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Erection takes place when structures inside the penis and along the urethra between a man’s legs are filled with blood and inflated. This occur upon signals from the brain and the spinal cord, and the signals are transmitted through nerves in the parasympatic nervous system, a part of the autonomous or involuntary nervous system. HOW THE NERVOUS SYSTEM TRIGGERS AND CONTROLS THE ERECTION The erection is triggered and controlled by the following events: - Something stimulates sensorial bodies in the genital zone or other senses. Impulses are then sent from the senses through nerves and the spinal cord towards the brain, and reaches the upper areas of the brain. The brain then recognizes these impulses as something sexually arousing. Also thoughts originating in the brain itself may be recognized as something sexually arousing. - The higher brain areas having recognized some arousing events then send impulses down to the limbic system at the lower area of the brain. It is the limbic system that actually produces the feeling of excitement. - The limbic system sends signals down the spinal cord and out to the genital area through nerves called nervi erigentes - a part of the parasympatic nervous system - The signals reaching the penis and the rest of the genital zone then trigger erection and engorgement of the area between the man’s legs. - Stimuli to the penile or genital sensorial bodies do not need to reach the brain to result in an erection. Areas in the spinal cord will also recognize the stimuli and get excited. Then the spinal cord also by its own sends erectile impulses back to the genital area. - The sensorial bodies in the genital area will also be stimulated mechanically by the erection. Since stimulation of these bodies trigger erection, the erection process is self enforcing. A beginning erection thus trigger even more erection. THE ANATOMICAL BASE FOR ERECTION In the penis lie three bodies consisting of a network of very elastic blood vessels having circular smooth muscles in their walls, called erectile bodies. There are two paired bodies lying at the upper side of the urethra (corpora cavernosa), and one lying around the urethra (corpus spongiosum). The muscles in the vessel walls are able to constrict the volume of the vessels, or relax allowing the vessels to widen. Vessels leading blood to or from the erectile bodies also have the ability to constrict or relax in order to restrict or facilitate blood flow. The erectile chambers are not only confined to the penis, but continue in the area between the legs all the way backwards to the anal area. WHAT HAPPENS IN THE GENITAL ZONE DURING AN ERECTION The erection response consists of the following events in the genital zone: - When the signals from the brain and the spinal cord reach the nerve ends in the penis and the genital zone, the chemical compound nitric oxide (NO) is released. - Nitric oxide then spreads through the genital area and especially the penis. Nitric oxide then triggers the following reactions. - Blood vessels leading blood to the erectile bodies relax. Then more blood flows into the penis. - Blood vessels leading from the erectile bodies constrict, making it difficult for blood to leave the bodies. - The smooth muscles around the vessels in the erectile bodies relax, allowing these vessels to widen. - The blood going into the erectile bodies will then fill up in the vessels of the bodies and inflate the bodies to a much larger volume. - The inflated bodies will get straight and hard. The growing erectile bodies will inflate the whole penis and make the penis rise. - Since the erectile bodies continues backwards between the man’s legs, also this area swells and fixes the penis rigidly so that it does not sway from side to side when fully erected. penis enlargment surgeries homemade penis elargement homemade penis enlagement pro solution wealth penis enlarement technique penile enlargment without pills pennis enlargement fact penile enlargement picture penis enlargment surgeries
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How to spot malignant mole? This morning you took a bath. The warm water feels so nice during the cold winter day. There was some funny skin itching on you back. You looked in the mirror, turned this way , that way. There is small mole on your back You remember this spot had been there for years, since childhood. Did this spot get that strange itching? Recently you have heard the news that there are more than 50000 of new melanoma cases every year. This number grows 3% a year. What is going on? Is this small spot on you back went out of control? Several types of skin tumors exist. Many are slow growers. Many give rare metastasis. Simple removal cure majority of skin tumors. Melanoma brings troubles big time. Melanos = black, oma = tumor. You can detect melanoma by self-exam. Skin cancers show themselves much easier than any other types of cancer. In the same time you can cure melanoma by simple surgical resection. However, catch this tumor in early stage. Late stage metastasize. Surgeon can not cut off every metastasis in your body. There are numerous sites dedicated to melanoma self-exam. Just type in the word "melanoma" into any search engine. Follow instructions. Fair skin people have more chances of getting melanoma. However, dark skin people develop melanoma too. Everybody has moles. Women even use moles to charm. How to find if your mole became dangerous? Dangerous signs include ABCD: Asymmetry Border Color Diameter A- asymmetry. Suspicious mole does not look like a round or oval blot. Often, early melanoma looks rather like a blot with an odd shape. B- borders. Borders become irregular, uneven, fuzzy. The edges of the blots become notched. C- color. Color of normal mole should be more or less homogenous. Change in color is very suspicious . There are shades of brown, black, tan, red. Mottled color is suspicious. D- diameter. Change in diameter is suspicious too. Mole that is bigger than 6 mm is suspicious. Everybody compares 6 mm to a pencil eraser (though few people actually use it extensively). Just to get idea about the borderline size. Besides ABCD there could be other signs of dangerous mole: E - enlargement and elevation over the time Also worrisome signs include easy bleeding and erythema (redness) around the mole. Itching and pain in the side of mole make you suspicious as well. History of melanoma in Family should also raise suspicions. Some skin problems look like melanoma, but are actually harmless. Anyway, do not gamble with them. Even experienced physician can not always tell if the lesion is malignant or not. It is better to be safe then sorry and check the troubling changes soon. Some rare types of melanoma exist. Because even obvious melanomas are not always diagnosed on time, the unusual types becomes much more deadlier. Often doctor sees them too late. Melanoma under the nails. Melanoma of mucous membranes. (Mouth, nose or guts) Amelanotic melanoma - this one is not even colored. The treatment will be excision with margins and biopsy, but most important of course is to catch melanoma Know that the treatment depends on the thickness of the tumor and the presence of distant metastasis. Surgeon or dermatologist cuts off the melanoma. Then, Pathologist (doctor specializing in lab diagnostics) looks the sample under microscope. He classifies the tumor. The grade of the tumor gives the clue to the chances of your survival. There are several classifications Breslow classification measure the penetration of the lesion into skin by millimeters. Know that > 0.75 mm is already dangerous, but > 4 mm is wacking. What is 4 mm. It is nothing. Right? Take a ruler and check how 1 mm looks and how 4 mm looks. So this is why it is important to catch melanoma early. There is also Clarks classification that measures penetration of the melanoma into the skin and other layers. TNM classification standardizes the grading. You can not know the grade unless you excise and measure the melanoma penetration under microscope. It is not a do-it-yourself project. Surgeon and pathologist will do it. The time of evolvement 1-2 years. The frequency of melanoma is increasing. It might be because of more people get sun damage. Also other reasons may play role. Treatment of melanoma includes surgical removal, chemotherapy, immunotherapy, radiation therapy.