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Erection takes place when structures inside the penis and along the urethra between a man’s legs are filled with blood and inflated. This occur upon signals from the brain and the spinal cord, and the signals are transmitted through nerves in the parasympatic nervous system, a part of the autonomous or involuntary nervous system. HOW THE NERVOUS SYSTEM TRIGGERS AND CONTROLS THE ERECTION The erection is triggered and controlled by the following events: - Something stimulates sensorial bodies in the genital zone or other senses. Impulses are then sent from the senses through nerves and the spinal cord towards the brain, and reaches the upper areas of the brain. The brain then recognizes these impulses as something sexually arousing. Also thoughts originating in the brain itself may be recognized as something sexually arousing. - The higher brain areas having recognized some arousing events then send impulses down to the limbic system at the lower area of the brain. It is the limbic system that actually produces the feeling of excitement. - The limbic system sends signals down the spinal cord and out to the genital area through nerves called nervi erigentes - a part of the parasympatic nervous system - The signals reaching the penis and the rest of the genital zone then trigger erection and engorgement of the area between the man’s legs. - Stimuli to the penile or genital sensorial bodies do not need to reach the brain to result in an erection. Areas in the spinal cord will also recognize the stimuli and get excited. Then the spinal cord also by its own sends erectile impulses back to the genital area. - The sensorial bodies in the genital area will also be stimulated mechanically by the erection. Since stimulation of these bodies trigger erection, the erection process is self enforcing. A beginning erection thus trigger even more erection. THE ANATOMICAL BASE FOR ERECTION In the penis lie three bodies consisting of a network of very elastic blood vessels having circular smooth muscles in their walls, called erectile bodies. There are two paired bodies lying at the upper side of the urethra (corpora cavernosa), and one lying around the urethra (corpus spongiosum). The muscles in the vessel walls are able to constrict the volume of the vessels, or relax allowing the vessels to widen. Vessels leading blood to or from the erectile bodies also have the ability to constrict or relax in order to restrict or facilitate blood flow. The erectile chambers are not only confined to the penis, but continue in the area between the legs all the way backwards to the anal area. WHAT HAPPENS IN THE GENITAL ZONE DURING AN ERECTION The erection response consists of the following events in the genital zone: - When the signals from the brain and the spinal cord reach the nerve ends in the penis and the genital zone, the chemical compound nitric oxide (NO) is released. - Nitric oxide then spreads through the genital area and especially the penis. Nitric oxide then triggers the following reactions. - Blood vessels leading blood to the erectile bodies relax. Then more blood flows into the penis. - Blood vessels leading from the erectile bodies constrict, making it difficult for blood to leave the bodies. - The smooth muscles around the vessels in the erectile bodies relax, allowing these vessels to widen. - The blood going into the erectile bodies will then fill up in the vessels of the bodies and inflate the bodies to a much larger volume. - The inflated bodies will get straight and hard. The growing erectile bodies will inflate the whole penis and make the penis rise. - Since the erectile bodies continues backwards between the man’s legs, also this area swells and fixes the penis rigidly so that it does not sway from side to side when fully erected. penis enlargment tip enlargement penis pill vimax com enlargement penile penile pump pennis enlargement doctor surgical penis enargement vigrx results pennis enlargement pills product natural penis enlagement pills
It is interesting to note that the aging dog (like his master) is also prone to prostatic enlargement, but (unlike his master) does not often develop retention of urine. However, due to the bulging upwards of the enlarged prostate the dog’s rectum is compressed. This engenders a feeling of continuous fullness in the rectum and induces straining. The prostates of eunuchs are small and underdeveloped, and enlargement of the prostate is unknown. Benign prostatic hyperplasia (BPH) is one of the most common diseases to affect men beyond the middle age. The prevalence goes up with age, and thus the total number of patients is increasing as a result of aging population. A majority of these people suffer gradual progression of symptoms and the concomitant discomfort, and require either medical or surgical treatment. The growth and development of the prostate is under the influence of male hormone “testosterone”. Rather surprisingly, there is no close correlation between the size of the prostate and the extent of outflow obstruction. However, the larger the prostate, the greater is the risk of BPH complications such as acute urinary retention and the need for surgery. BPH is usually a slowly progressive condition. An average increase in the prostate is 1-2 cm per year. BPH is the most common condition affecting the prostate accounting for over 80 per cent of prostate disease. The defined risk factor for BPH is age. Clinical BPH seems to run in families. In the early stages of the disease, the