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Problems of achieving a satisfactory erection are fairly common. If the problem does not originate from lack of lust and is great enough to make normal intercourse impossible, the condition is called erectile dysfunction (impotence). Erection problems are caused by combined physical and psychological factors. THE ERECTION MECHANISM The penis has three bodies containing a dense network of blood vessels along all its length. During erection blood is filled into the vessels of these bodies. The bodies then engorge, make the penis hard and rise it up. The filling of these bodies occur when the vessels leading blood to the penis relax and vessels draining the penis constrict their volume. Before and during erection nerves lead impulses to the genitals. The nerve ends in this area then releases the substance nitrogen oxide. Nitrogen oxide will diffuse through the genital area and the penis and stimulate the reaction of the blood vessels in the penis. PHYSICAL CAUSES OF ERECTION PROBLEMS Erection problems can occur because of disorders in the nervous system sending impulses to the genital area, problems with the blood supply to the penis and anatomical problems in the penis or genital area. Specific causes can be: - Accidents, stroke, surgery or tumours hurting brain areas or areas in the spinal cord responsible for erection impulses. - Multiple sclerosis, a disease hurting the isolating sheets around the neural fibres in the brain and spinal cord, can give erection problems. - Accidents or diseases hurting nerves from the spinal cord to the genital region. - Atherosclerosis caused by age or an unhealthy lifestyle, giving narrowing and hardening of blood vessels to the genital region. - Injury to the erectile bodies caused by inflammation, accidents or diseases. - Congenital malformations in the penis or genital region, for example hypospadias and epispadias. - Peyronie's disease, a common inflammatory disease causing abnormal bending or twisting of the penis, and sometimes also hinder the filling of blood into the erectile bodies, sometimes gives problems for the erections. - Circumcision causing the penile skin to be too tight, or causing extensive inelastic scars. - Side effects of medicines, such as medications taken for high blood pressure or depression. - Zinc deficiency. - Heart disease. - Diabetes causing injury to the nerves and blood vessels to the penis. - High blood pressure (hypertension). - Liver or kidney disease. - Alcohol or drug abuse impairing psychological and neural functions. PSYCHOLOGICAL CAUSES OF ERECTION PROBLEMS Psychological causes can interfere with the erection process by distracting a man from stimuli that normally would give him sexual arousal. Psychological issues account for about 40% of erection problems. Erection problems in men under age 50 are most likely to be caused by psychological factors. Psychological causes of erection problems include: - Anxiety for not being able to perform sexually as well as the partner demands. - Prolonged emotional upset, such as worrying, anxiety or anger due to a man's economical, professional or social situation. - Relationship problems, for example when the woman has different preferences of sexual practice than the man. - A man who loses sexual desire for his partner may develop erection problems. - Recently widowed men can get erection problems. - Some men have difficulty having sexual intercourse with their partner after she has given birth because he does not like the changes that the birth process has caused to the woman's body. CAUSATIVE TREATMENT When a specific organic and psychological condition causes problems for the erections, this problem should be treated with appropriate methods that will vary according to the actual disease. If the cause is heart disease or atherosclerosis, lifestyle changes and training adapted to the medical situation can often improve the general health situation and improve the erectile abilities. If the cause of the erection problems is a problematic penile shape, for example curved or twisted penis by Peyronie's disease, using a mechanical penis reaction device for some time may help. On the marked you can also find herbal products to treat injured or diseased blood vessels in the genital area. These products typically contain herbal elements that experience has proven to stimulate tissue repair in blood vessels. POSSIBLE FUNCTIONAL TREATMENT It is not always possible to cure the condition causing erectile problems. Still the problems can be overcome by medication that stimulates the vessels leading blood to the penis to relax and the vessels draining the penis to constrict. These drugs typically achieve this task by stimulating the release of nitrogen oxide in the genital area or by mimicing nitrogen oxide. Viagra and Cialis are the best known pharmacological treatment for erection problems. In spite of what people often think, these drugs do not increase the sexual drive. If the sexual excitement is there, Viagra can help to achieve erection, if the drive and excitement lack in the first place, Viagra will not help. There are also herbal products on the market that stimulate the erection mechanism. Erection oils give an instant erection response, but the response only last 2-3 hours. Erection or potency pills take a longer time to give effect, but the effect lasts for many hours. The herbal product will often contain components that increase the sexual excitement in addition to improving the pure erection mechanism. If it is not possible at all to achieve erection with any treatment, surgical implants can help to make the penis stiff and raised up enough to perform an intercourse. One type of implant is partly rigid bodies that make the penis permanently partially erected. Another type of implant is inflatable bodies that can make the penis fully erected when the need rises. prosolution penile enlargement review medical penis elargement elargement manhattan penis surgeon penis enlargment supplement real penile enlargment penile enlargement product penile enlargment pump

