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In this modern era, sexual freedom is taken for granted and little is thought of promiscuity as it was in past generations. However, the reality is that this sexual freedom also carries with it the very real threat of sexually transmitted disease. Because not all sexually transmitted diseases are curable, it is essential to take steps to avoid them. A sexually transmitted disease or STD is actually a combination of several different conditions that are all acquired through sexual intercourse. AIDS, a disease caused by the HIV virus, is the most serious of the sexually transmitted diseases and, despite some progress in recent years, is still incurable and is usually fatal. Some of the other problematic STDs include syphilis, gonorrhea, genital herpes, and non specific urethritis. There are also a few other diseases such as pubic lice, genital warts, trichomoniasis, and monilia that are classed as STDs but are of a less serious nature. The incidence of sexually transmitted diseases has increased over time and today there are more recorded cases than at any time in the past three decades. This is because people, especially young people, feel that the use of contraception allows more sexual freedom and has led to a change in the views of sexual behaviour. It is also a fact that this sexual freedom has led to people becoming sexually active at an increasingly younger age. However, not all contraception can stop the spread of infections caught during sexual intercourse. Syphilis One of the most serious STDs is syphilis which is highly infectious and, if it remains untreated, can result in death. Even if it is not fatal, the probability of disability is high. Not only can the syphilis bacteria be contracted during sexual intercourse, but it can also be passed to the unborn child of an infected mother. The baby is then born with a condition known as congenital syphilis. This is quite uncommon in this era as all pregnant women undergo routine blood testing. The incubation period for syphilis varies. The first symptoms can also vary, thus making early diagnosis difficult. Usually, the first symptom is a painless ulcer around the genital area, the anus, or the mouth. Because this ulcer heals without any medical intervention, the person doesn’t normally do anything about it, thinking that it is nothing important. If this disease is not treated early, it is likely to result in death. It is therefore essential that, if a person believes he or she may have been in contact with an infected person, that medical advice is obtained immediately. Gonorrhea Another serious and very common disease contracted by sexual intercourse is gonorrhea. Often, the female is unaware that she is infected because around eighty percent have no symptoms. Other women suffer from dysuria (pain while urinating) or from lower abdominal pain. This is because it involves the fallopian tubes and can therefore lead to sterility. The disease is more obvious for the male, resulting in dysuria followed by a discharge from the penis. This occurs within a week of contracting the infection. Gonorrhea in the male is usually confirmed by laboratory testing of the discharge. A dose of penicillin is the normal treatment for gonorrhea in both male and female sufferers. It is also vital that the person abstain from alcohol and from sexual intercourse for a period of several weeks. Although the treatment relieves the symptoms quickly, it is essential that the person continues to have medical maintenance to ensure that the cure is complete. A responsible person should inform any sexual partners of their infection so that they may be examined and treated if necessary. NSU The most common sexually transmitted disease is nonspecific urethritis or NSU which continues to increase at an remarkable rate. Many cases of NSU are caused by the Chlamydia germ but not all. NSU is an inflammation of the urethra and has no identifiable cause. The primary symptom is a discharge from the penis. This may be nothing more than moistness at the tip of the penis but this can vary. The discharge is different to the discharge in gonorrhea and makes it easier to recognize. There is also pain on urinating. Genital herpes Genital herpes, another sexually transmitted disease, has reached epidemic proportions in the Western world. This is because the herpes virus cannot be cured and so, once infected, the person carries the germ permanently. Thus, any person infected adds to the population of carriers. There are two herpes viruses. The first one, HSV 1, is normally found around the mouth and is known as cold sores. The second one, HSV 2 , is an infection passed by sexual contact and is normally found in the genital area and the anus, as well as on the bladder, the buttocks, the thighs and the legs of both male and female sufferers. After the first attack the virus lies dormant in the body. It will then recur time and time again, usually in the same place, appearing as a painful blister. When any of these blisters are open, the carrier is extremely infectious. Usually, the attacks are linked to emotional or physical lows such as depression, stress, or injury. Genital herpes causes pain and distress to an adult but is not fatal. However, if the herpes virus is passed to an infant during its journey down