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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. vig rx pic natural penis enargement exercise com enlargment penis penis pump best enlargement exercise penis male penis enlargement do penis enlargement pill really work pnis enlargement before and after prosolution penis enlagement pills

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Decrease in sexual urges can lead to various untold situation. It brings halt to your normal life and your relation with your partner may proof to be serious and sometimes you may be on a verge of a break up. Sexual dysfunction comprises various disorders like decrease in sexual drive, loose the ability to achieve or maintain a sexual excitement, loose the ability to achieve orgasm or uncontrolled ejaculation. Disorders related to sex lead to anxiety, sexual frustration, and also insomnia. Mainly, sexual disorder relates to erectile problem. But, remember that every problem has a solution. Levitra is solution to such so called sexual dysfunction. It is a medicine specially formulated to treat erectile problems. Its use has improved the quality of erections in majority of men. FDA have approved it and confirmed it that problems of erectile can be cured at any age. Recent studies confirmed that patients consuming Levitra is experiencing quality erections. Now, how does Levitra work? It helps increase in blood flow to the penis and keep an erection that last long enough to finish a sexual act. Once a sexual act is over, the blood flow must stop and this what Levitra does. It has been clinically proved that it improve erection quality even for men who have high cholesterol, high blood pressure, or diabetes. A lot of man who tried Levitra for the first time found it to be effective and tried it again. According to them it helps them to maintain their erection for a longer time during intercourse and gives full satisfaction. It comes in 2.5-mg, 5-mg, 10-mg, and 20-mg tablets and is taken only when needed. A tablet a day is enough to keep you sexually fit. But it’s your doctor who will decide whether you need to have Levitra or not and if needed then what’s the dose. Besides clinical trails have found that the most commonly side effects are headache, flushing, stuffy or runny nose. One thing that should be kept in mind that Levitra doesn’t work in sexually transmitted diseases. So if you are experiencing a lack in your sexual urges, better go to your doctor. enlagement erection penis pill vimax penis enlagement photo penis elargement excersizes penis enlagement before and after enlagement erection penis pill vimax best penis enlargement pill penis enlargement cream free pennis enlargement technique natural penis enlargement technique

Every man considers male libido or male sexual desire to be an important thing. Male sexual desire changes from one person to another and in most cases it changes in one individual according to the circumstances. A man’s mental well-being depends directly on his sexual libido. When a man is having difficulty with sexual libido, he feels depressed and afraid of rejection. A man measures his masculinity by his libido. It is seen that today many people are suffering from low male libido. Low male libido can have different reasons, both emotional and physical. Some of the emotional reasons that result in low male libido include depression, lack of self-esteem, or boredom. While the physical reasons which result in the decrease of male libido include – physical stress, aging (testosterone levels reduce at about 2% every year after age 30), too much use of certain drugs, such as certain prescription medications and alcohol. Low male libido can also be caused due to chronic illnesses such as cardiovascular disease, diabetes, neurological disease or any problem that affect blood flow to the penis. Some of the natural supplements, which help to increase potency and libido, include vitamin E, zinc, vitamin C, arginine, vitamin E, zinc, vitamin A, vitamin C, flax seed oil, octacosanol, Beta-carotene, vitamin B6, and vitamin B complex. All these nutrients are important to boost the sperm count, improve sperm motility, enhance prostate gland function, increase male hormone production by the body or create a healthier nervous system. These days many companies are offering products that are designed to increase male libido. However, many of these libido enhancers have little to no scientific efficacy and are of substandard quality. Hence it is highly recommended to choose a male libido enhancer formulated by a scientist with impeccable credentials. Many people also take testosterone therapy as a treatment for decreased libido. Testosterone therapy helps to improve testosterone levels and restore one’s sex drive. free pennis enlargement video top penis enlargment pills penis enlargment tool pnis enlargement surgery picture vimax penis enlargement review top penis enlargement pills free pnis enlargement pills vimax penis enlargement patch natural penis enlargement technique

