Archive for July 2010

Calcium Supplements = Increased Risk of Heart Attack

Saturday, July 31, 2010

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Calcium supplements, commonly taken by older people for osteoporosis, are associated with an increased risk of a heart attack, finds a study published online in the British Medical Journal.

The results suggest that a reassessment of the role of calcium supplements in osteoporosis management is needed.

Calcium supplements are commonly prescribed for skeletal health, but a recent trial suggested they might increase rates of heart attack (myocardial infarction) and cardiovascular events in healthy older women.

To further investigate this important issue, an international team of researchers analysed the results of 11 randomised controlled trials of calcium supplements (without co-administered vitamin D) involving 12,000 patients.

Differences in study design and quality were taken into account to minimise bias.

They found that calcium supplements were associated with about a 30% increased risk of heart attack and smaller, non-significant, increases in the risk of stroke and mortality.

The findings were consistent across trials and were independent of age, sex, and type of supplement.

Although the increase in risk is modest, the widespread use of calcium supplements means that even a small increase might translate into a large burden of disease in the population, warn the authors.

Previous studies have found no increased cardiovascular risks with higher dietary calcium intake, suggesting that the risks are restricted to supplements.

Given the modest benefits of calcium supplements on bone density and fracture prevention, a reassessment of the role of calcium supplements in osteoporosis management is warranted, they conclude.

An accompanying editorial by Professor John Cleland and colleagues suggests that, while uncertainty exists about whether the increase in heart attack and stroke is real, there are also doubts about the efficacy of calcium supplements in reducing fractures. On the basis of the limited evidence available, patients with osteoporosis should generally not be treated with calcium supplements, either alone or combined with vitamin D, unless they are also receiving an effective treatment for osteoporosis for a recognised indication. They also believe that research on whether such supplements are needed as an adjunct to effective agents is urgently required
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Period of bad breath how to do?

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  Every time period when many girls, not only upset, abdominal pain, uncomfortable, and always with oral mucosal ulcers and bad breath. This is how going on?
  In fact, most of this situation is caused by the absence of menstruation, irregular menstruation and halitosis medical experts pointed out that a close relationship appears in the menstrual period and bad breath bad breath is not rare.
  When menstrual disorders, low sex hormone levels, decreased resistance to oral tissue, easily lead to oral mucosal ulcers and bad breath.
  In addition, the bad feelings will lead to endocrine disorders, menstrual disorders increased, the resulting "bad breath - bad mood - menstrual disorders," the vicious circle.
  Menstrual period how to do bad breath
  When you appear in menstrual symptoms such as menstrual disorders, to maintain a stable mood. Also pay attention to oral hygiene, avoid eating sour, hot, hot, cold and other irritating foods.
  Ulcers on the oral mucosa, a desirable vitamin c, ground into powder in the ulcer surface scattering, allows the rapid healing of ulcers.
  I suggest you go to obstetrics and gynecology, or medicine, as long as the cure of the menstrual disorders, other problems will disappear with understanding.
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How to diagnosis and differential diagnosis of acute pelvic inflammatory disease

Friday, July 30, 2010 · Posted in

  (A) direct smear secretion
  Sampling for vaginal, cervical secretions, or urethral secretions, or peritoneal fluid (via the posterior vaginal fornix, abdominal, or laparoscopic access), so direct thin smear, dried with blue or Gram stain. Where PMN double within the gram-negative bacteria to see who was infected with gonorrhea. The detection rate for cervical gonococcal only
  67% smear-negative and therefore can not exist other than gonorrhea, and positive smear is very specific. Microscopic examination of Chlamydia trachomatis monoclonal antibody fluorescein dye can be used, where the observed fluorescence microscope flashing dots of a star as the positive.
  (B) the pathogens isolated from patients Ibid, immediately or in the 30s will be inoculated in the Thayer-Martin medium, 35 ℃ incubator training set 48h, in order to identify bacteria glycolysis. The new determination of the relative speed of Chlamydia enzyme instead of the traditional detection methods chlamydia, can also be used on mammalian cell culture for Chlamydia trachomatis antigen detection, the legal systems of enzyme-linked immunosorbent assay. The average sensitivity of 89.5%, and 98.4% specificity.
  Bacterial culture can also be other strains of aerobic and anaerobic bacteria, and as the basis for selection of antibiotics.
  (C) of the posterior fornix puncture
  Puncture after the dome is the most common gynecological acute abdomen and valuable diagnostic methods. Through the puncture, and the resulting nest abdominal contents or the contents of the uterus rectum, such as the normal peritoneal fluid, blood (fresh, stale, coagulation wire, etc.), purulent secretions or pus, so diagnosis can be further defined, Microscopic examination of biopsy material and culture are essential.
  (D) ultrasound is mainly B-type or gray scale ultrasound scanning, photo film, the technology for identification from the fallopian tube, ovarian and bowel adhesion formation in the mass or abscess with 85% accuracy. However mild or moderate degree of pelvic inflammatory disease is difficult in the B-ultrasound image in the show feature.
  (E) laparoscopy, if not diffuse peritonitis, the patient is still generally good, laparoscopy can be suspected pelvic inflammatory disease or pelvic inflammatory disease and other patients in acute abdomen, laparoscopy was not only the diagnosis and differential diagnosis can also pelvic inflammatory disease extent preliminary determination.
  (F) inspection of a male partner which helps women in the diagnosis of pelvic inflammatory disease. Desirability of their male partners to make a direct smear of urethral discharge Gonococcus staining or culture, if found positive, it is the strongest evidence, especially in the asymptomatic or the symptoms of mild to severe. Or more of the white blood cells can be found. If PID patients of all men with untreated, regardless of whether they had symptoms of urethritis, then obviously the reduction of recurrence is very significant.
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Western diet link to ADHD

Thursday, July 29, 2010

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A new study from Perth's Telethon Institute for Child Health Research shows an association between ADHD and a 'Western-style' diet in adolescents.
The research findings have just been published online in the international Journal of Attention Disorders.

Leader of Nutrition studies at the Institute, Associate Professor Wendy Oddy, said the study examined the dietary patterns of 1800 adolescents from the long-term Raine Study and classified diets into 'Healthy' or 'Western' patterns.

“We found a diet high in the Western pattern of foods was associated with more than double the risk of having an ADHD diagnosis compared with a diet low in the Western pattern, after adjusting for numerous other social and family influences,” Dr Oddy said.

“We looked at the dietary patterns amongst the adolescents and compared the diet information against whether or not the adolescent had received a diagnosis of ADHD by the age of 14 years. In our study, 115 adolescents had been diagnosed with ADHD, 91 boys and 24 girls.”

A “healthy” pattern is a diet high in fresh fruit and vegetables, whole grains and fish. It tends to be higher in omega-3 fatty acids, folate and fibre. A “Western” pattern is a diet with a trend towards takeaway foods, confectionary, processed, fried and refined foods. These diets tend to be higher in total fat, saturated fat, refined sugar and sodium.

“When we looked at specific foods, having an ADHD diagnosis was associated with a diet high in takeaway foods, processed meats, red meat, high fat dairy products and confectionary,” Dr Oddy said.

“We suggest that a Western dietary pattern may indicate the adolescent has a less optimal fatty acid profile, whereas a diet higher in omega-3 fatty acids is thought to hold benefits for mental health and optimal brain function.

“It also may be that the Western dietary pattern doesn't provide enough essential micronutrients that are needed for brain function, particularly attention and concentration, or that a Western diet might contain more colours, flavours and additives that have been linked to an increase in ADHD symptoms. It may also be that impulsivity, which is a characteristic of ADHD, leads to poor dietary choices such as quick snacks when hungry.”

Dr Oddy said that whilst this study suggests that diet may be implicated in ADHD, more research is needed to determine the nature of the relationship.

“This is a cross-sectional study so we cannot be sure whether a poor diet leads to ADHD or whether ADHD leads to poor dietary choices and cravings,” Dr Oddy said.

ADHD is the most commonly diagnosed childhood mental health disorder and has a prevalence of approximately 5%. ADHD is known to be more common in boys.


About the Raine Study

The Raine Study is jointly conducted by the Telethon Institute for Child Health Research and The School of Women's and Infant's Health at the University of Western Australia. The study started in 1989, when 2900 pregnant women were recruited into a research study at King Edward Memorial Hospital to examine ultrasound imaging. The mothers were assessed during pregnancy and information was collected on the mother and the father, for example diet, exercise, work, health, etc. After the children were born, they were assessed at birth, at one year, then two, three and five years of age. Further follow-ups of the cohort have been conducted at eight, ten, fourteen, seventeen and now twenty years of age.

Find out more at www.rainestudy.org.au
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Resveratrol Shown to Suppress Inflammation, Free Radicals, in Humans

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Resveratrol, a popular plant extract shown to prolong life in yeast and lower animals due to its anti-inflammatory and antioxidant properties, appears also to suppress inflammation in humans, based on results from the first prospective human trial of the extract conducted by University at Buffalo endocrinologists.

Results of the study appear as a rapid electronic publication on the Journal of Clinical Endocrinology & Metabolism website and will be published in an upcoming print issue of the journal.

The paper also has been selected for inclusion in Translational Research in Endocrinology & Metabolism, a new online anthology that highlights the latest clinical applications of cutting-edge research from the journals of the Endocrine Society.

