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Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology 8(2):198–206, 2000. Fromme, K.; D’Amico, E.; and Katz, E.C. Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol 60(1):54–63, 1999. George, W.H.; Stoner, S.A.; Norris, J.; et al. Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol 61(1):168–176, 2000. Grant, B. F.: Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. J. Stud. Alcoh., 58(5), 464-73., 1977. MacDonald, T.K.; MacDonald, G.; Zanna, M.P.; and Fong, G.T. Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology 19(3):290–298, 2000. Malow, R.M.; Dévieux, J.G.; Jennings, T.; et al. Substance-abusing adolescents at varying levels of HIV risk: Psychosocial characteristics, drug use, and sexual behavior. Journal of Substance Abuse 13:103–117, 2001. Maslow, C.B.; Friedman, S.R.; Perlis, T.E.; et al. Changes in HIV seroprevalence and related behaviors among male injection drug users who do and do not have sex with men: New York City, 1990–1999. American Journal of Public Health 92(3):382–384, 2002. McKirnan, D.J.; Vanable, P.A.; Ostrow, D.G.; and Hope, B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse 13(1–2):137–154, 2001. Petry, N.M. Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS 10(9):561–570, 1999. Purcell, D.W.; Parsons, J.T.; Halkitis, P.N.; et al. Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13(1–2):185–200, 2001. Rovner, S.; Dramatic overlap of addiction, mental illness. Washington Post Health, 14-15. 1990. Selzer, M., Winokur, A. & Van Rooijen, C.; A self-administered Short Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 36, 117-126, 1975. Seto, M. C. & Barbaree, H. E.; The role of alcohol in sexual aggression. Clin. Psych. Rew. 15 (6), 545-66, 1995. Stall, R.; McKusick, L.; Wiley, J.; et al. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly 13(4):359–371, 1986. Volpicelli, J. R.; Alcohol abuse and alcoholism: An overview. J. Clin. Psychiat., 62, 4-10, 2001. penis enlargment program penis girth enargement free penis enhancement video vig rx hoax safe penis enlargement pro solution pill free penile enlargment video free penis enlarement technique

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There are a lot of men out there who need help with a very personal problem, but they are afraid to do anything about it. This is because the topic of erectile dysfunction is about as terrifying to face as an appointment with a divorce lawyer, so they try to avoid it altogether. Unfortunately, erectile dysfunction affects not only men, but it also affects their spouses as well, so this makes it impossible to avoid indefinitely. Sooner or later the topic of sex (or lack thereof) will come up at the dinner table, and then they must face the problem head on. That is usually when the name Viagra enters the conversation, and they better be ready to make an informed decision on whether or not to use it. Viagra was invented by a team of scientists in the late nineteen nineties, and it was approved for sale by the FDA (food and Drug Administration) on March 27, 1998. It was considered to be a breakthrough discovery in the medical and science worlds, and the inventors won the Nobel Prize for this invention. They had essentially discovered that when a man gets an erection a chain reaction occurs in the tissue of the penis which causes the levels of a substance called cyclic guanosine monophosphate (cGMP) to be elevated. When the level of this substance remains high, the penis remains erect. They also discovered that an enzyme called phosphodiesterase-5 (PDE5) breaks down cGMP. They found that the cGMP levels tended to breakdown rapidly in some men, and this was the cause of their sexual dysfunction problems. The key to sustaining an erection was to maintain high levels of cGMP for a long period of time, so they invented a drug that would inhibit the levels of the enzyme PDE5. This would allow the cGMP levels to remain high, which would sustain an erection for a long period of time. Before the invention of Viagra men with this kind of problem just had to suffer with their ailment. Many men were too ashamed to even talk about this problem. Beside the obvious issue of questioning their manhood, there just was not a whole lot they could do about it. There was no known cure, and that was a fact. They had to face this problem with very little help from the medical world. It was no wonder that most men kept this kind of thing to themselves. Many marriages were affected adversely due to this problem, and some even ended because of it. Viagra has been a Godsend to many men who were experiencing problems in bed. The scientific name for Viagra is Sildenafil and it basically acts as an inhibitor of the enzyme PDE5. This preserves the high levels of cGMP that are produced when a man is sexually aroused. Similar products like Cialis and Levitra work in the same way, thus, all three products are defined as PDE5 inhibitors. Viagra absorbs quite rapidly in the blood stream, usually within 30 to 120 minutes. It is a highly protein bound drug (96%) which means that is will absorb faster when taken with a high protein meal. Taking it with a high fat meal will reduce the absorption rate. Pfizer is the company who makes the only genuine Viagra, and any other company who claims to make it is a fake. There are many web sites on the