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One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. com enhancement penis penis pump natural penis enlagement technique free penis enhancement exercise best penile enlargment surgery penis enlagement product vigrx penis enlargment pill plastic surgery penis enargement com enlargment penile penile pump

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The first thing I do every morning when I wake up is head for my computer. It holds the secrets to my day. I read my e-mails from several accounts, check my schedule on my Outlook calendar and even find out how much money I can spend that day from my bank's Web site. I'd be lost without my computer. However, I have one huge frustration - privacy invasion. In the last three months alone I have had the privacy of my personal computer invaded in so many ways I am starting to feel like it is public property instead of my own property. My home page has been changed without my consent. My search engine was set for Internet Explorer and was changed to some search engine I never knew existed. Hidden programs have infiltrated my computer and set it to randomly open windows to casino ads and porn sites. My e-mail is constantly bombarded with ads from companies that claim I have "opted" into their e-mail list. As if I would waste my time asking someone to send me e-mails that are deleted as fast as they are received. Can I have a little orange juice with that spam at 6:30 in the morning? Since I have my own server, one of my e-mail addresses is not related to any of the big name e-mail sites like Yahoo, Hotmail or America Online. But those nasty little computer geeks have even invaded that part of my privacy by using my server to send out e-mail ads. They get tons of money from the dupes who actually buy into their money-making schemes, and I get to have my account flooded by all of the undeliverable e-mail. Isn't that just peachy? My biggest frustration comes from the pop-up messages I receive when connected to the Internet. A friend of mine explained the technical aspects of this phenomenon to me, but I don't care about how it happens. All I care about is that it does happen. I get pop-ups about all kinds of stuff. I have received several pop-ups inviting me to learn how to enlarge my penis. Last time I checked, I didn't even have a penis. I even get pop-ups telling me how to not get pop-ups. Now that is frustration to the nth degree. If I could, I'd reach through the lines that connect me to those privacy thieves and pour my orange juice all over their geeky little heads. But alas, I have no such super powers. Is it really necessary to feel victimized in your own home at your own computer? Luckily I know someone who helped restore my computer to its original state, but that doesn't stop the spamming or the pop-ups and it doesn't protect me from future invasion. Each state has its own anti-spam laws to protect people from this type of privacy invasion. Illinois passed its first law in 1999. In California, outgoing Gov. Gray Davis recently signed a bill that made a tough stand on spamming with fines from $1,000 per e-mail and up to $1 million per mass-mailing incident. However, the truth of the matter is it is very hard to catch and prosecute these privacy thieves. How about a do-not-call list for computers? As a matter of fact, the U.S. Senate passed legislation last week that would increase penalties for spammers on a national level and would start a do-not-spam list. Anyone have a pen handy? Although spamming is only one of the many invasions of privacy on my computer and although this new legislation has been too long in coming, I have to admit I'm quite relieved to see help is on the way. Until then, I will try to go about my daily routine without allowing those privacy thieves to get me too frustrated. However, I do not intend to share my OJ or my toast with them - unless they like OJ as shampoo. enlargement manhattan penile penile enlargement herb penis enlagement product medical pennis enlargement homemade penis enlargment pnis enlargement surgery picture penis elargement result free penis enlarement exercise homemade penis enlargment

Only you are able to decide which path is best for your needs, but do keep in mind that the herbal approach is safe to undertake and has many benefits. What are some of these benefits? The herbal approach uses the endocrine system of your own body to increase your breast size naturally and safely, adding size, firmness and fullness. It is your own tissue growth. Your body does it by itself. The results are long lasting and you have your own naturally larger breasts. The most dramatic and unique effect of the herbal approach comes during the early stages while your body is changing. As you begin to see and feel your body shape changing, a new and wonderful relationship with your body takes place. Your body is like a new friend, bringing you new levels of happiness every day while providing delight in the gradual changes taking place. It is a journey of body re-discovery, as what has often been merely a dream now becomes a reality. Even more than the tangible physical changes that take place to your appearance, you begin to realize a daily increased feeling of self worth. Other important benefits include the safety of using all natural ingredients, comparative cost effectiveness, and heightened feminine physical sensations in the breast area and throughout the body. Why Choose Herbal? When beginning your journey of transition, you are offered a barrage of options to consider. Though temporary, the choice of breast forms is the most easily accessible. Hormone therapy is another choice available to you, characterized by high cost and a level of physical risk. The more drastic alternative of breast implants comes with a high level of complications and risk over a lifetime. Breast implants can be cost-prohibitive and need further surgical intervention often in 3 to 5 years and in at least 8 to10 years. And then there’s the herbal approach, which can result in substantial and impressive results with significantly lower risk, minimal cost and virtually no adverse side effects. Using all-natural herbs, significant long lasting results of up to two or more cup sizes are being routinely reported. The percentage of people who are getting good or excellent results approaches close to 