Resveratrol is a compound produced naturally by several plants when under attack by pathogens such as bacteria or fungi, and is found in the skin of red grapes and red wine. It also is produced by chemical synthesis derived primarily from Japanese knotweed and is sold as a nutritional supplement.

Husam Ghanim, PhD, UB research assistant professor of medicine and first author on the study, notes that resveratrol has been shown to prolong life and to reduce the rate of aging in yeast, roundworms and fruit flies, actions thought to be affected by increased expression of a particular gene associated with longevity.

The compound also is thought to play a role in insulin resistance as well, a condition related to oxidative stress, which has a significant detrimental effect on overall health.

"Since there are no data demonstrating the effect of resveratrol on oxidative and inflammatory stress in humans," says Paresh Dandona, MD, PhD, UB distinguished professor of medicine and senior author on the study, "we decided to determine if the compound reduces the level of oxidative and inflammatory stress in humans.

"Several of the key mediators of insulin resistance also are pro-inflammatory, so we investigated the effect of resveratrol on their expression as well."

The study was conducted at Kaleida Health's Diabetes-Endocrinology Center of Western New York, which Dandona directs.

A nutritional supplement containing 40 milligrams of resveratrol was used as the active product. Twenty participants were randomized into two groups of 10: one group received the supplement, while the other group received an identical pill containing no active ingredient. Participants took the pill once a day for six weeks. Fasting blood samples were collected as the start of the trial and at weeks one, three and six.

Results showed that resveratrol suppressed the generation of free radicals, or reactive oxygen species, unstable molecules known to cause oxidative stress and release proinflammatory factors into the blood stream, resulting in damage to the blood vessel lining.

Blood samples from persons taking resveratrol also showed suppression of the inflammatory protein tumor necrosis factor (TNF) and other similar compounds that increase inflammation in blood vessels and interfere with insulin action, causing insulin resistance and the risk of developing diabetes.

These inflammatory factors, in the long term, have an impact on the development of type 2 diabetes, aging, heart disease and stroke, noted Dandona.

Blood samples from the participants who received the placebo showed no change in these pro-inflammatory markers.

While these results are promising, Dandona added a caveat: The study didn't eliminate the possibility that something in the extract other than resveratrol was responsible for the anti-inflammatory effects.

"The product we used has only 20 percent resveratrol, so it is possible that something else in the preparation is responsible for the positive effects. These agents could be even more potent than resveratrol. Purer preparations now are available and we intend to test those."
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CPR Without Mouth-to-Mouth Rescue Breathing May Be Better for Many Victims of Cardiac Arrest; Chest Compressions Alone Save More Lives

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A leading expert in cardiopulmonary resuscitation says two new studies from U.S. and European researchers support the case for dropping mouth-to-mouth, or rescue breathing by bystanders and using "hands-only" chest compressions during the life-saving practice, better known as CPR.

The findings, the expert says, concur with the latest science advisory statement from the American Heart Association (AHA), published in 2008, recommending hands-only (or compression-only) CPR by bystanders who are not adequately trained or who feel uncomfortable with performing rescue breathing on other adults who collapse from sudden cardiac arrest.

In an editorial accompanying the studies, to be published in the New England Journal of Medicine online July 29, cardiologist Myron "Mike" Weisfeldt, M.D., physician in chief at The Johns Hopkins Hospital and director of the Department of Medicine at Hopkins' School of Medicine, says "less may be better" in CPR, calling the findings straightforward, practical and potentially life-saving.

The two studies were conducted between 2004 and 2009 on more than 3,000 men and women who needed CPR. Among their key findings are that survival rates were similar for adults who received their CPR from bystanders randomly assigned to provide only chest compressions and those who were instructed to do standard CPR with rescue breathing. All bystanders involved in the studies were instructed by phone on which CPR method to use by 911 telephone dispatchers. One study showed survival rates after one month of 8.7 percent and 7 percent, respectively, while the other showed survival rates at time of hospital discharge of 12.5 percent and 11 percent. The researchers say the numbers were statistically the same.

"It is very important to understand that the patients in this study were adults and that for most children who suffer cardiac arrest, such as drowning victims, we must do rescue breathing," says Weisfeldt, a past president of the AHA (1989-1990).

He also notes that there are adults with breathing-related causes of sudden death where rescue breathing should be performed, including patients with sudden, acute heart failure, severe chronic lung disease, or acute asthma, and cardiac arrest.

However, says Weisfeldt, "for people who are not well trained or who are looking for a simple way to help save a life, chest compressions only, at least until the emergency care unit arrives, can be life saving, even without rescue breathing."

Weisfeldt says the studies' results could lead to stronger national guidelines on how bystanders should perform CPR. An update is expected to be announced in November in Chicago at an AHA annual meeting. Guidelines, he says, will likely recommend a steady 100 chest compressions per minute with less emphasis on rescue breathing.

Weisfeldt points out that both recent studies and previous animal studies had shown that hands-only CPR worked best for certain types of cardiac arrest, mostly instances resulting from an abnormal heart rhythm (and requiring defibrillation).

CPR has been in practice in the United States since 1960, when Johns Hopkins researchers William Kouwenhoven, Ph.D., Guy Knickerbocker, Ph.D., and James Jude, M.D., published the first data on the benefits of what was then called "cardiac massage."

Weisfeldt says further research is needed to see if a combination of CPR with rescue breathing is better at saving lives in certain kinds of cardiac arrest, and to see how and if the public can be trained to recognize and distinguish between types of heart attack.

A third of the estimated 300,000 Americans each year whose heart suddenly stops beating outside of a hospital receive CPR to keep blood and oxygen flowing to the body's vital organs in the torso until emergency services personnel arrive. CPR performed by good Samaritans is known to nearly double the survival chances of people who suffer sudden cardiac arrest.
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Stroke risk temporarily increases for an hour after drinking alcohol

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Call it the not-so-happy hour. The risk of stroke appears to double in the hour after consuming just one drink — be it wine, beer or hard liquor — according to a small multi-center study reported in Stroke: Journal of the American Heart Association.

“The impact of alcohol on your risk of ischemic stroke appears to depend on how much and how often you drink,” said Murray A. Mittleman, M.D., Dr.P.H., senior author of the Stroke Onset Study (SOS) and director of the Cardiovascular Epidemiology Research Unit at Beth Israel Deaconess Medical Center in the Harvard Medical School in Boston, Mass.

Prior to the SOS, researchers didn’t know if alcohol consumption had an immediate impact on ischemic stroke (caused by a blood clot in a vessel in or leading to the brain), although modest alcohol use (less than two drinks per day) may potentially lower risk in the long term.

Researchers interviewed 390 ischemic stroke patients (209 men, 181 women) about three days after their stroke regarding many aspects of their lives. Patients were excluded if the stroke seriously impaired their ability to speak or if they weren’t well enough to participate. Fourteen patients had consumed alcohol within one hour of stroke onset.

Compared with times when alcohol wasn’t being used, the relative risk of stroke after alcohol consumption was:

* 2.3 times higher in the first hour;
* 1.6 times higher in the second hour; and
* 30 percent lower than baseline after 24 hours.

The patterns remained the same whether participants had consumed wine, beer or distilled spirits. When the researchers eliminated patients who had been exposed to other potential triggers (such as exercising vigorously or drinking a caffeinated beverage) just prior to their strokes, the alcohol connection didn’t change. Only one participant had consumed more than two drinks in the hour preceding the stroke, and removing that data didn’t alter the pattern.

“The evidence on heavy drinking is consistent: Both in the long and short term it raises stroke risk,” Mittleman said. “But we’re finding it’s more complicated with light to moderate drinking. It is possible that the transiently increased stroke risk from moderate alcohol consumption may be outweighed by the longer term health benefits.”

Just after drinking, blood pressure rises and blood platelets become stickier, which may increase the possibility of a clot forming. However, consistent use of small amounts of alcohol is associated with beneficial changes in blood lipids and more flexible blood vessels, which may reduce risk overall.

“At this point we don’t have enough evidence to say that people who don’t drink should start, or that people who drink small amounts — on the order of one drink a day — should stop,” Mittleman said.

A more definitive answer would require a controlled study in which some people are randomly selected to consume alcohol while others don’t, he said.

The findings may not apply to patients with severe stroke.

Stroke is the No. 3 killer and a leading cause of long-term major disability in the United States, according to American Heart Association statistics.

The American Heart Association recommends that if you drink alcohol, do so in moderation. This means no more than two drinks per day for men and one drink per day for women. (A drink is one 12-ounce beer, 4 ounces of wine, 1.5 ounces of 80-proof spirits, or 1 ounce of 100-proof spirits.) High intakes can be associated with serious adverse effects and may increase alcoholism, high blood pressure, obesity, stroke, breast cancer, suicide and accidents. Consult your doctor on the benefits and risks of consuming alcohol in moderation.


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Nutrients For Eye Health

Wednesday, July 28, 2010

Lutein and zeaxanthin are important nutrients found in spinach, corn, broccoli and eggs. Many studies have shown that lutein and zeaxanthin reduce the risk of chronic eye diseases, including age-related macular degeneration (AMD) and cataracts. AMD is the leading cause of blindness in people over age 55 in the Western world and the incidence is expected to triple by 2025.

Beyond reducing the risk of developing eye disease, separate studies have shown that lutein and zeaxanthin improve visual performance in AMD patients, cataract patients and individuals with good health.

