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1. What is a Vasectomy Reversal? Vasectomy reversal is a microsurgical procedure which restores the flow of sperm through the vas deferens. During the original vasectomy the vas deferens – the tube which carries sperm from the epididymis to the prostate – is cut and clamped. This results in no sperm being present in the semen which is expelled from the penis during ejaculation. A vasectomy reversal involves removing the clamps and stitching the vas deferens together again, (or in a minority of cases actually attaching the vas deferens to the epididymis – a procedure known as a vasoepididymostomy) thereby allowing the flow of sperm once more. 2. How much does a Vasectomy Reversal Cost? This varies from country to country. In the USA, the price of a vasectomy reversal is anything from between $4000 and $20000. In some cases it may be possible to undergo the procedure under local anaesthetic at the surgeon’s offices rather than having to incur hospital fees. This will reduce the cost to as low as $2500 but is not possible in all cases – ask your surgeon if this is a possibility. 3. What Are the Chances of Success? This depends on how long ago the original vasectomy was performed. The longer the time lapse the greater the chance of blockage or damage to the vas deferens. However the current level of technological advances in microsurgery means that as many as 97% of men who undergo a straightforward vasectomy reversal experience a return to normal sperm counts and 50% of cases resulted in pregnancy. However, if the original vasectomy occurred 15 or more years ago this figures drop to 71% and 30% respectively. 4. What Things Should I Consider When Choosing A Surgeon? Make sure you are well informed when deciding on a surgeon for your vasectomy reversal. The relative skill and experience of your surgeon will have a huge bearing on whether or not your operation is successful. Ask the surgeon if he is able to perform a vasoepididymostomy using an operating microscope. This is a crucial question since it is usually only possible to tell whether this more involved surgery will be necessary once your operation is underway. 5. How Long Will It Take After The Vasectomy Reversal To Have A Chance Of Making My Partner Pregnant? It will be at least 12 months after your procedure that your partner has a chance of becoming pregnant, although statistically most pregnancies occur 2 years after the vasectomy reversal. The best advice therefore would be not to delay the procedure and additionally the longer the time lapse between vasectomy and reversal the less chance of success. enlarement manhattan penis homemade pnis enlargement vimax natural penis enlargement and lengthening cheapest penis enlargement pills penis enlagement surgeries vimax penis enlargement surgery vimax does penis enlargement work penis enlargment photo

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The penis is as complex as any other part of the human body, despite a deceivingly simple appearance. Moreover, since the two functions of the penis are well-known to men and women alike, there is a tendency to think that everybody knows everything worth knowing about it. However, there are always a few questions left unanswered or some obscure bit of information that nobody bothers to remember and which may become interesting in a certain context. So here’s a general description of the penis whose aim is to provide a comprehensive presentation of this organ. Basically, the human penis is made up of two parts: the shaft and the glans (also known as the head). The shaft is not a muscle as some have suggested. It is made of three columns of tissue, one of which continues forward to form the glans. The three columns are called Corpus Spongiosus, which forms the underside of the penis and the glans, and Corpora Cavernosa, which are two sections of tissue located next to each other on the upper side of the penis. The shaft is covered in skin, while the glans supports the loosely attached fold of skin known as the foreskin. The foreskin is attached to the underside of the penis, in an area called the frenum. And, lastly, the penis is traversed from one end to the other by the urethra. This canal serves as a passage for both urine, produced in the bladder, and the sperm, produced in the testicles. Erection is achieved by filling the two Corpora Cavernosa with blood. Unlike some other mammals, humans have no erectile bone and have to rely instead on engorgement with blood to reach erection. When the erection is triggered by sexual stimulation, the arteries that bring blood to the penis dilate in order to increase blood flow. The sponge-like Corpora Cavernosa fills up with blood, which makes the penis stiff. The stiffer tissues constrict the veins that carry blood away from the penis in order to maintain the erection. Every male baby is born with a full set of reproductive organs. However, these organs are not fully developed and remain so until the boy enters puberty. At puberty, usually between the ages of 10 and 14, the pituitary gland starts secreting hormones that induce the testicles to produce testosterone. Testosterone is the hormone that controls all the physical and many of the psychological traits that define man. Its presence ensures the development of bigger bones and higher muscle mass in men. It is also responsible for the increase in penis and testicles size, the apparition of pubic hair and the deeper tone of the male voice. The penis stops growing at the end of puberty, which comes around the age of 18. However, there are many environment factors that may delay or accelerate the onset or the end of puberty. This means that some men may experience penis growth beyond the age of 18. A common urban myth that almost anyone has heard of is the idea that penis size is linked to the size of another body part. The most common versions of this myth focus on the size of hands, feet, nose or overall height to determine the size of the penis. Actually, there is no such link. Although the development of the penis in the embryo is controlled by the same genes as the limbs, penis growth at puberty is entirely governed