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GENITAL WARTS Genital warts is a viral disease manifested by a spectrum of skin and mucous membrane lesions affecting the anogenital area. The causative agent is the Human Papilloma Virus (HPV) of the papovavirus group of DNA viruses. At least 60 human papilloma virus types have been identified. Genital or venereal warts are in most instances caused by type 6, 11, 16 or 18. Genital warts are mainly sexually transmitted with worldwide occurrence. The peak incidence is in the sexually active age group of 19-35. The incubation period is between 1 to 9 months with a mean of 3 months. Clinical Features In the uncircumcised men the subprepuce, coronal sulcus and glans penis are affected. Here the lesions appear as pink cauliflower like fleshy growths. This form often called condylomata accuminata are also seen in the urinary meatus and in women on the inner aspects of the vulva, vagina and cervix. The hyperkeratotic, skin coloured or pigmented papular warts are seen as discrete or confluent papules on the keratinised parts of anogenital skin. Flat warts are erythematous or pink requiring application of acetic acid for visualization. They are commonly seen on the cervix. Complications Giant genital warts Bleeding Transmission to neonate during childbirth – childhood laryngeal papilloma Diagnosis Usually based on clinical appearance Histological diagnosis are rarely needed Treatment Podophyllin or podophyllotoxin solution or cream Trichloracetic acid solution Imiquimod cream Electrocautery Cryosurgery Scissor excision Laser therapy easy enlargement free penile surgery way free pnis enlargement technique penis enlargement technique penis enlarement secret compare pennis enlargement pills best penis enlagement pills penis enlargement pills magna rx best penile enlargment pnis enlargement before and after photo

Viagra (Sildenafil citrate), which millions of men take for erectile dysfunction (ED), reduces the effects of hormonal stress on the heart by half, according to a study published online in the journal Circulation. Viagra causes genital blood vessels to expand, which helps in maintaining an erection. Recent research also has pointed to its potential usefulness in treating pulmonary hypertension. Prior to the latest findings by a team of Johns Hopkins researchers, it was thought to have little effect on the heart. Viagra, or sildenafil, blunts the strengthened heart beat caused by chemically induced stress, according to study senior author and cardiologist David Kass, MD, a professor at the Johns Hopkins University School of Medicine and its Heart Institute. It thereby lessens both the excess amount of blood and the force used to pump it to the body. "Sildenafil effectively puts a 'brake' on chemical stimulation of the heart," says Kass. Prevents and Reverses Effects of High BP These findings are believed to be the first confirmation in humans that Viagra has a direct effect on the heart. In earlier research, Kass and his team observed a similar effect in mice; Sildenafil blocked the short-term effects of hormonal stress in the heart. Related studies by the group show that sildenafil also prevents and reverses the long-term effects of chronic high blood pressure on the heart. Sildenafil reversed the negative effects on heart muscle weakened by heart failure and enlargement -- a condition called hypertrophy -- in mouse experiments Kass and his team carried out earlier this year. They reported their results in the journal Nature Medicine. "But we had no firm evidence as to whether or how this therapy might work in the human heart," says Kass. "Our latest research provides firm evidence this drug does indeed have an important impact on the heart." Increased Heartbeat Was Slowed Thirty-five healthy men and women, with an average age of 30 and no previous signs of coronary artery disease, participated in the six-month Johns Hopkins study. Within a three-hour timeframe, each participant received two separate injections of dobutamine (5 micrograms per kilogram for five minutes), a synthetic, adrenaline-like chemical that increases heart rate and pumping strength. Between injections, study participants were assigned randomly to a group that was treated with sildenafil (100 milligrams taken orally) or to a group given a sugar pill placebo. All participants then were given the second dobutamine injection to see what effects sildenafil or placebo had on the heart. Measurements of heart function were made before and after each injection. These included blood pressure readings, electrocardiograms and echocardiograms. Blood samples confirmed relatively equal levels of sildenafil and other enzymes. Each dobutamine injection stimulated heart function, increasing heart rate and the force of each heartbeat used to pump blood throughout the body, results showed. "This stimulation is similar to the way the nervous system normally increases heart function when triggered by emotional or exercise stress, or in diseases such as heart failure," notes Kass. After the first injection of dobutamine, the force of heart contraction increased by 150 percent in both groups. In the placebo group, this increase repeated itself after the second injection. However, in the group treated with sildenafil, the increased heartbeat was slowed by 50 percent, resulting in a smaller increase in blood flow and blood pressure generated by the heart in response to chemical stimulation. Between injections, heart function was not altered in the sildenafil group, demonstrating the absence of adverse side effects on the resting human heart. Stops PDE5A Action "Knowing more about the effects of sildenafil on heart function will allow for safer evaluation of its use as a treatment for heart problems," says Kass. "Our results set the stage for further studies of sildenafil's immediate and long-term effects on the heart and its ability to modify other neurohormonal and stress stimuli, including adrenaline and hypertension," he adds. While the precise biological actions of sildenafil in the heart are not fully understood, the drug is known to work by stopping the action of an enzyme, called phosphodiesterase 5 (PDE5A), Kass explains. This enzyme is involved in the breakdown of a key molecule, cyclic GMP, which helps control stresses and limit overgrowth in the heart. PDE5A is also the biological pathway that sildenafil blocks in the penis to prevent the relaxation of blood vessels and thus maintain erections. Copyright 2005 Daily News Central penis enlarement without pills manual penis enhancement penis enlagement doctor safe penile enlargement penis enhancement surgeries real penis elargement natural pnis enlargement pills free magna rx pnis enlargement before and after photo

