penile enlargment herb
Only recently have men started to figure out that what women want them is for them to look good. Now, more than ever before, men are looking to the techniques of natural male enhancement and penis enlargement for ways to improve themselves in the way they look, and in the way they dress, all in an effort to impress women and have better sex lives.
One major way that men have chosen to do this is through the techniques of natural male enhancement. This is also due in part to there being more and more discussion recently around the issue of penis size, and how it can affect male confidence and what it really means to women.
For example, women are more likely to reach orgasm with a larger penis size and therefore most women do in fact prefer a bigger size because a bigger penis can more easily please them and give them what they really crave, a mind-blowing orgasm.
So over the past few years, men have tried all sorts of ways to improve their penis size and strength. Unfortunately though, many of the older methods are somewhat uncomfortable and tedious to use. As we will see however, all that has changed quite a bit.
Most everyone is aware of the penis enlargement pump. The pump is supposed to enlarge the penis and make it look as if it was an inch or two bigger. The pump does not actually give permanent results however, and it has led many men to dependence on it, or even worse, it can lead to a sore, weak and sometimes even smaller penis size.
Hanging weights were another popular option that can be used to stretch the penis longer, to get more permanent results than with the pump. This method also failed though because the weights can be quite uncomfortable, even painful, and the result is commonly a long but thin penis size. A thicker penis is important as it stimulates the important pleasure zones in a woman.
Finally now, there is the traction device. With the traction device, the problems of the past, including having a small penis size and the decision on what to do about it, have been completely overcome and solved. The ability to gain a larger penis size is now practically guaranteed with a simple device that stretches the penis at a slow and steady rate.
The traction device was designed by doctors in Spain to enlarge and thicken the penis, growing healthy new tissue cells in the process. No single method prior to the advent of the device has seen the widespread acceptance in the medical community of urologists and other doctors testifying to the quality of results seen by their patients from the use of the device.
Effects from a 6 month study of the traction device showed that it:
Can permanently enlarge penis size by 1-4 full inches
Promotes fuller, stronger and longer lasting erections
Heightens sex drive and ability to maintain ejaculatory control
Improves overall penis health, and improves blood flow.
Increases sperm count and quality, and adds other sexual benefits.
The traction device has also proven very successful in the few years since it first appeared for sale on the Internet. Since then, it has been widely talked about in mens health forums, on review sites, and in other research published online. The science behind the device, along with its highly successful results shows a simple rule that says that the penis can actually be permanently enlarged and improved.
The medical research has paid off big for those men looking to improve themselves, and a new wave of strong competition among male enhancement companies has been born to develop the best enlargement device.
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There are three stages of pregnancy. These are the first, second and third trimesters. The first trimester runs from week one to week fourteen, the second covers weeks 15 – 26, then the third is weeks 27 – 40.
Week 1+2: This is actually before you get pregnant. It’s the stage where your body prepares itself by ovulating. And it’s in these 14 days that the egg is fertilized by the sperm
Week 3: The fertilized egg now moves down the fallopian tubes, fluid passes into the ball of cells, dividing them into two. The inner cells will form your baby and the outer cells will form the placenta. Your body, at this stage, is still unaware that it is pregnant. The implantation begins as the cell ball reaches the wall of the uterus. In this process the cells actually bury into the uterus wall, which can sometimes lead to you having spotting. The implanted cell ball now becomes an embryo.
Week 4: This is a week of rapid development, and your body now realises it is pregnant. The amniotic sac and cavity begin to develop and also the Yoke sac appears (this will later form the baby’s digestive system). The placenta now starts to form where implantation took place and blood from you will now go into the placenta. It is usually about day 27 that we start to feel the morning sickness.
Week 5: The primitive streak (the fore runner of the brain and spinal cord) is now developing. Through this primitive streak the cells will develop into three layers:
The endoderm: the bottom layer – develops the glands, lung linings, tongue, bladder, digestive tract, tonsils, urethra and associated glands.