Cataracts

The primary function of the crystalline lens (or natural lens in the eye) is to collect and focus light on the retina. To properly provide this function throughout life, the lens must remain clear. Oxidation of the lens is a major cause of cataracts, which cloud the lens. As antioxidant nutrients neutralize free radicals (unstable molecules) associated with oxidative stress and retinal damage, lutein and zeaxanthin likely play a role in cataract prevention. In fact, a recent study demonstrated that higher dietary intakes of lutein and zeaxanthin and vitamin E was associated with a significantly decreased risk of cataract formation.

AMD

Much evidence supports the role of lutein and zeaxanthin in reducing the risk of AMD. Although there is no recommended daily intake for lutein and zeaxanthin, most recent studies show a health benefit for lutein supplementation at 10 mg/day and leaxanthin supplementation at 2 mg/day. In fact, The National Eye Institute presently is conducting a second large human clinical trial, Age-Related Eye Disease Study (AREDS2), to confirm whether supplements containing 10 mg a day of lutein and 2 mg of zeaxanthin per day, affect the risk of developing AMD.
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Niacin = Good: Flushing, Bad

Monday, July 26, 2010

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Cholesterol influences the health of our hearts and blood vessels. Conventional treatment attempts to reduce the level of "bad" cholesterol, LDL cholesterol, in the blood plasma. The opposite approach, which involves increasing the concentration of "good" HDL cholesterol using nicotinic acid, has proven unpopular among patients up to now. The reason for this is that treatment with nicotinic acid (niacin) has an unpleasant but harmless side-effect: the drug makes patients turn quite red in the face.





Scientists at the Max Planck Institute for Heart and Lung Research in Bad Nauheim have now discovered the mechanism behind this effect, which is known as flushing. This will enable the development of flush inhibitors and thereby the more effective prevention of cardiovascular diseases. (Journal of Clinical Investigation, online version: July 26, 2010)

In addition to a healthy lifestyle, the treatment of lipid metabolic disorders is one of the important measures used in the prevention of cardio-vascular disease. Cholesterol is the key molecule here and LDL cholesterol is the type of cholesterol most widely discussed in this context. This "bad" cholesterol is one of the most important risk factors for the emergence of cardio-vascular diseases. The higher the blood-plasma concentration of LDL cholesterol, the higher an individual's risk of suffering cardiac arrest, stroke or peripheral vascular disease. The opposite applies to the "good" HDL cholesterol: in other words, the higher an individual's level of HDL cholesterol, the lower his or her risk of contracting these diseases. For this reason, the strategy of increasing HDL plasma concentration through medication has become more prevalent of late. The drug on which most hopes are pinned here is nicotinic acid.

"The main problem with treatment using nicotinic acid – which has nothing to do with the nicotine in tobacco, by the way – is flushing," says Stefan Offermanns, Director of the Department of Pharmacology at the Max Planck Institute for Heart and Lung Research. "Just a short time after taking nicotinic acid, the patient experiences strong flushing of the face and upper body for up to one and a half hours. This is caused by the dilation of blood vessels in the skin." The flushing symptoms, which are combined with a strong sensation of heat and burning, are comparable with those of sunburn, but otherwise completely harmless. However, patients often abandon the treatment on account of these symptoms.

This flushing phenomenon is a typical pharmacological problem whereby desired and undesired effects arise simultaneously. Hence, the Bad Nauheim scientists set themselves the objective of understanding the mechanisms behind the desired and, in particular, undesired effects of nicotinic acid. The results of this study are to be published in the August issue of the Journal of Clinical Investigation.

Offermanns and his colleagues had already succeeded in identifying a specific receptor for nicotinic acid that conveys the desired effects of nicotinic acid. Tests on mice, in which the gene for this receptor had been deactivated, showed, however, that the receptor is also responsible for the nicotinic-acid-induced flushing reaction. "We have now succeeded in demonstrating that the receptor exists both in the main cells of the top layer of the skin or epidermis, which are called keratinocytes, and the immune cells, known as Langerhans cells, also found in the epidermis," reports Offermanns. By studying genetically modified mouse strains in which the receptor in either the Langerhans cells or keratinocytes is blocked, the Max Planck researchers were able to show that the first phase of the flushing reaction is triggered by the activation of Langerhans cells. In contrast, the second and longer phase results from the activation of the keratinocytes. In both phases, different prostaglandins are formed through the activation of the nicotinic acid receptor. "The flushing phenomenon can be prevented by inhibiting prostaglandin formation or blocking the prostaglandin receptors in the skin, while the desired effects of the nicotinic acid on lipid metabolism remain unaffected."

Offermanns firmly believes that these findings provide a basis for the development of innovative methods for the inhibition of the undesired flushing reaction caused by nicotinic acid treatment. Several pharmaceutical companies have already started work on the development of novel "flush inhibitors" which would reduce prostaglandin formation or block the prostaglandin effect. The future administration of these inhibitors in combination with nicotinic acid would eliminate the unpleasant side effects, which have been responsible for the low level of acceptance of the drug among patients to date.
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Erectile Dysfunction Among Young Men

Sunday, July 25, 2010 · Posted in , , ,

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Erectile Dysfunction (ED) among young men is not new. There are many cases of young men in their early twenties who suffer from ED. In fact, there are many men in their early twenties who suffer with this problem and ED is one of the main reasons behind their low self esteem.

What are the causes for ED among young men?

There are two causes for ED among young men namely-psychological cause and lifestyle related cause. At present, many young men undergo stress and depression, which can be due to pressure at work place or that caused by relationship issues.

The second cause of ED among young men is excessive smoking, taking excess of alcohol, and drug abuse. These can take a toll on their health and thereby result in poor erection and other sexual issues.

Can treated?

Of course! However, it is generally not recommended for young men who are suffering from ED to take Viagra or Cialis. In some exceptional cases only, the same can be recommended. Before you think of taking medicines for curing ED, you can follow some tips that will easily pave the way for an ED free life.

Control your weight

Obese people usually suffer from ED.The reason is the formation of plaque in the arteries that reduces the inflow of blood to the penile chambers. Remember, it is this inflow of blood that results in erection.Therefore, if your cholesterol level is high, reduce it at the earliest.

Regular exercise is a must

Excess fat will have an adverse affect on the testosterone production, which is a male sex hormone. Therefore, regular exercise is very necessary. If you are physically fit, there will be proper blood circulation throughout your body, including your sex organs as mentioned above. It is this flow of blood to the penile chambers that leads to erection.

Refrain from smoking and drinking

Smoking will damage your body organs gradually. Remember, those are 'cancer sticks' and therefore, can be called slow poison also. Taking excess of alcohol will also spoil your health.Alcohol may help you in increasing sexual desire but you will not get enough erection to penetrate. Then what purpose does it serve? Moreover, taking excess alcohol will lead to increase in the cholesterol level in the blood.

Lead a stress free life

Stress and depression, as mentioned above, can lead to ED among young men. If you are under stress, you can do meditation, yoga and even breathing exercises. These will sooth your nerves and relieve you from ED

Counseling

Feel free to consult your all your issues with a psychologist. If you are suffering from ED, you can visit a doctor and pour out all your problems without any hesitations.

Herbal or Natural Cures

Herbal pills have come into the limelight these days. They are known for their safety and effectiveness.Choose the one that will suit you and make sure that along with the intake of these pills, you also follow the above instructions that are very important for young men who are suffering from erectile dysfunction

How to Cure Impotence?

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Does a Natural Penis Enlargement Program Exist?

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Are you wondering if a natural penis enlargement program exists? Are you looking for a natural way to gain some needed length and girth to your penis without having to use pills, pumps, stretchers, or any other scary devices or methods that will most definitely fail to provide you with the results you want?

I can tell you this much. A natural penis enlargement program can deliver the results you are looking for, and it does not involve using any of the methods mentioned above. This method uses only all natural exercises that you can perform in the comfort and privacy of your own home. Natural penis enlargement techniques work by breaking down the cell walls and gently forcing more blood through them. The penis then repairs itself growing the cells back larger and stronger than ever before, which allows a greater intake of blood and therefore resulting in a larger, fitter and more attractive penis.

The penis is not a muscle, but it is very similar to other parts of your body. Meaning if you do not exercise it, it will never perform as well as it could if you did. If you never worked out any part of your body, would you expect to be fit? Obviously the answer to this question is no, and your penis is no different.

A natural penis enlargement program is your best option to see substantial gains, that are permanent as well. Don't waste any more money on pills, pumps, or other devices that simply do not work. The answers to your problems are out there, stop wasting time and start getting positive results today.

If you are serious about finding a Natural Penis Enlargement Program look no further than The Penis Advantage Program. Forget about pills and other devices that will only leave you disappointed and start seeing positive, permanent gains today. Visit Permanent Penis Enlargement today to learn more.

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How to Select the Right Penis Stretcher and Use it to Achieve Maximum Increase in Penis Size

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In case you're new to the concept of penis stretcher, following are some important tips that will assist you in finding the one just right for you. These tips will also help you in ensuring complete effectiveness and safety of the stretcher.

Tips for selecting the right Penis Stretcher

When selecting a penis stretcher, ensure that you take care of the following points:

- Select a penis enlargement device that has spring-loaded tension screws for just the right level of traction. You'll have to readjust the traction levels of the stretcher after a while as your penis will grow a little bit in regular intervals of time. Hence, make sure that you have lengthening rods available to add larger increments to the length of penis stretcher and tension screws for minor increments in length.

