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Male factors are projected to produce about thirty percent of all infertility troubles and to contribute to them in another twenty percent. Whatever conventional wisdom may have to say about whose "fault" the problem is that figures indicate that the responsibility is split about equally between the sexes. Studies initiated by the National Institutes of Health at six universities are exploring the infertility consequences of the increase of sexually transmitted diseases among the young. At greatest risk are those between the ages of fifteen and nineteen regardless of socioeconomic differences. The production or quality of sperm may be affected by congenital and genetic abnormalities, injuries to the genital tract, heat, age, sperm agglutination, acute and chronic infection (often sexually transmissible infections), malnutrition, previous surgery, allergies, chronic illness, environmental or occupational factors (such as radiation), varicocele, or certain medications. Among these medications are Tagamet, used in ulcer treatment; drugs used for treating cancer; and some antibiotics (especially those used to treat tuberculosis). Also heavy smoking of marijuana and smoking generally, alcoholism and stress may result in impotence or inability to ejaculate. Varicocele, a varicose enlargement of the veins of the spermatic cord, is a potentially curable cause of male infertility. While this condition occurs in many men with normal fertility, it has been found to be present in as many as forty percent of infertile men. Half of all men with varicoceles have decreased sperm count or sperm motility or other changes in the semen analysis. Theories of the cause of these changes include heat, pressure and toxic substances from the dilated vessels. Permanent or temporary damage to the male testis can occur as a result of a genital infection or a systemic infection. Gonorrhea may do enough damage to the male genital tract to result temporarily in a marked decrease in the sperm count. Mumps in an adult male may involve one or both testicles and may cause severe testicular damage. Fortunately, usually only one testicle suffers severe impairment and the sperm count, though possibly reduced, is usually compatible with fertility. Any systemic viral or bacterial infection may cause a temporary depression in the sperm count. Because many of the infertility tests for women are more complicated and involve more risk than those for men, infertility testing often begins with the male. A semen analysis is a simple test that can provide a great deal of information. The male is asked to submit a recently ejaculated semen specimen to the physician or laboratory. This specimen is then examined microscopically to determine sperm count, their size and shape and if they are able to move normally. There is no sharp line of demarcation between fertility and sterility in the sperm count. Counts of less than twenty to forty million per cubic centimeter are often correlated with decreased fertility, although men with counts of five to ten million have fathered children. A high percentage of sperm with abnormal shape, size, or decreased motility is also correlated with decreased fertility. The semen can be analyzed also for antibodies and cultured for various infections. The hormone levels in the man's blood are also measured to make sure his hypothalamus and pituitary glands are functioning normally. penis enargement system best enlargment exercise penis vimax penis enlargement review penis elargement supplement buy penile enlargment pills do penis elargement pills work free natural penis elargement enhancement manhattan penis surgeon

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Piercing refers to the art of puncturing the body with a needle in order to wear jewelry in the holes. The most popular sites for body piercing are the ears, the nose, tongue, eyebrows, nipples, navel, labia and penis. Piercing is usually carried out without anesthesia in beauty or tattoo parlors. The actual act of piercing does not take more than a few minutes and is done with a needle or a piercing gun. The actual piercing is done after the skin has been cleaned and disinfected. Though piercing is gaining popularity, it carries with it its own sets of hazards, if not carried out in sterile conditions. Sometimes piercing also could also result in a badly formed earlobe as a result of weakening and tearing of the tissue, contact dermatitis, rupture of the urethra and an infection of the foreskin of the penis to name a few. To avoid falling prey to these infections is not to get pierced in the first place, and if one does, then to make sure that the person performing the piercing is doing it in sterile conditions and is trained professionally. Also make sure that the jewelry being used is of 14 or 18 carat gold, titanium, surgical steel or niobium as jewelry made of brass plate and nickel alloys can trigger a skin allergy. Piercing is an age old custom -- the Egyptians and the Romans did it. In Rome, slaves who were gladiators very often had to have their genitals pierced so they would always have to get their masters’ consent before indulging in sex.The Aztec and the Maya tribes as well as some of the American Indian tribes also pierced their lips as a ritual. Mayans, being a warrior tribe, pierced their septum as well to intimidate their enemies. During the dark ages the interest in piercing faded away to come back into full swing in England during the Elizabethan age where it was a great way for nobility to display their wealth and status by wearing an earring (a pearl drop or a stud).Women of that age too became more adventurous and the conservative form of dress gave way to dipping necklines as well as nipple piercing, which proved to be a great visual stimulus in the bedroom! In the 1960s hippies who traveled back from India brought the custom of nose piercing to the west. This has diversified into many different types of body piercings in today’s world. penis enlargment picture pennis enlargement system penile enlargment surgeon cheap penis enargement pills home penis enlagement magna rx best pnis enlargement vimax penis enlargement patch magna rx review

