do penis enlargment pills work

Viagra (Sildenafil citrate), which millions of men take for erectile dysfunction (ED), reduces the effects of hormonal stress on the heart by half, according to a study published online in the journal Circulation. Viagra causes genital blood vessels to expand, which helps in maintaining an erection. Recent research also has pointed to its potential usefulness in treating pulmonary hypertension. Prior to the latest findings by a team of Johns Hopkins researchers, it was thought to have little effect on the heart. Viagra, or sildenafil, blunts the strengthened heart beat caused by chemically induced stress, according to study senior author and cardiologist David Kass, MD, a professor at the Johns Hopkins University School of Medicine and its Heart Institute. It thereby lessens both the excess amount of blood and the force used to pump it to the body. "Sildenafil effectively puts a 'brake' on chemical stimulation of the heart," says Kass. Prevents and Reverses Effects of High BP These findings are believed to be the first confirmation in humans that Viagra has a direct effect on the heart. In earlier research, Kass and his team observed a similar effect in mice; Sildenafil blocked the short-term effects of hormonal stress in the heart. Related studies by the group show that sildenafil also prevents and reverses the long-term effects of chronic high blood pressure on the heart. Sildenafil reversed the negative effects on heart muscle weakened by heart failure and enlargement -- a condition called hypertrophy -- in mouse experiments Kass and his team carried out earlier this year. They reported their results in the journal Nature Medicine. "But we had no firm evidence as to whether or how this therapy might work in the human heart," says Kass. "Our latest research provides firm evidence this drug does indeed have an important impact on the heart." Increased Heartbeat Was Slowed Thirty-five healthy men and women, with an average age of 30 and no previous signs of coronary artery disease, participated in the six-month Johns Hopkins study. Within a three-hour timeframe, each participant received two separate injections of dobutamine (5 micrograms per kilogram for five minutes), a synthetic, adrenaline-like chemical that increases heart rate and pumping strength. Between injections, study participants were assigned randomly to a group that was treated with sildenafil (100 milligrams taken orally) or to a group given a sugar pill placebo. All participants then were given the second dobutamine injection to see what effects sildenafil or placebo had on the heart. Measurements of heart function were made before and after each injection. These included blood pressure readings, electrocardiograms and echocardiograms. Blood samples confirmed relatively equal levels of sildenafil and other enzymes. Each dobutamine injection stimulated heart function, increasing heart rate and the force of each heartbeat used to pump blood throughout the body, results showed. "This stimulation is similar to the way the nervous system normally increases heart function when triggered by emotional or exercise stress, or in diseases such as heart failure," notes Kass. After the first injection of dobutamine, the force of heart contraction increased by 150 percent in both groups. In the placebo group, this increase repeated itself after the second injection. However, in the group treated with sildenafil, the increased heartbeat was slowed by 50 percent, resulting in a smaller increase in blood flow and blood pressure generated by the heart in response to chemical stimulation. Between injections, heart function was not altered in the sildenafil group, demonstrating the absence of adverse side effects on the resting human heart. Stops PDE5A Action "Knowing more about the effects of sildenafil on heart function will allow for safer evaluation of its use as a treatment for heart problems," says Kass. "Our results set the stage for further studies of sildenafil's immediate and long-term effects on the heart and its ability to modify other neurohormonal and stress stimuli, including adrenaline and hypertension," he adds. While the precise biological actions of sildenafil in the heart are not fully understood, the drug is known to work by stopping the action of an enzyme, called phosphodiesterase 5 (PDE5A), Kass explains. This enzyme is involved in the breakdown of a key molecule, cyclic GMP, which helps control stresses and limit overgrowth in the heart. PDE5A is also the biological pathway that sildenafil blocks in the penis to prevent the relaxation of blood vessels and thus maintain erections. Copyright 2005 Daily News Central safe penis enlargment penis enlagement stretcher penis enargement photo does vigrx work penile enlargment operation safe penis elargement free penile enlargment pills manual pennis enlargement

do penis enlargment pills work

The causes can be physical or psychological. It is also possible for an initially physically led cause for impotence to attract psychological issues too. Physical Causes for Impotence or Erectile Dysfunction 1) Brain Damage If the head had suffered trauma and/or brain has been damaged, then there is a possibility that the signals required for a healthy erection will not occur and impotence will result. 2) Diabetes There is a higher possibility that someone with diabetes will suffer with impotence also. Conversely, and loss and or an inability to maintain an erection may be an indicator of diabetes. 3) Glandular Glandular issues and those connected to the thyroid may have an adverse effect on love-making and lead to erectile dysfunction. 4) Drugs Some drugs, both prescriptive and recreational may have side effects, one of which could be erectile dysfunction. Drugs that are prescribed for high-blood pressure may often be the cause of a loss of erection and therefore impotence. Some drugs prescribed for psychiatric conditions such as depression may also be a cause. 