patient complains of hesitancy, a reduced stream and incomplete bladder emptying and then frequency, urgency and nocturia. Later on, prolonged micturition, acute urinary retention, urge incontinence, etc, can have a negative effect on the quality of life and may be associated with sexual dysfunction like erectile dysfunction and disorders of ejaculation. The treatment of BPH can be with the help of drugs or by going in for surgery. Some of the drugs used are Finasteride, Duatasteride, Terazosin, Alfuzosin and Tamsulosin. Adverse side- effects of these drugs can be erectile dysfunction, decreased libido, reduced ejaculation, drowsiness, headache, dizziness, postural hypotention, etc. vimax cheapest penis enlargement pills penis enlargment surgery cost herbal penis enlargement pills vimax penis enlargement drug free penis elargement technique herbal natural penis enlargment penis enlargement surgeries cheap pnis enlargement medical penile enlargement
WHAT IS PEYRONIE'S DISEASE? Peyronie's disease consists of hard, fibrous tissue, called plaques, developing within the penile shaft. The plaques are hard, thickened and stiff areas, actually a kind of internal scarring. In this fibroid tissue also calcium compounds can accumulate, making the plaques even harder. The Peyronie's disease is also called cavernositis, and also sometimes plastic induration. There is probably a chronic inflammation process that leads to this scarring. The thickened area has less blood flow than normal penile tissue, and do not fill with blood and swell as the normal spongy areas in the inside of the penis. Therefore the penis swells more at the opposite side, and gets a curvature towards the side containing the plaques when erected. If the plaques are found at several places, more complex deformations will develop. The abnormal bending, twisting or swelling within the penis, often also lead to painful erections. Any man from the age of 18 and upwards can develop Peyronie's disease. The average age of men suffering from Peyronie`s disease is 50. THE SYMPTOMS AND CONSEQUENCES OF THE CONDITION The three main characteristics of cavernositis are: - One or more small hard lumps underneath the skin, or a continuous hard, stiff and thickened area. - Abnormal bent or crooked penis when erect. All penises have some curvature, but by this disease, the penile bend increases, and one may get a very curved penis. The penis may be bent as a banana or in an angular fashion. The penile bending is most often up, but may be down, to the left side, to right or sloping. -The bending is usually to the same side as that of the hard thickened area when the penis is erected. -The hard areas in the erected penis may look like bumps, making the penis irregular. - Sometimes the penis bends greatly enough to make sexual intercourse difficult, or impossible. - Pain during erections caused by the pressure from the hard areas in the penis, or from the stretched skin at the opposite side of the penis. - One may not notice the bend immediately, as it tends to develop over one to three months and later than the hardness and stiffness of the indurations. - The plastic induration may progress and cause impotence. Sometimes the Peyroni's disease will clear up by itself, but this may take several years. THE CAUSES OF PEYRONIE¨S DISEASE The exact cause of the induration is unknown. It's not a sign of an underlying serious condition, and it is not a sexually transmitted infection. It is possible that the disease can begin with an inflammation in the penile tissue. An inflammation may be caused by an allergic or auto-immune reaction. Although the Peyronie’s disease is not an infection, an initial infection can damage the penile tissue and cause an inflammation that develops into Peyronie’s disease. Men having the inflammatory condition called Systemic Lupus Erytematosus more often get Peyronie’s disease. Vitamin E deficiency seems to be a contributing factor in causing the disease. Diabetes may cause damage of blood vessels, and if this damage occurs in the erectile bodies of the penis, Peyronie’s disease can develop. Peyronie's disease is sometimes a side effect of the drug Inderal (propanolol) used against high blood pressure. Sometimes a physical injury to the penis that causes internal bleeding, or a series of such injuries, is the initial cause. A habit of violent sexual activity may cause such injuries. It is thought that some men may have a genetic disposition to the condition. Plastic induration of the penis is not a cancer, and cannot cause cancer, however a lump or deformation in your genitals that develops, must be examined. TREATMENT OG PEYRONIE'S DISEASE Not all men with Payronie's disease require treatment. The disease sometimes go away by itself. If the condition is pronounced, it is also difficult to find a remedy that can cure every sign of the disease, but several methods can take away most penis changes associated with Peyronie's. Here is a survey of treatment methods used today. Tamoxifen - In its early stages of the disease a medication called Tamoxifen has been shown to prevent the formation of the fibrous plaque by Peyronie's disease. This drug is also used in the treatment of breast cancer, but the two conditions are not related. Vitamin E and B - Vitamin E and B is sometimes effective in easing the pain and as a treatment for the penile deformity by Peyronie's disease. Verapamil - Verapamil, often used in the treatment of high blood pressure, has been shown to decrease the size of the plaque and decrease the pain