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An estimated 10 to 15 million men in the United States suffer from impotence, also known as erectile dysfunction. Some people also use the term impotence to describe other problems such as lack of sexual desire and the inability to ejaculate or have an orgasm. While many people who suffer from impotence suffer in silence, it is a treatable condition at any age. Impotence is sometimes used to describe female sexual dysfunction, which includes the broad categories of reduced sexual desire, pain during sex, inability to become aroused, and inability to have an orgasm.
Male impotence usually has an underlying medical condition that causes nerve or artery damage. Such damage can interfere with the nerve impulses that are needed to start and sustain an erection or with blood flow that is needed to engorge the tissues in the penis to make it erect. Diabetes, surgery, injuries, vascular diseases, kidney disease, and chronic alcoholism are some medical conditions that may cause impotence. Smoking can also cause impotence by narrowing the blood vessels. Since the likelihood of having some of these conditions increases with age, older men are more likely to suffer from impotence. Impotence can also be a side effect of certain drugs such as high blood pressure drugs and antihistamines, or low levels of circulating hormones such as testosterone. As much as 20 percent of all impotence may be attributed to psychological factors such as stress, anxiety, and guilt.
A doctor makes a diagnosis of impotence by carefully examining a patient’s medical history, performing a psychological evaluation, completing a physical examination, and doing some laboratory tests. Depending on what the cause of impotence is in a particular individual, there are a number of treatment options to choose from. These include counseling, drugs, surgery, and vacuum devices. The right treatment depends mostly on the cause and one’s age.
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If you are still waiting for a happiness pill to be invented by scientists, you might not have to wait long. It has been less than a decade since the launch of sildenafil citrate (Viagra) - the first oral drug to help men with erectile dysfunctions.
While Viagra is not the first drug to address erectile dysfunction, it is the first drug to be taken orally. Before that, the drugs that were used were either injected directly into the penis, or were inserted into the urethra at the tip of the penis.
After Viagra, new drugs from the same class - vardenafil hydrochloride (Levitra) and tadalafil (Cialis) – followed soon. What they have in common is that they are taken an hour before sexual activity, and the chemical reactions they cause lead to increased blood flow in the penis.
They should not be taken more than once a day. They should not be taken at all if the patient takes other drugs, because they might combine to cause blood pressure problems or heart attacks.
Other oral drugs for erectile dysfunction are said to deliver good results, but for now there is no indisputable evidence that the resulting erection is due to them, rather than to the placebo effect. Some of the oral medications (for instance, testosterone) may damage the liver, so erectile dysfunction drugs should not be taken unless prescribed by a doctor.
Drugs which are injected into the penis or inserted into the urethra may lead to stronger and longer erections but they are known for their side effects, such as aching, priapism (persistent erection), bleeding, scarring, etc. And since research is advancing rapidly, it is much better to wait a little longer for a better drug.
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By far the most common way for a woman to regularly reach orgasm is through direct or indirect clitoral stimulation. Before we just into that subject, I think it may help to share with you some information about the clitoris.
The clitoris is located just by the vaginal entrance and behind the labia minora. In most women, it is a small nub of flesh which contains a high concentration of nerve endings which make it highly sensitive. It is often covered by a clitoral hood. Many people don't realize that only a small portion of the clitoris is actually visible. The remainder of the organ is surrounded by the rest of the reproductive system and extends all the way to the bottom of the pubic bone.
Two things are particularly interesting about the clitoris. First, all female mammals have a clitoris. This is interesting because the sole purpose, at least according to biologists, of the clitoris is sexual pleasure. That would seem to mean that humans aren't the only ones who enjoy the way sex feels.
Second, the clitoris is made from the same material as the penis. In fact, in men the clitoris becomes a full-fledged penis after the embryo is exposed to testosterone in the womb. Just like the penis, the clitoris fills with blood and becomes erect during sexual arousal. The clitoral hood is essentially the same as the foreskin of a penis.
