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Male factors are projected to produce about thirty percent of all infertility troubles and to contribute to them in another twenty percent. Whatever conventional wisdom may have to say about whose "fault" the problem is that figures indicate that the responsibility is split about equally between the sexes. Studies initiated by the National Institutes of Health at six universities are exploring the infertility consequences of the increase of sexually transmitted diseases among the young. At greatest risk are those between the ages of fifteen and nineteen regardless of socioeconomic differences. The production or quality of sperm may be affected by congenital and genetic abnormalities, injuries to the genital tract, heat, age, sperm agglutination, acute and chronic infection (often sexually transmissible infections), malnutrition, previous surgery, allergies, chronic illness, environmental or occupational factors (such as radiation), varicocele, or certain medications. Among these medications are Tagamet, used in ulcer treatment; drugs used for treating cancer; and some antibiotics (especially those used to treat tuberculosis). Also heavy smoking of marijuana and smoking generally, alcoholism and stress may result in impotence or inability to ejaculate. Varicocele, a varicose enlargement of the veins of the spermatic cord, is a potentially curable cause of male infertility. While this condition occurs in many men with normal fertility, it has been found to be present in as many as forty percent of infertile men. Half of all men with varicoceles have decreased sperm count or sperm motility or other changes in the semen analysis. Theories of the cause of these changes include heat, pressure and toxic substances from the dilated vessels. Permanent or temporary damage to the male testis can occur as a result of a genital infection or a systemic infection. Gonorrhea may do enough damage to the male genital tract to result temporarily in a marked decrease in the sperm count. Mumps in an adult male may involve one or both testicles and may cause severe testicular damage. Fortunately, usually only one testicle suffers severe impairment and the sperm count, though possibly reduced, is usually compatible with fertility. Any systemic viral or bacterial infection may cause a temporary depression in the sperm count. Because many of the infertility tests for women are more complicated and involve more risk than those for men, infertility testing often begins with the male. A semen analysis is a simple test that can provide a great deal of information. The male is asked to submit a recently ejaculated semen specimen to the physician or laboratory. This specimen is then examined microscopically to determine sperm count, their size and shape and if they are able to move normally. There is no sharp line of demarcation between fertility and sterility in the sperm count. Counts of less than twenty to forty million per cubic centimeter are often correlated with decreased fertility, although men with counts of five to ten million have fathered children. A high percentage of sperm with abnormal shape, size, or decreased motility is also correlated with decreased fertility. The semen can be analyzed also for antibodies and cultured for various infections. The hormone levels in the man's blood are also measured to make sure his hypothalamus and pituitary glands are functioning normally. penis enhancement tool pnis enlargement picture cheap penile enlargment pills penis enlargement pennis enlargement pic before and after penis elargement surgeon enlargement free penis pills sample surgical penile enlargment

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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 penile enlargement surgery penis enhancement excercises penis enhancement tip cheap penis enlagement pills pennis enlargement before and after picture pennis enlargement patch pnis enlargement herb penis enlagement pill magna rx penis elargement photo

Myth: Ejaculation is something that you cannot control. Fact: False. Ejaculation is something that you can control. Any man can learn to control his ejaculation in the same way that he has learned to control the bladder (Toilet Training) when he was younger. You are unlikely to forget to control your ejaculation once you've learn it. Myth: Premature ejaculation affects only people in older age. Fact: Erectile dysfunction usually affects older age group of male population. By contrast, premature ejaculation affects of all age groups. Many cases are related to the debut of sexual life due of pressure caused by the desire to “get it right”. Myth: Premature ejaculation will not eventually cause erectile problems. Fact: The ejaculation cannot occur if penis isn't in erection. Without any medical help and treatment for long time, premature ejaculation may eventually develop erection problems as a secondary disease. Myth: Premature Ejaculation will not ruin your sex life. Fact: As while you are making love, you have a permanent fear that ejaculation may occur, it is difficult to relax and enjoy sex. Also, your partner may not be getting the most out of the sex life and she may decide to avoid lovemaking for this very reason. Myth: Premature ejaculation will not affect your self confidence. Fact: Every man wants to be a good performer in bed. Lack of control of ejaculation and impossibility for lasting longer often become a reason for loosing self confidence and avoiding social relations. safe penis enhancement pennis enlargement pic before and after penile enlargement surgeon buy pennis enlargement pills free penis enlargment pills penile enlargement video male penis enlagement safe penis enhancement penis elargement photo

