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Did you know that you are risking yourself to erectile dysfunction by smoking cigarette? Before you shrug off the statement, let me tell you that Action on Smoking and Health (ASH) and the British Medical Association (BMA) estimate that up to 120,000 UK men in their 30s and 40s are impotent as a direct consequence of smoking. Now, still I can see the signs of doubt on your face. You need concrete reasons to quit smoking, am I right? I understand that you are pretty addicted to the four-inch-fire-stick and need to breathe in till the end of it. But if you lose your sexual pleasure for good in lieu to the pleasure of smoking, will you not be a loser in this bargain? Sexual functioning requires balanced coordination among hormones, nervous system to carry stimulation and healthy vascular system to pump blood to the penile tissues to cause a proper erection. Absence of any component among them will inevitably lead to erectile dysfunction. Now, what is the contribution of smoking in causing erectile dysfunction? Smoking affects the vascular system by narrowing down the blood vessels that contributes to the blockage of arteries; therefore the penis gets insufficient blood pumped into it, which results in a failed erection. Strokes and heart attacks are other life threatening diseases which can be caused by smoking. Now, let me tell you that smoking increases the risk of erectile dysfunction by 50% for men in their 30s and 40s. Let us see what nicotine actually does to the male private part to negate an erection.  Atherosclerosis, a fatty deposit in the arteries, built up by long term smoking, blocks the inflow route of blood into the penis.  Acute Vasospasm, a result of nicotine stimulation sent to the brain, causes rapid contraction in the penile tissues. This situation restricts blood flow into the penis.  The presence of nicotine in the blood stream damages the valve mechanism that traps blood in the penis. This problem is known as venous dilation.  Nicotine also reduces the volume of ejaculation.  It lowers sperm count and the sperm develops an abnormal shape.  The sperm motility is also impaired by nicotine. Cigarette smoke contains about 4000 chemicals, most of which are supposed to damage the vascular system. The most dangerous chemicals are carbon monoxide, nicotine, and butadiene, causing thousands of deaths and millions of heart attacks, arthritis and impotence. A sheer fact can be deduced from the following findings; cigarette smoking results systemic arterial damage. We can infer another fact that impotence or erectile dysfunction is a signal to other life threatening diseases like heart attack, stroke and other heart and artery related problems. The awareness related to the adversities of cigarette smoking is very low when it comes to erectile dysfunction. The smokers who are reading this article, I request them to analyze and weigh up their situation. If you have experienced the above mentioned symptoms related to your sexual life, you are in a deep soup. But at the same time, let me tell you, the situation is not irreversible. You can go back to your healthy sexual self just by quitting cigarette smoke. If the level of addiction is too high, there are therapies and medicinal help available for quitting cigarette, seek help from your doctor. Quit smoking right now so that you do not have to spend money on Viagra in future. Rather leave this smoking habit altogether, you will save your health, your sexuality and your money for a better life ahead. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ pnis enlargement product penile enlargment tool penis enhancement tool penis enlagement surgeon enlargement free pennis pills sample penis enargement secret enlargement erection penis pill vimax penis enargement video

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There is alot of talk across both the online and offline worlds at the moment about the new male enhancement supplement Vimax. Reportedly Vimax has been proven over 500 000 cases to have substantially improved penis size, in some cases by up to 4 inches in length and 25% in girth. So what is this new supplement? How does it work? Here goes: Vimax is a combination of various natural herbal supplements that have been used for generations by more primitive folk, (for example one particular herb apparently found in Polynesia where men of the Mangaian tribe have sex an average of 3 times per night!) to increase blood flow, improve sexual function and cause growth of the soft tissues of the penis itself. Unlike some of its more famous counterparts such as Viagara or Cialis, Vimax is not a prescription, chemical formula. This means that it has no side effects, which we all know, when talking about those regions are definitely not something you want! Vimax works by increasing blood flow to the three main clusters of blood vessels in the shaft of the penis causing them to expand and over time grow to accommodate the extra circulation. Generally after 4 weeks users claim to see noticeable increases in the girth of their penises as a result of this increased blood flow. The most appropriate analogy is that of a balloon increasing in size as it expands with air. In the same way, the penis expands in size as it expands with blood. Vimax is a safe alternative to penis enlargement and carries much less fear than other common penis enlargement methods such as pumps and extenders. Thankfully it can be taken with no possibility of pain or damage to the