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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 penis enlargement technique penis elargement exercise pnis enlargement excercises pnis enlargement information penile enlargment tip free penis enlargment video cheap penis elargement pills get vigrx

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Sex is one of the most important feelings in the world, and which is core to every relation in order to restore generation. But, sometimes, problems like impotence can deteriorate one’s sex life badly. But, now as medical advancement has become too broad, cure of impotence is easily available. Kamagra is one among various medicines which helps people suffering from erectile dysfunction and facing problem in keeping an erection when sexually aroused. Kamagra is a medicine to treat erectile dysfunction (ED). The active ingredient in it is citrate salt of Sildenafil. This sexual enhancement drug functions by increasing blood flow to penis. Increased blood flow leads to penis erection in a patient with erectile dysfunction. Kamagra is a preferred alternative to Viagra. It is generic version of treatment for impotence and erectile dysfunction in a male. It is offered in 100mg tablet form, soft tabs and three flavours of Oral Jelly. The oral jelly offers an alternative to tablet use. While using Kamagra, it is imperative to be aware that this drug doesn't give instant erection. It's a drug that is used to improve penile erection in men with erection problems. One should be sexually aroused or stimulated to get an erection. So it is advised to use Kamagra 60 minutes before having sex. The normal dose for Kamagra is one dose a day. But, under the guidance of doctor, one can increase his intake. The effects of the drug generally last around 4 hours. If in case erection does not go away after four hours, one should consult his doctor. User of Kamagra drug must be aware of its side effects which might occur during its usage. Some effects of this drug are, flushing, headache, stomach upset and blurring of vision etc. One must consult his doctor before taking this drug, and should try his utmost to take all possible precautions while using. To avail this drug easily, going online is the best way. Numerous online agents are here to offer some lucrative discount, besides saving plenty of time . penis enlargement picture penis elargement photo do penis enargement pills work top penis enlagement pills vimax easy enlargement free penis surgery way prosolution pennis enlargement pills truth about penis elargement pills truth about penis enlargement pills safe penile enlargement

What happen during the first month of your newborn, does your baby need check up? In the first weeks after birth, your newborn begins a series of routine check ups. These are called well child visits. All healthcare professions have individual approaches to the timing and frequencies of these visits. In general, you should take your baby for a checkup within a week after delivery and thereafter, one or two visits during the first month as recommended by your doctor. During the well child visits, the doctor will perform the following: • Measure weight, length, and head circumference of the baby. The doctor will plot these measurements on a growth chart for comparison of previous and later markings to ensure normal, expected growth of your baby. • Check your baby's eyesight and hearing. • Examine if the cord has fallen off and the belly button is healing well. • Evaluate the baby's reflexes and general development. He will give some insight into your baby's feeding, and sleeping and will ask you if you have noticed any changes in behavior. Changes in caring and feeding of your baby will be suggested if necessary. • If your infant is a boy and was circumcised, the doctor will examine his penis as well. • He/she might also take a sample from baby’s heel to test for phenylketonuria (PKU). Although your baby might have been tested for PKU at the time of birth, it is advisable to repeat the test during first well baby visit as the test bears risks of inaccuracy when done within 48 hours of delivery. • He/she will also give your baby a hepatitis shot during one of these visits and will provide you with a schedule of immunizations your newborn is to be given during the subsequent visits. These routine well child visits will assure you about your baby’s progress and give you the opportunity to ask questions concerning your child’s care. How do I choose the best doctor for my newborn? Some parents are familiar with their pediatric practitioner even before they become pregnant, while most, especially the first time parents are not. If you were unaware of the doctor and service, you would like to avail for your coming baby, do not get overwhelmed and relax! With a little hard work, you will be able to reach a pediatrician you can rely on and respect. However, commence your search well in advance of your delivery. An optimal way to do it is to seek the names of pediatricians from your reliable sources, which may be your obstetrician, gynecologist, midwife or even relatives, friends, colleagues or neighbors with kids who share your parenting and perspectives. You may consider asking them the questions like, “Do their kids respond well to the doctor?”, “Is the doctor an experienced pediatrician?”, “Does he have knowledge of recent medical advances?”, “Does she welcome your queries and take time to discuss them?” Once you are ready with your list of potential pediatricians, start interviewing them, preferably in person, as it gives you a feel of their style, how they run their office, what the staff and nurses are like and if you feel comfortable with them. Ideally, you should accomplish this task about three months before you are due and take your birth plan along. You may address the following queries to the doctor in the interview: • Is she is licensed by the state, in which she practices? • What are her viewpoints on child-rearing issues such as breast-feeding, weaning and nutrition? • What she thinks about the use of antibiotics? (Due to adverse effects and questionable benefits of antibiotics, some pediatricians have restricted their use on kids). • What will happen if baby needs to transfer to the intensive care nursery? • Is she available in evening hours and on weekends? • Does she have a group or solo practice so that your child can see one of partners in the absence of her doctor? • Is she covered by insurance? • Various other issues like vaccination, nearness to your home, hospital affiliation, etc. may be important to you and must be addressed. While you interview the doctor, pay attention to how well she considers your needs. And also if you feel comfortable with her or not. Your choice of the doctor should be the one who best meets all these criteria! penis enlarement testimonials truth about pnis enlargement penis enhancement surgery top rated penis enhancement pills natural pnis enlargement exercise best penis enlargement pill pnis enlargement stretcher penile enlargement pump safe penile enlargement

