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Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. penis enlarement surgery picture penis enhancement surgeries penis elargement before and after photo penile enlargement technique penis enargement result com enlargement pnis pnis pump herbal penis enlarement best penis enlarement surgery
Many individuals judge the quality of their exercise session from the amount of pain they experience afterwards. These individuals are convinced by the old adage “No Pain No Gain”. Research on Delayed Onset Muscle Soreness (DOMS) has demonstrated that here may in fact be some truth to this phrase. Recall in a previous article presented on this website dealing with Delayed Onset Muscle Soreness, we discussed the high probability that muscular pain after exercise results from actual muscle damage. This damage is viewed by the immune system as would any other injury and as a result, an inflammatory response is initiated to start the healing process. Several substances and chemicals are released during an inflammatory response and are thought to enhance the sensation of pain by excessively stimulating the nerve endings in the damaged tissue. So since pain is associated with muscle damage, in some cases it may be a fair indicator of a “good workout” or running session. The repair and healing of damaged muscle allows for hypertrophy or enlargement of the muscle fiber by the addition of myofibrils, thus increasing the cross sectional area. Excessive muscle pain that continues for more than several days or continuously however is not desirable, as this is often an indicator of athlete overtraining or over-reaching. It must be stressed that if pain is experienced, it should be a “good” pain that is, not originating in the joints and should resolve within a couple of days. As exercise becomes more regular and the exerciser more accustomed to it, it will be noticed however that it becomes increasingly harder to elicit the same painful muscle response. The reason for this is unclear at this time but it is suggested that an exercise session that causes DOMS has a protective effect on subsequent exercise - lasting several weeks. Again it is unclear the exact mechanisms behind this protective effect. In conclusion then, a regular exerciser should not place a high value on the “No Pain No Gain” evaluation of their workout, as their muscles will be less susceptible to the effects of DOMS. Rather it is suggested to concentrate on other factors such as strict technique and exercise variety so as to avoid undue stress on the joints and overtraining of single muscle groups. real penile enlargment elargement manhattan penis vimax homemade penis enlargement best penile enlargement vimax cheap penis enlargement best enlargement exercise penis vimax penis enlargement surgery photo penis enlargment device penis enargement technique
A Guide to Testosterone Cream Have you ever imagined that one day if you were suffering from low levels of testosterone you could just rub on some testosterone cream, which then becomes absorbed through your skin boosting your levels of this vital hormone? Testosterone therapy using cream is a mixed bag. Though very effective as a form of testosterone replacement, there are possible testosterone cream negative side effects. Other remedies exist such as patches, injections, oral androgens, and the implantation of time release pellets under the skin that might serve better. The testosterone cream negative side effects fall into three classes. Some are well known. Another class happens occasionally and a third category of t negative side effects occurs only rarely. The negative consequences that happen from testosterone cream for women are often different than those for men. The first class of side effects can occur from testosterone cream for women and for men. These negative side effects can include masculinizing effects such as increased hair growth, deepening of the voice, weight gain and acne. In men, prostrate problems can develop and difficulty in urinating can occur. Enlarged, swollen or tender breasts can result from using testosterone cream for women. Irritation of the skin is another commonly encountered side effect occurring where the testosterone cream is applied. The use of too much testosterone cream can express itself as the blood level rises to a toxic level. The second class of testosterone cream negative side effects contains those that occur less often but are also a consideration. These consequences of using testosterone cream include depression, anxiety, and possible mood disorders. High blood pressure can result from using testosterone cream as well as gastrointestinal problems and headaches. Additional testosterone cream side effects include actually reducing sex drive rather than enhancing it. Often changes in cholesterol levels from the use of testosterone cream are detected. Menstrual irregularities and enlargement of the clitoris can result from testosterone cream for women. The use of this topical gel can be continued in some of these cases under the supervision of a doctor. Men who have prostrate