genitals. To get the best results from Vimax, the recommended dosage is no more than one tablet per day, making it easier and more convenient than treatments requiring 3-4 dosages to meet daily quotas. Not only that, this also means that Vimax can be obtained and taken more cost effectively as each bottle lasts over one month. Also, a very important issue in the purchase of male enhancement products is that of privacy. Vimax can be ordered and sent via discreet payment and shipment methods, with a general charged by statement appearing on your credit card and a blankly labelled package being delivered to your door so there is no chance of anyone knowing about it but you. vigrx ingredient penis enlargement system best penis enlagement pills free penis enlagement tip truth about penile enlargment penile girth enlargement pennis enlargement herb penis enlarement herb manual penile enlargement exercise

Plant base Propecia Biostim is Propecia but without the side-effects. The most common form of hair loss is genetic. Androgenetic alopecia occurs in approximately 60% of men and 10% of women in the U.K. However, if you are a sufferer you do not have to simply live with it as your parents and grandparents may have had to. You can take an active step today and discover Biostim, the new, highly effective hair loss stabiliser and hair regrowth stimulant available directly from our laboratories. Genetic Hair Loss In men, androgenetic alopecia has a characteristic pattern of hair loss it begins with a slight recession at the front hairline and is followed by thinning on the crown of the head. In women, androgenetic alopecia is often linked to hormonal changes with the hair loss following events such as the menopause, childbirth or as a result of stopping or starting oral contraceptive pills. The hair loss is also generally more uniform over the scalp than in the male counterpart. In both sexes, the hair loss results from a complex chemical reaction when the enzyme 5-alpha-reductase converts the testosterone in the system into DHT or dihydrotestosterone. The hair follicles are genetically predisposed to be oversensitive to the DHT and become smaller and smaller with time, leading to the eventual hair loss. How does Biostim work? Biostim is composed of a variety of different ingredients all of which either directly or indirectly benefit hair loss stabilisation and some of which stimulate hair growth. The 11 most important ingredients are as follows: Contents Sabal Serrulata Extract (Biogen) Mono Propylene Glycol Ceramide Panthenol Calcium Panthothenate (Vitamin B3) Vitamin E Vitamin A Vitamin H (Biotin) Vitamin H (P.A.B.A.) Inositol (Vitamin B8) Aqua Description A combination of naturally occurring 5-reductase inhibitors with added multivitamin complex for the stimulation of hair follicles suppressed by the action of Androgens in cases of androgenic alopecia. Mode of Action 5-reductase inhibitors act as anti-androgens, reducing the levels of di-hydroxy testosterone (DHT), decreasing the levels of androgen activity at the target site. The consequent reduced levels of DHT stabilise or reduce the level of atrophy of the hair follicle and shaft in the genetically determined areas in the treatment of androgenic alopecia. The hair growth period (anagen) is prolonged and promotes increased hair growth and density. Clinical Trials Clinical trials of the natural ingredients have established anti-androgen activity and the ability to suppress di-hydroxy testosterone (DHT) formation, beneficial in cases of androgenic alopecia. The increased dermal papilla activity increases hair cell production and proliferation, increases the number of hairs in the anagen phase and increases the A/T (anagen/telogen ration). Biostim has been shown to be a strong inhibitor of 5-alpha reductase in the dermal papilla and to increase hair cell proliferation, particularly on hairs suppressed by androgenic activity. It is believed that the effect of the Biostim is to interfere with the conversion of testosterone to dihydrotestosterone and so there follows a positive response. Biostim is also a good natural source of oestrogen, this may also aid the ‘stimulating’ effect of the plant. Another very important ingredient, which is derived from the vitamin B complex and is a powerful vasodilator, that is to say, it draws the blood to the surface of the skin in the area to which it is applied. The effect of this on the scalp is, firstly, to ‘shock’ any dormant hair follicles from the telogen (resting) phase into the anagen (growing) phase and, secondly, to generally increase the blood supply to the given area, allowing the metabolism to increase and the hair to receive more blood than would normally be the case. Biostim has been formulated with an alcohol compound to carry the active materials to the target site with a minimum of loss into other scalp tissues. Biostim also contains a highly effective anti-dandruff agent that clears the scalp of the dead skin cells and scale that would otherwise absorb much of the lotion and render it less effective. Another major innovation with Biostim is the incorporation of PANTHANOL into the formulation. Panthanol is a natural constituent of healthy hair and so often included in shampoos and conditioners as it has an ability to penetrate into the cortex of the hair to reinforce the chemical bonds and strengthen the hair. The panthanol used in Biostim is not diluted by water as when with shampoos and conditioners and so reaches the hair at the strength at which it is incorporated