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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%. free penis enhancement tip enlagement penis pill vimax vimax penis enlargement pills product enlargement manhattan pnis surgeon penis enlagement device penis enargement doctor do penile enlargement pills work prosolution penile enlargement pills

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The G-spot is a highly erogenous zone inside the vagina. It was discovered in 1950 by the gynaecologist Ernst Grafenberg. For a while not many people actually believed the G-spot existed. Then in 1978 a book called “The G Spot “ by Alice K. Ladas, Beverly Whipple and John D. Perry was published. This confirmed existence of the G-spot. Today sexologists believe every woman has a G-spot. It is thought that the G-spot is either a bundle of nerves coming from the clitoris or a gland or series of glands that produces lubrication. It is also thought to be analogous to the prostate gland in men. When unstimulated the G-spot is about the size of a bean. When your lover is aroused it becomes more pronounced. The G-spot is located behind the pubic bone within the front wall of the vagina, about two to three inches deep. The important thing to note is that the G-spot responds to pressure, not just touch. Because the G-spot is close to the bladder stimulating the G-spot may result in a feeling of needing to urinate. This feeling my last anywhere from a few seconds to up to thirty seconds. Here are some sexual positions that are good for G-spot stimulation. Doggy style This is a good position as the head of the penis is pointed directly at the G-spot. Lap While sitting on the edge of a couch or a bed have your lover sit on your lap, facing you. Her legs should be either wrapped around your waist. Standing with her lying down Stand facing a bed, desk, or something similar. Have your lover lie down in front of you. Her pelvis should be about one foot lower than yours. Place your lover’s feet on your shoulders. Now have her tilt her pelvis so it forms a straight line where your crotches meet. Put your hands underneath her buttocks so you can hold her at that angle. free penis enlargement manual penis enlargement exercise pennis enlargement before and after photo penile enlargement herb vig rx penis pill com enhancement penis penis pump penis enargement pic before and after free natural penis enlarement penile enlargment drug

Vaginismus is an involuntary contraction of the muscles surrounding the entrance to the vagina, making penetration painful, and or impossible. The muscle group involved is called the pubococcygeal muscles (PC). These are the same muscles used for kegel exercises. Normally, the vaginal sphincter keeps the vagina closed until the need to expand and relax. This relaxation allows for sexual intercourse, medical examination, insertion of tampons and childbirth. Vaginismus occurs when the vagina is unable to relax and permit the penetration of the penis during intercourse however, when vaginismus does occur, the sphincter goes into spasm resulting in the tightening of the vagina. In some women vaginismus prevents all attempts at successful intercourse. Vaginismus may even occur anytime in life, even if a woman has a history of enjoyable and painless intercourse. The severity of vaginismus varies from woman to woman. Some are able to insert a tampon and complete a gynecological exam but are unable to insert a penis. Others are unable to insert anything into their vagina. Vaginismus is not due to a physical abnormality of the genitals. Some women wonder if their vagina is too small to "accomodate" a penis, or perhaps they have no vaginal opening at all. This is understandable especially when the vaginal muscles are in spasm as they can give the appearance that the opening is nonexistent. These concerns, however, are incorrect as the genital area is completely normal. In addition to vaginismus, there are a number of other disorders, such as endometriosis, pelvic inflammatory disease, and Bartholin cysts that can result in painful sexual intercourse or penetration. It's important that a reliable diagnosis is obtained so that the appropriate treatment can be recommended. Nonphysical Causes: The cause of vaginismus is often a result of an aversive stimulus associated with penetration. Some of the more common aversive stimuli are traumatic sexual assaults, painful intercourse, and traumatic pelvic exam. Vaginismus may also result from the patient having strong inhibitions about sex stemming from strict religious beliefs or cultural norms. This disorder does not mean that women suffering from this disorder are frigid. Many are very sexually responsive and may have orgasms through clitoral stimulation. Many women with vaginismus may seek sexual contact and sexual foreplay as long as actual intercourse/vaginal penetration is avoided. Concepts such as penetration, intercourse and even sex can cause fear or trepidation in the mind of may a young inexperienced woman who may hear stories about painful first intercourse, which then reinforce the fear of penetration. This fear can compound and create a pattern of sexual anxiety, causing the vagina to remain dry and unrelaxed before intercourse. Treatment: The treatment of vaginismus is usually a therapy program that includes vaginal dilation exercises using plastic dilators. It's important that the use of dilators proceeds in a systematic progression under the direction of a sex therapist and should actively involve the woman's sexual partner. The treatment include gradually more intimate contact eventually culminating in successful and pain free intercourse. Sex education is also very important to counter sexual naivety and dispel any misinformation which has been identified as a factor in 90% of vaginismus cases. This education should include information about sexual anatomy, physiology, the sexual response cycle, and common myths about sex. Psychotherapy and Counseling See a qualified, licensed professional. Anyone can call themselves a sex therapist, so find a qualified psychologist or psychiatrist; one you trust. Try to get referred by your own physician or health care provider. cheap penile enlargment pills natural penis elargement pills penis enhancement picture penile enlargement pic safe penis enlargement penis enlagement fact real penis enlarement penis enlagement video penile enlargment drug