The mesoderm: the middle layer – forms the muscles, bones, heart, lungs, spleen, blood cells, and the reproductive and excretory systems.
The ectoderm: the top layer – forming the skin, nails, hair, eye lens, nose, mouth, anus, tooth enamel, pituitary gland, mammary glands, and all parts of the nervous system.
Other cells will be starting to develop the spine (called the notochord). The first steps towards forming the embryos head, and the first formation of the babies blood cells happen this week.
Week 6: The first few days of this week is when your baby’s heart starts beating. The aorta (the largest artery in the whole body) will be starting to form at around day 40. By mid week many organs are starting to form: eyes, arm buds, liver, gall bladder, stomach and intestines, lungs and pancreas.
Week 7: This is a busy week for your growing baby. During this week your baby will double in size. The lenses of the eyes are developing and there is also a recognisable tongue. The legs and arms are developing into paddles, the jaws are now visible.
Week 8: The cerebellum starts to form this week. That’s the part of the brain responsible for the movement of muscles. Also hand and foot plates, elbow and wrist areas are forming. Towards the end of the eight week the hand plate has formed ridges where the fingers will be. There is further development of the eye; pigment is now appearing on the retina. Teeth buds are now forming within the gums, along with the wind pipe, bronchi, and voice box. The heart is now starting to develop the four chambers.
Week 9: Your baby is now starting to form cartilage and bones. During this week the ovaries will develop into the sex organ determining whether you’re having a boy or a girl. The fingers and thumbs are now taking shape. Also the baby is now becoming more active.
Week 10: It’s now that your embryo has become a baby, all be it on a rather small scale. There is a fully formed upper lip. The development of the heart now slows as it is past the critical stage. By mid week the earlobes are fully formed. Toes start to develop on the foot plate. As the bones of the palate (roof of the mouth) start to fuse together, the tongue starts to develop taste buds.
Week 11: as the morning sickness starts to subside, you may feel your appetite increase. Your baby’s body starts to straighten. In males the penis is now distinguishable and in females the vagina is beginning to develop. This stage is where the baby starts to show individuality, as the muscle structure varies in each baby.
Week 12: Your baby will start to develop fingernails over the next three weeks. The brain is now the same structure as it will be at birth. By the end of the week, the gall bladder and pancreas will be fully developed. Also the baby will now be opening and closing its mouth.
Week 13: This week vocal chords will form in the larynx. Also the intestines will move from the umbilical cord into the abdomen, and will start to form folds and become lined with villi.
Week 14: You may have noticed some changes to the areola (the area around your nipple); it may be getting larger and darker. Your baby’s heart beat will now be able to be heard using a Doppler. Breathing, sucking and swallowing motions will be being practised. The breathing practises will take the amniotic fluid in and out of the lungs. Baby’s hand also becomes more functional.
Week 15: The baby’s neck is now defined, with the head now resting on the neck rather than the shoulders. The hair pattern of the baby will be defined by the 102nd day of the pregnancy your baby will now be able to turn its head, open its mouth, kick, press its lips together and turn its feet.
Week 16: This week the baby’s toe nails will start to grow. The muscles will be growing stronger and the neck and head are growing straighter. As the uterus starts moving upwards you may start showing more, but this does mean less pressure on your bladder, making you feel like urinating less.
Week 17: Your baby will be working on more reflexes this week; blinking, sucking, and swallowing. Development is carrying on with all the existing structures. Through the course of this month your baby’s weight will increase 6 times.
Week 18: By mid week your baby’s eyes and ears will now be in the right places. The finger tips and toes will develop pads, and toe and finger prints will start to develop later in the week. Myelinization, a process of coating the nerves with a fatty substance called myelin which speeds up nerve cell transmission and insulates nerves, will start happening this week. Also by the second day of this week meconium (faecal waste) will start developing in the baby’s bowels.
Week 19: A creamy looking substance that covers the baby’s body, vernix coseosa, will start to form. This protects the baby and its developing glands and sensory cells. If you’re having a baby girl primitive egg cells are now developed in the ovaries, in fact females are born with all the eggs their ovaries will ever have.