into the product this is extremely important as the effectiveness of panthanol is directly proportional to the level reaching the cortex and therefore in Biostim it can have an outstanding effect on the strength of the hair. Clinical trials prove that both male and female patients found Biostim reduced hair loss significantly and caused stabilisation within 3 months – all experienced significant hair regrowth between 6 to 12 months. SERENOA REPENS / SAW PALMETTO Serenoa repens is the medical name for the herb saw palmetto. Some studies have shown the saw palmetto may have the same effect as the drug finasteride in treating hair loss and prostate enlargement diseases. It has been suggested that both hair loss and prostate disease are related to the hormone DHT (Dihydrotesterone) which is formed when the enzyme 5-alpha reductase interacts with the male hormone testosterone. Finasteride is marketed as Proscar (5mg finasteride) or propecia (1mg finasteride) by the Merck & Co. Both Proscar and Propecia are oral medication and has been approved by the FDA in the United States. Proscar is usually prescribed for people with benign prostate enlargement. Propecia was approved by the FDA in December 1997 as the first ever anti-baldness pill. Both Proscar and Propecia are available by prescription only. Finasteride works as a 5-alpha reductase inhibitor. It reduces the amount of 5-alpha reductase in our body and thereby reduces the formation of DHT, which is the main cause for hair loss and prostate disease. DHT is formed when 5-alpha reductase interacts with the male hormone testosterone. DHT is a derivate of testosterone but is many times more potent. Hair follicles that are sensitive to DHT tend to fall off when exposed to the hormone. Research has shown that the herb Saw Palmetto has the same effects as finasteride in treating patients with benign prostate enlargement. In fact, the herb is very popular and common in Germany and is available as an over-the-counter medication. There are many studies in Germany that confirm the effectiveness of saw Palmetto in treating patients with prostate disease. Since both hair loss and prostate disease are related to DHT, many suggest that Saw Palmetto will also be effective in treating people with hair loss by reducing the amount of DHT in our body and around the hair follicles. Although there is no formal study or testing to confirm the effectiveness of Saw Palmetto in treating hair loss, many companies are already preparing topical hair lotions that are formulated with saw Palmetto. Since women are CAUTIONED AGAINST using Propecia (1mg finasteride) due to potential side effects that may affect foetus development and cause birth defects, saw palmetto may seem to be a natural alternative for women who are suffering from hair loss. For men who are concerned of the potential side effects of Propecia (1mg finasteride), such as loss of sex drive and impotence as reported by 2% of te participants who took Propecia during clinical testing, saw palmetto is also the natural alternative. There are very few reported side effects of saw Palmetto that have been documented. penis elargement cream penis enlargment picture top rated penis elargement pills penis enlagement traction device plus vig rx medical penis enhancement best penis enlagement surgery manual penis enlagement exercise manual penile enlargement exercise

A few fortunate, and likely quite popular men, have learned to make ejaculation voluntary. This means they can last a long time and come when they want to. Most however ejaculate involuntarily—perhaps prematurely, that is, before they or their partner are ready for it. Coming too soon may be due to a physical medical condition, but this is not common. Most men who ejaculate prematurely do so because of learned behavior and sexual beliefs, or because they haven’t discovered the simple techniques that can help them last. In order to make ejaculation completely voluntary, a man must learn to do two things. First he must learn to keep his entire body relaxed regardless of how sexually aroused he becomes. Second he must learn to move the sexual charge that builds up during lovemaking away from his genitals and circulate that energy throughout his entire body. RELAXATION Men usually tense their bodies as ejaculation approaches. This is a natural involuntary reflex, but by deliberately applying some of the following relaxation techniques you can become skilled at letting go and staying loose even at intense levels of sexual arousal. Massage Few things enable a man to be as profoundly relaxed as a loving erotic full-body massage. Women can help men get out of their heads and into their bodies by giving them a massage as a prelude to intercourse. Most men will notice a significant improvement in their ability to delay ejaculation after receiving a massage. Not only does massage help relax your body, it also opens up your flow of energy so that the sexual charge does not get stuck in your genitals. Stop And Become Still Or Slow Down Before you get to the point of no return, try slowing or stopping all movement. This usually works every time. Wait for the energy and excitement to subside and then you can resume active lovemaking. Breathe Slowly And Deeply As you come close to climax, switch your attention away from your genitals onto your breath. Take slow deep breaths that fill your entire lungs. Make your exhalation last about as long as your inhalation. Let your body go loose. Open your eyes and make eye contact with your partner. Try