- Always select a comfort strap design penis stretcher as it is more comfortable and eliminates any possibility of slippage during use. A comfort strap also enables longer usage of the penis enlargement device without obstructing the blood flow to ones penis. More flow of blood leads to better increase in penis size in the longer run.

Tips on correct use of Penis Stretcher

When you begin using the stretcher, you'll have to allow your penis to get used to the feeling of penis stretching by slowly increasing the duration of its use. This is better known as break in period. Once you reach the break in period, you should focus on stretching your penis to Bone Pressed Erect Length or BPEL. The gains in penis size beyond this point will be permanent in nature. However, ensure that you don't overdo the penis stretching just to expedite the whole process. Any such hurry can result in unwanted pain and damage to the penis. In fact you must take a one or two days break as soon as you experience pain in your penis.

Further, taking breaks is very important when you're regularly using a penis stretcher. Ideally you must take a 5-10 minutes break after every two hours of use. When on break, massage your penis gently to increase blood circulation inside the organ.

It is important that you take out time to figure out the best penis stretcher for your needs. I was able to find the right one for me and see no reason why you can't. I read the penis extender reviews by doctors on this website (click on the links) to find the best penis extender for myself.

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Do Natural Male Enhancement Pills Really Work?

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Enhanced penis and the ability to perform well on the bed are counted among the most prized possessions by men. The ability to play well in the bed and satisfy ones partner is considered a macho trait and men would swear by it. Researches and surveys all over the world have repeatedly shown that the ability to satisfy one's partner is rated really highly by men. Men have time and again done crazy things to increase their sexual potency and their ability to give pleasure of the highest degree to their partners.

However, what happens when men are not able to perform in the bed? What happens when men are not able to retain their sexual excitement for the desired length of time? What is the impact of a small penis or a premature ejaculation on the morale of men? Studies and researches have established the fact that these situations can have disastrous effects on the morale of men. Men, who pride themselves on their sexual ability and their macho traits, can have their morale severely dented when they discover that they have a rather small penis which is not able to achieve the right amount of erection.

For many years, men, beleaguered by their sexual problems, have sought refuge in the various male enhancement pills. They have grabbed at the pills with the expectation that these pills can really work wonders for them. The male enhancement pills, just going by the evidence of the total sales, are arguably the most popular tools for correcting problems like sexual dysfunction; small penis and erectile dysfunction.

Over the years, two schools of thought have emerged simultaneously with the pills. While one school of thought believes that the pills can cure sexual woes faced by men; the other school of thought rubbishes all claims by the manufacturers of these pills and maintains that these pills do not have the ability to cure men of their sexual problems.

It is necessary, at this point in time, to distance yourself from the claims and counter claims and analyse the abilities of these pills carefully and find out whether these can really cure the problems men face.

First of all, let us accept the fact that all male enhancement pills are not bad. The very fact that these have been embraced by men all over the world does justify that these do have some sort of capabilities.

Second, let us understand how these pills can benefit men. Penis can get enlarged when there is blood flow in to the penis chambers. At the same time, men can retain their ability to hold on for a longer period of time if the blood is prevented from flowing out. Many male enhancement pills have the ability to do that. These pills contain a substance called Apigenin which can stimulate the flow of blood and can also put in Vitamin C which work wonders. In other words, if the right pill is chosen, it can work wonders.

For more information Please read Male Enhancement reviews that increase penis size and sexual performance Male Enhancement Pills and Male Enhancement Products can treat and cure most of your sexual dysfunction problems Natural penis enhancement products do not contain any side effects Get you confidence in bed today

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Vimax Review - Is it the Right Pill For You?

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This article will give you a truthful Vimax Review, to see if this pill is really capable of changing the size of your penis. You will also be able to see the positives and negatives of using this product. In this Vimax Review I will explain why the pill was rated the number one penis enlargement pills on the market.

A professional team of doctors created Vimax penis enlargement pills. This potent formula will increase your penis size while improving your desire for sex and givng you more intensifying orgasms, and adding more endurance during intercourse.

You should see a noticeable change to the penis within the first few weeks of using the Vimax pill. Your penis can be increased by 3-4 inches in length and the width can get up to 25 percent wider. Within the first four weeks you should notice a change to the width of your penis and your longer lasting erection. The size of your penis will be longer and thicker in just a few months. The penis will appear to be stronger and a bit more firm than usual.

Do you have premature ejaculation problems? Vimax can help. A problem with the Vimax pill is the cost. Some men may not be able to afford this product. But, you do not need to take the Vimax pill permanently. Another issue is you can not just drive to the nearest store and purchase Vimax. The good news is you can buy it online and you may be able to get same day delivery, or quick delivery which can take a few days to receive,

For best results you should take Vimax pill everyday. So, if you are a forgetful person you should think of a routine to get into each day to receive a couple more inches to the penis. You should know how "big" you would like to get so your penis does not get to large. Remember not to set the number to high, you do not want to make your partner feel uncomfortable. In conclusion to this Vimax Review, this product will increase your penis size.

Visit my website for full penis extender reviews! Check out my fastsize extender reviews on my website!

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How to Make Your Penis Grow Naturally Without Surgery - Is it Safe to Do Jelqing Exercises?

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If I said that you could achieve the penis size and performance like the teenager that you were, would you believe me? Most likely not! And that is perfectly understandable. After all, reliving those wild nights of youth is somewhat impossible, particularly because over the years you've grown dissatisfied with your sex life. But yes, you could learn the techniques on how to make your penis grow. I did, and I believe you could, too. We've come to the age where size, erection and all-out passion matters, so let's get to it!

I came across a surprising material that offered me the sex life I had two decades ago. It's natural, proven safe and effective by medical science, and it gave me higher self-esteem. Knowing it's best if I shared a personal account, this article goes beyond just the information of how to make your penis grow. It's also about finally finding a method you could believe in to get back that faith in yourself and your manhood.

The first thing I would like to share is the role of biochemicals in the growth of your penis. These nutrients abound bodies of teenagers which is why they are sexually active and could go for hours, with just a few minutes rest in between. Well, these biochemicals need to be reintroduced to your body system. Regardless of age or penis size, it is guaranteed that your penis will grow again. Therefore, you can relive those youthful sexual experiences, and make it more satisfying for your ego and your partner.

These biochemicals are produced through a chain reaction in your body system. It is innate even in matured men, and it's just a matter of supplementing the elements or revitalizing their production. Many men have already discovered this truth and you should also stop asking how to make your penis grow. Instead, do as these men did. Men like us who gave these biochemicals a renewed life in our systems are now enjoying sex like teenagers. In just six to eight months, be like me who stand proud and bigger each time I take the clothes off.

Don't get carried away by the flood of products and devices that promise inches in penis girth and length; stay away from loud marketing campaigns for pills that promise increased libido and erection period. They're scams and unsafe, they're unnatural and do not respond suitably to the problem. Instead, opt for nature's way when asking how to make your penis grow. Take care of your body and opt for activating the biochemicals responsible for penis growth and healthier erections. You're guaranteed safe and sexually active - naturally!

There are many steps on how to make your penis grow. If you are interested in learning more about increasing the size of your penis, you may visit us today by clicking here www.How-To-Grow-Your-Penis.info

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What is the Best Way to Get My Penis Bigger - 3 Natural Secrets Revealed

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You just have to laugh sometimes when you check your inbox. There are so many advertisements telling you how to get a bigger private part all the time. They give these unbelievable statements expecting you to hop in the bandwagon. You of course are a smart consumer, and will not fall for their savvy marketing techniques. The only the problem is that you are still interested in enlarging yourself but are just unsure how to go about it. Read on to finally learn the answer to what is the best way to get my penis bigger?

First off, you should avoid and anything mechanical. These would include pumps, extenders, and even surgery. Yes! You do not need any of these to get your size to where you want it to be. Most of these leave you with temporary enlargement. So you are happy for a little bit but then you go back to your regular size. Some of these solutions even lead to erectile dysfunction. Who wants to totally lose their ability to have sex?

Secondly, You should avoid any pills that promise instant enlargements. These can have all types of chemicals and hormones in them. Your body may not know how to handle these and it could backfire on you. You could be left with a malfunctioning penis due to these. Then,you will be worst off then when you started. This will still leave you wondering what is the best way to get my penis bigger?

Thirdly, here are the 3 natural ways to enlarge yourself. You can use weights to extend your length. You can also use hand massage techniques to grow your girth and length of your penis. Then there are actually herbs like gingko and ginseng that can do this naturally for you over time.

I am so glad that this is a problem of the past for me now. No more awkward bedroom moments for me. Just taking these simple steps made my life in bed a lot nicer. Click here now to get your free 20 page report for a bigger penis like I did http://www.biggermalenow.com

Seriously what do you have to lose? I know I was tired of not being able to perform for my partner and our relationship suffered greatly because of it. Take these simple steps and learn how to avoid what I had to go through. Click here now to get your penis enlargement report instantly!

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A Premature Ejaculation Cure That Will Work Right Away

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If you are looking for a premature ejaculation cure that will work almost immediately then you came to the right place. Ejaculating too quickly is something that many guys face. Finding a premature ejaculation cure is a desire many men have.