Week 20: Most of the major development has now taken place, and the danger zone of the first three months is now over. Your baby will be waking and sleeping, just as newborns do. Also the formation of fine scalp hair and eyebrows will begin.
Week 21: Your body is replacing the amniotic fluid very three hours at this stage of your pregnancy. Baby’s leg and arm movements increase as the muscles and bones become stronger. By the end of the week a stethoscope will be able to detect the baby’s heart beat.
Week 22: If the baby is a boy, the testes will start to move from the pelvic area into the scrotum. The hair on the head and eyebrows is now visible as white and short.
Week 23: The bones in the middle ear start hardening making the conduction of sound possible. The baby will start to gain some considerable weight between now and next month. The size of the baby’s body will start to get into proportion though the head will remain larger than the rest of the body.
Week 24: The skin of your baby is wrinkled, but will smooth out as fat is deposited. Also by the end of this week the baby’s heart beat is so strong it is some times possible to hear it by placing an ear on your stomach.
Week 25: Baby’s skin is now turning a reddish/pink as capillaries start to develop. The nostrils will now start to open, as they have been plugged unto now. The lungs will start developing blood vessels and the finger and toe nails will now be covering half the nail bed.
Week 26: with the nostrils now open, muscular breathing will start. By the end of the week the lungs will be secreting surfactant, a substance which prevents the lung tissue sticking together. Also with the formation of blood vessels in the lungs, they will now also be developing air sacks. Brain wave activity starts this week for auditory and visual activity.
Week 27: Bumping and thumping is becoming stronger as your baby grows stronger, you should be feeling around 10 kicks in a two hour period. Baby’s lungs are growing rapidly and there is continual development with brain patterns.
Week 28: This is when the eyelids un-fuse and open up. Muscle tone is improving, and the lungs are capable of breathing air. The chances of a baby being born premature from now on, has a greatly improved chance of surviving.
Week 29: Eye lashes have now grown, and although still unable to focus, baby’s eyes are now sensitive to dark and light. At this stage of pregnancy the senses of sound, smell and taste are developing. By the end of the week your baby will be able to move its eyes in their sockets.
Week 30: Baby is now storing up nutrients taken in by you. Calcium for skeletal development, protein for growth and iron for blood cells. By the end of the week the languno (the small hairs that covered the baby’s body), is nearly all gone apart from some patches on the shoulders and back.
Week 31: As the actual growth starts to slow down, the internal organs are still maturing, so make sure your still getting enough folic acid, iron and calcium. Should your baby be born this week they would have the ability to breath, see, listen learn and remember.
Week 32: The baby’s iris is now reacting to light. All five senses are now registering with your baby, although smell is limited as baby can’t breathe air in the uterus.
Week 33: your baby may now be sucking its fingers. Constipation could be starting for you as your uterus puts more and more pressure on your bowels.
Week 34: The pigment of the eyes is not quite fully developed yet, this leaves the eyes looking blue regardless of final colour. And this week your baby will start to develop its own immune system.
Week 35: In baby boys the decent of the testes will complete any time now. Your baby may now shift into your pelvis in a head down position, but not all babies’ do this before birth.
Week 36: Dimples on the elbows and knees will be forming as well as creases in the neck area due to continual deposits of fat. Also this fat will help baby maintain its body temperature.
Week 37: Around 85% are born within two weeks of their actual due date (either before or after), so as you enter this stage be aware for signs of labour. The baby is practising being more aware of its surroundings; this is the ‘orientating response’. This is where the baby will turn towards any source of light. The end of this week marks the end of development, growth will now slow down.
Week 38: Meconium is accumulating in the intestines. Meconium is a dark green mass of waste product and cells from the gall bladder, liver and pancreas. Although shortly after birth this will all come out.
Week 39: as the baby is settling into your pelvis, you maybe feeling clumsy and off balance. This is because your centre of gravity shifts. Make sure you’re prepared for your trip to the hospital.
