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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. penis enargement pump penis enlagement doctor penis enlarement pump penile enlargment pump free penis enlarement penis enargement program pnis enlargement supplement herbal natural penis enlargment

truth about penis enargement

The breast enlargement pill. It seems to be somewhat of a buzz word, if not still a little taboo to talk about, since there are still so many skeptics and naysayers who refuse to believe that any pill can enlarge a person's breasts. They are the ones that say only surgery can enlarge the female (or male) breast. While this degree of skepticism is understandable, it quite simply is not true. There are many women out there who have successfully enlarged their breasts anywhere from one half to one and two cup sizes (and even more in rare cases), by utilizing a breast enlargement pill. Take Chinese women for example. According to the American Cancer Society, China has the best breast health record worldwide. China's traditional medicine does not promote the use of mammograms or synthetic (man made) hormones such as Hormone Replacement Therapy for women lacking estrogen balance in their body as we do. Chinese women actually have numerous methods for breast enlargement and breast beauty, and it is not such a taboo subject as it is here in the U.S. Special herbal teas help increase circulation to enhance breast firmness. Herbal patches are used as well as therapeutic breast massage, acupuncture and magnet therapy for healthy breast development and maintenance. You can actually find several Chinese beauty shops that offer breast beautification and enlargement services such as breast stimulator machines and herbal creams and tinctures (formulas) to enhance bust size. It is clear that Chinese women are more open about desiring beautiful breasts and/or enlarging their size or enhancing their shape, but they are also much more willing and open to employ natural methods than have surgery, since traditional Chinese medicine has employed the use of herbal remedies and special natural methods of healing. Breast enlargement pills can take two forms. One is the more common of the two, and that is the herbal breast enlargement pill. Herbal pills actually rely on phytoestrogens, or plant derived estrogens, to facilitate stimulation of the mammary glands and produce a swelling of the breast tissue. This method works for many women, but there are some guidelines to follow, and they do not always work on every person, since it depends on the person's body, metabolism, and general interaction with the phytonutrients in the pill. The second type of breast enlargement pill is generally classified as "non herbal" in nature, and may employ a variety of methods to enlarge the breast by stimulating the gland responsible for breast development more directly, or by stimulating healthy cell regeneration. These types of pills may be animal or plant based, depending on what type you choose. The consensus seems to be that women generally respond to the non herbal breast enlargement pills better than herbal, although some women may actually respond to a comprehensive blend of herbs better than a non-herbal preparation. Again, this really depends on the individual's body type and body chemistry, their daily diet, and a host of other lifestyle habits and biological differences. Whatever method you choose, whether is be surgery or not, breast enlargement pills can really be an excellent surgery-free option to women desiring breast augmentation. Not only that, it can help "put some extra padding" on women who currently do have implants, to create a more natural look, feel and contour. penis enlargment pills penis enlargement technique penile enlargement pnis enlargement tip pro solution pro solution penis elargement procedure do pnis enlargement pills really work truth about penis enargement

Sperm Production Male fertility is mostly a product of a man’s hormones. Sperm production, which is the most important part of male fertility, is initiated by the pituitary gland, which sends a hormone called FSH to the testicles. FSH, also known as the follicle-stimulating hormone, is the signal that induces the testicles to produce sperm. After being manufactured, sperm cells travel to the seminal vesicle through a tube called the vas deferens. The seminal vesicle is where mature sperm is stored. Another gland, the prostate, produces seminal fluid, which is mixed with the sperm to allow it to travel to the urethra. The urethra, of course, is the tube which extends from a man’s bladder, passing through the prostate, and into the penis. Erection When a man is sexually excited, blood rushes to the penis and causes it to be harder and erect. Sperm is withdrawn from the seminal vesicle and mixed with seminal fluid – what we know as semen. During sexual intercourse, the prostate gland contracts, which forces semen out of the urethra into the tip of the penis; a process called ejaculation. Fertilization Once the sperm has been deposited into a woman’s vagina, the cells start to swim up to the uterus. When a woman is fertile, she produces cervical mucus that allows the sperm cells to survive the normally acidic environment in side the vagina. The mucus also separates the healthy sperm from the defective ones. From the uterus, the sperm swim to the fallopian tubes, where fertilization will be completed if the conditions are right. free penile enlargment pills penis elargement pills penis enlagement pic before and after penile enlargment pic pnis enlargement forum cheap penis enlarement penis enargement information does penis enargement work truth about penis enargement