by testosterone and has nothing to do with the other parts of the body. Some men are born with big penises. This is an undisputed fact of life whose causes are still a mystery to science. As stated above, there is no correlation between penis and body size. Studies conducted on bats have shown that the sexual organs and the brain require large quantities of energy to develop. At some point, the developing embryo decides whether it wants a bigger brain or a bigger set of sexual organs. However, science is still at a loss to understand how the decision is made and why. And, lastly, a word on penis exercises. The exercises that PenisHealth promotes are designed to force the columns of tissue to expand in both length and girth. This is done by exerting pressure on the shaft and helping the cells that make up the tissues to multiply. Obviously, the aim of these exercises is to make the Corpora Cavernosa hold more blood in order to increase the size of the erect penis. Contrary to what many skeptics think, the careful and sustained exercising of the penis is a safe and effective way of increasing length and girth. result review vig rx penis enargement information top rated penis enlargment pills vimax natural penis enlargement manual penis elargement pnis enlargement supplement com enlargement pnis pnis pump compare penile enlargement pills pro solution review

Did you know that you are risking yourself to erectile dysfunction by smoking cigarette? Before you shrug off the statement, let me tell you that Action on Smoking and Health (ASH) and the British Medical Association (BMA) estimate that up to 120,000 UK men in their 30s and 40s are impotent as a direct consequence of smoking. Now, still I can see the signs of doubt on your face. You need concrete reasons to quit smoking, am I right? I understand that you are pretty addicted to the four-inch-fire-stick and need to breathe in till the end of it. But if you lose your sexual pleasure for good in lieu to the pleasure of smoking, will you not be a loser in this bargain? Sexual functioning requires balanced coordination among hormones, nervous system to carry stimulation and healthy vascular system to pump blood to the penile tissues to cause a proper erection. Absence of any component among them will inevitably lead to erectile dysfunction. Now, what is the contribution of smoking in causing erectile dysfunction? Smoking affects the vascular system by narrowing down the blood vessels that contributes to the blockage of arteries; therefore the penis gets insufficient blood pumped into it, which results in a failed erection. Strokes and heart attacks are other life threatening diseases which can be caused by smoking. Now, let me tell you that smoking increases the risk of erectile dysfunction by 50% for men in their 30s and 40s. Let us see what nicotine actually does to the male private part to negate an erection.  Atherosclerosis, a fatty deposit in the arteries, built up by long term smoking, blocks the inflow route of blood into the penis.  Acute Vasospasm, a result of nicotine stimulation sent to the brain, causes rapid contraction in the penile tissues. This situation restricts blood flow into the penis.  The presence of nicotine in the blood stream damages the valve mechanism that traps blood in the penis. This problem is known as venous dilation.  Nicotine also reduces the volume of ejaculation.  It lowers sperm count and the sperm develops an abnormal shape.  The sperm motility is also impaired by nicotine. Cigarette smoke contains about 4000 chemicals, most of which are supposed to damage the vascular system. The most dangerous chemicals are carbon monoxide, nicotine, and butadiene, causing thousands of deaths and millions of heart attacks, arthritis and impotence. A sheer fact can be deduced from the following findings; cigarette smoking results systemic arterial damage. We can infer another fact that impotence or erectile dysfunction is a signal to other life threatening diseases like heart attack, stroke and other heart and artery related problems. The awareness related to the adversities of cigarette smoking is very low when it comes to erectile dysfunction. The smokers who are reading this article, I request them to analyze and weigh up their situation. If you have experienced the above mentioned symptoms related to your sexual life, you are in a deep soup. But at the same time, let me tell you, the situation is not irreversible. You can go back to your healthy sexual self just by quitting cigarette smoke. If the level of addiction is too high, there are therapies and medicinal help available for quitting cigarette, seek help from your doctor. Quit smoking right now so that you do not have to spend money on Viagra in future. Rather leave this smoking habit altogether, you will save your health, your sexuality and your money for a better life ahead. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ plastic surgery penis enlarement best pnis enlargement surgery penis elargement drug penile enlargment stretcher enhancement free penis pills sample does pennis enlargement work cheap penis elargement penis enlargement pill pro solution review

Six stories, six fates, six ways to show us… Fallen idols. The Short Happy Life of Francis Macomber by Hemingway is pretty ironical. The main character rich Mr. Macomber has everything he needs to have – money, handsomeness, beautiful wife, the status in the society. But he’s not happy. Is it true that due to the high status in the society he tends to gain all of the things he does not need in general. If he’s just a normal person, having wealth would make him confident and calm. What’s that Francis lack that makes his life just a spectacle? Being in state of fear of loosing all of his wealth forms his not self-confident. Francis does not believe in himself and vain killing of a lion becomes a push for the further actions – wife’s reproaches and as a result – overestimating of the values. And finding the way out of fear, Mr. Macomber stops to be afraid – afraid of his wife, wild animals. He finds that power of universe is inside of him, he trusts himself, listening to inner voice. And exactly at the moment when his