100% satisfaction for herbal breast enhancement programs that are individually monitored and adjusted. The most successful programs use ingredients based on concentrated herbal extracts that are 10 times the strength of standard herbs. A personalized herbal program is about a tenth of the cost of breast implants. The safe, non-invasive and low cost herbal approach has many advantages not found in any other method. The herbal approach is the only one that heightens breast sensation so that you feel the same sensual and sensory effects in the breast area that are normally experienced only by women. Surgical implants will reduce sensation to the breast area and almost always result in a partial or complete loss of sensitivity. By way of comparison, herbal breast enhancement has few if any side effects. Other than some temporary tingling, itching, or even soreness felt in the breast area, a normal occurrence while your breast size is increasing, you will notice softening of the skin and hair, rounding of the hips and a noticeable increase in sexual libido. So you’re thinking, “Sounds great, but how does it work?” How Does It Work? Estrogen, often thought of as the “female” hormone, but also present in males, is critical for sexual functioning, boosts the immune system and supports bone growth. Estradiol is one of sixteen different types of human estrogen. It is the estrogen responsible for a long lasting size increase in the breast area. The key to a natural and long-lasting breast size increase is stimulating the body to produce a large quantity of its own human estradiol. When human estradiol production increases beyond the necessary threshold level, it will go to the breast tissue where it binds to the estrogen receptor sites. Every person, regardless of sexual orientation, has literally millions of unused estrogen receptor sites in the breast area that can be used for size increase. Most herbal products found in today’s market do not contain the necessary component that stimulates the endocrine system to produce its own human estradiol, but rather offer only phytoestrogen, or plant estrogen. Human estrogen is from 200 to 1000 times more potent than phytoestrogen and bonds strongly to the estrogen receptor sites in the breast tissue. The drawback to just using phytoestrogen-based herbals for breast enhancement is their inherent inability to bond strongly to the human receptor sites for any length of time. Although these plant estrogens will go to the breast tissue and provide temporary results, you will have to constantly use these products to maintain any size increase. So how do we get long lasting results? We tap into the power of your human body as an efficient biological factory. With our personalized program we introduce a separate set of herbs that are adjusted for each person’s body to stimulate the body’s endocrine system to produce its own human estradiol. Now, when your body finds the plant estrogen we bring into your program it will use it as the ideal building blocks for creating your own human estradiol. When your body produces its own human estradiol you achieve long lasting results. When the correct amount of concentrated phytoestrogen is readily available in the body, the body uses very little energy to produce a large quantity of human estradiol. The results are your own naturally larger breasts, made from your own breast tissue. It is real, it is natural, you did it yourself, it is long lasting and it is authentically you. What to look for in an effective herbal breast enhancement product: Dosage: The best products for TG use are based on herbal ingredients that are highly concentrated extracts. Herbal breast enlargement products not based on extracts are usually too weak to give significant results for TG. A typical women’s formula will deliver less than 200mg a day of the needed ingredients, while an effective TG program will provide ingredient dosages in the range of 15,000mg to 20,000mg a day. Without using concentrated extracts, the conventional capsule requirement could be an impractical quantity of 100 or more capsules a day. Ingredients: You will find Saw Palmetto in almost all of the herbal formulas available in the market. It is one of the richest sources of plant estrogen. Other significant and common working ingredients are Wild Mexican Yam, Fenugreek Seed, Fennel Seed, Pueraria, Red Clover and Avena Sativa. However, to get a long lasting result, the single most important herbal ingredient is Lepidium Meyenii, commonly known as Maca. Be sure your breast enhancement program includes Maca in an extract 10:1 concentrate. This is the most important ingredient for attaining results that will last for years. With Maca present and adjusted to the proper personalized dosage, you will not have to continue on any herbal regimen once you have achieved the size you want. Starting Evaluation: A successful program should include a personal evaluation. Because each of us is unique, it is important for you to choose an herbal program that will factor such details as your age, weight, height, metabolism and level of physical activity, as well as your breast size objectives and goals. Other factors affecting personalization are caffeine and nicotine use as well as digestion and any other issue that might adversely affect an individual’s personal progress. Follow Up: Follow-ups are a crucial part of any successful breast enlargement program. Each individual’s program should be reviewed in 30-day intervals for analysis of individual progress and to assist in what can be done to help the client get the best results possible. Your customer service representative should be knowledgeable. You should have personalized treatment. Be sure the sales staff members are not merely “order takers” but consultants that care about your progress and success. Toll free access to your personal consultant is an equally important factor in choosing your program. Results: Are the results long lasting? A properly formulated and administered program should take about 180 days to get the long lasting results you want. The most effective breast enlargement programs will strongly stimulate the body to produce its own human estrogen. This in turn will convert any phytoestrogen that is provided by the breast enhancement program into human estradiol, which gives you long lasting results. You only have to take those products until you get the size you want and then you can stop taking the product while keeping the size you achieve. Effective programs have achieved results that are very near the 100% success rate. Product Comparison: Do your research. There are significant differences between breast enhancement products. Look carefully at the ads & call the companies that advertise with us to compare. 