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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 pennis enlargement video permanent penile enlargment home pnis enlargement buy penis enlargment pills penis elargement penis enhancement fact vimax truth about penis enlargement pills penis enlargment information

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So you are standing there, ready to go, in fact busting to go - but nothing. You get to whistle all 8 verses, including the chorus of Greensleeves before anything happens. Finally something starts to happen but you feel like a street busker, all theatrics but not much action, and unfortunately you have an interval in your performance. If you thought it couldn’t get worse, wrong. Your kids have all grown up and left home, but you still have to get up 3 times a night, but not to check the kids! You just get back to sleep, and oh no, not again. As a man ages, the prostate gland may gradually enlarge and cause urinary difficulties, a condition that is called benign prostatic hypertrophy (BPH). By age 50, up to 50 percent of all men have this condition. About the size of a walnut, the prostate gland is located below the bladder and surrounds the upper part of the urethra (the tube that carries urine and semen out of the penis). When the prostate gland becomes enlarged, it restricts the normal flow out of the urethra. Some of the signs of an enlarged prostate include: - Difficulty starting the urine stream. - The urine stream is just a trickle. - The urine stream stops and starts again. - A need to urinate frequently, especially at night. - A feeling that the bladder is not completely empty. Prostate cancer, which is totally unrelated to BPH, is a much more serious health problem than BPH. If you have any of the symptoms, then you should visit your doctor to determine what might be the cause of the problem. If it is prostate cancer, you greatly improve your chances of recovery with early detection of the disease. Some of the most common treatments for BPH include:  Do nothing. If the problem is only an inconvenience, and is not affecting your health, doctors often will not prescribe anything for an enlarged prostate. You and your doctor may just monitor the prostate with regular checkups. Something that has proved very beneficial has been herbal treatments, and there are some very good natural products on the market that assist in reducing the size of the prostate.  Drug therapy. Men who have moderate symptoms may be given a drug that shrinks the prostate by blocking the production of testosterone. Testosterone is the drug which stimulates prostate growth.  Surgery. The most common surgical treatment for BPH is a transurethral resection (TURP), in which excess prostate tissue that is restricting the flow of urine is removed with a tiny instrument inserted through the penis. (Brings a tear to every man’s eye thinking about this). This generally requires a hospital stay of 2 – 3 days. This procedure has a very high success rate, with approximately 85 percent of men being cured. So if what was once equal to the flow of the Niagara River is now reduced to the trickle of a summer stream – help is available. free penis elargement plastic surgery pnis enlargement penis enlargement pill pro solution pennis enlargement doctor pnis enlargement surgery plus vigrx semenax vigrx plus review vig rx natural penis enlarement and lengthening

Let me share with you two of the most common myths about the female orgasm Myth 1: Women can reach orgasm more easily if her partner has a large penis. Men who have worried for eons about the size of their penis can relax. The truth is that size really doesn't matter all that much. Since only the first two inches of a woman's vagina are sensitive to stimulation, anything over that amount is kind of useful during intercourse, at least from the woman's physical perspective. In fact, when men are overly concerned with the size of their penis and whether it's sufficient, their minds aren't focused on pleasuring their partner and that is no way to experience female orgasm. A survey done by the Kinsey Institute found that the average size of an erect penis measured from the tip to where it connects with the rest of the body is 6.16 inches (15.65 centimeters) in length. The girth of an erect penis is 4.84 inches (12.29 centimeters) on average. Both of these statistics are come as a surprise to men and to women who have been convinced by our culture (and possibly pornographic movies and magazines) that the average size of an erect penis is eight or nine inches. That same Kinsey study actually found that less than 2% of men have penises which meet that requirement. Remember whether a man's penis size is below, above, or just average, he still has the ability to help his partner reach orgasm and that is far more worthy of praise than a few extra inches of penis. Myth 2: If a woman does not have an orgasm, she did not enjoy the sex. Most women have had the experience of being asked by their partner during sex if they are going to "get off." This myth is the reason for that question. The majority of men believe that sex without an orgasm is not pleasurable for a woman, but that's not true. First of all, even though orgasms are a wonderful part of the sexual experience, there is more involved than that. For couples, sex is generally a physical expression of love and closeness. Many women report enjoying this part of the experience immensely even when it is not followed by an orgasm. Second, just because there's no climax that doesn't mean the rest of the experience didn't feel good. An orgasm is an intense pleasurable feeling but it is not the sole source of sexual pleasure for a woman. Just as men enjoy the actual act of intercourse, so do women. Third, when men ask about whether or not a woman is going to climax, he is putting pressure on her to deliver and this generally leads to faking orgasms which actually detracts from her experience and could detract from his as well if he discovers the truth. Furthermore, when a partner is truly in tune with a woman's body, they don't have to ask that question: the signs of a building orgasm are unmistakable and cannot be faked. We'll talk about these signs later in the book. pennis enlargement patch free pennis enlargement tip penis enlargement pill pro solution elargement manhattan penis surgeon enlargement penis pill vimax truth about penis enlargment does vig rx work penis enlargement patch natural penis enlarement and lengthening