5) Injury to the Penis or Surrounding Area Sometimes damage, whether temporary or otherwise to the penis may lead to a temporary loss of erection or discomfort if the area is tender. Psychological Causes of Impotence – Erectile Dysfunction This refers to the way a man either thinks about what an erection and/or sex means to them or what they associate with the act of love-making. 1) Negative Conditioning A man may have learnt from parents or other persons of influence that sex is in some way wrong or bad or have some other negative connotations. In attempting to perform sex these influences may reduce arousal and replace it with negative feelings leading to a loss of erection and impotence. 2) Criticism A partner may have criticised a man either before after or during love-making. The next time the man makes love he may have that criticism on his mind. He will want to avoid being criticised again and may feel under pressure. The result of all this may be a loss of his erection. 3) Fear of Loss of Erection Sometimes a man loses his erection during love-making which is perfectly normal. If the man believes this is not supposed to happen he may feel under pressure to keep his erection throughout love-making. This leads to anxiety and anxiety does not help maintain an erection. 4) Alcohol Many men experience temporary impotence if they have been drinking excessively. This experience or memory may play on their minds and they may feel anxious during the next time they make love. Even though alcohol may not have been consumed on this subsequent occasion the man may lose his erection if this previous memory plays on his mind. 5) Partner or Marital Difficulties If there is an issue or problem in the relationship, this may well have an impact on love-making and the result may be temporary impotence. Unfortunately the partner may compound the issue by saying something like “you don’t love me anymore” after the man loses is erection. 6) Routine – Loss of Excitement In the majority of relationships the couple can settle down into a routine for love-making and one or both partners may lose interest because the initial excitement is no longer there. Each partner does the exact same thing during love-making and so it becomes more mechanical with less emotional input. If the sexual interest lessens impotence may result Impotence and Erectile Dysfunction Conclusion All of the above and more can lead to a fear of losing an erection. If the pattern is repeated during subsequent love-making this can have a negative and compounding impact on a man’s thoughts about making love. Often avoidance may be used as a strategy to cope. Unfortunately avoidance rarely resolves or releases a fear or impotence. free pennis enlargement technique vigrx ingredient penile enlargement before and after photo vimax penis enlargement secret penile enlargment doctor penis enlarement pills product penile enlargement supplement top rated penile enlargement pills do penis enlargment pills work

Quick, answer a question: Why do people buy from you? Bzzzzz. Wrong, if you answered with, • “Uhhh . . .” • Any description of your product or service. You get an “Incomplete” if you answered, • “Because we have great service.” • “We have the best quality.” This might seem rather basic to some of you, but if you quit reading I promise you're cheating yourself. Unless you have an inside-and-out understanding of all the possible reasons people buy from you, you're likely inviting objections. That's because you're probably selling what you want to sell, or talking about what the company's marketing department tells you are “benefits.” People buy for their reasons, not yours. Your goal on calls is to learn, remind them of, and understand their reasons for being interested in you, and ultimately buying. An Example Let's look at an example. A copy machine salesperson calls a smaller company, hoping to sell a copier. He speaks with the Office Manager who typically makes decisions like this one. After asking a few basic qualifying questions he learns the office has four people in it, and they now have a big old monster of a copy machine that has been in the office for about eight years. Thinking he has a hot prospect, the rep launches into a pitch about the latest techno-copier that does everything but write the documents for you. He overwhelms the listener with a point-by-point description of each of the “benefits”-or what he thinks are benefits (they indeed are, to some people). The prospect says, “What we have is working just fine now.” He retorts with some rendition of the “feel-felt-found” technique and rams into a brick wall. He writes this one off, and moves to the next. Same pitch, same result. What Went Wrong? So is the rep not skilled at closing? How about overcoming objections? Neither. You could make a case for him not being a skilled questioner, but that might not be fair. The fact is, he doesn't have a clear understanding of why people buy from him-from their perspective, not his. You see, in this case, the Office Manager was a technophobe. She just traded in her IBM Selectric for a computer for gosh sakes! And, she is paying $300 per year, plus a per copy charge for a maintenance contract on her current dinosaur copier-about half of what a new, smaller, more reliable machine would cost to buy! And that's not all. The prospect was really quite interested in the fact that the machine the rep was pitching could do enlargement and reduction. Her's couldn't, and she had to personally go down to the Quick Copy to have them done, and it was a tremendous hassle. But, the rep had already mentioned so many other “benefits” that were actually perceived negatives to the prospect, that she didn't think it would be worth it to talk about that one feature. However, in isolation, it could have sold her. Even if you think you have a clue about why people buy from you, do the following exercise. And do it often, since situations change regularly. Here's an exercise we work on in training seminars. It lays the foundation for everything else we do. 1. Identify all the different levels and types of buyers and influencers for what you sell. Describe them by title and/or function. For example, depending on the organization, you might have an Advertising Director as the buyer. In smaller companies it could be an Office Manager, or maybe even the President. 