when injected directly into the plaque, and thus also improve the penis shape distortion by peyronie's disease. Shock wave therapy - Extracorporeal shock wave therapy, or ESWT, a new treatment, is being used in some hospitals for the Peyronie's disease. Although the initial results of this new approach to treat Peyronie's disease have been promising, the long-term outcome is still undetermined. Surgery - This is sometimes considered if Payroni's disease has lasted for a year or more and it hasn't progressed or regressed for at least three months. By the Nesbitt procedure one removes tissue opposite to the curve to straighten the penis. Another procedure involves putting a graft or part of a vein within the fibrous plaque to lengthen this area. In certain cases of Pyrenees disease, surgical insertion of a penile prosthesis (implant) is recommended. Radiation therapy - This treatment modality has been tried, but the results are unpredictable and sometimes the opposite of the intended one. Traction devices - On the market, you can buy mechanical devices to use on the penis some time daily that gently pull upon the penile tissue to straighten out the penis, and thus mending the penis from the curvature caused by Peyronie's disease. plastic surgery penile enlargement easy enlargment free penis surgery way vig rx penis enlargement pill penis enlagement herb permanent penis enlarement where to buy vigrx penis elargement picture prosolution medical penile enlargement
Loss of sex drive and impotence are very common in men and women as they age, and talking with your doctor can alleviate fears, as there are many treatment options. Stress is a key factor in one's sexual health. The simple act of fearing that you may not be able to get an erection can in itself cause erectile dysfunction. When partners are on the opposite end of the libido scale, it is important to communicate and find ways to pleasure each other when intercourse is not possible. It is normal for the majority of men to experience erectile dysfunction (impotence) at least once in their lives. After men reach the age of 65, impotence becomes more common. They experience changes in erectile function as they experience changes in the rest of their bodies; it is a part of the natural process. Orgasms may not seem as powerful and erectile recovery after orgasm may take longer. There are several specific symptoms of impotence: the inability to achieve a full erection, to maintain an erection during intercourse, or to have an erection at all. There are two facets to maintaining an erection, one is physical, and one is mental. The physical process is relatively strait forward: the penis has two cylindrical structures (corpora cavernosa) that are made of a sponge like material and run the entire length of the penis. This erectile tissue fills with blood when the male is aroused, and like a wet sponge, this tissue expands up to seven times its normal size, forming an erection. After ejaculation, the penis returns to its normal size. The mental process is often the cause of erectile dysfunction. Arousal levels often determine the quality of an erection. The longer the arousal, the harder the penis becomes. Men can become aroused by any of the five senses: taste, touch, smell, and more commonly by visual and auditory stimulation. This mental state causes the nervous system to stimulate blood flow to the penis. Erectile dysfunction occurs when this delicate balance between the physical and mental facets of the erection process is disrupted. The mental causes of erectile dysfunction include: stress (this could be from work, or family, or both), psychological problems, anxiety (about finances, children, or life in general), fatigue, depression, negative feelings (toward yourself, spouse, or circumstances around you), resentment, hostility, or a genuine lack of interest. The physical causes of erectile dysfunction include: diabetic neuropathy (nerve damage caused by diabetes), cardiovascular disorders (which can affect the blood flow to the penis), prescription medications (talk to your doctor and find out if any of your medications are a potential cause of ED), cancer or prostate operations, spinal cord fractures, multiple sclerosis (MS), hormonal imbalances, or alcohol and other forms of drug abuse. Erectile dysfunction may be a symptom of a more serious medical problem. It is important to determine whether the symptoms of erectile dysfunction are physical or mental in nature. penis enargement pills enhancement manhattan penis surgeon penis enhancement excersizes prosolution penile enlargment pills enlargement manhattan penis best enhancement exercise penis pnis enlargement without pills penis enlagement forum medical penile enlargement