to breathe in rhythm together. Continue breathing in this deliberate way until your sexual energy has calmed down. Avoid Stimulating The Frenulum The frenulum is the bulge of loose skin just below the glans head on the underside of your penis. This spot is very easily excitable and can build the man too quickly to climax. Stay away from this spot to avoid involuntary ejaculation. Squeezing The Glans The glans of the penis is the big smooth head at the top of the penis shaft. When ejaculation is imminent you or your partner can squeeze the glans firmly and hold on tight. With the other hand use your thumb and index finger to press firmly on both sides of your penis at the base where the penis rises from the pubic bone. This effectively cuts off the neurological ejaculatory response from your brain to your prostate and will stop the ejaculation. This technique is easiest to use when your are being stimulated orally or manually. It also requires split second timing. Do not do it if ejaculation has already begun, it can be quite painful! Three Finger Perineum Press When you reach a point of high arousal and you know ejaculation is close, you or your partner can press on the perineum, the stretch of skin between your anus and scrotum. In preparation for using the technique during active intercourse, try touching this spot when an ejaculation starts and you will feel the vibrations of climax in your prostate gland. This is how you will know where to press. Notice where the vibrations are strongest - usually at about the midpoint on the perineum. To delay ejaculation, when you are at the point of no return but before the ejaculation has started, press firmly on this area of the perineum with the first three fingers of either hand. You can do this yourself or your partner can do it for you. Hold until the urge to ejaculate subsides. MOVING YOUR SEXUAL ENERGY Learning to circulate hot sexual energy is not really difficult, but it takes discipline and practice. Within a few days of trying some of the techniques mentioned below you’ll likely notice an improvement in your ability to delay ejaculation. Real sexual energy mastery, however, may take several months or even years. But unlike childhood piano lessons this is practice you’ll look forward to! The PC Pump PC stands for pubococcygeus muscle. Actually the PC muscle is a group of muscles that together make up the pelvic diaphragm which stretches from your pubic bone around to your tailbone. It includes muscles used in urination and bowel movements, muscles around your anus, testicles, penis, and perineum. Pumping the PC muscle is one of the easiest, simplest and fastest ways to learn to move energy and delay ejaculation. Pumping the PC muscle means squeezing or contracting the muscle and then allowing it to relax repeatedly. Alternately you can squeeze and then push out. You can do rapid pumps or long slow ones. When you squeeze the PC muscle you pump the hot sexual energy up from your genitals and into the upper part of your body. This prevents the sexual energy from building up to involuntary ejaculation. If you can stay relaxed and move energy away from your prostate as fast as it builds up, you can delay ejaculation as long as you want. This is how Tantric lovers are able to extend active lovemaking for 6 or 8 hours or more. By the way, strengthening your PC muscle usually results in longer and stronger ejaculations when you do have them. Add PC pumping to your fitness routine. Build up to several hundred squeezes per day over a two week period and eventually (if you are really keen) increase to 1000 or more per day. This might sound like a lot but you can do 100 PC squeezes in a few minutes. You don’t even need to find new time to do PC pumps—try them when you are standing in line, driving your car, hoisting a few at the bar. Make Sound As you get more and more excited make lots of sounds. You can moan, groan, yell, scream, chant, sing, growl and make animal noises. The louder and stronger the sounds you make the more that sound will carry your sexual energy with it, up and away from your genitals. A wonderful technique is to harmonize your chanting sounds with your lover. When you do this at the peak of sexual arousal the sounds you make together can be exquisitely beautiful. Hand Movements Moving your hands up your body, or having your partner move her hands up your body from your genitals to the top of your head, either on the front or back of your body, is an amazingly simple but effective way to move energy. You and your partner can do this repeatedly throughout the length of your lovemaking. The Big Draw You can alternate relaxing your body with a conscious full-body contraction—the Big Draw. Breathe very deeply and rapidly for about a minute when you are almost ready to come. Then hold your breath and clench every muscle in your body. Tighten you fists. Curl your toes. Grit your teeth. Tighten your buttocks, abdomen, arms, legs, chest, etc. If you are lying on your back (recommended for doing the Big Draw), push off from the surface with your buttocks and neck, while arching your back. This forces the hot sexual energy up and often leads to an explosive orgasm without any ejaculation. You may also experience altered states of consciousness with this very powerful technique. LEARNING THROUGH MASTURBATION Masturbation is an excellent way to become skilled at lasting a long time. Select a private, comfortable, safe place for your practice where you will not be interrupted. A wonderful variation is to have your