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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.
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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. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation.
Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%.
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Since the release of the erectile dysfunction drug Viagra onto the market in the mid-1990’s, there have been a number of clinical reports regarding the complications associated with the erectile dysfunction drug. Viagra users report adverse side-effects to the drug, including cardiovascular and ocular complications. Yet, despite reports of such serious side effects, men of a variety of ages still choose to use Viagra as a catch-all cure for erectile dysfunction.
Viagra works at treating erectile dysfunction in the first place, by blocking two specific enzymes in the body, known as PDE5 and PDE6, which exist throughout the body, but in higher concentrations in the penis. The problem here: PDE6 also plays an important role in the processes that make vision possible. Thus, blocking the enzyme causes complications with the vision of some Viagra users.
Proponents of Viagra argue that the reports of Viagra's complications can be explained away by aging—that the trouble with vision typically reported by Viagra users are mere results of the aging process. But, considering that the side effects occurred even in Viagra’s youngest users, we know this cannot explain every instance of the adverse side effect. In truth, we can determine that in many cases, Viagra causes men to go blind.
This isn’t to say that Viagra isn’t without its positive attributes. Viagra users certainly seem to profess gratefulness to the erectile dysfunction drug, for its effects on their sexual relationships. But is the cost of sexual satisfaction too high for men?
Men seem willing to risk life and limb for the opportunity to have somewhat normal penis function in the form of an easy-to-swallow little blue caplet, but with such great risks as cardiovascular and ocular complications, we have to wonder if the risk balances with the reward.
For men who wish to avoid the complications associated with Viagra, there are other , more natural options for the temporary cure of erectile dysfunction, Following the popularity of Viagra in the mid-1990’s, many companies began marketing natural male enhancement alternatives to the popular drug.
Yet, Viagra users still continue using Viagra, despite the risk of blindness and other obvious and prevalent complications associated with the manufactured drug.
More public awareness about dangerous complications associated with Viagra is necessary, as well as more public awareness about the natural male enhancement alternatives to the erecticle dysfunction drug. By educating Viagra users, we can ensure that fewer men lose their vision due to this very dangerous erectile dysfunction drug. Men shouldn’t have to choose between their vision and their sex lives, and the many natural male enhancement alternatives to Viagra make this choice unnecessary.
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Define your career. If you are a doctor, you diagnose and treat peoples' ailments. If you are a hairdresser, you cut, colour, perm, and style hair. If you are a police officer, you uphold the law, investigate crimes, and in general protect the citizens of the district in which you work. Most careers can be at least briefly described by almost anyone. If you have one of those careers, you are very lucky.
Before I entered the work force and opened my own design firm, I never would have imagined that I would be getting calls to mend curtains, remove stains from carpets, find out why one bulb in a chandelier will not work... I am an interior designer -- I design interiors; but I can recommend a seamstress, carpet cleaning company, electrician... Then the dreaded question comes, "What do you mean you design interiors?"
Once-upon-a-time-ago I thought that to be an easy question to answer. Somehow, I now find it easier to explain to a child why the grass is green.
Rather than trying to define interior design, I have taken to explaining the process of designing an interior.
I analyze, ask questions, draw, review the budget, draw some more while asking more questions. Slowly, what started off as sketches develop into floor plans and other technical drawings. Some of the drawings get coloured in. I help my clients make informed decisions regarding the use of space, materials, products, colour, lighting, layout, construction methods, other professionals... The drawings/plans then go to contractors and specialty contractors. I review the submitted process with my clients -- one submission is higher, but that is not necessarily bad because the others are each missing things. A contractor is selected, the contract signed and the work begins; I'll be there routinely while the work is in progress. I basically act as a representative on my clients' behalf, as well as a protector to my own design. Time schedules are reviewed frequently, problems that arise are handled in such a way that my clients may later know the solution but not the headache involved to understand and work out the problem. The work is wrapping up, only the finishing touches are left but I am already preparing a list of things that have to be finished, repaired or touched-up.