But finding a premature ejaculation cure, especially one that you can use tonight, is not so easy. Usually the only cures available that will work right away are those nasty ointments or creams which only numb up your penis and make it hard to maintain a good, hard erection since you can't feel anything.

There is something you can do, and it is as "all natural" as it gets. It may sound "weird" at first, but please read how and why this works so well.

Ejaculating before having sex. This is basically masturbating before you have actual sex. Now hold on, let me explain how this works.

About 30-60 minutes before sex (it varies by individual) you basically masturbate. Then, when you have actual sex, you will last A LOT LONGER than usual. Several minutes longer.

Why is this? Basically, the first time you have sex is always the worst. You are totally excited, anxious emotions are running through you, and physically you want to let it go QUICKLY.

Well, imagine getting that first BAD experience out of the way from the beginning. That's what masturbation before hand allows you to do. You get that first ejaculation out of the way, and then your actual sex performance is totally enhanced and fresh for the second time around.

Definitely give this a try. You'll last much, much longer.

Now, to learn how to do this method and other methods which guarantee you will last at least 10 minutes long TONIGHT, then check out this routine - http://EjacRoutine.info

This routine has EVERYTHING you need to not only last longer tonight, but also will teach you how to permanently last longer so you will be a permanent long lasting lover and you will NEVER have to worry about suffering from premature ejaculation again - http://EjacRoutine.info

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Enlarging Your Penis Size is Absolutely Possible - But Which Type of Male Enhancement Works Best?

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I have some good news and some bad news. The good news is that enlarging your penis size is very possible. The bad news is that there is only one proven effective way to get larger... and it's not one of those popular methods you hear about so much. So, if you want to make sure that you get the best results possible with increasing your manhood and that your results will come 100% naturally, then read on to learn more.

What should you keep away from?

You see, the bulk of the advertisements that you see nowadays all over the T.V. and Internet for male enhancement typically is based on enlargement pills, pumps, extenders, etc. This will unfortunately cause most men to view those methods as the ONLY methods there are for getting larger. Then, once most men start taking pills and/or using pumps and then begin to suffer from the side effects of these methods and also not seeing any significant results, then most men begin to believe that enlarging the penis is not possible. Well, I beg to differ...

What is going to work effectively?

The fact of the matter is that these methods that you hear about so much are not going to cut it for getting consistent, permanent, and natural results. The only proven way to truly enlarge your manhood is to naturally increase the chambers of your penis so that they will hold more blood during an erection. The only thing that is sure to work to make this happen is penis exercises.

Why is this method more effective?

Firstly, natural penis exercises are done by using just your hands and they take roughly 15 minutes a day to perform. Secondly, there are many different types of exercises you'll perform with a reputable program that will target the key chambers of your penis to enlarge them. Once these chambers are increased, your penis will be able to force more blood flow into them. This will end up causing your manhood to become longer, thicker, and harder. Also, if you choose an effective program, you will additionally improve the PC muscle (which controls ejaculate). This means that your ejaculation will be more intense and you'll be able to hold it longer.

Bottom line, enlarging your penis size is very possible, BUT, you must choose a 100% natural method such as penis exercises. If you in fact choose a very effective and reputable program, then you can grow 1-3 inches bigger in a couple of months easily, consistently, and permanently. I managed to grow 2 inches in just under 8 weeks with an effective program.

Are you ready to Enlarge Your Penis FAST, grow longer and thicker in weeks, and give your significant other MIND BLOWING orgasms? Well, I highly recommend the Penis Advantage exercise program! This award winning program is safe, effective, permanent, and you can download everything INSTANTLY (no embarrassing stops at a store or packages to receive)! I grew 2 inches bigger in 8 weeks with this powerful program!



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Bigger Penis Size is Possible With Hand Exercises - 3 Facts About Getting a Larger Erection

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Many men know now that there is almost no way to get a larger erection. You can try a pill or an extender and both of them will leave you with no actual results. The only thing that you will get from them is a hole in your bank account. There is nothing more than your hand that is needed to get you much larger. Read about this method inside.

Fact 1-You do not need any costly equipment to increase your dimensions substantially

You really do not need very much to get considerably increased dimensions with hand exercises. The main tool that you will be using is actually just your hands. The hand can apply varying pressure at varying angles like no machine can, and that is exactly what you need to increase your size. These techniques are wonderful for increasing your size, because you are in control, and not some pill company. Besides your hands, you will just require some warm water and a some natural lubrication. The reason that you need some lubrication is because you need to reduce friction between the shaft and the hand. It should be of natural origins because you do not want your skin to be absorbing these materials.

Fact 2-Making yourself larger with this results in permanent gains

Many men wonder if these methods just get them short lived increases in size or if they are lasting size increases. The answer to this question is that they are permanent gains that can add one to three inches to the size of your erection. This is the only way to get permanently bigger. There is nothing else in the world that you can do in the privacy of your own home to get larger.

Fact 3-You can do these whenever you feel like it

To get considerably bigger you should try to train for a consistent period of time. However, if you get very busy and need to take break for some reason, you can stop and come back to the routines. If you break certain plateaus, you will not shrink back to your original size. The, when you have the time again, you can resume your work outs and shoot for your full potential size.

http://www.IsMyPenisSmall.com contains the best and most effective penis exercises available anywhere!

Do penis exercises to make your penis 1-3" inches bigger quickly!

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Want a Bigger Penis? The One Thing You Need to Do to Make Your Penis Bigger

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Okay, so you want a bigger penis, but you've read so much conflicting information, so you're not sure who to trust or what to believe. I don't blame you. Almost everything out there is a pure lie, and almost everything out there will never help you to make your penis bigger.

The One Thing You Need To Do To Make Your Penis Bigger

And that one thing is penis exercises. Penis exercises are actually a very ancient way of enlarging the penis, but they have been completely modernized, and are currently the only way to permanently and naturally enlarge your penis. There's a reason they've been done for thousands of years- because they work.

So what are penis exercises? Penis exercises are simply a way of enlarging your penis using special exercises done with your own hands. The idea behind them is simple yet effective: use your hands to stimulate parts of your penis that determine your length and girth.

The stimulation is painless, yet it's enough to cause your penis to become both longer and thicker through cellular division. So, what parts of your penis are becoming bigger?

The first part is a ligament on the top of your penis. It's called the suspensory ligament. If you pull at your penis right now, you should be able to feel it with ease. There are painless stretching exercises that will elongate this ligament to allow you to get those extra inches. However, this is not the only part of your manhood.

Most would agree that the most important part of your penis to be enlarged are the Corpora Cavernosas. Interestingly enough, these are why you are able to become erect. They fill up with blood to make you hard. Now, penis exercises target these with gentle pressure to cause growth. Once they're bigger, you're now bigger. For life. It's simple, yet it's very, very effective and works for everyone.

http://PenisExercises101.com will teach you the most effective penis exercises that will make your penis longer and thicker- for life!

If you want a thicker penis, check out this award-winning program

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Making Your Penis Bigger Can Be Done With Hand Exercises - Questions Answered on Them

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The time where men realize that no pill or extender will ever make their penis bigger has come. Now, men are looking for a real way to truly increase their size for life. There is actually only one way to get larger in your own home, and it is a fairly simple method that requires no expensive equipment. Investigate what is inside this informative article.

How can you use hands to increase your penis size?

While this sounds a bit odd to the average Western male, it is nothing new in the old world. These methods have been known of, and used for perhaps the past then thousand years or longer by ancient groups of people around the globe. The reason that you can get larger in this way is because the penis has its own unique construction as compared to the rest of the body. It is made up of large ligaments that extend far out from the pelvis, and tissues that have almost no comparison elsewhere on the body. By manipulating these areas with the force of your hands, you can get much increased size.

Do you need pills or weights to increase your size tremendously?

You don't need anything of the sort to increase your size by a large amount. In fact, using those items will just waste your money, because they have never worked for anyone, and they often cause serious injuries to a man. You only need to trust in your hands to get increased dimensions. By using your common sense and your hands, you can really get quite large.

Is there really nothing else that works besides this to get lager?

There is nothing that can get you this large. Some men are getting three inches bigger, while on average guy are adding one to two inches. The only other practice that occasionally works is getting some odd type of surgery. That can not even get you as large as your hands can, and is not even recognized as working or being safe by respected medical organizations.

http://RealPenisExercises.com will teach you the most effective penis exercises that will make your penis longer and thicker- for life!

If you want a thicker penis, check out this award-winning program.

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Penis Bigger Naturally and Effectively - My Research

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How to make your penis bigger naturally? That is sometimes a hard question to answer because there are so many different methods. Not only are there so many different methods but they all seem to claim that their method is the best. The methods like enlargement pills even offer trials. But what they fail to tell you is that pills don't enlarge your penis they just enhance your size.

I know what your saying isn't enhancing the same thing as enlarging? No, it isn't the same. They like to make you believe that it is but its not. So, why isn't enhancement the same as enlargement? Because, when they say that they can "enhance your size" what they are saying is that they can maximize what you are born with. But some guys are not happy with what they are born with and that's what they need help with. So, how to make your penis bigger naturally, that is the question.

Notice how I say bigger and that's what most men are looking for right? Well not only can you make your penis bigger but you can do it naturally. Think about how high it will boost your confidence to have the penis size you have always wanted. Think about how many chicks you will get once your confidence is higher and there is nothing standing in your way. This is a real possibility and all you have to do is take the first step. So, how to make your penis bigger naturally you can do this with a proven set of exercises that are 100% safe and extremely effective.