Week 40: welcome to the final week, that’s if you have not given birth already. Your body will be giving the baby antibodies so it can protect its self from many diseases. The baby will finish dropping into its resting place before birth. So congratulations and welcome to your new born child.
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Question: Dr. Vaknin – is it true that you are the father of the Law of Free Economic Zones?
Answer: I participated in the dedicated and professional team, from many ministries and state organs, which prepared the law. The initiative – in collaboration with the delegation of the government of the Republic of China (Taiwan) – belongs to Dr. Milijana Danevska, the Minister of Development. Most of the work was done by her advisor, Ms. Zorica Doncevska long before I arrived on the scene. I did suggest a few amendments, some of which were accepted.
Question: What is a free zone?
Answer: There is an important distinction which the media is not aware of between FREE ZONES and FREE ZONE SITES.
To quote from the law:
"A free zone site represents a detached, enclosed and marked area of the territory of the Republic of Macedonia on which commercial activities are conducted under conditions prescribed by this and other laws and on which custom and other tax incentives determined by this law shall be applicable."
"A Free Zone shall be established as trade associations conducting economic, technical, administrative, expert and other activities supporting the operations in the free zone sites."
Question: Do other countries have free zones?
Answer: Dozens of other countries have free trade zones, free industrial zones, free industrial or technology parks, customs free zones, free transhipment zones and many other types of free economic zones. Our law allows for all these types of activities to exist. It is very broad and flexible and one of the best and most complete laws I have seen. As opposed to popular opinion, free zones exist even in rich countries such as the United Kingdom or the USA (although they are not called "free zones" there). It is true, though, that to poor and middle income countries, such as Macedonia, a free zone can be an important tool for economic development.
Question: Why do you use such cautious language, "can be"?
Answer: Because it is never enough to have a law. What matters is how it is implemented. There are free zones in countries as diverse as the Philippines, Tunisia, Costa Rica and Taiwan. In some places they are the engine of the economic locomotive, in other they are a drag on the local economy.
Question: So, the critics are right, free zones can be a bad thing?
Answer: The critics are wrong. Anything that has the potential of generating investments, encouraging entrepreneurship, creating new working places, enhancing exports and improving the balance of payments – should be implemented without delay. Free zones are potentially powerful economic engines of exports and growth and employment. Would it have been wise of us to ignore their potential?
Question: Can't free zones be used as tax havens, for smuggling or other criminal activities?
Answer: If the free zones are run by criminals AND (this is a cumulative condition) the authorities are inefficient or corrupt – of course it can. But our law is very strict on WHO will own and run the free zones. It is also very explicit about the precise functions and procedures to be performed by the authorities intended to ensure that the free zones are not abused. Free zones will be established only where and when they can increase employment, bring new technology and know how to the country and increase exports. An average of 65% of the goods and services produced in the zones MUST be exported or the developer might lose its licence. Additionally the law says that the businesses operating in the zone must use local manpower and prefer domestic suppliers where economically feasible.
Question: What is the Free Zones Directorate?
Answer: This is my favourite part of the law, the one I am most proud of. We introduced, for the first time in Macedonia, not only in theory, but in practice, the concept of "One Stop Shop". All the business entities in the free zone will have one address to go to. They will no longer have to run for weeks between ministries, authorities, agencies and state organs. They will get everything they need from one central authority, from one address. All the relevant ministries and state organs will be represented there, with full authority to render all the services required by the free zones users. This is unprecedented. The ministers are worthy of the highest praise for being willing to participate in such an innovative approach. The law says:
"The Free Zone Directorate shall be responsible for… granting approvals of requests of developers for the establishment of free zones; provision of supervision and management of free zone sites through its branches; coordination of the activities of state organs and authorities and public enterprises within the free zone sites; planning and developing free zone sites and making sites available to developers; public relations, advertising and promotion of free zone sites; attracting developers and users to the free zone sites; registration of businesses and structures within the free zone sites; coordination of issuance of licenses, permits and approvals where and as needed, of product quality control and the issuance of certificates of origin by the members of the Directorate; Inspection of installations and working conditions within the free zone sites; convening a labour relations committee in which all labour disputes between employees and employers in the free zone sites are to be settled; the coordination of the issuance of export and import licenses; coordination of the prevention of smuggling; coordination of the safety and security of people and property in the free zones sites; Provision and maintenance of all public goods and utilities … conducting other activities associated with the functioning of free zone sites and especially the implementation of the "one stop shop" concept of management of the free zone sites; raising the required start-up capital."
