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Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%. cheapest penis enlarement pills free natural penis enlagement free pennis enlargement video penis elargement before and after photo plastic surgery pnis enlargement penile girth enlargement penis enlarement device penis enargement pills product

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Appropriate systematic and repeated fulfillment of your elementary Passion requires only two things a willing partner and the desire. Least you bother about anything. But if your body fails to reciprocate the excitement of your mind, if you are having problem in getting and maintaining an erection hard enough to enjoy sex. Then, the reason can be attributed to Erectile Dysfunction. ED is a widespread phenomenon and a time comes when every man finds it difficult to have an erection. This problem is associated with stress, exhaustion, and consuming too much alcohol. It is estimated that one in ten men suffers with a frequent and long standing erection problem. The problem becomes more frequent in older age. It is also true that only a small number of men who suffer with frequent and long standing erection actually seek medical assistance. This is strange since effective treatments are available for many men that can really help. When Pfizer first introduced Viagra to treat ED in 1998 and its phenomenal success in achieving the same inspired other pharmaceutical companies to bring out their version of medicine. IN November 2003 FDA approved Cialis (tadaalfil) from Elli Lilly and Icos corp to treat ED Cialis is in group of medication known as PDE-5 inhibitors that treats the cases of Erectile Dysfunction in men. It is selective inhibitor of cyclic guanosine monophosphate(cGMP) specific phosphodiesterose type. Erection occurs when the effect of cialis smooth the muscles in penis and also increase the size of blood vessels which deliver more blood to penis, at the same time blood vessels that take the blood away from penis decreases in size and remove less blood from the penis. Any medication which is being used to treat ED demands compliance with certain prerequisites before you start using it. It is always better to discuss with your physician in detail about health and all the medication you have been through. Tell your doctor about kidney condition (if you are on dialysis) or lever condition, you may need dosage adjustment. You should also avoid using it if you are taking medicine such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate. Taking cialis along with these medications can prove critical because it exaggerates the heart rate or may cause sudden and unsafe drop in blood pressure. It takes two to tango but Cialis with alcohol can prove too taxing for you. It may cause excessive drops in blood pressure and cause dizziness, headaches and increased heart rate. Any medicine which treats erectile dysfunction doesn’t claim to cure impotency for good. It simply arrests it temporarily and how long they hold it also not uniform. It may last up to 36 hours. enlargement free pnis pills sample pnis enlargement surgeon vimax patch vimax penis enlargement doctor penis enlargement information vimax buy penis enlargement pills penis enargement pump best penis enargement pills natural penile enlargment

There is nothing you can do more for you lady than to be a considerate and proficient lover. In today’s world however, getting the girl to love you is one thing, but getting her to enjoy your lovemaking and finish to orgasm on a regular basis will make you a hero. So, what is the G-spot? Where is it? The G-spot is an area inside the vagina which is packed with nerve endings and engorges with blood when the woman is sexually excited. The G-spot is on the top wall of the vagina, about 5 to 7 cm from the vaginal opening. It is a slightly bumpy or ridged area on the upper wall of the vagina. Your partner will be glad to tell you when you are directly on the spot. Why is It Important to the Sexual – lovemaking act? About 50% of all women get very aroused and feel sublime pleasure when the man is able to stimulate it. The area around the spot engorges with blood (as does a penis and clitoris) and aids in a complete orgasm. How do I Find it? Once Found, Then What? The best way to find it (at first) is to engage in cunnilingus and while the woman is excited, insert your fist two fingers pointing upward, as if they were the hands of a clock at about 12:15, some 5 to 7 cm from the vaginal opening. Make a “come here” motion with the two fingers, while making sure your tongue is very busy the clitoris. The G-spot itself then makes itself very prominent, and regardless if you lady orgasms or not (and should you keep this up for about 20 minutes, she will), move to the position below. What is the Position to Guarantee Stimulation of the G-spot? Much has been said and written about this subject, with suggestions of the girl-on-top and doggy-style as good for G-spot stimulation. While these positions may work, their effectiveness is questionable. Both of these positions do not utilize the natural anatomy of the woman or the physics of an erection. An erect