Maureen Dowd was on Imus the other morning plugging her new book, “Are Men Necessary”; a book I plan to buy so I can get some slightly demented insight into the mind of a troubled woman. During the interview, Imus and his sidekick Charles challenged Ms. Dowd about a female perception she had just suggested that all heterosexual men froth at the mouth at the mere mention of a trip to a strip club or the possibility of a cat fight or the chance two women might lock in lesbian love making. Imus proclaimed that he, even amidst the weakness of lowly cocaine induced comas and vodka fed stupors, never stepped inside a topless joint. Charles nodded his head in brotherhood like the bobble-head doll he is sometimes. Their point being, not all men are beasts; that some have evolved above such shameful sexual servitude. A couple of things. First, Imus and Charles are probably lying through their coffee stained teeth about visiting strip clubs. Second, I have frequented such establishments years ago. I eventually concluded that go-go bars are places where prematurely balding, man-boobed, middle aged business men hire enterprising young shapely women, forming a convenient unholy alliance of distrust to tap into the cash cow created when injured fragile male egos are deceived by alcohol induced sexual fantasy. All the females need to do is squirm provocatively while whispering real sweet nothings into customers’ hair filled ears. And if carried out correctly, the dollars shoot out of the slobbering stooges like ATMs in gleeful male orgasm. Make no mistake about it; the dancer is always in control of the patron. And when she is not, she moves on to the next penis clad cash machine. The only cost to her is to turnover some obscene percentage of the take to her sleazy male boss. It’s a business after all, and business is still a male dominated endeavor. Third, if one has ever listened to Imus for more than an hour, one knows he and his cronies takes delight in sexually stereotyping and demeaning women. This idea that Charles and he are better than that is all part of the act. For instance, a few minutes further into the same interview, Imus commented on the “balls” it took for Maureen Dowd to write a particular op-ed piece about Judith Miller—a remark that she quickly and graciously accepted with a simple and sweet, “thank you”. Although I haven’t checked, I’m going to go out on a limb and say that Ms. Dowd does not have testicles. So why was she so quick to acknowledge and accept what I’m guessing she felt was a compliment? I’m pretty sure that bravery, fearlessness, strength, and conviction—all nice attributes to have when kept in check by common sense—are not gender assigned. And I’m positive they are not a function of male genitalia. I’m equally convinced that reluctance, fearfulness, and weakness do not require one to have a vagina. It’s one thing, a very feeble thing at that, for Imus and his crew or even Jon Stewart and Al Franken for that matter—all professed non-chauvinists—to use male-centric language in an “equal opportunity” way; misguided into believing that somehow they are treating women and men equally. It is another thing though for Maureen Dowd to acknowledge and welcome her inclusion into the club. She could have simply said, “Imus are you suggesting that I have to be a man to be tough?” I am sure if asked Maureen Dowd would say without hesitation that she is a feminist or at least a proponent of feminist beliefs. Why then did she let Imus off the hook and indulge in the myth? Like many things about feminists, I don’t get it. They can be their own worst enemy from time to time—just like Democrats when they run a national campaign. Here is another example of something I don’t get. Why do some corporate feminists find short tight skirts, plunging necklines and push-up bras to be the business suit of choice? I suppose they might argue, just as strippers might, that they are simply using their power over men to get what they want. And on some level I understand that argument: play into the male need to be the sexual alpha dog as long as the targeted objective is personal gain. This attitude however strikes me as feeding the very stereotyping and sexism women want to end, which leads me into a short discussion of another dilemma I have with feminism. Within the last few years, I have been introduced to the forefront of feminist thought. Well not introduced exactly, more like pummeled. Here is what I have learned. I have something called. “white male privilege”. Essentially, whether I consciously or subconsciously acknowledge that privilege, it doesn’t matter. I have it and I need to “own it”. I’m pretty sure that means I have to fess up to it and wear it like a scarlet letter (although a white penis will do just fine). Believe me! I understand the importance of the concept. The dried blood tracking from my ears is proof positive of the difficulties and hard work it took me to reach that understanding. But that’s as far as the feminists have taken me. I’m afraid to tell them but it’s like a false crescendo. It can’t be the end of the symphony. Okay, so I “own” white male privilege. What next? There must be more. Am I supposed to give it up someday? Is it like owning an unregistered gun? Will there be a turn-in-your-white-male-privilege amnesty day? I’d be more than happy to if I just knew when, where and to whom? Or come to think of it, maybe not. What takes its place? Or worse, who gets it next? Gee, maybe I should take advantage of it more consciously while I still have it. Anyway, in the meantime, as I meander aimlessly, I’m going to refrain from saying stuff like, “Hey that Barbara Boxer, she sure has some pouch of brass nuggets on her.” I will also try to be more cognizant of this privilege I have and renounce it at every turn. It’s all I can do until I get further instructions. You know, I can’t help but think if reincarnation happens, I might want to come back as an earthworm. They have both the male and female sex organs. When they mate they impregnate each other. Everything is “even up”. And the result is that they are a pretty happy bunch. You don’t hear about earthworms having male/female issues. Okay so they have other issues—fish hooks being a big one. But quite frankly, I’m not sure that is any worse; sometimes I think it is a whole lot better.