Using a condom is the best way to avoid becoming infected with HIV (the AIDs virus) and other STDs (Sexually Transmitted Diseases). Here are some things you should know about condoms and STDs. Some facts about sexually transmitted diseases Having sexual intercourse with an infected person is the most common way of becoming infected. A large percentage of those infected are teenagers or young adults. Your risk of becoming infected increases when you change sexual partners. There may be no symptoms soon after infection. Symptoms may be easily confused with other illnesses. Symptoms of STDs - See a doctor if you have any of these Pain or burning during urination and/or intercourse. Discharge from the vagina, penis and/or rectum. Pain in the abdomen (women), testicles (men), and buttocks and legs (both). Sores, Blisters, warts, rash, swelling in the genital area, or mouth. Fever headache, aching muscles, swollen glands. Who should use a condom to prevent infection from STDs? Anyone who takes part in risky sexual activity should wear a condom. The highest risk comes from having intercourse --vaginal, anal or oral -- with a person who has a sexually transmitted disease. If you have sex with an infected person, you're taking a big chance. The best defence is to never have sex with an infected person. If you decide to have sex with an infected partner, you should ALWAYS use a condom from start to finish, every time. Will using a condom guarantee I won't get a sexually transmitted disease? Most experts agree that the risk of getting AIDS and other STDs can be greatly reduced if a condom is used properly. But you can never be 100% guaranteed not to become infected. And certainly condoms are much better than any other contraceptive alternative. How does a condom protect against sexually transmitted diseases? A condom is a barrier that prevents the transfer of bodily fluids between partners. If no condom is used, the germs can pass from the infected partner to the uninfected partner. How do I choose the best condom to prevent STDs? Read the label. Tests have shown that latex condoms can prevent the passage of STDs while natural (lambskin) condoms may not do this. The package should say that the condoms are effective in preventing disease. If the package doesn't say anything about preventing disease, the condoms may not provide the protection you want, even though they may be the most expensive ones you can buy. Novelty condoms will not say anything about either disease prevention or pregnancy prevention on the package. They are intended only for sexual stimulation, not protection. Condoms which do not cover the entire penis are not labeled for disease prevention and should not be used for this purpose. For proper protection, a condom must unroll to cover the entire penis. This is another good reason to read the label carefully. What kind of safeguards do condom manufacturers have in place? All brand name condoms are subjected to rigorous quality control tests at every stage of the manufacturing process. In the US, each condom is electronically tested for holes and defects. Samples are taken from each lot and visually examined using a water leak test. In this test the samples are filled with 300 ml of water and suspended for 3 minutes. Samples from each lot are also subjected to an Air Inflation Test. This involves filling the test condoms with air until they reach the bursting point. They typically will hold about 40 liters of air -- the equivalent of 9 gallons of water! Other samples are checked for size and thickness, some are tested to destruction for physical strength, and still others are artificially aged by applying high temperatures to ensure that they will retain their quality well beyond their 5 year product life. Are condoms from vending machines any good? Using condoms from a vending machine may be risky. The fact is you can't be sure you are getting a quality latex condom from a vending machine. It may also not be designed (and labelled) for disease prevention, so you may not get the maximum protection. If the vending machine condom contains a spermicide you have no way of knowing if it is outdated. And if the machine is exposed to extreme temperatures and direct sunlight these can easily have an adverse effect on the condoms. Where should I buy condoms? The best advice is to buy from a reputable source that deals only in name brand products. If you are buying online, make sure the website features a broad range of name brand condoms, contains helpful information about condom alternatives, and is reachable by phone so you can talk to a real person. penis enhancement surgery photo penile enlargment pic permanent penis enlarement penis enlagement pills product do penis enlarement pills really work penis enlarement pic before and after penis enargement traction device vimax penis pill penile enlargment drug

Death by spam is now possible with a new device by Microsoft. The device when implanted in the user’s skull allows downloading of email directly into the brain. Niles Bookbinder, 37, an assistant working for Jon Hanson, author of Good Debt, Bad Debt was accidentally spammed to death Tuesday morning using a beta version of a new email device called, “MS Mind.” A Microsoft spokesperson said, “We don’t have all of the bugs worked out yet, but this is the first death we know of.” Mr. Bookbinder had unwittingly “unchecked” the spam filter in the MS Mind control panel. Without the spam filter, apparently Niles unleashed the entire world of spam into his "medulla interface" and was literally spammed to death. It’s likely the last words Mr. Bookbinder heard were, “You’ve got mail!” Wireless Medulla Interface providers are popping up everywhere. Dr. Jack Kevorkian sees the new Wireless "G" Medulla cards as a real advance for him. With these systems, euthanasia supporters predict quick, painless death by simply bypassing the filters and downloading thousands of spam emails quickly. Kevorkian said, “I have been looking forward to killing patients by email.” Kevorkian expects his prices to be competitive with AOL. While it is not a victimless crime, it would be a crime without a knowable perpetrator. You would have no way of knowing whether your "loved one” was finished off by the breast enlargement, Viagra softabs starting at $2.99, or $ave $$$ now refinance emails. A PETA spokesperson, Ima Chihuahua, said she found the idea disturbing because it could lead to so-called Spam Collars that would be used to kill pets as they aged, or "convenience" killings, such as when a young couple could not find a kennel on their way to Vegas or they simply change their minds about having a pet. PETA may be right. It has long been rumored that KFC has been testing the effectiveness of spamming chickens to death versus simply whacking off their heads. In earlier tests, chickens were forced to watch Gili and Ishtar until they simply cut off their own heads, but this experiment was discontinued because of the cruelty to experimenters. Spamicide, accidental or not, will undoubtedly set off a bitter debate in America as Anti-Spammers and Right-to-Spam groups rally to raise money and jockey for political clout. George W. Bush seemed bewildered at this morning’s briefing. He looked to his press secretary and said, "Are we Right-to-Spam or Anti-Spammers?" Elsewhere, Jesse Jackson, finding it difficult to be Right-to-Spam said, "It should be the choice of the spammee. Spamicide should be legal, available, and rare." NEXT WEEK: Partial Spam Deletion. Should this barbaric practice be outlawed? Are thousands of viable spams being killed in spam filters, just before being downloaded? The debate continues... Jon Hanson www.gooddebt.com jon[at]gooddebt.com