Like I said all you have to do is take the first step to gaining a bigger penis just go check out this blog Penis Enlargement!

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Can This Male Penis Enlargement Solution Improve Your Sex Life?

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The search for a male penis enlargement solution that delivers on results is forever growing in the market place. This is mainly because a high number of men are unhappy with their penis size. Most men in this situation tend to suffer from inadequacy which can affect their life's in a number of destructive ways such as:

• Very low confidence or none at all

• Low self-esteem

• Unsatisfied partner

• A poor sex life

• Unsatisfying relationships

• Suffer incompetency with women

The good news is that all of the above can be stopped by using a herbal male penis enlargement pill that has been proven to produce "Dramatic" results for men all over the world for well over 10 years. This method is very appealing to men as it does not involve any time consuming exercises, no painful pumps, no hanging of agonizing weights and lastly no expensive dangerous surgery.

Although there are a number of male penis enlargement products available choosing the right herbal male enlargement product is very easy, because there are only a handful of high quality products available.

This solution is guaranteed to increase both the length and girth of your penis size which will greatly improve your sex life. If the truth be told most women don't like a small penis, as they do not really feel anything when having sex. However due to their sensitive nature they prefer not to say anything so they don't end up hurting anyone's feelings.

To summarise if you want to experience a incredible sex life and want women gossiping about how gifted you are? Then it's time you did something about it.

Rio Wayne is an expert in natural male enhancement. Don't disappoint yourself or the women in your bed with a small penis. If you would like to achieve amazing results with this Herbal Male Penis Enlargement Pill. Then go to http://natural-penis-enlargement-pills.com to discover the Herbal solution that thousands of happy men have successfully used for years to increase their penile size permanently. It's easy when you know what really works.

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Be a Man! Fight Against Erectile Dysfunction

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YOU can do it! Erectile Dysfunction (PE) should not defeat you. It is not a simple slogan and you can easily overcome the ailment provided you follow some simple tips. First you need to know that it is not a rare ailment. Millions of men all over the world suffer from ED.Therefore, calm down. Don't panic.

One important point you need to know about combating ED is disclosure of the ailment. Never ponder and wait till it becomes serious. The day you come to know that you are suffering from ED, make sure that you fix an appointment with your doctor the next day. Disclose all your sexual issues to him and seek his help. Following the simple tips given by your doctor will surely help you in overcoming this ailment.

Generally, men suffering from ED do not want to share their problems with their friends and relatives. They feel embarrassed to do so and moreover they feel that it is a matter that questions their manliness. True!! Apart from consulting your doctor, you can join an ED forum where you will find men having the same problem as yours. Sharing your problem with people having the same sexual issues as yours will eventually give you a sigh of relief.

If it is required for you to take some medicines, do some research and find out the pills and drugs that suits you. You can either opt for natural products or synthetic drugs. Both are effective and have proven records of their effectiveness. However, studies have revealed the side effects of synthetic drugs.

Therefore, natural ED pills can be a safer bet. However, if you are under medication due to other health issues, first make sure that you review the ingredients of the pills with your doctor

How to Cure Erectile Dysfunction

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Male Penis Enhancement - Discover a Simple But Most Sought After Method

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The high demand for male penis enhancement solutions is because so many men feel inadequate about their penis size. The main problem for men is actually knowing what really works, this knowledge will help men make a more informed decision. The following methods discussed below are methods that are known to work within the industry.

Penis Exercises

This is a method that does work and actually produces results. However, it is a very labour intensive method, meaning that you will need to put in a lot of time and effort to experience any results. It is a method that is more suited to men with a lot of spare time on their hands as you will need to perform the penile exercises on a regular basis to achieve any results at all.

Also due to the very nature of male penis enhancement exercises they cannot be performed in a rush, it is always advised to perform a warm up and warm down even before you start the main exercises. You need to follow the laid out instructions for the exercises carefully to achieve your desired results and to avoid causing any damage or pain to the penis. With today's busy lifestyle a large number of men give up on this method as they simply do not have the time or patience required to see results.

Penis Enlargement Surgery

Phalloplasty this is a medically accepted procedure that works. You will need to have a big budget set aside as it can cost anything from $3,000 to 10,000. Apart from the high cost involved it is a method that has a high element of risk involved. Recent reports show that a high number of men have been unsatisfied with there results and have needed to undergo further corrective surgery.

Penis Enhancement Pills

This is probably the most in demand method in the industry. The question for many is which penis pill actually works. The most effective type of male penis enhancement pill recommended are those that are 100% natural and made up of herbal ingredients. In actual fact choosing the right male enhancement herbal pill is easy, mainly because there are only a few high quality products available on the market.

Some pills need to be taken 2-3 times daily. However, there are now some very advanced herbal pills available that you only need to take once a day as they are more superior and produce faster results. They are guaranteed to increase the length and girth of your penis so you can have the size that you have always desired.

Rio Wayne is an expert in natural male enhancement. Don't disappoint yourself or the women in your bed with a small penis. If you would like to achieve amazing results with this Herbal Male Penis Enhancement Solution. Then go to http://natural-penis-enlargement-pills.com to discover the Herbal solution that thousands of happy men have successfully used for years to increase their penile size permanently.

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Does ExtenZe Work For Everyone?

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Many men ruminate about their penis size. It is an interesting dilemma, because unless they are particularly small, it is only them that are dissatisfied with the length. Women are more accepting of penis size than men. If you are someone that still cannot be placated with your partners insistence that she is satisfied, then perhaps you need to look into a male enhancement product. ExtenZe has been a successful supplement that has enabled many men to enjoy a longer penis and enhanced sexual function. But,

You could ask the same question for a myriad of different products and the answer would always be the same. Nothing works perfectly for every single person as each individual is different in some form. On a whole, however, ExtenZe seems to have had some great results over the years and there are certainly many very satisfied customers and partners around the world to testify to that.

Nowadays there are a multitude of male enhancement products and deciding on the right one for your situation can be challenging. I would be more comfortable selecting a product that enabled me to receive a money back guarantee in case it didn't work for me. I would also want to read as many reviews and testimonials as possible and if there are any forums on the product I would love to talk to fellow users and find out what their success rate was with it.

From the research that I have conducted and the reviews that I have read on the supplement, I can confidently say that this seems to be one male enhancement product that has definitely got the runs on the board, so to speak. It has been available to men all over the world for many years and these sorts of products don't last unless they are getting good results.

Don V. Simpson can answer the question, Does Extenze work. If you are looking for information on, he can help. You can save time and money by getting a FREE in depth review of this penis enhancer and many others including discounts and best prices at Don's blog: extenzescam.com

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Tips For the Resolution of Male Infertility Issues

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Infertility is something that is defined when a couple has been trying to get pregnant for one year or more without success. Infertility is more common that many people are aware of. Unless a person has gone through this situation, it is tough to know anything about it. Once a year has passed, then it is time to do some fertility testing to determine what the problem or problems might be. Fertility testing can be very expensive since many health insurance plans view it as elective treatment. Having male infertility or female infertility testing done can also be very embarrassing and emotionally draining.

Since it is a dream for many women in a committed relationship to start a family, the role of the man is obviously very significant in that area. Dealing with male infertility can be very tough to deal with mentally, but it is very necessary to help achieve those family dreams. Male fertility issues usually involve a problem with the sperm. There are no outward signs of infertility in men that would make it obvious. This why having a test done is so vital to finding out the root cause of the problem. Since the visit to the doctor can be so costly, and because it usually involves more than one visit, it is a good idea for men to start the process with an at home testing kit. These kits involve taking a sperm sample at home to determine if the sperm count is in the normal range. The test only measures the live or viable sperm. This is a great starting point for men to determine if they have a fertility issue.

With the at home test, the sperm sample will change the color of the dye on the test to determine the number of viable sperm in the sample. A positive result will mean that there are 20 million or more live sperm in the sample. A positive result means better chances for a pregnancy. A negative result means there are possible male infertility problems. There are other factors that will affect the pregnancy, but this test can help get the process started. The test is about ninety percent accurate, which is excellent for something that can be done at home. The value of being able to conduct a test like this at home should not be overlooked. Not only does it save money, but it allows men to go through a very tough process with more comfort.

Besides a low sperm count, there can be other issues that cause male infertility. A blockage or sperm antibodies could be causing problems that the at home test cannot detect. The advantage of the test is being able to conduct it with privacy and to start gathering information. There are some medications, procedures and other techniques that can be used to help couples get pregnant, but a trained professional is the only one that can recommend the best course of action. When infertility becomes the topic of conversation for a couple, they need to treat it delicately and with patience. Using the at home test is the best way to get the process started.

Mike O'Brien offers advice and information about male infertility treatment. This is a quality web site that has a wide selection of male infertility treatment information at your fingertips!

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ExtenZe Reviews - Baring All and Still Coming Out Shining

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Checking out all of the reviews on male enhancement products, there is enough literature there to keep you busy reading for the next three generations. What makes selecting a supplement that can help with penis enhancement is that because of all of these reviews and because there are so many products on the market, finding the one that suits you best seems almost impossible. That was why I chose a top ten of what male enhancement supplements I thought were the most appropriate to my situation, and researched them from there. One product that kept coming out on top was ExtenZe. One of the reasons for this was because of the honest and in depth ExtenZe reviews that were readily available.