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About 13 million men in the USA suffer from the reduced sexual desire, depressed and varying moods, loss of energy, tiredness, erectile dysfunction and inability to achieve penetration during intercourse. These symptoms affect the persons over 45 years of age. The main reason behind this is the inability of the body to make testosterone in sufficient levels. The symptoms are also known as hypogondadism or low T. Testosterone is an important ingredient in the blood and continued reduction of T levels gives rise to the complaints cited above Now You Have a Treatment for Low T The low T levels can now be treated with a gel known as androgel (or Testim). This is a brand name of the product with a generic name testosterone and comes in a gel form. This gel can be applied on skin and this way it becomes a convenient way of administering the drug. Injections and skin patches are other ways of administering this drug. However, with gel becoming an option, easier ways of drug administration has come up. The gel will help you in combating hypogonadism, you might have an increased sexual desire, energy to keep with your work, and the bone density will increase. How To Use The Gel After shower, you may apply the gel to your body. The gel comes in form of packets of 5 mg, 7.5 mg or 10 mg. Buy the sachets as prescribed by the doctor and take in the entire contents of packets on your palm and apply it to hands, shoulders and abdomen. You should not apply it to your genitals. This way, the drug might cause harm than doing any good. After application of the drug, wash your hands thoroughly with soap so as to remove traces of the drug. What To Do After Applying Drug After applying the drug, you should allow it to dry for at least 15 minutes before dressing up. This is necessary for the drug to be absorbed into your system and prevent its transfer to others through contact with body. Make sure that you have contact with water through bath, or swimming. If you miss a dose apply a dose as soon as practicable and if it is nearer to your regular dose, skip a dose and apply the next dose at the appointed time. What Not To Do After Application Of Dose Men using the gel should avoid contact of the areas where the drug was applied with other persons especially women. Pregnant women coming in contact with such areas should see the doctor immediately. The contact may harm the unborn child badly. Possible Side Effects Of Drug This drug, as many other drugs, can have unintended side effects. The side effects can be in form of reaction from site where the drug was applied, high blood pressure headache or breast enlargement. It is also possible that the sexual desire will decrease to some extent. The patient may also experience hot flashes, swelling of hands, and some times hair loss too. The drug is to be used only after being prescribed by a competent medical practitioner penis enlargment pill pro solution cheapest penis enlarement pills free penis enhancement exercise best penis enlargement pill guide to penis enlargment enlarement manhattan penis surgeon buy place vigrx best penis enlarement surgery homemade penis enlargment

Girls believe, or better say, perceive many things about reproductive health that is simply not true. They are nothing more than mere myths. Following are some of the facts that girls must know in order to have a better and protected sex life. Having Unprotected Sex On Menstruation Period This is one of the most common perceptions in girls that they will not get pregnant if they have unprotected sex during menstruation period or during the first or last part of their menstrual cycle. This is not completely true because you can guarantee anything. You may not get pregnant, but at the same time, sometimes, you may be more likely to become pregnant during that period. What is more, sometimes the probability of conceiving may be much higher than it might be at any other time of the month. Last, but not the least, as a girl you must know, after having unprotected sex, the sperms can live up to five days in your body. Your Partner Pulls Out Before Ejaculation This is another one of the biggest wrong perception that girls have that they will not get pregnant if their partner pulls out before he ejaculates. Again, there is no guarantee as such. You can certainly become pregnant even if your sex partner pulls out before ejaculation. The reason is before he ejaculates, a small amount of lubricating fluid is already released and that contains sperm. In fact, medically, no matter if your partner pulls out before ejaculation or not, each penetration of your vagina by the penis can make you pregnant. Use of Vaginal Douches after Sex Some girls perceive that if they use vaginal douches or take bath or shower after sexual intercourse, they will prevent pregnancy. Well, this is also a baseless myth. The fact is no matter if you take bath or use vaginal douches after the intercourse, the sperm has already traveled up towards the egg. Therefore, if you think it works, let me tell you frankly taking bath or using vaginal douches has nothing to do with preventing pregnancy. What is more, vaginal douching is almost never a good idea. It is not a healthy habit. Having Sex for the First Time Again, the perception that you will not get pregnant if you make love for the first time is also simply untrue. In fact, the truth is that younger girls are supposed to be more fertile than older women. If you have started your period, you can certainly get pregnant even if you have sex for the first time. Therefore, never believe your boyfriend if he sweet talks you by saying that you will not get pregnant as he wants to have sex only once, not again. If you agree, insist for protected sexual intercourse. This way, we see most of the popular conceptions in younger girls are sheer perceptions and has nothing to do with the reality. As a prudent girl, you must keep in mind these things if you want to enjoy a better sex life.