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The resent passing of another HIV (Human immunodeficiency virus) testing awareness day this summer made me think about some of my old clients. I was a state certified HIV test counselor for the state of Michigan at the agency where I worked. This meant that I administered HIV tests for those people who believed that they may have been put at risk for contracting HIV, the virus that causes AIDS. This was a stressful job, and some days, down right awful. The awful days, as you can imagine, were the ones when I had to tell a client that they had tested positive for the HIV antibodies. Thankfully, I only had to tell a few people, but those few individuals are forever carved into my mind. I will never forget them or the day that I had to tell them that they most likely were infected with a life altering infection. These people were young, old, and middle aged. They were people not unlike me. Hard working, dedicated to family, goal oriented, future driven. They were beautiful people that are going through life with an ugly, incurable illness. Unfortunately for me, since these individuals tested anonymously, I will never know their true identities and will probably never know how they are and if they are living healthy productive lives, or suffering and alone. Guess what? You could be infected. You could be at risk. You should be one of those clients that walks into an office and asks to be tested. HIV doesn’t discriminate. It doesn’t care if you are rich or poor. If you are male or female. Gay or straight. It doesn’t care how old you are. We have babies in this country still being born with the virus because moms don’t know they are infected. Parents and grandparents are increasingly being diagnosed with HIV. Yes, you need to know that your mom and dad or grandmom and grandpa still have sex. They still can potentially be infected if they are involved with someone sexually that has the virus. HIV is still out there. It is still killing people. We do not know yet how to stop it. Doctors and researchers are developing new ways all the time to slow it down, limit its effects on people’s lives, but we are no where near eliminating it from our world. I have been working with educating about HIV for around 20 years. I am sad and horrified to look at the statistics and see that we are no better off now than we were 20 years ago. The numbers keep rising. There is much in the news about HIV/AIDS rates in Africa and other countries, but I want to remind people that in your own backyard, HIV is still raging. We need to remind people that there are safer ways to behave, to reduce the risk of the infection spreading. The best way to reduce the risk of spreading HIV is to know your own status. There are testing sites available in your state. Get a test. They only take a short time to administer, and usually you can do it without giving blood. You can, in many cases, do it anonymously. Testing is the only way that you will know if you are infected. The earlier the diagnosis, the better the prognosis. Don’t assume you only associate with non-risky people. You can’t possibly know. Ask anyone who has HIV. As a society, we need to become more comfortable with talking about uncomfortable topics. We need to talk to potential partners. We need to talk to our doctors. We need to talk to our friends. I remember thinking when I was a teenager that I wanted to be just like Dr. Ruth Westheimer when I grew up. She was so great about telling it like it was. She called a penis a penis and was proud to do so. I admired that in a time when people didn’t talk to teens about sex, she was willing to. Today, we seem to only talk to teens. We stop talking once that teen grows up. They has become very apparent due to the increasing number of adults over the age of 50 who are becoming infected. So now I am talking. The lessons are fairly simple. Know your HIV status. Know the infectious disease status of your sex partner, or don’t have sex. Use a condom. Don’t share needles if you are using drugs. If it isn’t possible to refuse every time, do it some of the time. Every time you think about your health and act positively for it, you reduce your risk and add another day to the fight against this illness. Find support. There are many wonderful agencies in communities across this country that offer education, help, and the things you need to live a safer life. Everyone has their own story and their own reason not to live safely. These agencies have been trained to help each individual create their own specific plan of action. There are some people who feel that the drugs are available, so it is worth the risk. Certainly we risk getting the flu or infections by going out into the general public with the understanding that there are medications available to make us better if we get sick. So why is HIV different? One reason is that the drugs are expensive. Many people don’t have the insurance coverage to help pay for them, and even if they do, some drugs are hard to come by in certain areas. Secondly, the side effects for many of these drugs are brutal. I know people living with the virus who have chosen to deal with the disease rather than be restricted by the drugs. Another reason is that when you get Strep throat, you take an antibiotic for 10 days and you are done with that medication and that infection. If you get infected with HIV, you take medication for the rest of your life, with the added stress that if you forget to take it to often, it may become ineffective for you, all the while knowing that you never are going to be free of HIV. It is as simple and straightforward as all that. Dr. Ruth couldn’t say it plainer. HIV can’t just be thought about on testing days or awareness days. It needs to be thought about, talked about, and dealt with daily. It needs to have people like you and me to continue to fight the fight for comprehensive sexuality education. To continue to educate everyone about what HIV is about and who it affects. We need to talk equally to young and old alike about the risks that they take with their lives. And mostly we need to not forget those that have died and continue to be infected and affected by a disease that is so easy to prevent. I know that I will always think about my clients and will pray that they are living happy healthy lives. safe penis enargement enlarement manhattan penis surgeon plastic surgery penis enlagement male penis enargement prosolution penis enlagement pills manual penis elargement penis elargement photo penis enhancement surgery picture