The only real difference between a clitoris and a penis – besides location in the body – seems to be that the penis is also used for urination while the clitoris is not.
What many people don't realize about the clitoris is that the penis alone usually cannot stimulate it. Because of its position in the woman's body, the ability of the penis to provide rhythmic stimulation to the clitoris is extremely difficult. That means traditional intercourse usually needs to be coupled with clitoral stimulation.
With that said, its important to realize that the clitoris is really similar in size to the penis, even though most of it cannot be seen. Vibrations through the pelvic region caused by intercourse could stimulate the nerve endings in the unseen part of the clitoris as well and this can also cause orgasms.
The question is how does one engage in clitoral stimulation. Some male partners take the approach that the women should be responsible for the stimulation themselves, which has always seemed a bit unfair to me since the woman is providing him with the stimulation he needs to reach orgasm. However, this is one way to deal with it.
Another method is by, what I like to call multi-tasking. Multi-tasking basically means the man does more than one thing at the same time. For example, he may be penetrating the vagina while also stimulating the clitoris in one way or another (we'll discuss those ways a little later). If the couple wants to achieve orgasm at or near the same time, this is clearly the best option.
Other couples I've met with have resorted to an alternative approach. One person reaches orgasm at a time. Depending on how each person best reaches orgasm, this may be a possibility but it's usually not the most satisfactory approach.
The best thing about clitoral orgasms is that they can be achieved in many different ways. Because the entire area is highly sensitive, experimenting with these types of orgasms can also add some interest and spice to sexual relationships which may have become less enthusiastic over time.
And the key is experimenting because different women prefer different types of clitoral stimulation. While some prefer direct stimulation, others find it uncomfortable and prefer to have the area around the clitoris stimulated instead. Women who have masturbated will generally have a much better idea of what type of stimulation they prefer than women who have not.
As I mentioned, the clitoris feels up with blood and becomes erect like a penis. This means its usually easier to spot when a woman is aroused. Because the clitoris does not need to be erect for sexual intercourse to occur, clitoral orgasms will only happen if the woman is aroused properly. That means some type of foreplay is generally a requirement. When the clitoris is stimulated repeatedly, it becomes more engorged with blood and this further heightens its sensitivity. With another stimulation a point is reached when all of the tension in the area must be released and this point is considered the orgasm.
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Before the popularity of the acai berry gained notoriety we had only vitamins A, C and E consumed by drinking orange juice or taking vitamin supplements. But today, we are not talking about just small preventative measures taken, but a real blow to sickness and disease, which has taken the form of antioxidant rich functional health beverages that many consumers swear by in their quest for health and wellness.
Currently, the antioxidant gaining the most attention the acai (pronounced ah-SAH-ee) berry which is known as a super antioxidant. The acai berry is a small dark blue fruit, similar in size to a blueberry or small grape but with less pulp, that grows in clusters of berries on acai palm trees. The acai fruit is popular among health food enthusiasts because it is high in many important vitamins and minerals, including B vitamins, Omega-3 fatty acids (such as Omega-3, Omega-6 and Omega-9), and anthocyanin/anthocyanidin phytonutrients which are members of the flavonoid class of antioxidants.
The dark purple berry, which tastes something like a blend of berries and chocolate, supposedly contains 10 to 30 times the flavonoids contained in red wine. Traditionally, Brazilians used the fruit to treat stomach disorders and skin conditions. The fruit is highly unstable when picked and rots easily, so it is rare to find the acai fruit whole when you are not in the region where they are grown. Outside the tropics the fruit is usually found in either juice or pulp form. This wonder food is purported to fight cancer, control cholesterol, increase energy, improve physical intimacy and helps weight loss. Some people even use acai as a facial astringent because the fruit has high anti-bacterial properties.