internet who claim to be selling “real” Viagra, but most of them are frauds looking to make a quick buck. Only a U.S. licensed pharmacy can sell Pfizer’s Viagra product, so make sure you do a little investigating about the company you plan to buy from before you make your purchase. There are many reputable companies on the internet selling genuine Pfizer Viagra through completely safe and secure web sites. All you have to do is a little research and you will get the same product you would get at your local pharmacy, but without the potential embarrassment. You will even get a better price if you buy your Viagra online than you would if you bought it at your neighborhood pharmacist, for the pharmacist selling his products online does not have to pay overhead costs (employees, building leases, benefits, etc…). Viagra is metabolized in the liver by an enzyme that is known as CYP3A4. Any one with a liver condition (like cirrhosis) who is thinking about taking Viagra must consult their physician first to discuss a customized or reduced dosage. What used to be a problem without a cure is now a problem that can be cured with a little blue pill. Men who take a 50mg dose about an hour or two before sexual activity can regain the sexual vitality and stamina that they have been missing in their lives. They can now enter that dreaded conversation at the dinner table with their spouse (about erectile dysfunction) armed with the knowledge that they have a breakthrough drug on their side that was worthy of the Nobel Prize. They can even order it at a U.S. licensed online pharmacy and have their Viagra shipped overnight to their front door by a FEDEX courier who will hand over their order in a plain-wrapped box. © 2005 copyright. Michael P. Connelly guide to pennis enlargement manual penis enlagement exercise herbal natural penis enhancement penile enlargment pills penis enlarement photo free pnis enlargement pennis enlargement device pro solution pill side effects cheap pnis enlargement

There are a variety of ailments related to the heart and providing information on all the types of cardio vascular disease could be quite a task. Yet a look at conditions that affect the heart and blood vessels can give you a broad view of cardiovascular disease. You hear many terms like coronary heart disease , atherosclerosis or some other term and are left wondering as to what exactly all these terms mean. Medical information could confuse you. Triglyceride is simpler when mentioned as fat in your body. It is essential that you read and stay informed on some basic terminology. You could watch a few programs related to the heart and its working before going to your doctor. The word give the meaning as well; ‘Cardio’ is related to the heart and ‘vascular’ is related to the blood vessels. Diseases of the heart are many. Some specific types are Coronary artery disease Arteries supply the heart muscle with blood. Obstructions in the artery is a condition called atherosclerosis, is a leading cause of coronary heart disease. Coronary artery disease causes angia (chest pain) and myocardial infarction (heart attack). Coronary heart disease Coronary heart disease is a more comprehensive term. It collectively refers to coronary artery disease and its disease that are a result of the coronary artery disease like angia and myocardial infarction. Women and heart attack is another important aspect with the onset of menopause. Cardiomyopathy This refers to all diseases of the heart muscle. It deals with loss of heart muscle (ischemic), enlargement of heart muscle (dilated) and thickening of the heart muscle (hypertrophic). Another type of cardiomyopathy is an enlarged heart without a known cause (idiopathic dilated cardiomyopathy). Valvular heart disease The heart consists of valves that direct the flow of blood into and out of the heart. Diseases of the heart valves are due to conditions like narrowing of heart valves (stenosis), leaking of a heart valve (regurgitation) and if the closing of the valve is not proper (prolapse). Heart valves can also be damaged by other conditions. Rheumatic fever, connective tissue disorders, medications or treatments for cancer and even infections (infectious endocarditis). Pericardial disease Pericardium is a sac that encases the heart. This can get inflamed (pericarditis), stiff (constrictive pericarditis) or accumulated with fluid ( pericardial effusion). These may occur together after a heart attack or may vary due to conditions. Congenital heart disease Congenital heart disease develops in the womb of the mother, before the birth of the baby. Narrowing of the aorta (coarctation), holes in the heart atrial or ventricular septal defect are some congenital diseases. Detection may be at the time of birth or later in life. Heart failure Heart failure may occur as a result of other cardiovascular conditions. It is a condition where the heart cannot pump enough blood to the organs and tissues in the body. Due to this other vital organs do not get enough blood; causing shortness of breath, fluid retention and fatigue. Congestive heart failure is used if the heart failure as led to a ‘fluid build up’ in the body. Blood Vessels These are essentially hollow tubes that carry blood to the organs and tissues. The types of blood vessels are Arteries, Veins, Capillaries and Lymphatic cells. Disorders related to blood vessels