the birth canal of an infected mother, it is often fatal. It is important for the mother to inform the medical professionals so that they can monitor her pregnancy and possibly advise her to have the baby by cesarean section. Genital herpes cannot be cured but there are ways of making the attacks more bearable. By keeping the affected area clean and dry, the carrier can ward off secondary infections. Pain can be kept to a minimum by the application of cold compresses and also by taking salt baths. Female sufferers need to have a pap smear annually as genital herpes has been linked to cervical cancer. In women, vaginal discharge may constitute reasons for concern. However, if the discharge is clear, it is unlikely to be the result of disease. If the discharge is offensive and discolored and causes irritation to the vagina and vulva, it would suggest the presence of infection which may need to be investigated. It is essential that this is not allowed to continue and medical advice should be sought as soon as possible, especially if this is accompanied by abdominal pain and fever as it may be an indication of a sexually transmitted disease. Prevention Obviously, the best way to avoid sexually transmitted diseases is by abstinence or monogamy. However, if considering sex with a new partner, it would be wise to use a condom until you are sure about the person. If you are worried, cleaning the genital area thoroughly with soap and water after intercourse will kill many of the bacteria. This is true for both males and females. It is extremely dangerous to apply antiseptic lotions to the genital area and particularly to pour strong antiseptic into the urethra or vagina as it can cause serious and permanent internal damage. If you believe there is any possibility that you may have an STD, do not hesitate to seek medical attention. Everything that happens is confidential and no information is given to anyone without your permission. 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Definition of Erectile dysfunction Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”. The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections. Ayurveda defines Erectile dysfunction or ED as follows. Sankalpapravano nityam priyaam vashyaamapi sthreeyam || na yaathi lingashaithilyaath kadaachidyaathi vaa yadi | Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha || mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam | This means even though a man has a strong desire to perform sexual act with a cooperative partner, he can not perform sexual act because of looseness (absence of erection) of his phallus (penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex. Physiology of erection The two chambers of penis (corpora cavernosa,) which run throught the organ are filled with spongy tissue. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa. Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue. The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the chambers, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection recedes. In ayurveda physiology of erection and ejaculation is described as follows Vrishunow basthimedram cha naabhyuuru vankshnow gudam| Apaanasthaanamantrasthaha shukra mootra shakrunti cha|| The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools. Shushruta explains the process of erection and ejaculation as When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This causes arousal or “harsha”. Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the teja or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection. Causes of ED Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED. Lowered level of testosterone hormone: The primary male hormone is testosterone. After age 40, a man's testosterone level gradually declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction. The whole male body responds to testosterone. Even sushruta has illustrated about this response of body to the element “Shukra” . He has said "yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara." This means the shukra (the element which helps in reproduction) is present all over the body. This can be explained with the following examples: 1. The ghee is present in milk in an invisible form. This is extracted from milk using many processes. 2. The sugar is present all over the sugarcane. It is extracted by subjecting the sugarcane to number of processes. Same way shukra is present all over the body. But the cream of shukra (semen) comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body. Decrease in production of “Shukra” causes erectile dysfunction. Over exertion - physically and mentally: Working for long hours in office, mental stress at office and home, short temperedness ,insufficient sleep cause erectile dysfunction. These causes are explained in ayurveda as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror. Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner. Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women. Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction.. According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases, anemia, asthma, liver disorders, tiredness. Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction. Consumption of medicines, drugs and tobacco: Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction. In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food, drinks and medicines" cause impotence or erectile dysfunction. Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction. These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda. Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction. Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. "diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence." Remedies for ED ED is treatable at any age. The total treatment in for impotence is called as “Vajikarana therapy” in ayurveda. As this therapy increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ('Vaaji'=Horse.) Vaajikarana therapy leads to • Happiness. • Good strength. • Potency to produce healthy offspring. • Increased span of erection. Eligibility for vajikarana therapy. 1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age. 2. These therapies should be administered only to a self controlled person. If this therapy is administered to a person who does not have self control, he becomes nuisance to society through his illegitimate sex acts. Psychotherapy Decreasing anxiety associated with intercourse, with psychologically based treatment helps to cure ED. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated. Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac.“ Drug Therapy Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for production of semen. Ayurveda tips to overcome ED 1. Consuming herbal preparations to rejuvenate the reproductive organs. 2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac. 3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress. 4. Sleep at least for 8 hours a day. 5. Avoiding the consumption of alcohol, tobacco, heroin etc. 6. Exercise regularly. 7. Avoid hot, spicy and bitter foods. 8. Favor sweets, milk products, nuts and urad dal. 9. Add little ghee in your diet. 10. Give a gap of four days between two consecutive intercourses herbal penis enhancement penis enhancement operation penis elargement pills penis enlarement secret best pnis enlargement surgery best enlargment exercise penile penis enargement testimonials penile enlargment surgeon easy enlargement free pnis surgery way

Define your career. If you are a doctor, you diagnose and treat peoples' ailments. If you are a hairdresser, you cut, colour, perm, and style hair. If you are a police officer, you uphold the law, investigate crimes, and in general protect the citizens of the district in which you work. Most careers can be at least briefly described by almost anyone. If you have one of those careers, you are very lucky. Before I entered the work force and opened my own design firm, I never would have imagined that I would be getting calls to mend curtains, remove stains from carpets, find out why one bulb in a chandelier will not work... I am an interior designer -- I design interiors; but I can recommend a seamstress, carpet cleaning company, electrician... Then the dreaded question comes, "What do you mean you design interiors?" Once-upon-a-time-ago I thought that to be an easy question to answer. Somehow, I now find it easier to explain to a child why the grass is green. Rather than trying to define interior design, I have taken to explaining the process of designing an interior. I analyze, ask questions, draw, review the budget, draw some more while asking more questions. Slowly, what started off as sketches develop into floor plans and other technical drawings. Some of the drawings get coloured in. I help my clients make informed decisions regarding the use of space, materials, products, colour, lighting, layout, construction methods, other professionals... The drawings/plans then go to contractors and specialty contractors. I review the submitted process with my clients -- one submission is higher, but that is not necessarily bad because the others are each missing things. A contractor is selected, the contract signed and the work begins; I'll be there routinely while the work is in progress. I basically act as a representative on my clients' behalf, as well as a protector to my own design. Time schedules are reviewed frequently, problems that arise are handled in such a way that my clients may later know the solution but not the headache involved to understand and work out the problem. The work is wrapping up, only the finishing touches are left but I am already preparing a list of things that have to be finished, repaired or touched-up. What had been a noisy, dirty, smelly construction site has now fallen quiet and already been cleaned. I walk around looking at and examining the full-size, real thing of all the drawings I had done weeks, if not months, ago. Back at the office, I edit the deficiency list started a few days before and send it to the contractor and clients. The job is soon completely finished, but my work is still not done. My clients call, happy with the finished space. There are some last minute questions concerning maintenance of some of the new items, where to find certain decorative things and accessories that suddenly have importance, placement of these things, and so on. About two months later those clients are likely to call again. The voice on the other end sounds either a bit annoyed or even slightly panicked. The tile grout is crack in one area on one wall. It's probably just because everything has had the time