penis will (usually should) tilt upwards. This tilt in the other two positions suggested with naturally tilt away, not towards the G-spot. Only the couple’s moving and adjusting may bring the penis into contact with the G-spot. However, there is a guaranteed position that works every time, and is easy and enjoyable for both the man and woman. This is called (from the Ancient Chinese) Breaking Down the Palace Gates. The woman must be at the correct angle. It can be done in bed with pillows, or easily done with woman lying down on a table with her legs brought slightly to her breast. Her back should be supported at about a 15% angle by pillows. The man stands in front of her, and enters slowly. He will see that the angle is perfect and will feel the crown of his penis soon rubbing against the soft ridges of her G-spot area. Deep thrusting is not required, in fact shallow trusting or just pressing of his penis against the spot will be ecstasy to his partner. Most women will cry with pleasure as this is done, and she will melt underneath you. Then, you can begin alternating between shallow and deep thrusting, till you slowly bring her to orgasm. The man must practice self-control, as he will be ready to finish before the woman is. The lack of thrusting in this position will help the man delay his orgasm. This position hits the G-spot every time, and if you are a conscientious lover, you will achieve for your partner orgasms she and you will remember. vimax penis enlargement penile enlargment pic free penis enhancement exercise free penis elargement technique best penis enhancement pills penis enlagement doctor penis enlagement product penis enhancement photo natural penile enlargment

Definition: Benign prostatic hypertrophy is swelling of Prostate gland. The prostate is a walnut sized gland that is only present in men. It is located just below the bladder and top of the penis. This gland surrounds the urethra (the tube through which urine flows from the bladder and out through the penis). It is a very astonishing fact to know that the condition BPH has been explained in ayurveda long back. The anatomical position of prostate gland, symptoms of BPH and its remedies are explained by Acharya Sushruta. The anatomical position of prostate gland is described in ayurvedic classics as follows... In Yogaratnakara it has been described as -- “ NAABHERADHASTHAATSANJAATAHA SANCHAARI YADI VAACHALAHA | ASHTEELAAVAD GHANO GRANTHIROODHWAR MAAYATA UNNATAHA || “ Which means “ Below umbilicus (NAABHI), there is a hard gland which is little bit bulged and changes its place some times and some times stays stationary. This gland is like “Ashteela” (A small stone used to sharpen swords). This gland when affected by vitiated vata causes a disease called “vataashteela” (or benign prostate hypertrophy) Sushruta explains the structure, anatomical position of prostate gland and symptoms of BPH as follows. “SHACRANMAARGASYA BASTHESHCHA VAAYURANTARAMAASHRITAHAI ASHTEELAAVADGHANAM GRANTHIMMOORDHVAMAAYATA MUNNATAM|| “ Which means - the place between rectum and bladder is occupied by vitiated vata it affects the easy flow of urine, stools and semen by enlarging the gland “ Ashteela”. The prostate gland enlarges in all men as age advances. BPH is very common and affects one third of men who are over 50. A person suffering from BPH does not have the increased risk of prostate cancer. Functions of Prostate gland. One of the main functions of the prostate is to produce a fluid, which contribute to the liquid portion of semen and this liquid allows the sperm to move freely. The gland is divided into peripheral, transitional and central zone. The overgrowth takes place in central zone which leads to BPH. Effects of BPH Prostate gland surrounds urethra. When prostate gland enlarges, it constricts the urethra reducing the urine flow. The emptying of bladder becomes very difficult because of this. Causes of BPH According to present medical concepts the actual cause of prostate enlargement is unknown. But the causes of BPH are very well explained In ayurveda which is based on tridosha theory.The causes of vataashteela or BPH are explained as follows. Causes for vataashteela according to dosha theory: vataashteela is caused by vitiated vayu and apaana vayu ( a subcategory of Vayu) (APAANA VAYU is located in two testicles, urinary bladder, phallus, umbilicus, thighs, groins, anus and colon. Functions of apana vaayu are Ejaculation of semen, voiding of urine, stools, elimination of menstrual blood and expulsion of fetus.) The vitiation of vayu and apaana vayu is caused by 1. Controlling the urge of urinatio 2. Controlling the urge of defecation 3. Over indulgence in sex 4. Consuming dry, very cold and less quantity of food 5. Old age 6. General weakness 7. Indigestion 8. Physical and mental overexertion Symptoms of BPH • Difficulty in starting to pass urine ( hesitancy ), • A weak stream of urine, • Dribbling after urinating • The need to strain to pass urine, • Incomplete emptying of bladder. • Difficulty to control the urination urge. • Having to get up several times in the night to pass urine, • Feeling a burning sensation when passing urine. • Passing urine mixed with blood (indication of infection) Symptoms of vatashteela are described as follows. “VINMUTRAANILA SANGASCHA TANNAADMAANAMCHA JAAYATE| VEDANAA CHA PARAA BASTOU VAATAASHTEELETI TAAM VIDUHU ||“ The vitiated ashteela gland when enlarged is called as “vatashteela”. This enlarged gland causes 1. Obstruction to easy flow of urine. 