Boxer shorts are underwear made usually for men. They were dubbed “boxer shorts” because they were patterned from those worn by professional boxers. Boxer shorts first appeared in the 1930s, but they weren’t so popular since men back then were so accustomed to briefs. It was only two decades later those boxer shorts gained a following. It needed one Nick Kaman to wear them in a popular jeans-brand outdoor billboard advertisement in the 1980s. Even though up to now, boxers are still not as popular as briefs, there is a swelling preference for boxers today. Boxer shorts have certain advantages compared to other underwear. The majority of surveys say that women prefer seeing boxer shorts on men. The opening in front of the boxer shorts allows convenience for men when nature calls. There are also more patterns, styles, and colors available on boxer shorts as compared to briefs. They can also be taken off more easily. Doctors also say that the cool temperature allowed by wearing boxer shorts permits the production of more sperm in men. Boxer shorts cover more area than briefs. On the other hand, critics of boxer shorts claim there are certain disadvantages to wearing shorts as compared to other types of underwear. They feel that boxers don’t have the snug fit that briefs offer when you wear them, and that the penis may be exposed when you wear them without another layer of clothing. The genitals are not supported and tend to move around a lot, creating much discomfort when playing sports. The waistband can likewise irritate the skin (but this may also be true with briefs). Even with another layer of clothing, an erection is obvious when you wear boxers. Wearing certain kinds of pants over boxer shorts looks awkward. And lastly, the loose-fitting kind can move in awkward positions. truth about penis enlagement pills prosolutionpill best penis enlargment penis enargement review do penis enhancement pills work best enlargement exercise pnis penis enlarement technique top penis enlargment pills natural penis enlarement and lengthening

According to the National Institutes of Health (NIH), an increasing number of men are reporting problems with erectile dysfunction (ED), or the recurrent inability to get or maintain an erection. Differentiated from the more common term, "impotence," which can also cover issues regarding sexual desire and orgasm, ED affects an estimated 15 million to 30 million American men. The NIH cites a wide range of conditions that account for almost three-quarters of reported cases of ED. Diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease are common causes of ED. In addition, surgery that leads to nerve injury and the side effects of some prescription medicines, such as blood pressure medication, antidepressants, and antihistamines, can contribute to ED. The NIH reports that psychological factors, such as low self-esteem, stress, and anxiety are at the root of between ten and 20 percent of ED cases. Typically, ED is diagnosed through gathering medical and sexual histories, a physical examination, and blood tests. Fortunately, the condition can be treated in men of all ages. Although surgery and counseling are sometimes recommended as methods of treatment for ED, the overwhelming choice for most patients and physicians is drug therapy. Patients with ED report great success with Viagra, Levitra, and Cialis. All three drugs have been approved for the treatment of ED by the Food and Drug Administration, and are available through a regular or an online pharmacy. Viagra, the first and best-known drug for the treatment of ED, is taken one hour before intercourse. Viagra does not actually produce an erection, but allows a man to respond to sexual excitement. In essence, Viagra allows the penis to fill with blood and cause an erection. Following sex, the erection dissipates. Viagra shouldn't be used by men who are taking prescription or non-prescription drugs containing nitrates. Like Viagra, Cialis is an oral medication that helps blood flow to the penis. Also like Viagra, Cialis causes an erection to go away after the sexual activity has been completed. Levitra, like Viagra, increases blood flow to the penis during arousal. As with Viagra and Cialis, Levitra should not be used more than once a day, and is contraindicated for men who are taking nitrates or alpha-blockers. Due to the cost of Viagra, Cialis, and Levitra, men are increasingly turning to an online pharmacy to fill their discount prescription. They buy Viagra over the Internet at an online pharmacy, as well as Cialis and Levitra. Together, the three drugs have provided relief to millions of men and their partners.