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Do you experience a difficulty during a sexual activity and are not able to satisfy your partner in bed? If the answer to this question is yes, then you may be suffering from sexual dysfunction. Sexual dysfunction is the difficulty faced by an individual or the couple that prevents them from enjoying a sexual activity. Since people hesitate to discuss about their sexual problems with one another, many of them start believing that they are not normal and their sexual problem is unique or shameful. This is however just a myth. Due to the changes in the emotional and psychological behavior of man, sexual dysfunction has become quite common these days. Sexual dysfunction can occur at any stage of a person’s life. It can begin early or can even develop after a person had previously experienced and enjoyed having sex. The causes originating sexual dysfunction can be physical as well as psychological. Emotional factors include certain personal problems such as marital/relationship problems, communication gap between the partners or lack of trust. Psychological problems like depression, sexual fears or guilt etc also cause sexual dysfunction. Those addicted to alcohol or drugs can also face a similar problem. It is also witnessed by people who suffer from diabetes and degenerative neurological disorders. Sexual dysfunction disorders are usually classified into four categories as sexual desire disorder, sexual arousal disorder, sexual pain disorder and orgasm disorders. • A decrease in the production of estrogen (in women) or testosterone (in men and women) can cause a sexual desire disorder. Other factors such as age, pregnancy, fatigue or psychological conditions are also responsible. • Sexual arousal disorder in men may be due to partial or complete failure of attaining an erection of penis. • Decreased blood flow, lack of vaginal lubrication and the nature of relationship between the partners also contribute to the breakdown of sexual arousal. • Orgasm disorder can occur both in men and women. The SSRI antidepressants are responsible for delaying or eliminating the achievement of orgasm. • Sexual pain disorders mostly affect women. These are commonly known as dyspareunia and vaginismus. It may be caused due to vaginal dryness in women. There are various treatment of sexual dysfunction. As sexual arousal disorder is the major problem faced nowadays. Levitra is considered as the best option to treat this malfunction. It can work effectively to cure this illness in men. It blocks an enzyme called phosphodiesterase-5 and then relaxes muscles in the penis thus improving the blood flow. Hence, it helps in having a natural erection. Anybody can face a sexual dysfunction at any stage of life. Do no regard it as something abnormal. Recognize your illness at the right time and try to seek medical assistance. penile enlargement pic before and after cheap penis enlargment pnis enlargement stretcher prosolution penis enlargement pill cheap penis enargement elargement manhattan penis surgeon pennis enlargement doctor penile enlargement pump natural pennis enlargement

Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. enlargment free penile pills sample herbal natural penile enlargement enlagement manhattan penis enlargement free penis pill sample penis enlargement system best pnis enlargement surgery penile enlargement surgery picture penile enlargment fact natural pennis enlargement

If you want to increase libido there are numerous natural supplements on the market that are sold – The problem with most of them is they are sold without medical substantiation and don’t work. The good news there is a proven supplement that does work to increase libido ( in both men and women ) and is backed up by medical testing. It is so effective at increasing libido it is actually referred to as natures Viagra. Let’s look at how and why it works to increase libido. The supplement we are referring to is L-Arginine L-Arginine is a non essential amino acid which is necessary for normal functioning of the pituitary gland. The production of L-Arginine naturally decreases with age and medical research has shown that it is responsible for many degenerative processes that are related to getting older. It also plays an important role in maintaining sexual health and libido. Why it is so important In 1988 researchers discovered that L-argentine’s health benefits were due primarily to its role as a precursor to nitric oxide. L-arginine stimulates the release of nitric oxide from the walls of blood vessels, helping them expand and promoting healthy circulation around the body. Although an important amino acid for overall circulatory health, its real popularity in recent years has been due to its role in increasing libido Why it is important in sexual health L-arginine helps with maintaining sexual health by enhancing healthy blood flow to the penis. The Importance of nitric oxide Nitric oxide is produced in response to arousal messages from the brain; this then triggers the release of nitric acid which causes the smooth muscles of the spongy tissues inside the penis to relax, allowing the tissue to fill with blood and create an erection. The realize of nitric acid is essential to this process and that is why L- Arginine is so effective in increasing libido Low levels of L-Arginine in the body lead to poor sexual functioning and decreased libido, particularly as we get older and taking at it as a supplement can maintain libido as well as having other circulatory benefits . Male sexual health relies on the ability to have enough blood flow to the penis to create an erection and that's the role L- Arginine performs. Medical proof of the benefits of L -Arginine as a