Question: So, from now on, any trade association can open a free zone?
Answer: Absolutely not. The developer must satisfy very strict and rigorous criteria to qualify. The law demands that it "…provide written proof of their financial ability matching their financial obligations under this Law either in the form of a performance bond or a bank document substantiating the availability of unencumbered funds in their account or audited financial statements" and "demonstrate previous experience and track record in trading or in the operating of free zone sites".
The developers, in their application, must provide an environmental impact assessment, a marketing plan and a business plan or a feasibility study.
And the developer loses his approval if it enters bankruptcy procedures, if it is proven that he provided false material information in his request, If he failed to build and operate the free zone site in accordance with the stipulations of this Law or failed to submit one annual report.
Additionally, the developer pays 0.3% of the total turnover of the business entities in his zones.
I think these are relatively reasonable terms.
It will also not be that easy for the developer to do in the zone something other than what he undertook to do. Almost every substantial change requires a new approval. The law states: "Each change of a free zone shall be subject to the procedure for the establishment of a free zone … "Change" in this law shall mean: enlargement of the approved free zone site area; change in location of the free zone site; new activities are to be conducted in the approved free zone; each change in the composition of the developers (addition of new developer, change of corporate structure, take over, merger, acquisition, etc.) of the free zone; change of the period for existence of the free zone.
Question: Still, inside the zone – the developer is king. Actually, it is a kind of ex-territorial area, like an embassy?
Answer: I want to say it once and for all (because I heard this argument before):
A free zone is NOT an ex-territorial area. It is an integral and inseparable part of Macedonia. All the domestic laws of Macedonia apply there. It simply has different rates of customs and taxes. The over-riding status of the Macedonian domestic law is stated numerous times throughout the law. One example:
Article 20 says: "Free zone developers shall enact rules or pose conditions (hereunder referred to as "developer rules") under which their free zone site will be operated and activities conducted, regulate internal order and prescribe separate measures for protection of the working and living conditions and the environment. BUT…
The developer rules shall not contradict all the applicable laws of the Republic of Macedonia, including their by-laws and regulations and all the international obligations of the Republic of Macedonia…. AND The developer rules shall be announced in the Official Gazette of the Republic of Macedonia after the approval given by the Free zone Directorate."
Question: Aren't we offering too much by way of tax incentives? Aren't the revenues lost by the state worth more than the free zone will ever generate?
Answer: It is a very narrow point of view. Tax revenues are not the only thing we should consider. What about unemployment, technology transfers, export enhancement? These are invaluable in that they can revive the economy.
Compared to other free zones in other countries, we are offering mid-way concessions. We are by no means too generous. Additionally, to qualify to receive the tax incentives, the user must satisfy certain annual export quotas. It must prove that it generated NEW activities, not merely transferred activities from "mainland" Macedonia to the free zone "island". It must show that it is not involved in criminal activities or bankruptcy procedures and so on. Only then is it eligible to enjoy the tax incentives.
Question: Which are?
Answer: The law says it best:
"Free zone users meeting the terms as in article 21 of this law shall be exempted from:
Sales tax on products within the free zone site except for those products sold for final consumption within the free zone;
Sales tax and VAT on goods imported into the free zone site for production purposes and for performing other approved activities in the free zone;
Sales tax on services provided in the free zone immediately linked with export of goods and services;
Profit tax for a period of ten (10) years from the day of commencement of activities in the free zone;
Property tax for a period of ten (10) years from the day of commencement of activities in the free zone;
All taxes otherwise applicable to any transfer of property or rights thereof between developers and users within the free zone.