Since ancient time bee pollen has been considered as an ultimate health food in many ancient text and legends. Bee pollen has since then been praised as being a healing agent for many other ailments. Bee pollen has about 45 calories in one Tablespoon. Bee Pollen contains many essential nutrients including 22 amino acids, bioflavonoids, natural antibiotics, hormones, natural sugars, vitamins, minerals, enzymes, and EFA’s. Bee Pollen Benefits Animal Studies suggest that bee pollen may help with weight loss. But there are no studies showing bee pollen’s effect on human metabolism. Some reports do show that bee pollen may help with the appetite control in humans. Bee Pollen has been touted to increase energy levels and increase performance, thus making it a favorite supplement among bodybuilders and other athletes. Performance Enhancement has been attributed to the use of bee pollen. It has been shown to produce an accelerated rate of recovery, and those not receiving bee pollen supplementation have shown declining performance rates and recovery. Bee Pollen also has been used in Europe and the US as a treatment for prostate enlargement, prostatitis, and other prostate problems. It’s shown that Bee Pollen counteracts the effects that radiation and chemical pollutants. Bee pollen contains anti-oxidants that destroy free radicals that are caused by the exposure to radiation and other pollutants. Studies show that it can reduce the side effects of radiation treatment. Many people who are allergic to pollen are able to tolerate oral bee pollen. However there have been reports of a small percentage of people who initially ingest a large amount of bee pollen may develop allergies, sometimes severe, and minor gastrointestinal irritation and laxative effect to oral bee pollen. People severely allergic to pollen should no use oral bee pollen. Also like any other medication/supplements take with caution and under doctor’s supervision. Bee Pollen has many benefits and is said to help aid in weight loss and workout performance. The preferred way to use bee pollen is in capsule form and can be found from many nutritional supplement sites around the web. surgical penis enlargement enlargement penis pill vimax penile enlargement secret enargement free penis pills sample cheap penis elargement pills penis enhancement cream free penis enhancement video guide to penis elargement safe penile enlargement

Along with face-lift, breast enlargement and a number of other plastic surgery procedures, rhinoplasty is considered as one of the most commonly performed plastic surgery in America. This procedure works by reshaping the contour of the nose for the following reasons: for enhancing the size, change of tip or bridge, change of angle in relation with your upper lip and the nose and to narrow the size of the nostrils. It may also be that it corrects some breathing problems and other birth-related conditions. Rhinoplasty won’t help increase the ideality of your face nor will it change other people’s perception on you. Like with most plastic surgery procedures, the patient often expects that after the surgery, their psychological views about themselves will change along with the change in their physical appearances. Rhinoplasty is not a means to make other people look at you in a way different from how they currently see you or to match your ideal look. People who are considered as best candidates for rhinoplasty are those who are after the improvements it may result to and not for perfection. You have to be physically, emotionally and psychologically healthy before you may be considered as candidate or else all your expectations will become failures. It is mostly performed for aesthetic purposes. The person has the only command over the attitude he or she may take after the procedure. Age can also be part of the considerations before you may be passed as a candidate for the operation. Majority surgeons do not allow surgery for teenagers. Not until they are past the stage of development, 15 for girls and a bit later for boys. It must be noted too that the teenager’s intention is healthy. As it may be observed, all surgeries entail risks and possible failures. However, these chances can be decreased if a certified and experienced surgeon will perform the surgery. Nonetheless, there would still be some complications that can never be prevented such as reaction to anesthesia (both local and general), nose bleeding and infections. It is best to follow your surgeon’s guidelines to minimize such negative effects. There can be permanent and temporary side effects after rhinoplasty. Usually after the surgery, small spots of red blood cells may be seen on your nose. These typically become permanent, it is best to ask your physician concerning it. Scarring on the other hand is very minimal. Rhinoplasty is normally performed inside the nose so the scars wont be visible. Nevertheless, when the surgery is open, especially with the case of shortening the expanse of your nostrils, the scars may still not be visible. There is also a possibility of repeated surgery. But this is a minor issue since only around 10% of all patients will have to endure secondary surgery for correcting deformities. This can never be avoidable and may also happen among the most skilled surgeons. Communication, specifically a good one, must be made between you and your surgeon. You have to discuss your goals and see if they will work for you. On his part, in return, he has to answer all your queries and assure to it that you know all the risks that are covered by the procedure. He must also stress out the factors that will seriously affect your rhinoplasty procedure. These factors, when not properly addressed may have adverse effects on the outcome of your surgery. It is best if these will be disclosed to you.