life changed, he’s killed. Is it always in this way so when a person finally finds the way of being happy, he dies. Let’s look at Miss Lonelyhearts by Nathaniel West. The author purposely does not make us aware of the main character’s name. Miss Lonelyhearts – it’s not just the nickname of the man, it becomes his name as a preist, as St. Paul for example. So, a young man writes the advice column in a newspaper. In the beginning of his work, he does not really take it seriously but like a job-joke. Later he realizes that his correspondents take him seriously. And becoming a speaker of the moral values just like Christ at his time, he stops seeing his job as a joke but himself as a victim of someone’s joke. He’s forced to examine the values by which he lives (as he himself told). He’s not gay anymore, he becomes sick. Miss Lonelyhearts tries to find the root of happiness being a perfectionist. But is he on the right way? He’s violent (remember the first dialogue with a woman loved him), he’s indifferent to other’s feelings (comes to Shrike’s wife when hiss boss at home). Gaining the Chirst complex he knows that standard answers don’t work. But what’s then? If he’d believed in Christ it would be clear what’s wrong and what’s right however he complicates himself. And finally finding the unity with the source of joy, God; finding the way out, Miss Lonelyhearts is killed. And all of this happens while people stop going to church looking for an advice. People go to the psychologists, watch the TV shows or right to Miss Lonelyhearts. And church becomes a place where money is made. Art replaces religion as the way to find, to experience the sublime. That’s what Miss Lonelyhearts’ boss Mr. Shrike preach to the author. Oh, humanity… Soldier’s Home by Hemingway tells us about a soldier returned home from the war. Isn’t the home a place where a person feels not lonely? Just in the word “home” we see the comfort, care and love. People believe in home like in a place where you’re you. But look at Kerbs ( a man without name). Look at him! He returned from the place where not everyone returns – from the war… and the highest appreciation from parents’ side is allowing riding a car. Just imagine – a boy carried in his own hands weapons, seen death is now allowed to take dad’s car. The belief in waiting-all-the-time mother stays but what stands for that carrying and waiting? Was it the care about the life of own son? No-o-o. Religious mother thinks whether her son has sexual relationships with free European girls. She’s calm while she knows that her boy fits the role she wrote for him all of his life. And Kerbs is alien. His belief was twisted by the strong stress – going for war. But still being a boy, he’s looking not for an advice, further direction for living – he wants peace and comfort in his life. In God Rest You Merry Gentlemen written by Hemingway we meet literal treating of Bible by a young man come to the clinics. There’s be a boy asking for the amputation of his penis just because being a young he could not stay impassionate for women’ bodies. Taking the rule of Christ about cutting a hand if it sins he does not understand that it is not the hand (or whatever it may be) that sins. The mind is so powerful that the thoughts take the physical form. And if a person does not like it, he should change his thoughts, as only they affect the matter. Story The Gambler, The Nun, and the Radio by Hemingway is about the artist who observes of the society, not being agree with it norms, points out the problems through his works of art. The main character is in clinics and he’s thinks about “opium of people”. Of course, thinking in his way, everything can be counted as opium. Why are his thoughts full of depressive notes? Because his physical sickness comes to the mental one, and being separate from the source of being, from the harmonious state of joy, he’s in pain. Great Gatsby is beautiful, rich a sad story. Mr. Gatsby is a young successful handsome wealthy man lived in New York. He’s so wealthy that it allows him to make parties with high-society people. Being everything, he’s nothing – he’s Mr. Nobody from Nowhere. In past poor boy goes to the war and later comes back becoming bootlegger. Reading further we understand that his status is false – he’s even living in West Egg – a place of “easy money”. Being a watcher not an observer, Gatsby draws the picture taken from the past. Like a great successful producer he makes up amazing stage (his rich house next to Nick’s one), decorations (interior with its library and real uncut books), actors (the not-known guests during the splendid parties). Even script is written – a story taken from the past. The script is perfectly corrected – absence of Gatsby’s poor youth results in avoiding parents not fitting in the story (we meet the father only in the end), false Oxford education, cutting own past five years, aiming for the happiness in the future. And the audience, which as Gatsby thinks ought to complete the harmony, in the face of Daisy ruins the perfect façade. Or does he think he can stop time and turn the clock back? Anyway the play fails, the world created from the past forms pain. Gatsby is killed, Daisy left. Empty stage. I enjoyed reading the stories analyzed above. I read six stories and lived those six lives. Honestly, did not really understand The Gambler…Anyway The self-Reliance by Emerson is seen as a good example of finding the way out and staying alive meanwhile. Emerson proves that living in truth with yourself brings happiness. And it’s indeed so. At the time when Emerson strictly points at that, Hemingway, West, Fitzgerald give birth to the characters who are like us, live and want to live happily. All of them failed just because they believed in the outer criteria of joy, they did not realize (not all of them) that the only source of hope and belief is they are themselves. free natural penis elargement free penis enlarement pills truth about penile enlargement penis enlagement excercises penis elargement stretcher best penis enlargment penis enlagement program cheapest penis enlarement pills pro solution review

The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005