The other two superfoods getting a lot of publicity are goji and mangosteen. Many people are familiar with these two superfoods because they are the ingredients in some very popular functional health beverages. However, there are ony two companies that I know of that have managed to package all three Superfoods in one container and bottle! Let’s discuss the other two main Superfoods, shall we? Both have been identified as being just as important for healthy well-being as the acai berry.
Goji Berries - are being called the World’s Most Powerful Anti-Aging Food. In addition to being cultivated in China, Goji berries are red and grow on vines in the Himalayas in Tibet, and Mongolia. The Goji fruit is nicknamed the “happy berry” because of the sense of well being it is said to induce. Goji Berries are nutritionally rich, containing Beta-carotene, Vitamins C, B1, B2, and other vitamins, minerals, antioxidants, and amino acids. Goji Berries also contain complex phyto-nutrients and bio flavinoids.
Goji Berries are believed to enhance the immune system, help eyesight, protect the liver, boost sperm production, and improve circulation and longevity, among other effects. Goji Berries are sweet in taste and have the highest content of beta-carotene among all foods on earth.
Goji Berries have been used in Tibet for at least 1,700 years for the treatment of kidney and liver problems, to lower cholesterol and blood pressure, and cleanse the blood. Goji Berries have a long history of use in the treatment of eye problems, skin rashes, psoriasis, allergies, insomnia, chronic liver disease, diabetes and tuberculosis. Goji Berries are used by the people of Tibet to increase longevity and for overall general health.
Science has shown that this bright red berry not only contains extremely high levels of antioxidants, vitamins, and minerals, but also contains many unique phytochemicals, polysaccharides, and complex compounds that scientists are only beginning to understand. Goji Berries contain the following complex compounds:
Betaine, which is used by the liver to produce choline, a compound that calms nervousness, enhances memory, promotes muscle growth, and protects against fatty liver disease.
Physalin, which is active against all major types of leukemia. It has also been used as a treatment for hepatitis B. Solavetivone, a powerful anti-fungal and anti-bacterial compound.
Beta-Sitoserol, an anti-inflammatory agent. It has been used to treat sexual impotence and prostate enlargement. It also lowers cholesterol.
Cyperone, a sesquiterpene that benefits the heart and blood pressure. It has also been used in the treatment of cervical cancer.
Mangosteen- The mangosteen a tropical evergreen tree, believed to have originated in the Sunda Islands and the Moluccas. The edible fruit is deep reddish purple when ripe. The outer shell of the fruit (pericarp) is rather hard, resembling a spherical, black cartoon bomb. Cutting through the shell, one finds a very pale, fleshy fruit.
Mangosteen has compounds with antioxidant, anti-bacterial, anti-fungal, and anti-tumor activity that may help maintain intestinal health, strengthen the immune system, neutralize free radicals, help support cartilage and joint function, and promote a healthy respiratory system. Laboratory testing thus far indicates that extracts of mangosteen have activity against several cancer cell lines including breast, liver, and leukemia. Most notably, the mangosteen provides powerful anti-inflammatory benefits which play an important role in numerous health conditions.
For hundreds of years, the people of Southeast Asia have used the mangosteen, especially the rind, to ward off and treat infections, reduce pain or control fever, and treat various other ailments.
Most of the studies with mangosteen have focused on the pericarp, or the dark, woody rind as opposed to the fruit inside the woody rind. The pericarp contains the active xanthone compounds. Mangosteen is the only fruit that contains xanthones! The fruit itself probably has some beneficial compounds but the compounds within the mangosteen fruit have not been studied as well as the mangosteen rind.
Yerba mate is also one of the ingredients in this functional health beverage in addition to Aloe Vera Gel Pulp, CoEnzyme Q10, Cat’s Claw Bark and over 100 other nutritional ingredients.
Yerba Mate (pronounced yer-bah mah-tay) - Although yerba mate has not enjoyed the same level of media exposure as the acai berry has recently, it certainly commands respect and attention. Yerba mate is a tea like beverage popular in Argentina. The word mate derives from the word Mati that names the gourd that is used to drink the tea.