problems should not use the cream. A fear of initiating prostate disease, or even prostate cancer in some cases, exists as a concern among the medical community. Using testosterone cream for women in pregnant women or mothers who nurse their babies should not be performed. The testosterone can pass from the mother to the baby. Likewise, people using testosterone cream with a history of liver disease, kidney disorders, cardiac problems or known hypersensitivity to testosterone should not use it. The testosterone cream negative side effects in these cases should be obvious. The rare effects from using testosterone cream for women and men include liver complications. These cream negative side effects can manifest themselves as yellowing of the skin or eyes, nausea, abdominal pain, unusual bleeding, abnormal bruising or severe fatigue. Prolonged erections in men also occur. Breathing disturbances, including those associated with sleep, can result from using testosterone cream for women and men. Nausea or vomiting can also occur from the use of testosterone cream. Swelling of the ankles and changes in skin color are other rare possible negative side effects. Allergic reactions are testosterone cream negative side effects that might result in difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives. In any case, if these serious symptoms from using testosterone cream for women and men emerge seek emergency care immediately. Although unlikely, these offshoots of using testosterone cream are dangerous enough to warrant immediate attention. The use of testosterone cream for testosterone replacement therapy has the advantage of being convenient and effective. However, the testosterone cream negative side effects from using testosterone cream for women and men may outweigh the advantages for some. This article is not intended to scare anyone using or considering using testosterone cream. By and large, many of the cream products are very safe and many people won't experience any discernible side effects. Talk to your doctor carefully about the cream and other testosterone replacement therapies. penis enlagement review natural pennis enlargement technique penis enlargement technique penis enargement pump penis elargement tip penis enhancement fact penis elargement secret penis enlarement excercises penis enargement technique
Unsatisfactory Sex-Life...is an Important Reason for People to Go For “Extra-Marital Relations” or “Divorces” Introduction In a Country where using the word “Sex” itself is a big taboo; where anyone talking anything below belt is consider as a “Character Less” person, how can one talk about “ Love Making”? I agree that ours is a country which gave to this world “the art of love making” through pictorial presentation of “KAMASUTRA” but we still hesitate and feel shy, when one is asked to explain those positions. Just look into your “Sex Life” and see if what you are doing in “Love Making” or it is just a “Lust”? Are you having “fun” while making-love or you are just “inviting in” or “inserting in” as “fire” there is not bearable? This article is prepared with the inputs from 467 people across the country and out-of them around 287 where females and among them 261 had experienced “Love-Making”. Most of these ladies did mentioned that in their married life...it is just “Roll-on; Roll-Off and Sleep”. There is no doubt that “Physical Relations” are important for the long-lasting “love-relations” between couple. Unsatisfactory Sex Life can lead to “Extra-Marital Relations” or “Divorces”. Lets discuss about it. Why “Love-Making” is important? What is the importance of “Foreplay” is satisfactory “Love Intercourse”. After the game is over, what is that a male or female expects from each other? And things like that. Lets being with “KAMASUTRA”. History...behind KAMASUTRA The KAMASUTRA history leads us back to the ancient India, between the 1st and 6th centuries (although the exact year of its writing still unknown). Considered by many specialists as the most important and influent book on the human sexuality, the KAMASUTRA (which was actually written by Vatsyayana, a scholar on Indian traditions) is today commonly mistaken as a plain and simple compendium of sex positions, or a manual to the art of sex. Other than that, the KAMASUTRA is a real document of an important part of Indian customs and traditions, showing many thoughts and ideas that still fit in our today's society values. There are, indeed, descriptions and paintings of sex positions on the original KAMASUTRA. The author Vatsyayana regarded lovemaking as being much more than physical encounter, but also an important spiritual act of love and learning, a "divine union" as the author refers on the book. He considered that there were only eight possible sex positions, multiplied by eight. The total amount of 64 sex positions being called "The 64 Arts". However, only about 20% of the KAMASUTRA was dedicated to sex positions, and the rest is in fact a compendium on insights about the relationships between men and women and in the ancient India's social and religious life. The KAMASUTRA only reached the Eastern