Medical News

AETIOLOGY

Risk factors for erectile dysfunction include vascular insufficiency, hormonal abnormalities, interruption of the neural pathways and psychogenic factors. Also, Lewis and Mills (1999) listed 332 prescription drugs that have been associated with erectile dysfunction. These include psychotrophic drugs, cardiovascular drugs, histamine-2-receptor antagonists, hormones, anticholinergics and certain cytotoxic agents. Another risk factor is diabetes mellitus, where as many as 50 % of men may suffer from erectile dysfunction. Weak pelvic fl oor muscles compromise penile erection.

Other risk factors include accidental trauma, trauma from surgery and radiation therapy. Lifestyle-related factors include cigarette-smoking, chronic obstructive lung disease, alcohol abuse, drug abuse, bicycling and horse-riding.

PSYCHOLOGICAL CAUSES

Erectile dysfunction always has a psychological component in addition to the underlying cause (Intili & Nier 1998). In a pilot study of 15 men Intili and Nier (1998) found a link between erectile dysfunction and both depression and low self-esteem. The psychological causes of erectile dysfunction have been classifi ed as: religious orthodoxy, obsessive-compulsive personality, gender identity, sexual phobias, widower’s syndrome, fear of pregnancy, marital conflict, depression, lack of attraction to partner, fear of closeness, poor body image and concern over ageing. However, the International Society of Impo- tence Research (ISIR) divides psychogenic factors into ‘Generalised Type’, which includes ‘Generalised unresponsiveness’ and ‘Generalised inhibition’, and ‘Situational Type’, which includes ‘Partner related’, ‘Performance related’ and ‘Psychological distress or adjustment related.

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One of the most overlooked causes of ED is the lack of mental sexual arousal on the part of the patient. Often the patient himselfmay not be aware of this. Men often expect that they will experience an automatic erection when in a sexual situation and may be alarmed when it does not happen. Simply asking the patient about his level of sexual excitement may serve to pinpoint the cause of the problem. Once a lack of arousal is identified, further questions can focus on the reasons for the lack of sexual excitement. Performance anxiety. The experience of performance anxiety takes a variety of forms. Most often, it is worry about having an erection problem. It may also be fear of displeasing the partner or of negative reactions by the partner. It may include fear that the erection problem will never go away or that it will lead to embarrassment or the loss of a relationship.

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Sometimes, it expands into a sense of failure as a man. Research has demonstrated that, for men with erectile dysfunction, anxiety results in decreased sexual arousal and erections. Similarly, Bancroft and Janssen’s “dual control model” of sexual arousal has shown that anxiety serves as the primary source of inhibitory control. It is important to note that performance anxiety can be either a cause or an effect of ED. Most men with ED will experience some amount of performance anxiety, even if there is a clear organic cause. Likewise, performance anxiety may not be the original cause of the ED, but may be a secondary cause once the ED has started. Inappropriate conditions for sex. Patients with ED may not recognize that they are trying to be sexual when the conditions are not right. Therefore, asking about the patient’s physical and mental state before and during sex may identify obstacles to erectile response, such as feeling stressed, ill, tired, or preoccupied. Timing, the partner’s physical or mental state or other elements of the situation may not be conducive to a good sexual response.

Other sexual dysfunction. Other sexual dysfunctions are often present in men with ED. Results from a study of sexual dysfunction found that two-thirds of men with hypoactive sexual desire had ED as well. Likewise, men with ED frequently also have premature ejaculation. These two conditions should always be assessed in men with ED. If there are co-occurring sexual dysfunctions, the question becomes which condition may be primary. A temporal ordering of the onset of the problems may make this clear. For example, many men with ED subsequently develop inhibited desire as a result of the frustration and distress of the ED. Conversely, the ED may be the result of a loss of sexual desire. At other times, the sexual problems appear develop simultaneously. These cases highlight the possibility of a more pervasive sexual inhibition.

A literature review was undertaken to ascertain whether pelvic floor muscleexercises may have merit as a treatment for premature ejaculation.

LITERATURE SEARCH STRATEGY

A search of the following computerised databases from 1980 to 2005 wasundertaken: Medline, AAMED (Allied and Alternative Medicine), CINAHL,EMBASE – Rehabilitation and Physical Medicine and The Cochrane LibraryDatabase. The keywords chosen were:premature ejaculation; conservativetreatment; physical therapy; physiotherapy; pelvic floor exercises; biofeedback;electrical stimulation; electrotherapy. A manual search was also undertaken.