It is widely held that this tea contains mateine, a chemical cousin of caffeine that has subtly different properties. Though similar to caffeine in its ability to provide energy, it can have a milder and safer delivery to the body. Although, yerba mate is not known to interfere with sleep cycles, it does have a tendency to balance the cycles, inducing more REM sleep. Many people report that they require less sleep when using mate; usually such an experience is accompanied by a deeper, more relaxing sleep experience.
Yerba maté is replete with antioxidants that help the body fight free-radicals. Yerba mate may assist with the following: increased mental awareness and elevated mood, weight loss, increased ability to fight off disease and increased energy and vitality.
Additionally, yerba mate helps relieve allergies. It has been noted that yerba mate is helpful in opening respiratory passages to overcome allergy symptoms. It has been shown to reduce the severity of some allergies and hay fever. Yerba mate works by stimulating the adrenal glands to produce corticosteroids, which help suppress the inflammation and immune response due to allergies.
Does yerba mate exhibit anti-cancer properties like green tea? Aside from its significant antioxidant effects, research from the University of Illinois suggests yerba mate could in fact be a potent ally in cancer protection.
Labs around the country are starting to test the Acai to find what possible medical use it has. There is no doubt that this amazing fruit has a promising future in the medical world. While more study needs to be done to prove the effectiveness of some of these claims, there is no doubt that adding any of one of these plants or fruits to your diet will improve your overall and future health!
The health beverage industry is a booming market. It is currently producing over 4 billion dollars in sales and is forecasted to grow to over 10 billion in the next few years. The growth is being fueled by one thing: consumer demand. It should be no surprise why so many companies are jumping on the functional health beverage band wagon.
Medical Disclaimer
"Information on this site is for educational purposes only. It is not intended to act as a substitute for medical advice provided by a qualified health care provider, nor is any information on this intended to diagnose, treat, care or prevent any diseases. Statements have not been evaluated by the food and drug administration."
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It is interesting to note that the aging dog (like his master) is also prone to prostatic enlargement, but (unlike his master) does not often develop retention of urine. However, due to the bulging upwards of the enlarged prostate the dog’s rectum is compressed. This engenders a feeling of continuous fullness in the rectum and induces straining. The prostates of eunuchs are small and underdeveloped, and enlargement of the prostate is unknown.
Benign prostatic hyperplasia (BPH) is one of the most common diseases to affect men beyond the middle age. The prevalence goes up with age, and thus the total number of patients is increasing as a result of aging population. A majority of these people suffer gradual progression of symptoms and the concomitant discomfort, and require either medical or surgical treatment. The growth and development of the prostate is under the influence of male hormone “testosterone”.
Rather surprisingly, there is no close correlation between the size of the prostate and the extent of outflow obstruction. However, the larger the prostate, the greater is the risk of BPH complications such as acute urinary retention and the need for surgery.
BPH is usually a slowly progressive condition. An average increase in the prostate is 1-2 cm per year. BPH is the most common condition affecting the prostate accounting for over 80 per cent of prostate disease. The defined risk factor for BPH is age. Clinical BPH seems to run in families.
In the early stages of the disease, the patient complains of hesitancy, a reduced stream and incomplete bladder emptying and then frequency, urgency and nocturia. Later on, prolonged micturition, acute urinary retention, urge incontinence, etc, can have a negative effect on the quality of life and may be associated with sexual dysfunction like erectile dysfunction and disorders of ejaculation.
The treatment of BPH can be with the help of drugs or by going in for surgery. Some of the drugs used are Finasteride, Duatasteride, Terazosin, Alfuzosin and Tamsulosin. Adverse side- effects of these drugs can be erectile dysfunction, decreased libido, reduced ejaculation, drowsiness, headache, dizziness, postural hypotention, etc.
