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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 penis enlarement tip penis enlagement product penile enlargment before and after photo penis enargement product pennis enlargement result buy penile enlargment pills penis enlargement before and after vig rx penis enlargement pill

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In case of a physical condition in which you need to take more than one medication for high blood pressure, and simultaneously erectile dysfunction is bothering your sexual life to the extend that you are thinking of getting some remedy, Levitra can help you in that situation. This is a good news for the patients of hypertension who are suffering from mild to severe degree of erectile dysfunction. According to a data published in The Journal of Sexual Medicine, Vardenafil HCl is effective in treating the erectile dysfunction in men under high blood pressure medications. According to many registered physicians, male patients of hypertension were often concerned about taking anti-hypertensive drugs for fear of the sexual side effects like erectile dysfunction. Doctors are now treating hypertension and as well as prescribing Levitra to take care of penile erection. This reality is yet another testimony of the efficacy of this erectile dysfunction drug Levitra. It has already been proved that Levitra can help patients of diabetes to get an erection. Levitra is a small potent pill for ED which can work under many physical constraints. The above study showed that success rates for Levitra were unaffected by the concomitant use of more than one antihypertensive medications including ACE inhibitors, calcium channel blockers, beta-blockers, and diuretics. During the study, patients using Levitra experienced no clinically noteworthy differences in ECG findings, supine systolic and diastolic blood pressure readings, or heart. The most common reported side effects during the study were headache and flushing. Levitra is a product of Glaxosmithcline, a world class research based pharmaceuticals and healthcare company. It was launched as a sole competitor to the blockbuster ED pill Viagra. Soon research studies and common experience of the ED patients proved that Levitra has stronger effect with smaller dosage. Its affectivity is not tampered by food or alcohol. There are many instances when Levitra has worked in patients with history of failure with Viagra and Cialis. If you are a patient of diabetes type 1 or 2, or have been suffering from hypertension, chances are more that you will be hit by any degree of erectile dysfunction. This is because erectile dysfunction is not a matter of penis. The whole mechanism behind an erection involves brain, heart, blood and hormones. If you have failed to get an erection with Viagra or Cialis, this is the time to pop up Levitra, the strongest pill for your ED treatment. Your sexual life is not put to an end. Buy Levitra and start all new sexual life with your partner and enjoy. penis enlargement excersizes pro solution pills side effects vimax penis enlargement stretcher penis enlargment before and after picture vimax free penis enlargement tip penis enargement excercises free penis enlagement exercise best penis enlargement pnis enlargement without pills

Hypertension can wreak havoc on many body organs. Its effects on the heart are especially damaging. High blood pressure and heart disease are closely connected. Moderate to high blood pressure significantly increases the load on the left side of the heart. Arterioles are often diseased or constricted, which increases resistance to blood flow. When this happens, the heart has to work much more to pump blood into the arterial system including the aorta. When any muscle is overused, it tends to increase in size and bulk. The heart muscles react the same way. An enlarged heart is a sign of trouble. Heart enlargement can be detected in several ways. A chest x-ray can reveal it. So can an electrocardiogram or even a physical examination. In many high blood pressure patients, the walls of the left ventricle thicken. This increases the workload on the heart. Eventually, the heart falters and the left side of the heart no longer pumps blood adequately. When this happens, major organs and tissues of the body are denied sufficient blood supply. The affected person becomes lethargic and weak. Because of the higher pressure in the left ventricle, blood from the lungs cannot drain into the top compartment of the heart (the atrium). As a result, the lung tissues get congested which brings on bouts of breathlessness and coughs. The patient may have a dry cough or even frothy phlegm with blood stains in it. This is a very scary experience to the sufferer and onlookers. In an acute attack, it seems to the patient that he or she is choking to death. Breathlessness due to heart problems may be first noticed during prolonged physical exertion. If the condition has progressed further, breathlessness may occur even while resting. This is a serious situation and needs to be tacked immediately. If this damage worsens, the right side of the heart will be affected as well. When pressure builds up in the right atrium, it will be difficult for veins to drain blood into it. When the heart's condition deteriorates to this stage, the external jugular veins may become enlarged and more prominent. These veins are anyway close to the skin and may be visible even in healthy adults, but stress on the heart can increase their protrusion. There are several other symptoms of right side heart failure. They include an enlarged liver, swollen ankles and feet, loss of appetite, swollen abdomen and lower urine flow. High blood pressure and heart disease frequently have a cause and effect relationship. Making necessary lifestyle changes can help combat both. penis enhancement pump cheap penis enlargement free penile enlargment pennis enlargement exercise cheap penile enlargment pills manual penis enlargement com enlargement penile penile pump medical penis enargement pnis enlargement without pills

Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. 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There have, in very recent years, been a flood of breast enhancement and breast enlargement supplements put on the market. All of them make the same claims of being an effective and safe alternative to breast augmentation surgery. For many women, small or unattractively shaped and sized breasts are a major source of genuine insecurity and emotional distress. As trivial as this may sound to some, a women's perception of her breasts can have a real impact on her self esteem. With the increasing popularity and prevalence of cosmetic surgery, and especially breast implant surgery, we see increasing numbers of women who seem paradoxically blessed with size 2 waists, and buxom bosoms. It's easy to say you should be happy with what you were born with, but the fact is you can't change how you feel about certain things, and if your breasts are a source of negative body image or low self esteem, you've probably looked into ways to change your bustline, maybe even considered cosmetic surgery to achieve your desired results. If you've done your homework, you've probably noticed there are now several breast enhancement supplements on the market. These products really can be effective when used correctly and over a period of several months, as long as the product chosen is of a concentrated potency and high quality. We are going to examine the common ingredients found in all of these natural breast augmentation supplements and what their effects have been when used in traditional herbal and naturopathic medicine. Most of the common herbs and compounds discussed here started to gain attention with the publication of "The Green Pharmacy" in which Dr. James Duke discussed their hormone-balancing properties. One of the primary ingredients is Saw Palmetto, prescribed by naturopathic doctors as a means to increase breast size, a hormonal regulator, sexual stimulation, urinary tract infections, and weight regulation. Second, we find Damiana, traditionally used for treating depression, anxiety and nervousness. It has been widely held to promote a sense of well being and is a traditional herbal prescription for hormone imbalances, poor mammary gland (breast tissue) development, decreased sex drive, menopause, infertility and PMS. Dong Quai is another herb found in these supplements which is primarily used to treat an array of female problems related to hormonal imbalances and lack of estrogen production. Blessed Thistle, another common ingredient, has an extensive history of use as a restorative herb that supports the female reproductive organs. Also, because it is considered to be an excellent heart tonic and blood purifier, it allows the others herbs to absorb and work more effectively. Wild Yam is the most widely used herbal remedy for female health. Wild Yam contains diosgenin, a producer of progesterone (a female hormone), which makes it popular for treating PMS. It is widely used as a female breast enhancer and a sexual stimulant. Fenugreek, a product of American folk medicine, was considered a very effective menstruation promoter. Modern scientists have confirmed that Fenugreek contains the chemicals diosgenin and isoflavones, very similar to the female sex hormone estrogen. It's properties mimic the effect of estrogen in the female body. This herb provides a mastogenic effect resulting in the swelling and growth of healthy breast tissue. Fennel Seed is another compound commonly used. It's estrogen-mimicking properties are second only to Fenugreek. In addition, Fennel works as an appetite suppressant and stabilizes the nervous system. It also helps move waste out of the body. Lastly, there are Hops and Avena Sativa (Wild Oats). Hops are commonly used to treat anxiety and other stress related symptoms. Hops has a relaxing effect on the uterus, hence it's utilization as a menstrual cramping treatment. Avena Sativa, or Wild Oats, is another common remedy for stress and anxiety. It is also used as a aphrodisiac and anti-addiction treatment. There you have it. Those are the primary ingredients you will find in most herbal breast enlargement pills on the market today. The key to finding the best supplements is to know which companies use the purest grade of these herbs, allowing for maximum potency and optimal bodily absorption. The higher the potency and quality of each ingredient, the better your results will be with these products so choose wisely. For more information on this subject and for where to find the highest quality suppliers and the most effective products see http://www.natural-breast-guide.com . Don't base your choice solely on price or name, as you could be cutting yourself short on attaining the best results. Look for products that show before and after photos and give mutliple testimonials. Also, you should only go with a product that offers a money back guarantee. You should know that taking these supplements can yield some additional benefits after a few weeks. Reported side effects in clinical trials, testimonials and commentary, have shown the following: * Elevated mood * Fuller lips (from increased levels of estrogen while on product) * Clearer skin (some women report brief breakouts at the start, but then unusually clear skin afterwards) * Diminished PMS symptoms * Increased regularity and decreased severity of menstrual cycles These side effects actually make sense when you look at the hormone balancing properties of most of the herbs and compounds that make up these concoctions. So, if you're thinking about trying one of these products, go ahead. Most of the better ones come with a satisfaction and money back guarantee, so there's really nothing to lose. Just make sure you stick to the recommended dosage for AT LEAST 3 MONTHS if not more. You must allow your body time to adapt to, absorb, and respond to the compounds in the treatment in order for it to have any type of effect on your breast size. Another word of advice - if you're looking for double D cups and you have A cups currently, don't waste your money or time on a breast pill as you will only be let down. This type of growth is extremely rare and you will be disappointed. But, if you're looking for a more modest increase in bust size, like 1/2 to 2 cup sizes, increased firmness, volume and contour, go for it! There really is nothing to lose.