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What could possibly be worse than struggling with a painful condition and feeling ashamed to discuss the problem because of its intimate nature? Such is the case for many suffering with pudendal neuralgia, a little known disease that affects one of the most sensitive areas of the body. This area is innervated by the pudendal nerve, named after the Latin word for shame. Due to the location of the discomfort combined with inadequate knowledge, some physicians make reference to the pain as psychological. But nothing could be further from the truth. Unfortunately, discussing the condition with gynecologists, urologists and neurologists often proves fruitless since most know nothing about the condition and therefore cannot diagnose it. Pudendal neuralgia is a chronic and painful condition that occurs in both men and women, although studies reveal that about two-thirds of those with the disease are women. The primary symptom is pain in the genitals or the anal-rectal area and the immense discomfort is usually worse when sitting. The pain tends to move around in the pelvic area and can occur on one or both sides of the body. Sufferers describe the pain as burning, knife-like or aching, stabbing, pinching, twisting and even numbness. These symptoms are usually accompanied by urinary problems, bowel problems and sexual dysfunction. Because the pudendal nerve is responsible for sexual pleasure and is one of the primary nerves related to orgasm, sexual activity is extremely painful, if not impossible for many pudendalites. When this nerve becomes damaged, irritated, or entrapped, and pudendal neuralgia sets in, life loses most of its pleasure. So, where exactly is the pudendal nerve? It lies deep in the pelvis and follows a path that comes from the sacral area and later separates into three branches, one going to the anal-rectal area, one to the perineum, and one to the penis or clitoris. Since there are slight anatomic variations with each person, a patient’s symptoms can depend on which of the branches are affected, although often all three branches are involved. The fact that the pudendal nerve carries sensory, motor, and autonomic signals adds to the variety of symptoms that can be exhibited. Because pudendal neuralgia is uncommon and can be similar to other diseases, it is often misdiagnosed, leading some to have inappropriate and unnecessary surgery. Early in the diagnosis process, it is crucially important to undergo an MRI of the lumbar-sacral and pelvic regions to determine that no tumors or cysts are pressing on the nerve. In addition, the patient should be screened for possible infections or immune diseases, as well as having an evaluation by a pelvic floor physical therapist to determine the health of the pelvic floor muscles and to uncover whether skeletal alignment abnormalities exist. An accurate patient history is needed to assess whether there has been a trauma or an injury to the nerve from surgery, childbirth, or exercise. Tests that offer additional diagnostic clues include sensory testing, the pudendal nerve motor latency test, and electromyography. A nerve block that provides several hours of relief is another tool that helps to determine if the pudendal nerve is the source of pain. One of the most common symptoms that accompanies pudendal neuralgia is severe depression. Some people with the disease have committed suicide due to the intractable pain. For that reason, it is important to consider antidepressants, as they can help lessen the hypersensitivity of the genital area in addition to relieving bladder problems. Certain anti-seizure drugs reportedly help to alleviate neuropathic pain while anti-anxiety drugs provide substantial relief of muscle spasms and assist with sleeping. Uninformed physicians are reluctant to prescribe opiates for an illness that shows no visible abnormality, yet the desperate nature of genital nerve pain requires that opiates be prescribed for these patients. While medications are not always satisfactory, they do help take the edge off of the pain for many people. Until the correct treatment is determined, it is imperative that patients with pudendal neuralgia receive adequate pain management since the pain associated with this illness can be intense. Treatment depends on the cause of distress to the nerve. When the cause is not obvious patients are advised to try the least invasive and least risky therapies initially. Physical therapy that includes myofascial release and trigger point therapy internally through the vagina or rectum assists with relaxing of the pelvic floor, especially if pelvic floor dysfunction is the cause of nerve irritation. If no improvement is found after six to twelve sessions, nerve damage or nerve entrapment might be considered.Botox is now used in medical settings to relax muscles and shows promise when injected into pelvic floor muscles; though finding a physician adept at this treatment is difficult.Pudendal nerve blocks using a long-acting analgesic and a steroid can reduce the nerve inflammation and are usually given in a series of three injections four to six weeks apart. If physical therapy, Botox, and nerve injections fail to provide adequate relief, some patients opt for pudendal nerve decompression surgery. There are