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BPH is the enlargement of the male prostate gland. It can have many associated problems including the need to urinate frequently, difficulty in urinating and inability to completely empty the bladder. The main cause of BPH is age. It’s a very common complaint in older men - indeed over 50% of males 55 years old and over are thought to be suffering with BPH. It’s important for BPH to be properly diagnosed, mainly to assess treatment options and to rule out other more serious problems such as prostate cancer. The difficulty here is many males are embarrassed to seek treatment and indeed some will put up with annoying symptoms for years rather than admit to any problems in this sensitive area! Still others fear being diagnosed with prostate cancer and will spend years worrying about the possibility while being too afraid to know. All this, while quite understandable, coupled with a natural male reluctance to admit to any weakness is counter productive. Why suffer when it’s not necessary? Even if there is a problem, it’s much better to know about it. This gives us back some control and ability to make choices among the many options now available. BPH is what it says - “benign”. Meaning that there is no malignancy. Having been diagnosed then, all worry about cancer should cease! It’s sensible, however, to do everything to prevent prostate cancer - information about which can be found on the site below. Treatments for BPH fall into 3 categories. Drugs, surgery or natural medications. Prostate Surgery - If the symptoms of BPH are severe and causing major problems such as complete inability to empty the bladder, then surgery is the best and probably the only option.. This can take several forms, but the most common is known as TURP. TURP is performed without cutting and access to the prostate is through the urethra. An instrument is inserted which removes any obstructive tissue, easing the pressure thus relieving the BPH symptoms. TURP is a relatively safe operation. Drug Treatments - For those whoses BPH symptoms are not severe - or for those who hate the thought of surgery! - There are two main types of BPH medication. Hormones - For example Finasteride (Proscar). Hormones work by interfering with the male hormone, testosterone. It is a slow acting and long term treatment. The side effects can be impotence and erection failure. Alpha Blockers - These act by relaxing the muscle in the prostate itself which prevents urine flow. This is faster acting than the hormone approach but the side effects are weakness and lethargy. Alternative BPH Treatment These herbal remedies can be extremely effective without the side effects of drugs. For more information visit the site below. This article is for informational use only. It is important to seek medical advice if you are experiencing BPH symptoms. Copyright 2006 Wendy Owen prosolution pnis enlargement pills free exercise tip for penis elargement penis enlagement doctor plastic surgery penis elargement penis enlargment picture free penis enlargment vimax free penis enlargement penis enlagement before and after
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 penis enhancement stretcher does pnis enlargement work permanent penile enlargment penis enargement device penis enlagement supplement do penile enlargment pills really work penis enargement before and after does penis enlagement work penis enlargement drug
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The variety of sex toys is surprising. Sex toys vary from purely male or purely female sex toys to toys that can be used by both sexes. There are also some sex toys that can also be classified as sex aids or marital aids. The Purpose Of Sex Toys Some sex toys aid the man's erection, stimulate the female genitals to become more sensitive or provide a different feel to 'normal' sex. Other sex toys provide an 'environment' for variations in sex, for example so called orgy bed sheets. Sometimes they are used to help a person who has difficulty with unaided sex to achieve sexual satisfaction. However most sex toys provide a new way to directly stimulate the male or female genitals to achieve sexual satisfaction. Using sex toys can provide new experiences and variation in the sexual experience. It can also provide a fantasy element for enhancing or revitalising a relationship. The usual expectation is that a sex toy provides direct stimulation of the genitals in foreplay and/or during sexual intercourse or as a means to obtain orgasm through only the stimulation provided by the sex toy. Types of Sex Toys Vibrating Sex Toys Probably the most well known sex toys are 'vibrators' which, as the name suggests, provide stimulation of the genitals using vibration. They are mainly used to stimulate the clitoris, but may also be used to stimulate any other part of the female body or that of a man's. The simplest of these are pencil or wand shaped (though normally thicker than a pencil). They often have an internal battery (or two) which powers a small electric motor. Sometimes the battery pack and controller are external and connected to the vibrator by a wire. This motor is fitted with a small, out of balance, weight attached to the shaft. As this weight rotates it throws the motor and vibrator into a small circular movement which causes the vibration you feel. 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Surely fingers, tongues, penises, clitorises and vaginas etc all provide great sexual stimulation and enjoyment. Well, apart from therapeutic uses (eg erection assistance), sex toys can drive the imagination (being taken by a machine), provide variety (new ways to do old things), vary the stimulating effects in otherwise normal sex (penis sleeves) and some can provide experiences not possible with 'normal body parts' (particularly vibrating sex toys and electro-stimulation). Where To Start If you have not tried a sex toy before and don't yet have an idea of what you might like, try one of the simpler vibrators first. Most probably you will enjoy the experience and then start to wonder what other delights can be found with more sophisticated vibrators and other sex toys ... If you then find you do enjoy sex toys try out a few others and find what suits you. 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So you are nine months pregnant, you’re excited and can’t wait for the day to come. You wait and you wait and you wait, still nothing. There are few things as frustrating as this, I know from personal experience! There are many little things that you can do to try and speed up your time. Of course this should only be done after consulting your doctor and when you are already in your ninth month of pregnancy. Getting labor over with is all fine and good but not at the expense of the baby’s health! Here are safe ways to induce labor and finally have that baby: Walking Many women walk, A LOT. Walking stimulates the muscles in your uterus and may stimulate contractions. Tea with Thyme It has been said that tea wit thyme has induced labor for many women. Scalini’s Restaurant This restaurant is in Georgia. Three hundred women in the past 23 years have gone into labor within 48 hours after eating their eggplant parmegiana. It is said that it is not actually the eggplant that induces labor, but the seasonings added to the dinner. Basil and Oregano are said to contain herbs that supposedly can stimulate labor contractions. Primrose oil This is another natural product that is said to start contractions. Castor Oil This oil is said to cause contractions because it causes diarrhea. The cramps from the diarrhea are said to start cramps in your uterus, which starts labor. Acupuncture This is sometimes used to induce labor by placing acupuncture needles on the inner calf and between the thumb and forefinger. You can also rub these 2 areas for 30 seconds each and that is supposed to induce labor. Doctor Stripping Membranes The doctor can strip your membranes by inserting 2 fingers into the woman’s uterus and moving them from side to side, pulling the membranes away from the cervix wall. Sex It is said that sex can start contractions, by the penis thinning the uterus and preparing it to open. Black cohosh and blue cohosh These are said to stimulate the start of contractions. Raspberry Leaf Tea This method was used by the Native Americans and is still sometimes used by midwives on their patients. The concept of it is based on all the others; it stimulates contractions. Nipple Stimulation This odd method causes oxytocin, which in turn makes your uterus contract. Cinnamon Sticks Boil cinnamon sticks in with your tea and drink it, yummy and effective. Relaxation exercises Relaxation exercises have been known to relax the woman into a state for labor to start. You can find a variety of relaxation exercises online. It should be noted (again) that none of these ways should be used unless the pregnant woman is near her due date. More than likely they will not work anyway unless the baby is ready to be born. You can give nature a little nudge but not likely a giant push, which you would not want to do anyways. If you are in your ninth month, tired of being huge and just too excited that you cannot wait, these are excellent ways to try to start you labor.