Every person be it men or women are proud of one’s sexuality. Complimenting clothes validates your partner’s tastes, admiring the eyes reinforces his or her beauty, but praising the body many are reserved about, boosts sexuality. In a wider aspect, sexuality goes beyond your sex appeal to fulfilling your sexual needs and also that of your partner. Though your mind may fantasize a perfect sexual life with your partner, there are millions of unfortunate men in the world who are deprived of this sexual bliss as they suffer from the sexual dysfunction called impotence. There are several causes leading to impotence ranging from psychological, physical to lifestyle factors. Though you can have chances of moderation in dealing with stress and anxiety or refraining from smoking and alcoholism; it is difficult to impossible in dealing with physical liabilities leading to impotence, medically termed erectile dysfunction (ED). It is the condition when a man is unable to achieve or sustain an erection long enough to satisfy himself or his partner consistently. If the condition persists, do not feel embarrassed to consult your doctor on the issue so that he can help you determine the reason behind it. The most common physical cause behind erectile dysfunction is arteriosclerosis or the hardening of penile arteries which restricts the flow of blood to the penis resulting in failure in achieving an erection. Over the last decade, there has been considerable advancement in treatment for erectile dysfunction amongst which oral medication has surfaced as the most accepted form of therapy. Although many drugs have survived the competitive markets and many disappeared, one oral prescription drug named Levitra has acquired the trust of many sufferers of impotence. Levitra is an FDA-approved medication and has been clinically shown to improve erectile function even in men who had other health factors, like diabetes or prostate surgery. Levitra performance is achieved due to the presence of its active ingredient Vardenafil HCL. It works by relaxing the muscles in the penis and helps increase blood flow to the penis to get and keep an erection satisfactory for sexual activity. According to a recent news release by Bayer/GSK, 90 percent of men reported improved erections. Each Levitra pill may work in as quickly as 25 minutes and may work for up to 24 hours. But it is mandatory to use Levitra only after checking your health status on active sex and with prescription from a doctor. More information on Levitra online may provide the latest updates, references on drug interactions and possible side-effects and buying guide. You can buy Levitra from online pharmacies from the privacy of your home and also at cheap prices. But when you buy cheap Levitra, check the credentials of the drug and authenticity of the dealer before placing your order. All in all Levitra has proved itself over the years as bliss for male sexuality. penis enlagement exercise penis enargement review home penis enlargment penis enlargement pills magna rx penis enlargment surgery picture vimax cheapest penis enlargement pills bottle vimax pill penis enlargement testimonials pnis enlargement before and after photo

Games can take a bachelorette party from boring to fun. Depending on the theme and atmosphere of the bash, you can have either wholesome or sexy games. Read on for some ideas to help you make your choice. Toilet paper dress contest. Split the guests into groups of three to four, and give them rolls of toilet paper. One of them will serve as the ‘model,’ while the rest will be ‘fashion designers.’ The objective is to dress the model as fashionably as possible using only toilet paper (no pins or sewing!). The group with the best-dressed model wins. Scavenger Hunt. If you are holding the bachelorette party in a spacious house or a big garden, this is the perfect game. Cleverly hide prizes such as aromatherapy candles or spa treatment gift certificates in different places around the venue. Write down several clues on small pieces of paper – one clue should lead to another. Then, divide the girls into several teams groups and see who gets the ‘treasures.’ Pin the tail on the donkey, adult style. Make the bride-to-be and her guests blush with this mischievous game. You need a poster of a sexy male model in his underwear, and penis cutouts from magazines. Blindfold the bride, lead her in front of the poster, and spin her around. Ask her to pin the penis cutout and see where it lands! Make the guests take turns in this fun game. Sculpture challenge. Buy some soft clay from the hardware or toy store and ask the each of the participants to mold a penis out of it. Whoever sculpts the best-looking penis wins this naughty game! Let the bride either sculpt or be the judge. Consequence card game. If the bride and her guests are more adventurous, they will surely love this game, which is best played in a bar or hip restaurant. Purchase some readymade ‘consequence cards’ from specialty gift shops or make some yourself. A ‘challenge’ is written on each card – it can be as simple as having to get a man to buy drinks for the group, or as daring as lap dancing on a complete stranger. Let everyone pick a card and do the challenge. Anyone who quits has to pay a buck or two. This not only a fun game, but also a great way to raise money for more drinks.