SELECTION CRITERIA

A study was included if it reported the results of physical therapy for menwith premature ejaculation. Female viagra New Zealand – new effective treatment solution.

METHODOLOGICAL QUALITY

Methodological rigour was assessed from a hierarchy of evidence.

RESULTS

Two non-randomised uncontrolled trials were found providing level III evidence.

METHODOLOGY

La Pera and Nicastro (1996) used pelvic floor muscle exercises, pressure bio- feedback and electrical stimulation in a non-randomised and uncontrolledtrial of 18 patients with a mean age of 34 years (range 20–52 years) to treatpremature ejaculation. Results showed that 11 patients (61 %) were cured andreported improved pelvic floor muscle control whilst 7 (39 %) showed noimprovement. Unfortunately, the biofeedback readings were not given. Thisnon-randomised, uncontrolled study has shown that there may be merit instrengthening the pelvic floor muscles to control the ejaculatory reflex andprevent premature ejaculation. In this trial 18 patients were recruited, includ- ing 15 men who had experienced premature ejaculation for over 5 years. In a non-randomised uncontrolled trial, Claes and van Poppel (2005) inves- tigated the action of pelvic floor exercises and electrical stimulation on29 men with premature ejaculation. After treatment, they found that 19 men(65.5 %) showed improvement which was verified by their partner. At 12months, most of the men who had improved still showed a positive result.

METHODOLOGICAL QUALITY

The methodology used in these two trials lacked randomisation and a controlgroup and included a small sample size to provide only weak evidence. However, results from these trials indicated that this subject is worth furtherexploration.

RECOMMENDATIONS

Randomised controlled trials need to be undertaken of pelvic floor muscleexercises for premature ejaculation before any conclusions can be made.

CONCLUSIONS

A range of treatment is available for men with erectile dysfunction. Grade IIevidence has shown that pelvic floor muscle exercises are effective for erectile dysfunction and should be the first-line treatment option. They may be usedin conjunction with other forms of therapy. Weak evidence indicates that the use of pelvic floor muscle exercises forpremature ejaculation is worth further exploration.

Treatment

Therapies for PE include psychological, behavioral, and pharmacological approaches. In general, men with lifelong PE likely have lower ejaculatory thresholds compared to unaffected men, and thus may benefit most from medical therapies. In contrast, men with a history or acquired PE are more likely to be better treated with cognitive or behavioral therapy. Among the psychological approaches, psychotherapy has been reported as a primary therapy, but there is a lack of welldesigned clinical trials assessing the efficacy of this intervention.

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Behavioral Techniques

Behavioral techniques include the “stop and start technique” and the “squeeze technique.” With the “stop and start technique,” patients are instructed to manually stimulate themselves in a controlled fashion and involve their partner in the manual stimulation once controlled arousal has been achieved. The couple then proceeds onto intercourse. The “squeeze technique” is very similar to the “stop and start technique,” except the penis is manually squeezed during the times when stimulation is stopped. The obvious advantage of behavioral techniques is that they are nonpharmacologic and thus avoid possible side effects associated with medical therapies. While some authors report success with behavioral approaches, these treatment modalities are overall poorly studied and lack long-term efficacy.

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HPV virus which is responsible for genital warts, is more pronounced among the female population, however a number of cases involving men have also been observed and are increasing at a very fast rate. If genital warts treatment for men is not taken seriously, it can even lead to serious issues such as cervical cancer. A number of times these are not visible, so doctors use vinegar for identifying them on the infected area. As such there is no direct method for genital warts treatment in men. The methods that doctors follow only include of cure associated with the after effects of this disease on the body.

The most basic method for evading the effects on sexual organs is to use anti-bacterial cream on the affected area. These make sure that there is no further bacterial decomposition, and thus prevent swelling and redness of the area under study. The FDA approved vaccine such as Gardasil, which is mostly used among female patients, have also shown considerable results among some male patients also.

Another method for genital warts treatment in men is cooling off, and then removing them with the help of surgical instruments. Any of the approved freezing technique can be used for ensuring solidification of the infected part. This method is however costly, but ensures a safe removal of the diseased part. It has also shown increase in natural immunity of the body against its further popping out in the near future. Vaccination of boys and men before the catch up of this painful disease can also be helpful in reducing the number of patients. Since this can be transmitted from one person to another, so awareness programs have also been started to impart knowledge to general public about the precautions and symptoms of this disease.