to settle; I'll come by to see it, then contact the contractor. Define my career. I am an interior designer. I am an analyst, an artist, an educator, an interrogator, a project manager, a site supervisor, a purchaser, a space planner, a specifier, a decorator, a technician, a draftsperson, a troubleshooter... But can I help a client plan an outdoor project? Can I design a cabana or gazebo for a client's yard? Can I design custom furniture or lighting? Work with other professionals to provide technical drawings for things that do not fall into the scope of work of an interior designer? Work with clients and their real estate agent to help in the selection of the perfect home or commercial space to meet their needs? Provide consultation services to do-it-yourselfers? Handle the enlargement of a building? Work on new constructions as well as renovations? Plan the enlargement or relocation of a kitchen or washroom? Do I know the building code? Can I help obtain renovation permits from the municipality? Design spaces for use by people with physical disabilities?... Yes, and more. In a rush, I sometimes describe interior design as the career that fills the gap between architect and decorator, but the accuracy in that statement is something even I have debated. So I am still left without a solid definition of my own career. prosolutionpills penile enlargment surgery photo herbal penis enlargment penis enargement pump compare penis enlarement pills penile enlargement picture top pnis enlargement pills cheap pennis enlargement pills easy enlargement free pnis surgery way

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

Dog Diseases number in the scores, just as in humans. But, veterinarians tend to see some much more than others. Sadly, a great deal of grief could be avoided if more dog owners were careful to see that their pets are immunized regularly against preventable dog diseases. While experts, as usual, may differ, what are the top ten dog diseases? Here's a list (not necessarily in order of seriousness) with a brief explanation of each disease: Distemper: Of all the dog diseases, the American Veterinary Medical Association considers the distemper virus to be the worst canine disease threat to dogs world wide. Distemper is fatal in 80% of puppies and 50% of adults. All dogs are extremely vulnerable, and should be vaccinated, with subsequent boosters in keeping the recommendation of a Veterinarian. Parvovirus (Parvo): Parvovirus is a worldwide dog disease. It is extremely contagious, especially among puppies, and can overwhelm a dog leading to death within 48 to 72 hours after exposure. Symptoms include depression, loss of appetite, vomiting and severe diarrhea. Parvo vaccination is essential with booster shots as recommended. Rabies: Rabies is a virus and becomes fatal when symptoms appear. Because rabies can be fatal to humans and other mammals, state and local laws uniformly require rabies vaccination, many mandating booster shots yearly. Kennel Cough: This is a respiratory disease especially prevalent in kennels and shelters. There are a variety of virus strains, including Bortadella. Symptoms can include a dry hacking cough along with inflammation of the larynx, bronchial tubes and trachea. Vaccination, as often as every six months is recommended. Leptospirosis: Symptoms of Leptospirosis include lethargy, kidney inflammation, low-grade fever, vomiting, reddening of the mucous membranes and conjunctiva, and blood clotting abnormalities. Since it is a bacterial disease, also found in humans, it is treated with antibiotics. Veterinarians are often reluctant to innoculate against this dog disease, since there is questionable effectiveness, and puppies can have adverse reactions. Infectious canine hepatitis: While this dog disease often manifests itself with mild symptoms such as a slight fever or slight lethargy, it can, in some instances become fatal. Recovery is usually rapid. Vaccination is recommended. Lyme Disease: Symptoms of Lyme Disease in dogs will include lethargy, joint pain, lack of appetite, lymph node enlargement, and fever. Lyme Disease is bacterial and is spread by ticks. Treatment is with tetracycline, an antibiotic. The available vaccine is not generally recommended. Coronavirus: Diarrhea and vomiting are symptomatic of this dog disease so it can be confused with parvovirus. Other indications are loss of appetite, smelly diarrhea, lethargy and dehydration. Replacement of lost fluids and control of vomiting and diarrhea are the recommended treatments. A vaccine is not generally recommended. Obesity: Just as in humans, this dog disease is a serious medical problem. Frequently, obese humans own obese dogs. Obviously, limiting food intake, withholding human food and enough exercise will contribute to a dogs longer life. Heartworm: Heartworms are parasites that grow and multiply, infesting the chambers in the heart, arteries in the lungs. Symptoms appear gradually, usually manifested in easy tiring, lethargy and a soft cough. If not treated, it eventually brings on death by congestive heart failure in a once active animal. Prevention with products such as HartGard is recommended. Your veterinarian should give you a certificate showing your pet's immunization against the common dog diseases. Ask for a wallet sized card which you can carry with you.