What had been a noisy, dirty, smelly construction site has now fallen quiet and already been cleaned. I walk around looking at and examining the full-size, real thing of all the drawings I had done weeks, if not months, ago. Back at the office, I edit the deficiency list started a few days before and send it to the contractor and clients. The job is soon completely finished, but my work is still not done.
My clients call, happy with the finished space. There are some last minute questions concerning maintenance of some of the new items, where to find certain decorative things and accessories that suddenly have importance, placement of these things, and so on.
About two months later those clients are likely to call again. The voice on the other end sounds either a bit annoyed or even slightly panicked. The tile grout is crack in one area on one wall. It's probably just because everything has had the time to settle; I'll come by to see it, then contact the contractor.
Define my career. I am an interior designer. I am an analyst, an artist, an educator, an interrogator, a project manager, a site supervisor, a purchaser, a space planner, a specifier, a decorator, a technician, a draftsperson, a troubleshooter...
But can I help a client plan an outdoor project? Can I design a cabana or gazebo for a client's yard? Can I design custom furniture or lighting? Work with other professionals to provide technical drawings for things that do not fall into the scope of work of an interior designer? Work with clients and their real estate agent to help in the selection of the perfect home or commercial space to meet their needs? Provide consultation services to do-it-yourselfers? Handle the enlargement of a building? Work on new constructions as well as renovations? Plan the enlargement or relocation of a kitchen or washroom? Do I know the building code? Can I help obtain renovation permits from the municipality? Design spaces for use by people with physical disabilities?... Yes, and more.
In a rush, I sometimes describe interior design as the career that fills the gap between architect and decorator, but the accuracy in that statement is something even I have debated. So I am still left without a solid definition of my own career.
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Do you want bigger breasts? Do you think exercise might give them to you? If so, here's a true story that might interest you. (Of course, we asked permission to print this story for you, and the names are changed to protect privacy).
A young lady asked me this, regarding exercise and fitness personal training. Her question was "If I train with you, will my breasts get bigger? Will they lift themselves up, become firmer and fuller like they used to be when I was younger? Truthfully, I hesitated momentarily, before answering this one. Yes, I really wanted to motivate her, as well as gain her service as a new fitness client. And, I also wanted to stimulate her existing desire to re-kindle her fire and passion for exercise. My greatest personal satisfaction comes from seeing other people improve themselves, especially when their benefits come from advice, education, suggestions, and/or training techniques that I have brought to them.
However, my ethics are much stronger than my desire for profit. Ethics in the diet, exercise, and personal fitness training industry are an extremely valuable commodity. They denote character and intent to provide quality service. Therefore, I smartly hesitated before answering the young lady's question. I could see the look in her eyes. She may have wanted me, as a trainer, to say, "Yes, of course your breasts will become larger, firmer, and fuller, just like they used to be. All you have to do is exercise." The truth, however, is quite surprising and perhaps contrary to your probable expectations.
As I began to research the subject, "natural breast enhancement," many truths became obvious, almost instantly. Of course, you find your most immediate replies from Internet sources. Members of the general public, many of whom have no accreditation, formal education, or long-term training expertise, are free to create such highly opinionated responses. Although these individuals (and some small businesses, too) may mean well, they simply lack accuracy, especially in the art and science of conducting skilled research.
Now, let me tell you what I noticed right away. Upon my first query on natural breast enhancement, several web sites displayed conflicting information. For example, one site said that herbs, minerals, and vitamins would cause a woman's breasts to enlarge. The next site said that "exercise" would boost breast size by at least one "letter." A third said that "nothing" would help because genetics alone determined breast sizes. A fourth claimed that wearing pressure clamps all day long would increase breasts by at least two cup-sizes.
As you might already see, the offerings, replies, and suggestions included various alternatives, methods, and techniques. There were suction and pressure devices, creams, encapsulated hormone products, immune system "enhancers," nutrient supplements, etc. A few sites even boasted about "special secret exercises." (Of course, you had to pay first before they told you what these unique, new "special secret exercises" were, if any.) The exercise science industry says nothing about "special breast enhancement exercises." This type of information is only hype. Don't buy into it. Stick with science. Stick with accredited information sources. Maintain your knowledge through licensed, formally trained professionals. Especially, deal only with specialists who maintain high "ethical" standards.