When I mention that the ExtenZe reviews were honest and in depth, I certainly meant it. This is a supplement that has received some bad press in the past and rather than write about all of the great things that this product can do for you, many of the reviews focussed on the fact that it had basically been hauled over the coals by the Orange County's District Attorneys Office for making claims it could not substantiate.

To me, I appreciated the honesty of these ExtenZe reviews. They go on to say that yes, the company did make these claims but have rectified the problem and have now got years on the map as being a reliable and effective penis enhancement product. I was able to get the low down on any problem that this product has encountered and to me, I was comfortable with the product because I knew it had had problems with claims but had remedied them. Other products that are trading now make some of the most ludicrous claims I have read. At least you know that a quality product like ExtenZe has been put under the spotlight and come out with shining colours. Check out the ExtenZe reviews if you don't believe me, yourself.

Don V. Simpson writes Extenze reviews. If you are looking for information on, he can help. You can save time and money by getting a FREE in depth review of this penis enhancer and many others including discounts and best prices at Don's blog: extenzescam.com

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Last Longer Pills - The Secret Ingredients of Hot Rod Pills

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Men want to please women and they also want to heighten their pleasure in bed, and many have turned to last longer pills in order to do both. This solution however has worked with varying degrees of success for them because many pills promise a lot but they fail to deliver. Hot Rod pills rely on a secret known to but a few for centuries and can do what it claims and more importantly do it without side effects!

Last longer pills are actually advertised on television these days and some work, though the potential side effects can be worrisome. Others may not work at all or for only a few men. Still other last longer pills require that a man avoid alcohol or take them only at certain times.

Who needs all those restrictions? That is certainly not for the man who wants to live life to its fullest last longer in bed, and do it without side effects or restrictions!

The secret of hot Rod Pills lies in natural ingredients packed into a 350 mg capsule. Each is carefully balanced to help produce the best results in the shortest time with ingredients, which have no other effect than a healthy sex life and an enlarged penis.

What Hot Rod pills can do for the man:

1. Hot Rod pills help increase blood flow to the penis. Increased blood flow means the penis is larger, firmer and ready for action.

2. Hot Rod pills help desensitize the penis just enough so that a man can last longer in bed, extend the sex and act ensure his partners pleasure.

3. Hot Rod pills can help revive sexual interest like a mini aphrodisiac. He does not even have to think about sex or try to feel romantic; the last longer in bed pills will assure he is interested!

4. Alcohol is not off limits with Hot Rod last longer in bed pills, that means the man does not have to restrict his normal activities to enjoy the benefits.

Hot Rod last longer pills contain natural ingredients instead of a bunch of things you cannot pronounce much less identify! Each Hot Rod last longer in bed pill contains the following:

1. Butea Superba - 65.00 m - this herb has long been used in Asia as an aphrodisiac to stimulate the libido.

2. Diascoria Bulbifera - 65.00 m which is a natural derivative and used alone can help erectile dysfunction but combined with the other ingredients can create a sex machine!

3. Eurycoma Longifolia - 62.50 mg is an Asian plant which has long been known to stimulate testosterone.

4. Polyrachis Vicinia - 52.50 mg also known as the ANT ingredient. This is a vitamin rich ingredient, which helps boost sexual performance.

5. Fructus Tribulus Terrestris - 52.50 mg is used to help boost testosterone that helps boost libido and performance.

6. Radix Smilax Myosotiflora - 28.00 mg to enhance blood flow to the penis resulting in a larger member.

7. Deer Antler Velvet - 24.50 mg used for strength energy and yes, endurance.

While many last longer in bed pills, contain one of these ingredients none have all of these proven ingredients, which together can restore a man's sex life back to his prime and do it all naturally.

To learn why natural last longer pills are better than prescriptions please click HERE

If you would like to buy some fantastic hot rod pills please visit the male sexual health shop

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Sexual Performance Anxiety - The 2 Step Cure

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Sexual performance anxiety can be DEADLY for men.

Now of course I don't mean that sexual performance anxiety will actually kill you...

What I mean is that your sex life will DIE A SLOW AND PAINFUL death if you don't learn how to tackle sexual performance anxiety.

When you go about having sex with a lot of anxiety all kinds of problems crop up... Like not being able to get "it" up, heavy sweating, premature ejaculation and overall ZERO SATISFACTION FOR HER.

On the other hand...

If you can successfully overcome sexual performance anxiety then anything becomes possible in bed. When you are confident in bed suddenly you'll find yourself lasting longer because you're more relaxed. You'll find you have erections so rock hard it'll blow your woman's mind. On top of that, your sexual confidence will be so high that your woman experiences a whole new you and probably ends up having the BEST SEX OF HER LIFE.

The good news is that sexual performance anxiety isn't a "disease" you catch, a "gene" you're born with or anything else you can't change.

Sexual performance anxiety is something you create in your head.

It's something that happens unconsciously inside of you.

And because you are ultimately the one who creates sexual performance anxiety, this also means you have the power to change it.

So here is my 2 step cure to beating sexual performance anxiety.

1 - Understand What Women Really Think...

One of the top causes of sexual performance anxiety is worrying about what the woman you're with is thinking.

Typically we, men will worry about how she might be judging us or what she thinks we're doing wrong.

In fact, the OPPOSITE is true...

Here's what 95% of women are REALLY thinking.

"What does he think of me?"

It's so easy to forget that women are people too and they have their own insecurities too.

When we do something wrong in bed, like not last very long, can't get it up or think we're not good or "big" enough we'll typically go into a frenzy of worry...

"What does she think?", "does she hate me?", "will she leave me for this?", etc.

And naturally this gives us performance anxiety.

The reality is that when we do something we think is wrong or bad in bed then OFTEN THE WOMAN WILL BLAME HERSELF.

Say we don't last very long, the woman might think "what did I do wrong?" or she might think "wow, I must be looking sexy tonight if he came that quickly".

Or say we're worried about our penis size, at that same time the woman is probably not even thinking about our penis size and is instead thinking "are my boobs big enough for him?" or "does he think I'm fat?".

Now, I'm not saying every woman is obsessively paranoid about themselves when it comes to sex. What I'm saying is that in general, we as men spend WAY too much time worrying about what she's thinking, when in fact she's probably not even thinking about the same thing at all.

When you realize that she's probably not even thinking about all the negative stuff you think she is and that she is just as self-conscious as you are, this allows you to relax MASSIVELY.

And of course, when you're this relaxed, your performance anxiety instantly MELTS AWAY.

2 - Use Visualization

What causes sexual performance anxiety?

Worrying about sex.

And what causes us to worry about sex?

The thoughts going through our head.

This means the simple way to beat sexual performance anxiety is to change the thoughts going through our head.

One of the easiest ways to do this is through VISUALIZATION.

Generally worrying happens when we see pictures of things going wrong in our head.

We see things like our woman criticizing us, us doing something "bad" in bed or we see our woman being disappointed with us.

A dead simple way to get rid of anxiety is to therefore VISUALIZE AND FOCUS ON WHAT YOU WANT AND HOW YOU WANT TO FEEL.

This sounds so simple, but it works.

Spend some time everyday day (5 minutes is fine) visualizing yourself being a new confident you. See how you act confidently in bed. See how you carry your body differently when you are confident. Is your facial expression different? Do you breath differently? More deeply? What do you think about when you're super confident? What do you say to yourself?

Dedicate 5 minutes a day to this and soon you'll find yourself acting this new confident way AUTOMATICALLY when you start having sex.

This combined with understanding what women really think will eliminate your sexual performance anxiety in no time.

Oh, and come check out this cool new video I've just posted online about how to last longer in bed.

It shows exactly what I did to go from lasting less than 10 seconds to over 35 minutes in bed, watch it at http://www.EjaculationGuru.com

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Who Told You That Penis Size Doesn't Matter?

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It is a debatable question. Some say, penis size does not matter as long as men know the art of lovemaking. However, the fact is that sexual pleasure or satisfaction is achieved when there is friction..... Friction between the penis and the vagina.And this can happen only when you have a fuller and firmer penis.

Researches in this filed have shown that about 85% of women are found to be fully satisfied with the size of their partners but the percentage of men who are fulfilled with the size of their penis are found to be lesser than that of the women.

Do you know the different ways of increasing the size of your penis?
You can go for penis exercises like jelqing and stretching. Both these exercises are popular and quite effective too. Studies have proved that these two exercises can extend the size of the penis permanently. You can give a try and see for yourself how effective these exercises are. These exercises will not cause you any harm.

However, if you do not feel like doing these exercises, you can try surgeries for enhancing the penis size and can even go for penis extenders. There are certain devices that can be used for enlarging your penis which are more commonly known as the penis extender. There have been some cases of adverse effects resulting from penile enlargement surgeries and some say that these surgeries are risky and expensive too.

The safer bet would be penis extender that sticks to its promise and has helped many men in extending their penis.Go for it and enjoy sex like never before. You are assured of a blissful sexual experience if you use this product.

Penis Extender

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Is Natural Enlargement of the Penis Possible - Find Out Here

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Natural enlargement of the penis is something that many people are seeking out these days. So many people are discovering the hard way that pills are not the solution to this problem. The thought of surgery, weights, or stretchers is also not an ideal option for many people. The thought of surgery, weights, and stretchers is just something that freaks people out, and I do not blame them.