three published approaches to pudendal nerve decompression surgery but there is debate among members of the pudendal nerve entrapment community as to which approach is the best. Since there are advantages and disadvantages to each approach, patients face considerable confusion when deciding which type of surgery to choose. Because there are only a handful of surgeons in the world who perform these surgeries, most patients have to travel long distances for help. Moreover, the recovery period is often painful and takes anywhere from six months to several years since nerves heal very slowly. Unfortunately, early statistics indicate that only 60 to 80 percent of surgeries are successful in offering at least a 50 percent improvement. Patients whose surgeries are not successful or who do not wish to pursue surgery have the option of trying an intrathecal pain pump which delivers pain medication locally and helps to avoid some of the side effects of oral medications. Others pursue the option of a neurostimulator either to the sacral area or directly to the pudendal nerves. These are relatively new therapies for pudendal neuralgia so it is difficult to predict success rates. Some pudendalites have devised ingenious contraptions for pain relief ranging from u-shaped cushions cut from garden pads all the way to balloons filled with water, frozen, and inserted into the vagina. Most have a favorite cushion for sitting and many have special computer set-ups for home and office use in order to avoid sitting. Generally speaking, jeans are a no-no, so patients revise their wardrobes to include baggy pants and baggy underwear – if they are able to tolerate wearing underwear. Clearly more research is required to find effective methods to better manage the pain and debilitation of pudendal neuralgia. But in the meantime, friends and family close to those who have this devastating illness play a huge role in helping patients cope, thereby maintaining the best quality of life possible. Support, love and understanding are of primary importance for those suffering with this affliction. penis enlargment testimonials medical penis enlagement plus vig rx free pennis enlargement video natural penile enlargment technique penis enargement herb natural penis enlagement exercise pennis enlargement surgery photo

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When someone is experiencing hypothyroidism the thyroid gland is impaired, producing too little thyroid hormone. Hypothyroidism is due primarily to a dysfunction of the thyroid gland itself. If the thyroid gland is removed, obviously, the body is unable to produce any thyroid hormone. If the thyroid is partially removed, it may be able to produce enough hormones for a while, but over time it can become overworked and burn out. But the thyroid can also become impaired for many other reasons. The thyroid consists of 2 lobes connected together in front of the neck just below the voice box. The hormones produced by the thyroid gland control the body’s metabolic rate and a dysfunction to this gland can affect every organ in the body. When the thyroid is under active it creates a general depression of many of the cellular systems and oxidative processes in the body that are needed for energy production. This can cause the metabolic activities in the cells to decrease. Metabolic wastes can then filtrate into the organs, causing them to become sluggish. Deficiencies of thyroxin (the hormone produced by the thyroid) leave the body feeling tired and run down. As the metabolism slows down, weight gain and constipation are often experienced. Other symptoms of hypothyroidism include fatigue, lack of energy, intolerance to cold temperatures, menstrual irregularities, depression, sluggish reflexes, hair loss, dry, coarse skin, brittle nails and puffiness around the eyes. Typically symptoms present themselves slowly and often evade detection. The most common cause of hypothyroidism is inflammation that damages the thyroid tissue. This damage causes the body’s immune cells, which normally fight infection, to attack the thyroid and leave them incapable of producing enough hormones. Hypothyroidism is often seen in post-partum women and is often mistaken for post-partum depression. Medications, such as Lithium also cause thyroid dysfunction. While rare, disorders to the pituitary or hypothalamus glands in the brain can also lead to this and other hormonal imbalances. Recommendations For Wellness Reduce soy consumption. Soy can depress thyroid function and has been shown to cause goiters (an enlargement of the thyroid gland) in healthy individuals. Alkalinize the body! This may help to prevent thyroid dysfunction in the first place. Get rid of the saturated fats from your diet. Saturated fats have been found to inhibit thyroid function. Work to balance your estrogen levels. Estrogen slows down the thyroid gland. Eat organically raised meats to avoid meats that are loaded with added hormones that have been introduced to increase the weight of livestock prior to sale. Begin a hormonal balancing program using progesterone cream to help bring your body back into balance. Vitamin B3, (niacin), which is often taken to reduce cholesterol levels, has been shown to also lower thyroid hormone levels. Gentian is known to normalize the function of