that affect the heart are Atherosclerosis, Arteriosclerosis, Hypertension, Stroke (ischemic and hemorrhagic), Aneurysm, Claudication with peripheral arterial disease, Vasculitis, Venous incompetence, Venous thrombosis, varicose veins and Lymph edema. Diagnosis Diagnosis is based on a series of tests. Simple procedures are listening (stethoscope) to your heart, measuring the heart rate and the blood pressure. • The systolic and diastolic blood pressures are measured and are around 120 and 80 respectively for a normal heart. • Blood test to check for high cholesterol levels • Other tests are CPR testing which gives the state of inflammation of arteries. • ECG and EKG tests are where the electrical activity of the heart is tested to assess blood flow and heart rhythm. It is also done under stress at times to find out related Cardiac Arrhythmia ailments. • X-Rays are used to look at the structures of the chest (lungs and heart) to evaluate proper functioning. • Head- up tilt test is used to evaluate the causes of fainting spells. • Ultrasound/Echocardiograms give pictures of the heart chambers and its valves. A few other test methods are Cardiac Catheterization/coronary angiogram, Electrophysiology, Electron Beam (ultrafast) CT or EBCT, Cardiac biopsy (Myocardial biopsy), MRI scan and Pericardiocentesis. It is also important to take a look at high triglycerides as well as this often accompanies high cholesterol. manual penis enlargement exercise cheapest penis enlarement pills pnis enlargement device best penis enargement surgery penis enhancement procedure vimax penis enlargement testimonials male penis enhancement safe penis enlargement cheap pnis enlargement

Who is the master? Your penis or you? Does your penis sleep when he wants to? Learn how to maintain your penis erections and controlling your premature ejaculation moments. Learn to get to know this muscle called the Pubococcygeal (PC). This is the muscle that helps maintain your erections and your ejaculations. Do not let your penis control you any longer. Both men and women have this muscle. This is the muscle that can shut off your urine flow. When you urinate and stop the flow of your urine, the pubococcygeal muscle is what you are working with when you stop your urine flow. Men who experience premature ejaculation and/or leak urine when you sneeze or cough should learn how to strengthen your pubococcygeal (pc). If you learn how to strengthen this muscle, this will help in avoiding the above problems. If you are leaking urine or any ejaculation problems, then you need to put a stop to this right now. Learn to be in control of your erections and ejaculations. In making the pubococcygeal muscle stronger, you will improve the intensity of your erections and ejaculations. You will improve the blood supply that goes through your penis. Better blood circulation through the penis is better erections overall. You will also improve your erotic pleasure. You will intensify your physical sensations and excitement for you and your partner once you learn how to strengthen this muscle. You can exercise the pubococcygeal muscle by tightening and holding back on this muscle for a count of three. Then relax, then tighten again for a count of three. Repeat this exercise 10 times, 5 times a day. Now, do not perform this exercise when you are urinating. I have only show you where to locate this muscle when you urinate only. Again, when you urinate and stop the flow, this is the pc muscle you are working with. You can do this type of exercise anywhere. Standing on the line at the bank, at work, home, anywhere, and nobody will know that you are exercising this muscle. Only you will know. Here are the signs that you need to know if you need to make your pubococcygeal (pc) muscle stronger. A. If stopping the flow of your urine is difficult, then you have a weak pc muscle. B. If you have poor posture, then you may have a weak pc muscle. C. You can not have intercourse longer than 3 minutes before ejaculating. D. Urine leakage when you sneeze or cough. It is a true fact that 85% of men can not have intercourse longer than 3 minutes before ejaculating. This is due to a underdeveloped and weak pubococcygeal muscle. Having a weak pc muscle causes weak erections, weak ejaculations, impotence and premature ejaculation. Learning to control your ejaculations will help in developing a stronger pc muscle. Developing good muscle tone of your pc muscle will help improve your ejaculation control and will enhance your lovemaking pleasure between you and your partner. A strong pubococcygeal muscle gives more blood to the genitals making erections come more easy. Start exercising this muscle. You will gain full erections every time. You will also satisfy your lovemaking activities and naturally this does enhance one's self esteem. Wake up and control your penis. Do not let your penis control you. Learn to control your erections and ejaculations. The pubococcygeal muscle is the organ of energy. Exercise it and control it. And do not let your penis sleep when he wants to. Who is the master? I will leave this up to you. magna rx pills male penis enlargment pnis enlargement before and after photo penis enlargment photo pnis enlargement tip free penis enlargement penis enlargement system free penis enhancement cheap pnis enlargement

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