2. Taking each of these types of people, identify how they're typically evaluated in their job. A Purchasing Manager is evaluated differently than a sales manager-the former on conservation, while the latter on production. Why should we think about this? We all have a desire to survive-at the very least-in our jobs, and most of us want to thrive. Knowing how someone is measured in their environment provides insight to what makes them tick. 3. Regarding your types of product/service, what do they want and need most? Be as specific as possible. Saying, “They want good quality,” doesn't cut it. If you can't see, feel, hear, touch, or taste it, how can you describe it? Good quality manifests itself in the form of “A machine that requires virtually no servicing other than routine maintenance.” 4. Conversely, what do they want to avoid? Again, be specific, descriptive. Don't say “poor service.” Better: “They hate having to wait three hours to get an answer to a basic technical question.” Answering these questions is just a start. After you've compiled your list, then you use the answers to create questions to determine if, indeed, these possible benefits truly are benefits. penis enlargment patch penis enlagement before and after photo natural penis enargement exercise enlagement penis pill vimax herbal pennis enlargement vimax penis enlargement device penis enhancement device vimax enlargement forum free matter penis size do penis enlargment pills work

Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%. pnis enlargement easy elargement free penis surgery way vimax penis enlargement photo pennis enlargement excersizes buy penis enlargment pills penis enlarement result penis elargement secret penis elargement program do penis enlargment pills work

Anyone can become enraged once in a while. But if you feel rage boiling within almost constantly, or rage erupts from you frequently, you may have an organic illness. On the other hand, you might have suffered some terrible injustice as a child. One major, but largely ignored, category of such abuse is that of boys emotionally, physically, or sexually damaged by women. This abuse is not only widespread but may be at the root of much subsequent abuse of women by men. A little boy abused by a woman suffers in similar ways to a little girl abused by a man. In recent times it has become acceptable for women to speak out about the abuse they suffered as children; most men feel no such permission is given to them about the abuse they suffered as little boys at the hands of women. These men are ashamed, and enraged. They are enraged because society accepts that men can be angry but there is less acceptance for the male victims' feelings of hurt, fear, inadequacy, guilt, embarrassment, and especially weakness and vulnerability. A male victim smothers these emotions with anger. In this way, he preserves his masculine image. But the cost is enormous. A man unaware of the deep sources of his anger will, at the least, have troubled relationships with women; at the worst, he may rape and mutilate. A male victim of childhood sexual abuse by women displays the following behavior as an adult: >> Distrust of women. >> Fear of intimacy. >> No separate identity. >> Readily feels guilt. >> Hard time to accept compliments. >> Holds back emotions. >> Protects abuser(s). >> Sexual difficulties. >> Seeks abuser's approval. >> Constantly apologises. >> Fearful. >> Eager to care for others. >> Joyless. (Adapted from Blanchard, 1987*) The lousy feelings often erupt as rage. Ronald sought professional help to change his vicious behavior toward his wife, Helen. Ronald would arrive home disgruntled after a disappointing day (every day was disappointing) in the architectural office where he worked, and an hour's drive to the suburb. Before long, he would be kicking Helen. There was always some pretext for the kicks. (Helen did not have supper ready, or she was on the phone, or she wore a dress he hated...). Ronald never used his fists. Always his legs. He despaired of his uncontrollable rage because he believed that “Helen was the best thing that had ever happened to me.” As Ronald talked more about his life, his hostility to almost everyone became evident. He was jealous of his brothers, sneered at their choices of wives, hated his job where he felt put upon, especially by female colleagues. When Ronald spoke about his mother, he whined. Long stories of how she favored one or other of his brothers, how he cringed in her presence, how he avoided visits to her house yet was jealous of her contacts with his siblings. Ronald was convinced his mother preferred one of his nephews, adding bitterly, “Though my son was the first grandchild.” Hypnotherapy Heals the Hurt and the Rage Within the comfort of hypnosis Ronald was able to connect his present-day woes with unpleasant incidents in his childhood. This was accomplished with what hypnotherapists call an “affect link.” You allow yourself to feel a particular emotion, such as grief. As you continue to experience the feeling, the hypnotherapist asks you to recall an earlier time when you felt the same way. Ronald's confused mix of bitterness, rage and sense of abandonment, swiftly drew up a memory of his mother: “I'm six years old. Mummy keeps telling me I'm her favorite. She tells me to come into