You may be interested to know this. Here is the basic outcome of a comparison between the various natural ingredients associated with "breast health." These ingredients were different from those that claimed to increase "breast size." If you are a candidate for such products, you must be meticulous about the phrasing of such descriptions. There's a saying on the Internet that, "You have to already know what you want, before you can find it." In other words, asking for "breast health" gives you different results than "breast enhancement" or "breast enlargement," or even "natural breasts."
For example, properties of nutrients claimed to exert "anti-cancer" functions. Still, others were reportedly claiming to make the breast expand (or, at least "appear" to) swell in size. Certainly, you could rationalize the following. Some nutrients do indeed tend to protect your cells from deterioration. At least, there are some that may offset the formation of cancerous cells. This, however, does not automatically mean that the tissue will appear larger and/or grow bigger. When you refine your "purpose," you are more likely to find something that can provide you with a satisfactory solution.
Do You Want the Bottom Line on "Natural" Breast Enlargement?
There really is "nothing" available and practical that will give you such results. The only thing that possibly comes close to achieving this for you is the "pressure clamp" concept. That is, you wear pressure clamps all day long for about 20 to 30 days non-stop. Surely, you can see how many people cannot arrange the time for such an activity. Convenience is certainly a factor that affects you. And, can you withstand the discomfort of this type of breast enlargement technique? At least, this idea has some merit, but it's still not your most practical and achievable solution. Now, consider the following.
In a "natural" way, nothing exists that will actually make your breasts firmer, fuller, or larger. You can, however, protect the "natural health" of your breasts. Additionally, with exercise, you can naturally increase the size and strength of the MUSCLE layers BENEATH your breasts. These muscle layers (called "pectorals") can give you a slightly more firm appearance. This is true only because the muscles themselves become more firm, NOT your mammary glands. In reality, breasts consist of fat tissue, not muscle. Fat can seldom be "firm" to the touch, and fat is hardly likely to give you a firm, solid appearance.
Now, "think outside of the box" for just a moment. Returning to our original story line, the ironic thing is that the woman you read about already possessed very large breasts. Thousands of "decent-sized" ladies would "kill" to have what she already has. However, the feeling that your breasts may not be nice enough also comes from other facts. Your surrounding body parts can also lack THEIR proper shape and symmetry. Your overall fitness (including body fat ratio, flexibility, strength and endurance) may be poor or below average.
So, here's a breast enlargement/enhancement/health solution that you can count on, virtually, forever. BECOME TOTALLY FIT. For example, with the woman you read about above, reducing waist size would conversely increase breast size appearance. Do you understand how this works? In exercise science, there is something called a "waist-to-hip" ratio. It measures your cardiovascular risk as well. However, with an excellent waist-to-hip ratio, your body "looks" good, too. In other words, reduce your waistline to enhance your upper body stature, appearance, and appeal.
Next, there is your "body composition." This is an approximated measurement of the amount of fat you carry in your subcutaneous tissue layers (immediately below your skin's outer surface). This is a ratio of the fat to muscle your body carries. Via practically any combination of aerobic, bodybuilding, endurance, toning, or strength workout activities, you can remarkably enhance your body composition. This, in turn, enhances the size of your waist, plus the shape of your torso, and consequently, the appearance of your breasts. Therein lies your "breast enlargement," the "natural way."
It's time to train your way into a more pleasing appearance, and a higher level of stamina comes with it. It's a win-win situation for you, without medical complications, and with no negative side effects. Help "nature" take its course by helping your body do what it is supposed to do – that is, to PERFORM. Call your trainer or weight management specialist and get more information. Then, step into higher gear with enjoyable and effective diet, exercise, and fitness physical activities. Your breasts will say, "Thank You."