They say that nature gives with one hand and takes away with the other. Many men have brains that help them land big jobs, discover amazing things or start their own companies and make fortunes. However, these amazing brains tend to come bundled with less than satisfactory penises. In fact, a lot of men have to cope with this type of trade off and are forced to face life with small penises that are bound to make things difficult later on. For this reason, men turn to penis enlargement techniques to supplement or offset the stinginess of nature and to improve their lives. But penis enlargement is a wide and wild territory that may not be all that friendly to new users. It is very important for any man to find the right penis enlargement program or product. It doesn’t really matter what you’re using, but it must be something that works properly. There is no reason to spend time and money on products that are either worthless or hazardous. Among the traps that lie in wait for the unwary penis enlargement seeker is the risk of incorrect enlargement. Most men think that any kind of penis enlargement is good. Heck, what can be wrong about a little gain here and there? Well, it’s not that simple. Penis enlargement has to be done correctly and uniformly regardless of the product you’re using. There’s simply no other way. Adding just a bit of girth, mostly on one side, or increasing the length a bit, at the expense of some burst blood vessels is never a good idea. Whether you’re into traction devices, penis exercises or enlargement pills, you always have to look for certain signs that prove the seller’s good faith and quality standards. First and foremost you should look for a money back guarantee. If the product advertised on the website is a quality product then the vendor shouldn’t have any problem offering a generous money back guarantee. Beware of vendors who leave you only a small product return window. This is usually a sign that something’s not right. Second comes full time customer support. This is the best way you can tell if the product is sold by a full blown company or just some guy with a computer who stays at home and couldn’t care less if the product worked or not. What you need is full time customer service which can answer any of your questions. The quality of website design is also a sign of how much money and care went into the product. Avoid cheap looking websites. Third comes customer forums. If a vendor has an effective product to sell, he won’t mind customers discussing their experiences online. Customer forums are a great way of getting in touch directly with men who have already tried various products and can give you a first hand account. This goes hand in hand with the information featured on the website. The more information about the product (not just beating around a distant bush), the better. If the vendor is not shy to talk about the product then he probably has nothing to hide. Fourth comes medical endorsements. These are priceless. If an M.D. is willing to put his professional reputation behind a product, this means that the product in question is worth buying. If the website also features customer testimonials then your search for a quality PE product is over and you have a winner. You can also look for bonuses handed out by the vendor to good customers. Bonuses are something like extra icing on a very good cake and further proof that the vendor knows the value of big spending customers. So there you have it. The five things that make the difference between a good penis enlargement solution and a bad one that you should avoid like plague. It’s not simple to tell a good thing from a scam, but it’s not very hard either. Be careful. penis enhancement tip penis enlargment system penis enlargment before and after photo pennis enlargement system penis enargement before and after photo safe penis enlarement penis enargement traction device vig rx enhancement magna rx review

One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. guide to penis enlargement penis enargement pic penis enlagement result penis enlagement operation safe penile enlargment penis enlargment video pennis enlargement patch magna rx results review magna rx review

Penis enlargement may be a tough choice to make for some men, while others can decide in the blink of an eye if they are ready to give it a try or not. However, informing your significant other of this decision is not that simple. There is always the chance that she may not understand or appreciate your choice. So, is it better to come clean or stay mum on this one? Some burdens are not meant to be carried alone. Being married or engaged in a long-term relationship shows that you are not a solitary individual, but one who needs and welcomes company. It’s only fair that you should open your heart and share this with your loved one. If you wish, you can use this as a test of your partner’s love, open-mindedness and desire to make you happy. However, you should be very careful when discussing this issue. What you want is to help your loved one pass this test by accepting and respecting your go at penis enlargement. A successful approach means that you can take pills, wear a traction device or perform penis enlargement exercises without having to wait for your significant other to leave the house. It means you don’t have to come up with more excuses for staying in the bathroom fifteen minutes. It’s the end of all the lying and hiding that hurts the trust and respect which are the foundation of any consensual relationship. On the other hand, discussing penis enlargement might prove unfortunate for some people. If your significant other is too embarrassed or cannot accept this, then you have a big problem on your hands. Some people may not be open-minded enough to understand you are doing this for your own good. Your best bet is to make a plan beforehand in order to make sure that you have a sensible response to whatever questions might arise. You need to sound convinced about penis enlargement and you should make your partner understand that you’ve thought everything through and concluded that penis enlargement is your best option. A good place to start is the widespread use of body modifications in today’s society. If women can have their breast enhanced and wrinkles erased, why should men abstain from enlarging their own penises? Make sure your partner understands that you aren’t going to force any choices upon her and that you are going to do your best not to put yourself and her in any awkward situations. This should put her fears to rest and help ease the tension. If your partner cares about your well-being and happiness then it likely that she will put up with penis enlargement. Maybe even help you by giving a second opinion on enlargement equipment or substances used in pills. A different take on things might prove helpful. Still, informing your partner is not mandatory. The final decision rests with nobody else but you and if you wish to surprise your significant other or think that the whole thing should be kept under wraps, then so be it. I simply recommend that you open your heart to your lover and give her the chance to help you and support you through penis enlargement.