Any guy that has or has had man breasts will tell you the humiliation and the loss in confidence that comes with them can be devastating. Just imagine never removing your shirt in public, not even for activities such as swimming for fear of being ridiculed and gawked at. Some men even have difficulty in being intimate in relationships for fear of what their partner may think when they see their breasts. The good news is you can now lose man boobs naturally, if you would like to learn how to get rid of man breasts fast then read on.

Having man boobs can be rough, it can destroy a guys confidence and even lead them into depression. There a few ways to deal with your man boobs, one of the most commonly promoted is surgery. Surgery, whilst an effective method to remove your man breasts, can be painful and expensive, with most gynecomastia surgical procedures starting at $2,500. Surgery or liposuction also often does not treat the underlying problem that caused the man breasts, leaving open the possibility of the reforming.
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A better alternative would be to lose your man boobs naturally by performing a daily routine of special exercises that target both the pectoralis major and pectoralis minor muscles, both of which are found in the chest. You see the primary reason for developing man breasts is an abundance of chest fat. For some guys this is due to the fact they are simply overweight, for others it is because it’s simply the region that excess fat is deposited, they may not be overweight at all, for some people fat forms around the chin or thighs, in this case its around the chest.

The magic in these exercises is they target the breast itself and the surrounding chest muscles, this will lead to firmer breasts as muscle is replaced with fat. The amazing thing is these exercises work fast, within a couple of weeks you will notice much smaller firmer breasts, within a month or two your once embarrassing chest will be turned into a chiseled chest you will proudly show off and flaunt whenever you get a chance.

You do have to make sure you do the correct exercises though, banging away doing countless pushups is simply not going to cut it, you need to get a targeted program that will flatten your chest with the right combination of cardiovascular and weight bearing exercises.

The prostate gland is an organ that is located at the base or exit of the urinary bladder. The gland surroundings the first part of the urethra. The urethra is the way through which urine drains from the bladder to exit from the penis. One function of the prostate gland is to help control urination by pressing straight against the part of the urethra that it surrounds. Another purpose of the prostate gland is to produce some of the substances that are found in normal semen, such as minerals and sugar.

• Over 50% of men in their 60s and as many as 90% in their 70s or older have symptoms of an enlarged prostate (BPH).
• Each year over 230,000 men will be diagnosed with prostate cancer and about 30,000 will die of it.
• Prostatitis is an issue for men of all ages and affects 35% of men aged 50 and older.

Acute prostatitis:

Acute prostatitis is an infection of the prostate caused by bacteria. It usually starts fast and can cause fever, chills, or pain in the lower back and flanked by the legs. It also can cause pain when you urinate. If you have these symptoms, see your doctor right away. Antibiotic drugs more often than not help heal the infection and allay the symptoms.

Chronic prostatitis:

Chronic prostatitis is a prostate disease that keeps coming back time after time. Symptoms may be milder than in acute prostatitis, but they can last longer. Chronic prostatitis can be hard to treat. Antibiotics may work if bacteria are causing the infection. But if bacteria are not the cause, antibiotics won’t work.

What Symptoms Does BPH Cause?

Due to the location of the prostate BPH causes a number of urinary symptoms. The prostate is located just below where the bladder empties into the urethra (which is a thin tube that carries urine from the bladder, through the penis, to outside the body). As the prostate enlarges, it impinges the flow of urine through the urethra.

Natural Treatment for BHP:

• The herb saw palmetto has been used for centuries to treat prostate-related issues. Recent clinical trials have suggested the efficacy of saw palmetto for treating lower urinary tract symptoms (LUTS) due to BPH.
• Healthy fats – Omega-3 fatty acids, found in cold-water fish and flaxseed oil, pay large dividends for prostate health. Avoid excessive saturated fat, however, and stay active: A 2005 large-scale study in the Journal of Urology found that men who were fitter, leaner, and had senior levels of testosterone had lower occurrence of prostate cancer.
• Pumpkin seeds are a rich source of zinc. The prostate needs a ready supply of zinc to purpose properly. The prostate stores up more zinc than any other part of the body. The level of zinc in the prostate gland declines dramatically in men pain from prostate cancer or kind prostate hyperplasia.
• Yoga – Certain Yoga poses can increase blood flow to the groin, thereby relieving certain prostate problems. You can find books on Yoga that include these poses, as well as many others, at any herbal or homeopathic store.

Vitamin C Serum is a unique anti-aging product. Beneficial effects on wrinkles, pigmented areas and overall face rejuvenation have been observed.

