first time while we’re doing something interesting — like reading an enjoyable story or article. The disadvantage of the natural approach is that for intermediate learners — ones who are trying to build their vocabulary up to the 20,000-word level — the most readily available texts tend to be far too difficult and, therefore, they are ineffiicent learning tools. Books, even if they are quite easy to understand, tend to be much too long for someone who is reading slowly while using a dictionary and taking notes. Magazine and newspaper articles, on the other hand, almost always contain a lot of language that is unnecessarily difficult because it is idiomatic or metaphorical or because it includes unusual words that are not really needed. This slows down learners and also makes the experience of reading less interesting and therefore less effective. The best method of vocabulary building is one that combines the advantages of both approaches while avoiding the disadvantages. One way to do this is to learn vocabulary in context, through reading, but with texts that have been specially written for vocabulary building. This makes for natural, efficient, and enjoyable studying. Finding this kind of reading material can be difficult, unfortunately. The reading passages in ESL texts can be a good source, but they're often few in number and very short. Moreover, the readings in books for beginners' are often quite uninteresting and the ones in books for more advanced students are often about quite difficult 'academic' ideas. To succeed with this method of vocabulary enlargement, you need long and interesting texts. The best sources are probably 'simplified' versions of famous works of English literature written specially for learners. Books of this kind are not used as often in ESL courses now as they were in the past, but, if you're taking an English course, your teacher may able to lend you some, and you should certainly be able to find some in your library. If you go to a library or bookstore to look for useful reading material, you should also look at children's and teenagers' books. They are written for readers who, unlike you, have English as their first language; but like you, they still have to learn more words before they can read 'grown-up' material easily.