2. Obstruction to Easy passage of stools and gas 3. Bloating of Stomach. 4. Pain in bladder. When the above mentioned symptoms are noticed then one should seek proper medical advice. Diagnosis A digital rectal examination will be performed to examine the size of prostate by inserting a finger into the rectum. A distended bladder can be felt per abdomen. Ultra sound examination will be done to determine the amount of urine left in the bladder after urination. Routine urine test will be done to rule out infections. A prostate gland tissue may be collected using a needle to check for cancerous cells. Ayurveda tips for SELF-CARE If symptoms are mild, the following methods can be tried for relief: 1. Vata gets vitiated when natural urges are controlled. Hence do not control the natural urge of passing urine. Urinate when you first get the urge. 2. Go to the bathroom even if you do not have urge. 3. Alcohol, tobacco, coffee increase vata and vitiate it. Hence avoid alcohol, tobacco and coffee, especially after dinner. 4. Vata gets normalized and vitiation comes down when body is warm. This can be accomplished with regular exercises and keeping the body warm. 5. Mental exertion leads to increase of vata. Avoid mental exertion at work place and at home. 6. Avoid foods which cause constipation as constipation causes vitiation of vata. Other general tips 1. Avoid drinking fluids from two hours before going to bed. 2. Avoid cold and cough medications that contain decongestants or antihistamines. These medications can increase BPH symptoms. 3. Avoid drinking excess amount of liquids. Distribute the intake of fluids throughout day. Prevention BPH can be prevented by - 1. Consuming low fat diet 2. Including lots of fiber in diet ( fruits and vegetables which are rich in fiber). 3. Visiting your family physician as soon as you notice any symptoms while passing urine. 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Health has always been the matter of priority and also of concern for people in all walks of life. Because no achievement can spell success and no pleasure can spread happiness if all’s not well with our health. Our body, in addition to physical and psychological well-being also stresses on a good sexual health for the overall personification. But it is a sad fact that millions of men in the world, approximately 35% suffer from sexual dysfunction. Sexual dysfunction in men may be related to various psychological stress factors or lifestyle factors. But the dominant factor is mostly physiological conditions like impotence. Impotence, medically termed erectile dysfunction is the physical condition when a man’s sex organ becomes ineffectual to perform a sexual act, to satisfy his sexual urge or that of his partner. Though recent studies have shown that erectile dysfunction is not age-related and can be treated at any age, the prominent physical cause arteriosclerosis, or the hardening of the arteries are at greater risks in older men. Hardening of penile arteries restricts the free flow of blood thus preventing an erection on sexual arousal. It can also be caused due to chronic diseases like high blood pressure, high cholesterol, diabetes, liver, heart diseases and even obesity. This sexual dysfunction in men which has been the bone of content in the breaking up of many relationships can now be treated by medicinal therapy, most popular as Viagra. Viagra is the pioneer drug in the treatment of erectile dysfunction approved by the FDA in 1998. Although several other drugs in this category has since then been introduced, Viagra has managed to reign supreme in building trust with its consumers; thanks to Pfizer’s publicized marketing skills and its competitive cheaper price. But all credit for the effective values of Viagra can be conferred to its active chemical component – Sildenafil citrate. It works by releasing nitric oxide which helps in relaxing the smooth muscles of the penis, thus improving the flow of blood facilitating an erection. A normal dosage of Viagra taken an hour before sexual activity enhances performance lasting 4 hours. But it is strictly recommended to use Viagra only under prescription from a physician. You can consult your doctor seeking preventive measures against drug interaction and side-effects prior to using Viagra. Moreover, there are innumerable websites providing Viagra online information on the latest studies, research analysis and even free consultation by experts. It has also become easier to buy Viagra from online pharmacies other than over-the-counter pharmacies. Online pharmacies even quote competitive prices but also ‘be wary’ of spurious drugs and buy Viagra only after checking the authenticity of the dealer. In this fast developing world potency guaranteed by Viagra is just a click away. So order Viagra with the click of a mouse in the privacy of your home, and say goodbye to impotence.