Although many anti-aging products ingredients are available on today’s market, few have proven efficacy in skin rejuvenation. Products with natural ingredients have gained attention lately due to the proven anti-aging effects of some naturally occurring elements as vitamins and trace elements. Vitamin C has been proven lately to have numerous skin rejuvenating effects.

Vitamin C is an essential water soluble antioxidant vitamin that aids in synthesis of skin collagen as well as protecting the skin against the hazardous effects of sun light. The body stores of vitamin C markedly decrease with age, and unhealthy habits, especially smoking, decrease the body reservoir even more. Vitamin C is not synthesized inside the body and must be ingested either through the diet, or through oral vitamin supplementations. Also, for vitamin C to produce its anti-aging skin effects, it must be applied topically. The effect of Vitamin C in protecting the skin against the harmful effect of sun rays has been proved by the marked reduction of the vitamin in the skin cells after exposure to ultraviolet radiation. Moreover, a combination of both vitamins C and E work together to enhance their protective effects against sun related aging effects.

Collagen synthesis can markedly affect the signs of aging of the skin. Vitamin C is an essential factor that is indispensible to form healthy collagen fibers. Vitamin C stimulates skin collagen synthesis which has many anti-aging effects that include reducing wrinkles and firming the skin of the face which aids in whole face rejuvenation.

Skin aging is associated with increased pigment deposition in the skin of the face which can lead to darkening of some areas. Vitamin C, when applied topically to the skin, can reduce aging related pigmentation which has encouraged many manufacturers to include it in various skin lightening products.

Several forms of vitamin C preparations have been used in numerous anti-aging topical products in efforts to maximize delivery of this vitamin to the skin. However, most studies have shown that Vitamin C containing topical skin serums have proven to maximize delivery of the vitamin to the cells of the skin. Moreover, some studies have shown that topical skin serums can allow Vitamin C to remain in the cells for days after application which maximizes the anti-aging effects and the stimulation of collagen synthesis.

Dr. Jay Calvert has formulated a unique anti-aging topical protein serum. The Vitamin C Serum contains about 10% of its content as Vitamin C. Moreover, the Vitamin C Serum contains a selection of vitamins, proteins as well as a blend of 6 seaweeds that have been reported to have marvelous skin anti-aging effects. The Vitamin C is in the form of a controlled release preparation which allows the vitamin to remain in the skin cells for days after application. The serum is an ideal skin rejuvenating product. Dr. Calvert uses the serum to encourage wound healing, remove aging pigmentation and reduce redness and other signs of aging. Dr. Calvert recommends the Vitamin C Serum to be your all time anti-aging formula.

Losing Man Boobs is Not Easy

Man boobs is chest fat or gynecomastia. Getting rid of this condition is possible as long as you eat right and exercise. If you suffer from a hormonal imbalance seek out a qualified doctor for advice.

Man boobs is most likely due to slow metabolism, unhealthy diet and having too little physical activity.

1.You need to get into some proven exercise routine.

Upper chest exercises.Tone your upper chest areas with bench presses. Pushups help but do not entirely get rid of chest fat. Interval training increases metabolism and burns excess body fats.Interval training is a minute of intense exercise followed by 3 minutes of easy workout and will reduce upper body fat quickly.

Cardio exercise also increases metabolism and reduces fat build up in the chest area.Sports activities such as biking, running, rowing and skiing are excellent fat burning activities.Doing this sort of activity consistently should rid you of man boobs in no time. The key word here is “consistently.”

2.Certain foods that can help.

• Fiber flushes fats and toxins out of the body.
• Cereals, wheat bread, fruits, vegetables, beans and nuts are high in fiber.
• Eat lean meat,more fish and sea food. Man boobs are often a result of fat accumulation in the chest.
• Avoid the sugar. There is nothing good about sugar.

3.Supplements for the condition.

Natural supplements are made from natural ingredients and often come in the form of pills. These natural pill treatments are said to be a good method of targeting fats found in the mammary glands and are effective in getting rid of man boobs. Natural supplements have advantages over other treatments in getting rid of the extra chest weight by adding natural elements to your diet and do not require you to build muscle or burn calories by performing cardio exercises.

4.Surgery. The Last Solution

• The medical term for this is Gynecomastia male breast reduction surgery and this is done by a surgeon who specializes in such condition.
• Several methods are used and its usually an out-patient event. But surgery should be a last resort when everything else fails. There is a long healing process and no strenuous physical activity for 3 months.
• Getting rid of man boobs is to start eating better and to take up an exercise routine that will help you burn fat. Burn fat and shape your muscle.