civilization in 1883, thanks to Sir Richard Burton, who wrote the first English translation for the book. Since then, other two key translations from the original KAMASUTRA in Sanskrit were made: one in 1970 by Indra Sinha and the most recent one by Wendy Doniger in 2002. However, we may find plenty of "unofficial" translations focusing only on the sex positions (and including several positions not listed on the original), specially on the Internet. Most of these versions have little in common with the original KAMASUTRA. KAMASUTRA in its true Sense For many people – especially in the Western world - KAMASUTRA is merely a collection of different love-making positions, a combination of acrobatics and pornography. But for the Eastern mind, the true meaning of KAMASUTRA reaches beyond this purely physical interpretation. For them, sex – in all of its forms - is sacred. It reproduces the ultimate creative act, the union of the masculine and the feminine cosmic principles. Sex is the cause of the creation and manifestation of the universe. According to Tantra, sexual intercourse, however trivial it may seem, is sacred, cosmic (even when the lovers do not acknowledge this fact, which is usually the case). When doing the asanas (the yoga positions adopted for the ritual), tantra seeks to "divinize" the couple and their sexuality. Without this spiritual element, KAMASUTRA and Koka Shastrano wouldn't evoke divine rituals. These two treatises aim to increase sensual voluptuousness. To this end, they propose several sex techniques, with a focus on love-making positions. In fact, the asanas, or traditional positions for joint meditation, are specific and scarce. Tao teachers have chosen the most comfortable positions for prolonging intercourse, sometimes even up to two hours without having to move much, for this would hinder interiorization during divine intercourse. They are usually so comfortable that complete physical and mental relaxation is achieved, and alternative consciousness levels, or even sleep, can be reached. The asanas must also favor magnetic interchange of vital energy, and facilitate control over ejaculation and the body's health. Tantra dismisses (at least at the beginning) the most common position used in the Western world - the so-called "missionary position" (Uttana bandka in Sanskrit), in which the man lies over the woman. This position is rejected by Tao followers because it does not facilitate control. Famous Love-Making Positions Genital Sex: -Missionary Sex Position: The most famous and common position: man on top and woman at the bottom, with her legs spread, there is direct penetration; -Feet on his shoulders Sexual Position: While man is kneeling, the woman rests her legs on his shoulders; From Behind: -Leapfrog Sex Position: It looks like the doggy position, but here, the woman's torso is lower; -Spread-Eagle Sex Position: While the woman is laid and facing down, the man must be on top; Woman on Top: -Cowgirl Sexual Position: With the man lying down on his back, the woman sits on top facing him; -Reverse Cowgirl Sex Position: The same as above, but in this position the woman faces away; Sitting and Kneeling: -Black Bee Sexual Position: The man sits on the floor with her hands behind him. The woman sits on top, with her hands on his shoulders; -Watching the Game Sex Position: Man sits in a chair and the woman sits on top of him, face-to-face; Standing: -Wheelbarrow Sexual Position: The woman must be lifted by something, so the man penetrates her, standing; -Stand and Carry Sex Position: While the man, standing, holds the woman, she wraps her legs around his waist and holds on his shoulders. What is Foreplay and what is its importance in “Satisfactory” Love-Making Foreplay consists of sexually stimulating activities that usually lead to intercourse. Since it generally takes women longer to physically become ready for intercourse, foreplay is important in ensuring that the female partner will find lovemaking as satisfying as the male. As foreplay intensifies and a woman becomes increasingly sexually excited, she experiences physiological changes: The labia gradually become swollen and turn a deeper color of pink, the vagina secretes a lubricating fluid that makes insertion of the penis easier, and her nipples harden. For a man, foreplay generally strengthens an erection and increases the urge to have intercourse and ejaculate. Some Basic Techniques Considered as Foreplay are : Kissing and deep kissing on the mouth and across the body Stroking the erogenous zones Fondling the breasts Nipple stimulation and sucking Sensual massage Frottage (rubbing) and digital manipulation of genitals Oral sex Strip tease Lap dance Body painting Showering together Use of vibrators and other sex toys There is no time limit to foreplay. And some couples routinely engage in foreplay that does not lead to intercourse and ejaculation. However, most consider foreplay the appetizer and intercourse the main course. In any relationship where sex is involved, foreplay can be almost as important as if not necessary for the actual sex act to occur. Technically I think of foreplay as any