the thyroid gland. Incorporate kelp and other sea vegetables that are high in iodine. Iodine is needed by the body to produce thyroid hormone. Radishes have historically been used to treat thyroid problems and have been known to keep the levels of thyroid hormones balanced. If depression due to hypothyroidism is a problem, try taking St. John’s Wort to help elevate your mood. Chronic constipation can be addressed by adding additional dietary fiber such as psyllium to your diet. Herbal laxatives, such as cascara sagrada or Nature’s Sunshine’s LBS II can also be used as required. Try supplementing with zinc and selenium. Studies indicate that severe zinc or selenium deficiencies can cause decreased thyroid hormone levels. Coconut oil stimulates the thyroid gland and is a good choice for those suffering from an under active thyroid. One of the most effective supplements for hypothyroidism is desiccated thyroid gland that comes from pigs. It was used long before synthetic forms of thyroid medications became available and is processed by the body more naturally. natural pnis enlargement top penis enlarement pills penis enhancement technique result review vigrx best penis enargement pills free natural penis enlagement herbal penis enlargment penis enhancement video vimax customer service

Except for the religious reasons given in the Old Testament and the Koran, there are a great many reasons given why a man (newborn) should be circumcised. Are these reasons correct, or are they merely hype? Read on, to discover the real facts about circumcision. The Original Excuse for Circumcision It seems that historically the reason given for circumcision is that it prevents masturbation. Nothing could be father than the truth. Studies have found that both Jewish and Moslem groups are masturbating the same, it not more, than uncircumcised males. In the post-war USA, proponents of mass circumcision (involuntary amputation of the male infant’s prepuce) had the following rationale. Circumcision was said to cure such diseases as masturbation, headache, insanity, epilepsy, paralysis, strabismus, rectal prolapse, hydrocephalus, and clubfoot. The entire male “baby boomer” generation was being circumcised, and by the 1970s, almost 90% of all American male infants were circumcised. The Facts It seems that circumcision did not live up to its proponent’s claims, and to the opposite, scientists now understand the prepuse performs a great role in masculine hygiene and several immunological duties. The modern proponents of circumcision now claim that circumcised males are less likely to attract STD (sexually transmitted diseases) than those of uncircumcised males. Study after study is proving the opposite is true. What is a Prepuce? What Does it Do? The foreskin that covers the glands of the penis (the head and upper 1/3 part of the penis proper) is called a prepuce. The prepuce exerts a sphincter action, acting as a one way valve, blocking the entry of contaminants during urination. The prepuce contains ectopic sebaceous glands that produce smegma. Smegma is a natural emollient containing various secretions, desquamated epithelial cells, and a form of mucus. This in turn protects and lubricates the glands, facilitates erection, and aids penetration during sexual intercourse. More specifically, the prepuce contains apocrine glands which secrete cathepsin B, lysozyme, chymotrypsin, neutrophil elastase, and cytokine. Cytokine is an enzyme that evokes an immune response on contact with specific antigens. The prepuce also secretes pheromones like androsterone. Finally, the prepuce secretes lysozyme, a substance found in tears, and human milk, quickly destroys bacterial cell walls. Is the Prepuce an Erogenous Zone? The answer is an overwhelming yes. The prepuce contains a rich, complex network of nerves and an abundance of mucocutaneous end organs sensitive to motion, touch, temperature, and erogenous stimulation, somewhat similar to the clitoris in a woman. The entire prepuce has more nerve endings that the rest of the skin of the penis. It appears the uncircumcised men have a much greater amount of sexual pleasure than that of the circumcised one. Also the prepuce facilitates the smooth, easy movement between the mucosal surface of the man and woman during sexual intercourse. In fact, the prepuce aids the penis to slip in and out of the vagina, non-abrasively inside its own covering of self-lubricating, flexible skin. Therefore the woman is stimulated by moving pressure and friction (rather than by friction only). The Case for Circumcision Judging from today’s research and revelation from many new studies, the real case for leaving the penis intact (as it was intended) is being firmly established. As far the as the idea of circumcision preventing STD is concerned, this is completely false. The solution to eliminating STD is by education, not by circumcision. free penis elargement video pennis enlargement pic before and after free penis enlarement video penis enlargment before and after penis enlargement drug penile enlargement procedure free penis enlargement pill vimax penis enlargement technique vimax customer service