Free zone users reinvesting in the capital assets of the free zone site shall be entitled to a reduced profit tax base for the amounts invested after the expiration of the 10-year period.
Free zone users shall be exempted from paying participations (contributions), taxes and other duties pertaining to use of land for construction, connection to the water supply, sewerage, heating, gas and power supply networks.
Free zone land may be leased to foreign investors for a period of fifty (50) years, with a possibility to extend the term to another twenty-five (25) years, pursuant to the law.
The developers of the free zone shall have the full right to sublet or rent parts of the free zones or structures thereon or rights thereof to the users."
Question: Are the economic activities within the free zone restricted?
Answer: Every type of economic activity is allowed EXCEPT the activities explicitly forbidden by the law. These include: the trading of decayed, rotten, expired or infected goods or waste material detrimental to the environment or not fit for human or animal consumption; radioactive materials except those which are needed for industrial, medical and scientific research purposes under a valid license from the competent authorities; drugs, chemicals and biological materials and chemical and biochemical derivatives with the exception of those used in industrial, manufacturing, medicinal and pharmaceutical preparations, according to certificates issued by the Ministry of Health; arms, munitions, weapons and military explosives; goods or services which originate from countries or firms subject to boycotts, embargoes or blockades imposed by the competent national and international organs and authorities; goods or services that violate public morals, public defence, public safety and the security of the state; goods or services that violate the domestic laws and international treaties pertaining to intellectual and commercial property; practices, services and activities in contravention or violation of treaties, laws, regulations and directives regarding the protection of the environment in Macedonia.
Free zone users may apply standards, technical and quality norms of the destination country when manufacturing goods in the free zone intended for export.
Free zone users may set prices for their goods and services and will not be subject to laws and regulations pertaining to prices in the Republic of Macedonia.
Question: Will workers' rights be protected in such an environment?
Answer: Workers' rights are protected only by a good economy. In Macedonia, we have a lot of theoretical workers' rights. But the right to work is violated by mass unemployment and by gigantic wage and pension arrears. All the employers in the free zone shall sign a collective agreement with their employees. The collective agreement will oblige the employers and the employees to settle labour dispute through arbitration or mediation. The Directorate shall set up a labour relations committee to provide the employers and the employees with an arbitration and mediation mechanism.
Question: Thank you very much. Let's hope that free zones will fulfil all the expectations …
Answer: I will settle for half the expectations …
Thank you.
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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.
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Good sexual health is a must for enjoying a satisfying sex life. However, there are issues such as erectile dysfunction (ED) which a man has to deal with over the course of his life. ED hampers the erection process and makes sex an impossible act for its sufferers. First and foremost thing to remember while performing a sexual act is your ability to have an erection and sustain it. Then you must be able to control it and determine the point of ejaculation for making it a memorable affair.
Hardness and fullness of the erection is a must for getting a proper erection. For most men the causes of male sexual dysfunction or ED can be many. Psychological dysfunction accounts for about 15 to 20% of impotence cases. It occurs due to anxiety, depression or even lack of a suitable partner. In such a situation, there is no physical cause behind the sexual dysfunction.
The physical reason behind ED is the lack of arterial blood flow to and within the penis. Without an unimpeded flow of blood to the penis and all its capillaries an erection is just not possible. The most common cause of lack of blood flow is due to atherosclerosis of the arteries carrying blood to the penis. Atherosclerosis of the arteries is a condition that cannot be rectified over night, but it can in time.
However, for those men for whom this condition is affecting their sexual health and sex life in general, they need a solution within a short span of time. Solutions are available in many forms but the best available one is through the use of a prescription drugs such as Viagra, Cialis and Levitra. Apart from this, the ED generic drugs are also of great use. The ED generic drugs such as Kamagra and Caverta can provide you immense relief for a cheaper price.