Male bladder infection is said to occur more widely after the age of fifty because of the prostate enlargement and subsequent instrumentation of the urinary tract. The prostate is a gland surrounding the male urethra in front of the bladder. Other factors that increase bladder infections in elderly men are the absence of circumcision and urinary catheterization. Male bladder infection is mainly caused by colonization of bacteria in the urinary tract. The route of the bacterial infection may be a directly ascend the urinary tract or spread from the prostate. Some of the symptoms of male bladder infections are pressure in the lower pelvis; pain during urination; a frequent need to urinate; cloudy, foul-smelling and blood-stained urine; painful sexual intercourse; penis pain; vomiting; fever; and mental changes. Prostate tenderness, rectal lesions, and abdominal tenderness in the suprapubic area are also some signs in the elderly male. The primary method of preventing bladder infection in men is to get timely treatment for prostate infections. To stay away from male bladder infection some precautions can be taken. Men should practice good personal hygiene. Keep the genital area clean, wipe from front to back, urinate after sexual intercourse, avoid fluids that contain alcohol and caffeine, drink cranberry juice daily, and wear cotton undergarments. One of the important preventive measures is to drink plenty of water. Urinate when needed, do not try to hold up urine in the bladder, and take care to empty the bladder by double voiding. Urinalysis, urine culture, and imaging studies are used in the diagnosis of male bladder infections. Antibiotics are prescribed to reduce bladder infection. Garlic, goldenseal, and bearberry are some of the herbal remedies suggested to kill bacteria. Acupuncture and homeopathic medicine are also widely recommended for treatment of male bladder infections. Awareness of the risk factors of bladder infections and an adjustment of lifestyle accordingly can help each individual to lead a healthy life. penile enlargement result free penile enlargement tip vimax penis enlargement exercise natural penis enlargment natural penis enlargment vimax surgical penis enlargement vimax penis enlargement cream penis enargement picture penis elargement photo

Candida yeast infection is a very common disease and more and more people worry they may be suffering from it. Therefore there are a few questions people are asking them most often. The first most common question is: do I have a Candida yeast infection? Well, the answer to this question can be found in the symptoms which are characteristic for this disease. The most common symptoms are itching and the feeling of irritation in the vaginal area; redness or swelling of the vulva; a white, thick, unpleasant discharge which looks similar to cottage cheese and which has no scent, although sometimes it could smell like yeast; the feeling of burning whenever urinating or having sex. These are the most common symptoms for Candida yeast infection. But these symptoms are also similar to other vaginal infections or sexually transmitted diseases. Therefore you should always consult a doctor or a gynaecologist whenever having these symptoms. The doctor will give you the right Candida treatment, if it is necessary in your case. The second most common question is: are men immune to yeast infections? Well, men don’t really get these vaginal yeast infections. Because they don’t have a vagina! But there is an infection similar to Candida yeast infection at women. This infection is called balanitis and its symptoms are similar to Candida yeast infection’s symptoms. This balanitis is an infection of the head of the penis and it is caused by the same overgrowth of the same Candida fungi. Men who are suffering from diabetes are also more exposed to this type of infection. Men can also have a discharge or red and itchy areas like women have. Men who don’t have a circumcision must pay more attention to their hygiene in the genital area, focusing on the foreskin. The reason for this is the fact that the folds of the foreskin represent the perfect warm, moist environment for Candida fungi to multiply. Therefore, the foreskin area needs extra care for keeping it clean and dry. And the third most asked question is: can anyone prevent getting a Candida yeast infection? And the answer will be yes, definitely. The outfits you wear can prevent or cause a Candida yeast infection. Therefore you should avoid wearing nylon underwear, pantyhose, tight jeans, and tight exercise gear, wet bathing suits which are retaining moisture in the area as Candida fungi love this warm and moist environment. If you can’t avoid wearing these outfits, at least try to wear them for as little time as possible. You should also pay attention to dyes or perfumes in shower gels, soaps or sanitary products as they may cause you irritation to the genital area. If you feel this kind of irritation happening, stop using the product and try switching to a perfume-free one. Also keep your vagina clean and dry. Give up on nylon underwear and use the healthier cotton one. Avoid wearing too tight jeans or pantyhose. And don’t take antibiotics unless the doctor has prescribed them especially to you. Try to follow these few rules and you will never have to worry about getting a Candida yeast infection!