activity that occurs as a precursor to the sex act that has the intent of increasing the level of excitement in your partner and yourself or for preparing one another for the sex act. After discussing about “KAMASUTRA”...”Various Positions involved” in love-making...and importance of “Foreplay” ...lets share what male or female want from each other...after sexual intercourse Most of the people just sleep over without even asking their partners as how they feel or what they want. As a result they feel dejected and hurt. So, what males like after sex? After asking many a man what he likes to do after making love, taking a nap topped the list by a landslide, and having a snack came in at second. Now, in a man's ideal world, every woman would get up after lovemaking, prepare a warm snack for her man and then stroke his hair while he takes a long nap. And although there are women out there who do comply with such a request, chances are it won't become the post-sex routine you're hoping for. It just ain't going to happen. Relationships are about give and take, and while giving her an orgasm and taking a nap fit the rhetoric, that's not the way it's going to be. Recent statistics released by the University of Chicago also reveal an important fact: Married men, and not their single counterparts, are the most physically and emotionally fulfilled when it comes to sex. They say that the feelings of sharing have never been stronger than in the moments that follow sex. Which isn't to say that both men and women don't complain of spouses who get out of bed too quickly to wash up, or go back to chores, or turn on the TV, or roll over and fall asleep. They just want to talk about each other...not about their kids or relatives etc. It should both of them. For many men, the loss of an erection after sex can also beckon the loss of a bond, a shrinking and even shirking away. Want some useless words of advice? Try not to take it personally. If your husband's haste to jump out of bed upsets you, therapists recommend looking at the act of lovemaking as a process that can start as early as dressing for dinner and not conclude until you're both emotionally ready to end your intimacy. The word postcoital implies there's something that happens before and something that happens after, and that there is an it. All there is is a whole. Now, what is that a female want after “Sexual Intercourse”? I can't pretend to know what every single one wants after sex. The desires range from cuddling and talking to being left alone and being fed. But from what I could gather, touching definitely topped the list. They want to cuddle. It's no secret; just about every woman loves it when her man finishes doing his thing only to flip her around and hug her in the spoon position. That's the goldmine of affectionate actions. Flipping her around isn't even necessary, but chances are that some kind of bodily touching may be. Why? Well, because sharing in a very sacred experience with a woman likely leaves her feeling vulnerable. And something as small as wrapping your arm around her can make all the difference. They want to talk. Although many guys aren't big fans of the "cuddle," there are even less men around who want to talk once the deed is over. But if she wants to talk, you may have to keep your ears open and listen up. Chances are that she will likely talk about what went down -- especially if you had her yelling out like a banshee. And I'm quite sure that your "stork able" ego will overtake your need for some shuteye when it comes to such a topic anyway. She may pamper you by saying, “Let's do it again”. If she's still raring to go after the first round, chances are she'll be all over you, doing her best to let you know that the evening call for a second round. Between playing with herself and stroking your penis, you may just find yourself going into round two before you know it. But if you're older and more comfortable in your relationship, chances are that you may not be as easily aroused for round two, and, of course, that isn't your fault. Add that to the fact that you probably did all the work and it's quite possible that your little man won't be good to go right away. Conclusion “Love-Making” is a process. There is a beginning...there is Delivery and then there is an end. More than “just” physical, it is an emotional bonding. And let me tell you, if people are going for “Extra-Marital Relations” one of the main reason for that is “Unsatisfactory” Sexual Relations. Even law says that unsatisfactory “sex relations” is a valid reason for divorce. You can make your love life interesting and enjoyable...you just need “imagination” or “innovation”. Have a “enjoyable” and “fun filled” life. Always be together and love each other. Looking forward to your comments and feedback. With lots of love and care vimax free penis enlargement technique herbal pennis enlargement pills penis enlargment drug manual penile enlargment exercise penile enlargement surgeries free penile enlargment technique herbal penis enargement penis elargement doctor penis enargement technique
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