her bed. It's warm there. I fall asleep, snuggled beside her. I wake up. She's moving my leg up and down over this hairy place between her legs. She's breathing funny. I'm scared. [Sobs]. She opens her eyes a little and tells me it's okay. My knee is wet. I try to pull away but she holds onto me, tells me to be a good boy, do this for Mummy. She seems out of breath. I'm scared. Then she shakes and cries out. I'm even more scared and I feel bad, like something's really wrong. I ask Mummy if she's all right. She turns to me with a big smile, hugs me and says I'm her little man and everything is fine. [More sobs, reddening of face]. “But everything is not fine. I don't understand. Mummy tells me this will be our special secret. She seems happy. And she likes me best. So I keep quiet. And whenever she asks me I let her use my leg to rub her where she wants. [Later Ronald described other sexual activity his mother initiated]. I begin to like it, too. When I get old enough to have an erection, Mummy plays with my penis. I really like that. But at the same time it feels kind of weird. This stuff went on till I was eleven. I found out at school what sex was supposed to be, and how bad it was what Mummy and me had been doing. I felt sick.” With psychotherapy while he relaxed in hypnosis, Ronald made some progress toward a healthier life, and control of his rage. Unfortunately, his wife sabotaged the treatment. Ronald, like many sexually abused victims, had (unconsciously) sought out a woman who would continue the abuse he had suffered as a child. Helen had made no secret of her broad sexual experience prior to meeting Ronald; indeed, she was proud of it. But her knowledge of the carnal world and his relative innocence (sex with only one woman: his mother) repeated the power pattern Ronald had suffered as a boy. When Helen saw that Ronald was learning to control his rage, to lessen his hostile attitude and to relax, she counterattacked. Helen had married Ronald because (unconsciously) she wanted a man she could dominate and despise. His therapy threatened to upset the delicate dance of danger they had created. Ronald was swiftly reduced to a sniveling, angry puppet when Helen sneered at his progress and repeatedly reminded him of what a Mummy's boy he had been. A final blow bounced Ronald out of therapy: Helen telephoned the therapist, discussed Ronald's history, and insisted the therapist not mention her call to Ronald. The following week Helen casually mentioned to Ronald something the therapist had said to her. Ronald felt betrayed [he was] and never returned to therapy. You may be doing very well with hypnotherapy when a friend or relative sabotages your progress. This is not usually as dramatic or underhanded as Helen's behavior. The disruption comes in the form of doubt. Your friend may question the effectiveness of hypnosis, and cite the many hypnosis myths that still pollute our minds. Once doubt is planted, hypnosis ends. Doubt and fear keep us from relaxation. And relaxation is the route into hypnotherapy. Dennis, like Ronald, suffered fits of rage. Unlike Ronald, Dennis took these fits out on himself. He would tremble, and shake, and sweat and fear he was about to pass out. Dennis knew his ambition to become a police officer would never be realized unless he got over these fits. Like Ronald, he had troubled relationships with women. Unlike Ronald, Dennis had slept with dozens of women. All his longer-term relationships collapsed over an aspect of jealousy, his or hers. Didn't matter. Dennis could not trust a woman. Dennis deliberately sought out a male psychotherapist who sometimes used hypnosis. But so scared was Dennis of going into hypnosis, that he spent several sessions in traditional psychotherapy before he had plucked up enough courage to try hypnosis. Mothers Are Not The Only Women Who Abuse Little Boys As far as Dennis knew, he had not been molested by his mother. Actually, he was not even sure who his biological mother was. He had been born into a large, extended criminal family. He had lived in seven different homes by the time he was five. All but one were homes of his aunts, cousins or siblings. He got used to calling each aunt in turn “mother.” The woman listed on his birth certificate showed no more, and no less, maternal interest in Dennis than did any of her sisters who raised him. From as far back as he could remember, Dennis had been abused: abandoned, ignored, ill-fed, beaten, locked in a closet. The therapist helped Dennis sort out the multitude of feelings that swirled within him. Finally, Dennis said he was ready to try hypnosis. He was still frightened, despite the therapist's explanations about the safety of the process. But it was not hypnosis itself that Dennis feared; it was what might be uncovered. In one way, he was right to be wary. But what was uncovered, awful as it was, freed Dennis from the last symbolic chains that linked him to his abusive family and their criminal ways. In hypnosis, Dennis traced his attacks of trembling to some disgusting sexual behavior of one of his aunts when he was about four. What she had done to him and with him amounted to torture. It had been so horrible he had repressed the details for years, though “I knew something had happened; I just didn't know what.” Now that he knew what lay at the root of his rage and his attacks, Dennis was able to let go of them. He felt forgiveness for his aunt because he knew of her own dreadful background. It was as if to know what she had done liberated Dennis from any lingering loyalty to his criminal relatives (all of whom were involved in drug deals, prostitution, extortion, etc.). Now Dennis felt fully comfortable with his decision to apply to the local police training college. *Blanchard, Geral. (1987). Male Victims of Child Sexual Abuse: A Portent of Things to Come, Journal of Independent Social Work, 1-1, 19-27.