Most of these problems are usually related to using high dosage or individual genetics. For convenience we’ve divided the potential side effects into those experienced by men, women, and teenagers. Men - Although anabolic steroids are derived from the male sex hormone, testosterone, men who take them may actually experience a "feminization" side effect along with a decrease in normal male sexual function. This is because one of the metabolic breakdown products of testosterone is the female hormone, estrogen. Some possible anabolic steroid side effects in men include: Reduced sperm count Impotence Development of breasts Shrinking of the testicles Difficulty or pain while urinating Women – It’s not surprising that women who take the drugs may develop masculinizing effects. These include the following: Facial hair growth Deepened voice Breast reduction Menstrual cycle changes Clitoral enlargement Both sexes - With continued use of anabolic steroids, both sexes can experience the following anabolic steroid side effects, which range from the merely unsightly to the life-endangering. They include: Acne Water retention Rapid weight gain Clotting disorders Liver enzyme irregularities Elevated cholesterol levels Tendon damage from proportionally stronger muscles Mood swings Teenagers - anabolic steroid side effects can pose several serious health side effects in teens. Anabolic steroids have been known to fuse the growth centers (epiphyseal plates) in teens’ bones. Once these growth plates are closed, they cannot reopen so adolescents that abuse anabolic steroids may end up shorter than their natural genetic height. Anabolic steroids have also been known to cause severe mood swings. This could have severe consequences in many teens as this age group is characterized by naturally occurring behavioral changes. Although not conclusive, there have been a few cases where anabolic steroids may have contributed to suicide in a few teens. It’s because of these serious anabolic steroids side effects that teenagers should under no circumstances use these drugs. Are anabolic steroids addictive? Although the evidence is limited it is possible that addiction may be one of the most serious of anabolic steroids side effects. Recent evidence suggests that long-time users of anabolic steroids and steroid abusers may experience some of the classic characteristics of addiction including cravings, difficulty in stopping steroid use and withdrawal symptoms. As the research is limited, it’s not known if the symptoms of addiction are psychological or physiological in nature. For those who use anabolic steroids, coming off the “juice” can be very traumatic as they begin to lose muscular size and strength. This loss of a key component of their identity can leave them suffering many of the same symptoms and side effects as those using common street drugs. How to minimize the risk of anabolic steroid side effects Given that anabolic steroids are illegal in many countries, it’s probably a good idea to avoid them altogether. If you do decide to use them, the following tips will help you reduce the risk of side effects: Use oral steroids as sparingly as possible. They have been chemically modified to survive the digestive system and hence much harder on the liver. Never stay on a steroid cycle for more than 6 to 8 weeks. Never use any steroids that have a questionable manufacturing background. Beware of the blackmarket. At the first sign of any serious side effect (chest pain, blood in urine, etc), stop all steroids and see a physician. Article 02/01 2006 vig rx for men penis enhancement picture vimax free penis enlargement natural penis enlarement pills vimax safe penis enlargement vimax penis enlargement excercises vimax penis enlargement picture pnis enlargement program natural penis enlargement technique

What is Sore Throat? Almost everyone gets a sore throat at one time or another. Children tend to have them more often than adolescents or adults. Sore throats are most common during the winter months when upper respiratory infections (colds) are more frequent. Sore throat (pharyngitis) is a painful inflammation of the pharynx, which is the part of the throat that lies between the mouth and the larynx (voice box). Sore throat is often a symptom of various illnesses such as colds and flu, glandular fever, respiratory tract infections, tonsillitis, and chickenpox. While most sore throats heal without complications, in some cases, they develop into a serious illness. Causes of Sore Throat The major cause of sore throat is infection. Sore throat may be caused by either viral or bacterial infections. But it can also be caused by allergies and environmental conditions. Viral Sore Throat Approximately 90% of sore throats are caused by viral infections. There is no simple way to distinguish a viral sore throat from a bacterial sore throat. Viral sore throats are quite contagious. They can be spread by personal contact and by coughing or sneezing. Cold and flu viruses are the main culprits. When a stuffy-runny nose, sneezing, and generalized aches and pains accompany the sore throat, it is probably caused by virus. For a viral infection, no antibiotic is usually needed and the infection can be expected to run a four to six day course. Another group of viruses that cause sore throat are the adenoviruses. The adenoviruses usually cause