partner watch you masturbate. In this way you can teach her exactly how you like to be touched and stimulated. But try it a few times alone before you put on a show for your lover. Build your arousal to approximately 75% of the way to the point of no return. As you get better at it, you can go closer to 90% or more. The point of no return is that point at which ejaculation will become involuntary, when you’re likely to ejaculate within seconds, most certainly within minutes. Stop what you are doing. Use some of the techniques above for relaxation and energy movement and allow your excitement to subside. Your erection should also subside before you start again. This allows the old blood to move out of the penis taking with it waste products. When you start to re-build your arousal, fresh blood will engorge the penis giving you a new erection. This new blood carries with it a fresh supply of oxygen and hormones bringing strength, vitality and virility. Many men ejaculate simply because they do not allow their erection to diminish every 30-45 minutes—the penis becomes exhausted and involuntary ejaculation follows quickly. Repeat this masturbation process of building to approximately 75% of your point of no return, then stop, rest, and build again, for any number of times. As you do this pay very careful attention to what is happening in your body. Notice how your body feels as you get closer and closer to orgasm. Notice that your body gives you signals about how close to ejaculation you are: heat and hardness of your erection, rapid breathing, muscular tension, and so on. In particular look for sensations in your genital area at the prostate gland. As your sexual energy builds in the prostate it is like a pressure cooker. When the pressure gets too high, smooth muscles go into involuntary spasm, forcing the ejaculation. If you pay attention you will certainly feel something in the prostate as you approach this point of involuntary ejaculation. As soon as you feel this sensation, instead of going on to complete the ejaculation, you are going to stop stimulating yourself and rest. Notice how your body feels as you relax and let the energy (and erection) subside. Once you become adept at recognizing this feeling in your prostate during self-pleasuring, you can also be alert to this feeling during lovemaking, including active intercourse with a partner. OTHER TECHNIQUES FOR MASTERING EJACULATION Positions Change intercourse positions frequently. Experiment with various positions to find out if you can more easily delay ejaculation in some of them. There are an infinite variety of positions in the following categories: face to face, front to back, lying down, standing up, sitting, rear entry, and sideways. Some men report that it is easier for them to last longer during intercourse if the woman is on top. Also, face to face positions tend to be calmer, making it easier for the man to delay ejaculation, while rear entry positions tend to increase arousal very rapidly. Communicate With Your Lover You must communicate your state of arousal to your lover. If your arousal is cresting too rapidly ask her to change what she is doing, to stop what she is doing or to slow down. Give her very specific feedback on what you want and what you can stand. Be sure to do this in a loving, respectful and playful way! Some women believe that men aren’t happy with the lovemaking until they come. Let her know that you’re having a great time and want to keep on sharing your pleasure together. Examine Your Beliefs And Assumptions About Sex And Women. Generally the more you like, respect and admire women the easier it will be to learn voluntary ejaculation. On the other hand, the more you dislike women the more difficult it will be. The simple reason for this is that you will be in a hurry when you have sex if you dislike women. Sex will tend to be a maintenance chore necessary for tension release. With a subtle shift in the way you think, perhaps you can begin to make love instead of just having sex. Open yourself to giving and receiving pleasure rather than trying to perform. Open your heart. Allow yourself to love your partner and be loved by her. Allow yourself to feel emotions as well as physical pleasure. Quick ejaculation is one of the ways men use to deny themselves pleasure and to avoid intimacy. Extended, ecstatic lovemaking requires surrendering and being vulnerable to your partner. Many men find that when they can let go of the need to keep everything under control, including lovemaking, their ejaculation response becomes much more manageable. It is ironic that less repressive control of feelings means more “control” or mastery of ejaculation response. SORE PROSTATE If after practicing techniques for delaying ejaculation you experience a sore prostate or “blue balls”, this only means that the sexual energy is building up in your genitals faster than you can move it out. This is not dangerous, simply uncomfortable. You can relieve this discomfort immediately by ejaculating, which releases all the pressure. If the discomfort does not go away, this may mean you have a medical disorder, such as a urinary tract infection, and you should see your doctor. elargement free penis pills sample penis enlargment information male penis enlargment vimax penis enlargement exercise vimax natural penis enlargement exercise cheap pnis enlargement pills pnis enlargement procedure herbal penis enlargement manual penile enlargement exercise

The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005