Impotence or, more clinically, erectile dysfunction is the inability to maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. The recent introduction of effective medication has increased awareness of this previously little appreciated disorder.Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse. ED affects 15 to 30 million American men. ED is treatable at all ages. Its Signs and symptoms is characterised by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other causes leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland). There are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease.The researchers also say that "ED is a predictor of depressed status in men".The association between depressive symptoms in men and erectile dysfunction (ED) appears to relate to decreased sexual activity and dissatisfaction with not being able to have a healthy sexual life, research indicates. Viagra is sold as a medicine... as a treatment for "erectile dysfunction". VIAGRA DOES NOT PROTECT YOU FROM GETTING SEXUALLY TRANSMITTED DISEASES, INCLUDING HIV. Viagra Facts: *Percentage of time Viagra use results in sex: 66% *Percentage of Viagra users who have sex at least once after using the drug for a few weeks: 83% *Average duration of erection with 100 mg of Viagra and 20 minutes of sex videos, among men with erectile dysfunction: 1 minute *Average duration of erection with a placebo and 20 minutes of sex videos, among men with erectile dysfunction: 3.6 seconds *Percentage of men who don't refill their Viagra prescription: 50% *Number of times Pfizer says men should try Viagra before giving up: 8 *Percentage of men who suffer at least one side effect while using Viagra: 48% *Percentage of men who stop using Viagra because of side effects: 1% *Decline in erectile function for every decade increase in age: 12% *Decline in erectile function for every 20 pounds of weight gain: 3% *Price of a single Viagra pill in the U.S.: $9-$10 For more assistance visit: http://www.viagrapunch.com/viagra_info.html penis enlargment drug penile enlargement testimonials penis enlagement surgery photo penile enlargement pills penis enlargment testimonials best enhancement exercise penis penis enlarement doctor prosolution penis enlargement pill truth about penis enargement

Any method used to prevent pregnancy is known as birth control. Barrier and non-barrier methods are the two types of birth control used. How do I know what method is right for me? The birth control method you choose should take into account your overall health, the number of sexual partners, whether you want to have children, how effective each method is in preventing pregnancy, potential side effects, and your comfort level with using the method. It is recommended that you use a condom or some other form of birth control to get added protection against unplanned pregnancies and unwanted sexually transmitted diseases. How effective are birth control methods? Sterilization is the most effective method. Abstinence is the only 100% method of effective birth control. Birth control pills are more than 99% effective. Male condoms are 98% effective, while female condoms are 95% successful. These effective rates are applicable only when each method is used properly. How can I get birth control? You can normally get birth control devices from family planning clinics, health centers, and hospitals. Birth control pills cost $10to $20 per cycle. Condoms cost $0.50 to $2.00 per condom and are available in pharmacy stores. Sterilization occurs only with the help of surgery. It is the permanent protection against pregnancy, and it costs between $350 and $2,500. Do I need a prescription to get birth control? How can I get a prescription? To get some form of birth control, a prescription is needed. The pill, the shot, and the patch need a prescription from a medical practitioner. To get a prescription, a woman must have a pelvic exam. The pelvic exam ensures that her body is healthy and can accept the birth control method. Other birth control methods such as male and female condoms, sponges, and spermicides need no prescription and are available at drugstores. Do I need to use protection during oral sex? Yes, sexually transmitted diseases may be transmitted though oral sex. This does not mean that you cannot enjoy oral sex. You can use a latex barrier for avoiding most sexually transmitted diseases. What is a male condom and how effective is it? The male condom is a thin piece of material that a man wears over his penis during any type of sexual relations in order to prevent pregnancy and sexually transmitted diseases. Condoms are made of latex, polyurethane, or natural skin. If used correctly, condoms are 98% effective. What is a birth control pill and how does it work? Birth control pills contain hormones that stop releasing the egg. They also thicken the mucus on the cervix and make it difficult for the sperm to enter the egg. What is withdrawal? Withdrawal occurs when a man pulls his penis out of his partner's vagina before he ejaculates. Thus, no semen enters her body.