infections of the lungs and ears. Adenoviruses may cause white bumps on the tonsils and throat, diarrhea, vomiting, and a rash. Sore throat caused by adenoviruse lasts about a week. One particular virus responsible for causing sore throat is the coxsackie virus. This virus causes a disease known as herpangina, which occurs most commonly among children under the age of ten and is most common during the summer. It is sometimes called summer sore throat. Summer sore throat can be quite severe. Symptoms include a high fever and the presence of tiny grayish-white blisters on the throat and mouth. The blisters erupt in a few days and are followed by a scab which may be very painful. Mononucleosis (mono) is a viral infection caused by the Epstein-Barr virus, a member of the herpesvirus group. This virus lodges in the lymph system, causing massive enlargement of the tonsils and swollen glands in the neck, armpits and groin. Mono can affect the liver, leading to jaundice (yellow skin and eyes). One of the main signs of mono is a sore throat that may last for 1 to 4 weeks. Mono is a severe illness in a teenager or young adult, but it is less severe in a child. Symptoms caused by mononucleosis can last for 4 weeks or more. Bacterial Sore Throat About 10% of all sore throats are caused by bacteria. The most common bacterial sore throat is caused by a bacterium called group A Streptococcus. This type of sore throat is called strep throat. The pain of strep throat often feels much like sore throats caused by other bacteria or by viruses. The tonsils often swell and become coated and the throat is sore. The patient may have a high temperature, sour breath and may feel quite ill. If strep throat isn't treated it can sometimes result in rheumatic fever, which can damage the valves of the heart. The most dangerous throat infection is epiglottitis, caused by bacteria that infect a portion of the larynx (voice box) and cause swelling that closes the airway. This infection is an emergency condition that requires prompt medical attention. Suspect it when swallowing is extremely painful (causing drooling), when speech is muffled and when breathing becomes difficult. Noninfectious Sore Throat Not all sore throats result from viral or bacterial infections. Sore throats can also be caused by allergies and environmental irritation. These forms of sore throat are not contagious. Allergy: The same pet dander, molds and pollens that trigger allergic reactions such as red, swollen eyes and a runny nose can also cause a sore throat. Cat and dog danders and house dust are common causes of sore throats for people with allergies to them. Irritation: Many materials in the environment can also irritate the pharynx. Such irritants include cigarette smoke, polluted air, chemical fumes, and dry air. During the cold winter months, dry heat may create a recurring, mild sore throat with a parched feeling, especially in the mornings. Symptoms of Sore Throat The symptoms for a sore throat caused by both bacterial and viral causes are the same: pain in the throat pain and difficulty in swallowing red throat swollen tonsils coated tonsils swollen neck glands pus covering the throat or white spots coughing fever If the sore throat is due to a viral infection the symptoms are usually milder. Sore Throat Treatment The treatment of sore throat will vary according to the cause. Sore throats are usually mild and can be treated at home with over-the-counter remedies available from your local pharmacy. They usually get better on their own, in 3-7 days. It is extra rare for antibiotics to be needed. This is only the case when the sore throat is the result of a serious bacterial infection. Sore throat treatment and comfort measures: Strep throat requires antibiotics. Sometimes it is difficult to determine whether the cause is viral or bacterial, so antibiotics may be prescribed as a precaution. Pain relievers - nonsteroidal anti-inflammatory drugs, (such as aspirin, ibuprofen, and naproxen) are often more effective pain relievers than acetaminophen (Tylenol). These medications reduce pain and fever that accompany a sore throat. Children should not be given aspirin because of the risk of Reye's syndrome. Salt water gargle can be a good way to relieve a sore throat. It help soothe the irritated throat and reduces swelling in the tissues. This is the safest, least expensive and probably the most effective treatment of a sore throat. Use over-the-counter throat lozenges every couple of hours or hard candy. It can help relieve sore throat and cough. It does stimulate saliva production, which bathes and cleanses your throat. Drinking enough fluids is very important, warm drinks may be especially soothing. Avoid caffeine because it can cause water loss. Get plenty of rest. Getting extra sleep can promote more rapid recovery, especially if a virus is the cause. Avoid smoking or being around smoke and other throat irritants. Humidify the air. Adding moisture to the air prevents your mucous membranes from drying out. This can reduce irritation and make it easier to sleep. Hot, dry air will aggravate sore throat. Take a high-potency multivitamin and the herb echinacea to build up your immune system.