supplement for male sexual health Medical tests published in 1994 showed an 80% improvement in the erectile function of men given a dose of 2.8 grams of argentine a day after two weeks Other recent studies have looked at the effect of combining L-Argentine with other supplements to increase libido. Medical testing showed that combining L –Arginine with Pycnogenol with it saw over a 90% success rate, in increasing libido. Other studies have concentrated on combining it with other herbs such as Ginseng and Gingko Bilbao, which have been used for thousands of years in China for increasing libido. Both are known to help with healthy circulation which as we have seen is essential for sexual wellness L-Argintine provides a number of important health benefits in addition to increasing libido and these include: Maintaining normal blood pressure, educing plaque, lowering cholesterol, and the prevention blood clots. Increasing long term memory and olfactory sensations. Reducing and fighting infections. Acting as a general anti aging nutrient. Maintaining healthy blood flow in all areas of the body How much should be taken? There is no established level for L-Arginine supplements, but a “safe dosage” is seen as 2000 -3000 mg's a day. Forget the hype and get a proven supplement! Sure, you can buy supplements that are sold that have great stories about tribes living up the Amazon living to 100 and having active sex lives, but they don’t work and are not backed up any medical evidence L –Arginine is and that’s why it is held in such high regard by users for increasing libido L - Argintine is simply the best supplement for increasing libido go with the facts when trying to increase libido not the hype. pennis enlargement surgeries free natural penis enlargement penis enargement fact home pnis enlargement free natural penis enlargement enlargment manhattan penile surgeon pennis enlargement program penile enlargment traction device natural pennis enlargement

It is normal to shed hair every day and the truth is we loose between 100-125 hairs on any given day. Hair that is shed falls out at the end of growth cycle. At any given time 10% of our hair is in what is called a “resting phase” and after 2-3 months resting, hair falls out and new hair grows in its place. Some people, however, experience more hair loss than is normal. As we get older, both men and women experience some hair loss. It’s a normal part of the aging process. Called Androgenetic Alopecia, it accounts for 95% of all hair loss. Androgentic Alopecia often runs in families and affects some people more than others. In men it is often referred to as Male Pattern Baldness. It is characterized by a receding hair line and baldness on the top of head. Women, on the other hand, don’t go entirely bald even if their hair loss is severe. Instead, hair loss is spread out evenly over their entire scalp. Hormones play the dominant role when talking about Androgenetic Alopecia. Simple put, both men and women produce testosterone. Testosterone can be converted to dihydrotestosterone (DHT) with the aid of the enzyme 5-alpha-reductase. DHT shrinks hair follicles causing the membranes in the scalp to thicken, become inelastic and restrict blood flow. This causes the hair follicles to atrophy. As a result, when a hair does fall out, it is not replaced. Needless to say, men produce more testosterone than women and experience more hair loss. While Androgenetic Alopecia is the number one reason why individuals experience hair loss, it is not the only one. Medical conditions such as hypothyroidism, ringworm and fungal infections can cause hair loss. Certain medications such as blood thinners, gout medication, birth control pills and too much vitamin A can cause sudden or abnormal hair loss as can following a crash diet, sudden hormonal changes, chemotherapy and radiation. Emotional stress, pregnancy, or surgery can also cause our hair to fall out and is usually not noticed until 3-4 months after the stressful event has taken place. Stress can cause a slowing of new hair growth because a larger number of hair follicles enter into the resting phase and no new hair growth is experienced. Another way in which individuals experience hair loss is due to mechanical stressors on the hair and scalp. Wearing pigtails, cornrows or tight rollers that end up pull on the hair can scar the scalp and cause permanent hair loss. Hair products such as hot oil treatments and chemicals used for permanents can cause inflammation to the hair follicles which can also result in scarring and hair loss. Note: Hair loss may be the early warning sign of a more serious disorder such as lupus or diabetes, so it is important to talk to your doctor. Recommendations For Wellness If you are taking prescription medications, talk to your doctor and find out if your medication is contributing to your hair loss. Avoid mega-doses of vitamin A. Too much vitamin A can cause your hair to fall out. Exercise, do yoga, meditate or find some other practice that will help to reduce your anxiety and stress levels. If you are a women, have your female hormones tested. If they are imbalanced, talk to your health care provider about bio-identical hormone replacements. If you wear pigtails, cornrows, use a curling iron, hair dryer or hot rollers, try changing your hair style to one that puts less pressure and stress on your hair and scalp. If hot oil treatments or chemicals such as those used in permanents are causing inflammation to the scalp, discontinue their use, or reduce the number of times you are using them. Use gentle shampoos and conditioners to avoid any unnecessary damage to your hair. In men, herbs such as saw palmetto and licorice root help block the formation of DHT. The same holds true for supplementation with zinc. As an added benefit, studies show that these supplements can also help prevent prostate enlargement. Massage your scalp with rosemary oil in an olive oil base. Both rosemary oil and massaging the scalp can stimulate the circulation in the scalp and promote hair growth. Again, if you are experiencing hair loss, check with your doctor to ensure that a more serious disorder isn’t the cause.