If you're a smoker, you should know that smoking has many effects on you. Some of them are reversible, while some aren't. Some are long term effects and some are on short term. On of the main damage caused by smoking is to cancel the arteries ability to expand. The repercussions are multiple. Recently, a study targeting the condition of 8,000 Australian smokers has concluded that almost one in 10 subjects experienced erectile problems. The theory is that the toxins released in cigarette smoke, carbon monoxide mainly, are absorbed in the blood. They can damage vessels and cause the reducing of blood flow in your arteries. Maintaining an erection requires a surge of blood to the penis. If they are healthy, arteries get larger to allow the increased flow. But arteries damaged by cigarette smoking cannot expand as much, causing an inadequate erection. Other damages coming over the time, such as arteries clogging, can aggravate the condition by altering the trapping process of blood within the penis. The result will be the undesirable impotence. Smoking may cause temporary or permanent impotence. If you are young and quit smoking, impotence is likely mostly reversible. When you quit do not expect an immediate improvement. Keep in mind that you can see the benefits of this quitting smoking after a few weeks. I think that a final note is necessary. Just because you smoke and have erectile problems doesn't mean for sure that they are caused by smoking. Your best choice to clarify your situation is to quit as soon as possible. If that doesn't work, go to your physician and have an open discussion. penis enlarement program penile enlargment photo result review vigrx penis enhancement drug vimax does penis enlargement work penis enhancement result com enlargement pnis pnis pump free natural pnis enlargement vimax customer service

Gonorrhea is a common sexually transmitted disease that affects both men and women. New Gonorrhea infections are reported at over 600,000 per annum in US alone and of course many cases go unreported. The disease is common and if left un treated can be fatal. So, what exactly is it how do you know if you have it and how to you treat and prevent it? Let’s find out. Gonorrhea Definition Caused by bacteria know as Neisseria gonorrhoeae which grows and spreads in the warm, moist areas of the reproductive organs including the cervix, the urethra and the fallopian tubes in women The bacteria also grows in the anus mouth, throat and the eyes. Gonorrhea How Do you Catch It? Is spread through contact with the penis, vagina, mouth, or anus. Contrary to what some people believe ejaculation does not have to occur for gonorrhea to be transmitted and infect a person. Gonorrhea Symptoms Men with gonorrhea sometimes have no symptoms at all, others have some signs or symptoms that appear up to five days after infection; symptoms can take up to a month to appear. Symptoms include an intense burning sensation when during urination and or a white, yellow, or green discharge. Sometimes men also will see their testicles swell up. Most women who are infected however have no obvious symptoms. When a woman does have symptoms, they can be non-specific and are often mistaken for a bladder or vaginal infection. The initial symptoms in women include a burning sensation when urinating, increased vaginal discharge and vaginal bleeding. Symptoms of infection of the anus in both men and women can include discharge, itching, soreness, bleeding, or pain when going to the toilet. Rectal and anus infection also may cause no symptoms at all. In women, gonorrhea is a common cause of pelvic inflammatory disease (PID). PID can lead to internal abscesses and severe long term pelvic pain. PID can damage the fallopian tubes causing infertility or increase the risk of entopic pregnancy a potentially fatal condition where a fertilized egg grows outside the uterus, normally in the fallopian tubes. In men, gonorrhea can cause epididymitis, a painful condition of the testicles that can lead to infertility. Gonorrhea can also spread to the blood stream and enter the joints and this can be fatal if left un treated. Finally, those infected with Gonorrhea are more likely to receive the HIV virus that causes AIDS. Gonorrhea Detection A doctor will normally obtain a sample from the parts of the body likely to be infected. Gonorrhea that is present in the cervix or urethra can be diagnosed by taking a urine sample. Gonorrhea Cure Several drugs can be used to cure gonorrhea. However, drug-resistant strains of gonorrhea as many people with gonorrhea also have Chlamydia, another sexually transmitted disease. Antibiotics for both infections are therefore given together. Although medication will stop infection, it will not reverse any permanent damage done. People who have had gonorrhea and have been treated can get the disease again if they have sexual contact with persons infected with gonorrhea. Gonorrhea Prevention Is a sexually transmitted disease, it is therefore advisable to know something of your partners sexual history and be sure they are not infected before sexual intercourse. Condoms can also reduce the risk of transmission of gonorrhea. Consult your doctor This is just a brief introduction to Gonorrhea and anyone thinking they have the disease should seek medical advice from their doctor. Gonorrhea as we have seen can cause serious health problems and even lead to death so make sure you consult your doctor and get help as soon as possible.