Your best bet to see the gains you want is to find a program that uses natural enlargement of the penis exercises. The gains you can see from this method are real, and they are permanent. With natural enlargement of the penis, the gains you will achieve will be permanent, and substantial.

Natural methods of enlargement work by using special exercises designed to increase the amount of blood that the chambers will hold. The more blood that gets into the penis, the bigger it becomes! Also, it works by breaking down the cell walls and gently forcing more blood through them. The penis will then repairs itself by growing the cells back even larger and stronger than ever before, which allows a greater amount of blood in and therefore resulting in a larger, fitter and more attractive penis.

If you are serious about enlarging your penis, natural methods are the only way to go. Don't use pills which contain unknown substances. Weights, stretchers and surgery are downright scary to even think of. Natural enlargement of the penis possible, and is the most reliable, effective method of enlargement on the market today. Stop wasting time, and money on methods that will only leave you disappointed. Get on the fast track to a larger, more desirable penis today!

Natural Enlargement of the Penis is something that anyone can achieve. If you want to see fast, permanent gains look no further than The Penis Advantage. This program is taking the industry by storm. If you want to get a larger, more desirable penis visit Permanent Penis Gains today.

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Kill Premature Ejaculation Before it Kills You

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A great sex life with your life partner is what we all are looking for. To enhance our sexual stamina and preventing premature ejaculation is one of the lead factors for a great sex life. PE is one of the most common problems that men face. Nowadays, most men opt for herbal formulation for fighting premature ejaculation which helps them to prolong ejaculation and take them to the highest level of sexual pleasure. To boost up your confidence while having sex with your life partner, herbal products can be used as they have proven records of giving the same.

Many men face the problem of PE and due to this, they lack confidence while having sex with their sex partner. A long lasting sex in the bed with your partner is what all men are looking for.
Remember, a great sex life leads to a healthy relationship and a healthy relationship leads to a happy life.

Sometimes simple techniques do help in getting rid of Premature ejaculation.PE can be controlled by removing your penis from the vagina and squeezing the tip of your penis till your erection decreases. This is popularly known as squeeze technique. But, this may not work for men who are suffering from severe premature problems.

For those with severe PE consult a good health expert and take some effective medicines. Opt for herbal formulated pills. You can totally overcome the problems of premature ejaculation with these herbal formulated pills. The taste of having sex with your partner will totally change with the help of these pills.

Don't you want a smile on your partner's face after having a great sex. If you are looking for pleasurable and great sex, please visit for further details http://www.ejacutrol.biz/

How to Cure Premature Ejaculation?

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Are ExtenZe Side Effects Plentiful?

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When looking into the male enhancement product called ExtenZe, you must carefully consider the side effects that have been reported after using a herbal supplement like this. Whilst there are many very satisfied customers who have reported zero nasty side effects, with anything you must consider that no two individuals are alike and therefore check the ingredients and with your treating doctor prior to starting a course.

ExtenZe is a 100 percent herbal supplement that eliminates erectile dysfunction. It can give a rock hard erection to men who are unable to achieve or maintain this function. It also claims to improve sexual function by enabling him to last longer and when hitting orgasm the pleasure is enhanced. Sounds good? Well to many men from around the world they agree to the effectiveness of this wonderful product.

The great thing about ExtenZe is that it does not contain any harmful chemicals or drugs, such as what is included with many of the prescription based products. ExtenZe is able to improve the erection with the use of 100 percent all natural ingredients. And there are plenty of these potent ingredients in the supplement. One of the positives in including so many ingredients that are proven to work is that you have a powerful combination that should enhance even the most difficult of situations. However, the pitfall is that the more ingredients there are, the less concentrated they will be.

Therefore, although the mixture of potent ingredients in the supplement ExtenZe is nothing short of plentiful, the side effects should be minimized due to the lack of concentration. Some men have reported a negative effect from the ingredient Yohimbe. It has caused anxiety and heart palpatations. It is of course, absolutely imperative that you speak to your treating medical professional prior to commencing any supplement, herbal or otherwise.

Don V. Simpson writes about Extenze Side Effects. If you are looking for information on, he can help. You can save time and money by getting a FREE in depth review of this penis enhancer and many others including discounts and best prices at Don's blog: extenzescam.com

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The Strongest Erection Pills Available

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It is every man's wish to have a pleasurable sex life with his partner. But some man has problems of weak erection and because of that they find it difficult to have a wonderful sex life with his partner. Weak erection leads to premature ejaculation, seminal leakage and permanent dysfunction of erection. In order to boost up their confidence and to control premature ejaculation, and to over come seminal leakage and permanent dysfunction of erection, these are some pills and ways to prevent from this problem. And over coming this problems can boost up a man's confidence and having a long lasting sex with his partner.

Nowadays, many men rely on natural products for better erections. Hard and firm erection in man leads to a wonderful sex life with the partner. With the help of these pills a man can have a long lasting wonderful sex life with his partner. At present, men all over the world have started craving for natural pills that has proven records of making men last longer in bed.

A weak erection in man leads lack of confidence and even misunderstanding with his partner. Every man doesn't want to share about these problems that he is facing. This will also lead to physical and physiological problems. A man always wants to have a wonderful long lasting sex with his partner in bed. For a long lasting and superb sex session with your partner, you need a firm and hard erection that will make your partner moan with excitement. To improve the erection there are some pills and these pills will help you in having a wonderful long lasting sex with your partner.

Natural herbal pills will help in solving social, sexual and personal issues that a man and his partner face in their life. These pills will also spice up your sex life with your partner. Take natural pills and have a wonderful sex life with your partner.

How to Cure Erectile Dysfunction?

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Finding a Solution For Premature Ejaculation

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Premature ejaculation causes people lots of embarrassment and also leaves them feeling guilty and worried. They feel guilty because they are not able to satisfy their partner in bed. They are worried that since their action is not satisfying their partner, she might have sex with someone else. However, there is no need for you to feel unduly worried if you too are facing the same problems because you are not the only one. There are many others like you who are also facing the same situation. Most importantly, you need to understand that this does not mean that you are suffering from some illness. Once you realize the causes, it shall not be long before you can make your partner experience multiple orgasms.

Before finding out a cure for premature ejaculation, it is better for you to understand what its causes are because this will help prepare you mentally. In most cases it has been observed that coming quickly is due to the fact that the person concerned gets sexually aroused too quickly and their body is unable to manage this excitement without ejaculating. This may be due to the fact that, as a teenager, you might have masturbated to attain orgasm as quickly as possible.

In such cases, it is quite simple for you to resolve the problem by changing your approach so that you are able to mentally ward off the high arousal point. Instead of thrusting quickly right from the word go, you should slow down your speed. This might prove a bit tough for those who are enjoying sex for the first time, so do not worry about that. As soon as you feel, that your partner is about to attain orgasm, increase the intensity and pace of your thrust.

A perfect lover knows how much aroused they are, and once they feel they that they have reached the exploding point, they slow down their pace. All this requires a bit of practice and proper guidance. There are various online sites that deal with books, videos, and programs that can help you in controlling your urge to ejaculate. Remember, if you cannot control yourself, you might have to face the anger of your partner, and if things get too bad, she might even sleep in bed with someone else. Before it is too late, you should take action to control your action and thereby last longer in bed.

Free secrets on getting rid of premature ejaculations Show your wife who is the boss when you last longer in bed

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Resolving the Agony of Premature Ejaculation

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It is not that they want it but it is something that they cannot avoid it. Many people who are enjoying sex for the first time are astonished and feel bad when they cannot time their ejaculation with the orgasm of their partner. This often leads to misunderstanding between the two of them and in certain cases even leads to the female seeking the company of other males to satisfy their requirements. More often than not, the males blame the females and state that the biological system of the females are designed to suppress the final moments of joy for longer periods of time. However, this is not the truth, and the sooner the males accept and try to resolve their problems, the better.

Studies have shown that males, who masturbate a lot during their teens, are more likely to ejaculate quicker than those who do not. Apart from this, they can also suffer from weak erections, which is also likely to turn off females. Masturbation depletes the amount of dopamine in the brain and this indirectly causes testosterone deficiency. It is mainly due to this that males cannot last longer, and also observe a decrease in the size of their penis. Masturbating on a regular basis also trains the prostate for instinctive ejaculation reflexion. The penis becomes so sensitive and excited when it enters the vagina that it cannot keep control of itself and discharges within a few minutes.

However, this does not mean that all is lost. There are various means by which the male organ can be trained to last for longer periods of time. Primarily, one needs to understand why an ejaculation takes place. Some of the most sensitive nerves of the penis lie on its tip or its head. When they brush against the soft moist walls of the vagina, they get excited and finally trigger another nerve that controls ejaculation. The trick lies in controlling the movement and speed of the thrust while having sex. The moment a person feels that they are close to the final moment, he should decrease his actions or if so required, stop it totally for some time.

There are other things too like retracting certain muscles. A psychiatrist has even gone on to suggest that at this point males should close their eyes and visualize of something nauseating, an interesting point, no doubt. To cure premature ejaculation and last longer in bed one must also check out certain related sites on the net.

Free secrets on getting rid of premature ejaculations Show your wife who is the boss when you last longer in bed.

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