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

vimax guide to penis enlargement

Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. best penis enlargement surgery cheap penile enlargement pills vimax penis enlargement surgeon vimax penis enlargement pills product truth about pennis enlargement pills penis girth enhancement surgical penis enlargment vimax penis enlargement herb vimax guide to penis enlargement

The subtle energies of the body, Polarity Therapy, Tantra and cultivating sexual energy Empirical science has yet to prove the existence of the subtle anatomies. Yet the mystical traditions have articulated them for millennium. The Sepherot of the Kaballistic Tree of Life, the meridians of the Chinese acupuncture system and the chakras of the Ayurvedic system are examples. They all convey the knowledge of a subtle energy which they assert is the link between the spiritual realms and life as we know it. Each uses their unique language and concepts to describe the precipitation of the mind of God into energy and into physical manifestation. The Chinese call this energy ‘chi’, ‘ki’ by the Japanese and ‘prana’ by the Hindus. The Kahunas of Hawaii call it ‘mana’; Christ called it ‘light’. The system of Ayurvedic medicine has evolved over the past 5,000 years. It is based on the Hindu scriptural Veda’s, which are the world’s oldest documented spiritual writings. Ayurveda offers a highly specific description of the subtle anatomy. It recognizes five sheaths, or layers of energy through the body. They are described from the most dense to the most subtle. The first and outer most layer is the bones, muscle and skin. The next, more, subtle sheath is respiration. Next in subtlety is the sheath of cognition, associated with the nervous system and the thinking mind. Next is the sheath of discretion, which relates to our moral choices and their consequences. Most subtle of all is the chakra system; the interface between the cosmic vibrations of creation and the grosser anatomical systems of the physical body. Chakra, from the Sanskrit, means ‘wheel of spinning light.’ The ancients taught there are seven chakras in the body. They are located just in front of and along the spinal column. These generators and reservoirs of energy are also areas of consciousness. The first five chakras are associated with an element of nature (earth, water, fire, air, or ether) and with one of the senses (smell, taste, sight, touch and hearing). All of the chakras are associated with a tonal quality, a numerical and alphabetical value, and a color. When the chakras are in tune the body, mind and spirit experience harmony. Charles and Caroline Muir offer an analogy: Consider the chakras as the strings of a guitar. Each string vibrates at a different frequency and gives off a different note. Over time the strings may resonate sharp or flat, and they require tuning. When they are in tune, the sound the guitar produces is harmonious. Similarly, when the chakras are in tune, one achieves harmony. The Base chakra is found at the coccyx bone at the tip of the spine. It resonates with the earth element, the adrenal glands of the endocrine system and the sense of smell. It rules the organs of structure such as bones, muscles, and connective tissues as well as elimination. There is a correlation between the earth element and our need for structure and safety in the world. The second chakra is found at the sacrum. It resonates with the water element, the reproductive glands and the sense of taste. It rules the fluids of the body such as blood, lymph, sexual secretions and tears. It correlates to sexuality and all creative energies. There is an interesting link between the sense of taste and sexuality in this chakra. Mantak Chia, in his book Taoist Secrets of Love, states: Many people confuse the hunger for food and sex as being similar biological desires that are both necessary for survival. Clearly they are connected, as many people feeling sexual frustration turn to food for gratification. An imbalance in ching (sex) energy ranks as a major cause of obesity---when you are sexually frustrated, food is the easiest substitute. The third chakra is found at the solar plexus. It resonates with the fire element, the Isle’s of Langerhan (which produce insulin in the pancreas) and the sense of sight. It rules the organs of digestion and metabolism. This chakra correlates to the assertion of and the abuse of power. The fourth chakra is found at the heart. This is the center for the Air element, the thymus gland and the sense of touch. The heart chakra rules respiration and immunity. With the arms it addresses how we bring the world to us and how we share ourselves with the world. It correlates to a sense of altruistic love in the world. The fifth chakra is found at the throat. It rules the Ether element, the thyroid and para-thyroid glands, the organs of speech and the sense of hearing. The throat chakra correlates to “speaking one’s truth” and to taking action based on that truth. The last two chakras transcend the denser elements and senses. These are the subtlest energetic harmonics. The sixth chakra, often called the 3rd eye, is found between the eye brows. It relates to the 6th sense of psychic and paranormal experience. It is associated with the pituitary gland of the endocrine system and is the source of spiritual vision. The Crown Chakra is found at the top of the head and it relates to the pineal gland. This is the seat of mystical experience. It is the place where the mind releases all boundaries and concepts and experiences life in its full unity. There are a number of energy therapy systems such as Reiki and Therapeutic Touch. In my own journey I have found Polarity Therapy to be the most effective way to effect the chakra energy system. Polarity Therapy is the life’s work and teachings of Dr. Randolph Stone. Dr. Stone was a doctor of osteopathy, a doctor of naturopathy and a chiropractor. He would treat clients for symptoms and then notice that they returned with the same chronic pains and illnesses. As well trained as he was he felt he was missing something. His curiosity led him to study mystical healing modalities across the world. Richard Gordon describes Dr. Stone’s search: In China and France he studied acupuncture and herbology. In the orient, he learned reflexology and other eastern massage techniques. In the course of his work, he stumbled across the ancient Spagyric art of healing as taught by the great Doctor Paracelsus von Hohenheim, who had studied in Arabia. This provided Dr. Stone with essential knowledge of subtle electromagnetic fields of the body. Over the course of sixty years, Dr. Stone integrated this wealth of knowledge into a system he named Polarity Therapy. Dr. Stone realized that successful healing must take place on the energetic fields as well as the physical level. That’s why chronic pain and illness often return when treatments just address the physical symptoms. Polarity utilizes gentle touch, rocking and deep pressure point work to release blocked energy in the energy fields. Dr. Robert K. Hall, MD teaches it this way: the work calls forth the spirit found at the very core of an individual. The essence of that core is Love. To experience true healing all the trauma and fear that is layered over that core of love must come out. That’s what we at the Lomi School call ‘working through the body.’ Many therapeutic models do their work ‘on’ a body, or something you ‘do’ to people. Working through the body calls forth the very essence of spirit. Cultivating sexual energy The Eastern traditions recognize that sexual energy can be a potent source of spiritual energy. The Kaballist’s have their ‘Sex Magic,’ the Taoists have their erotic rituals and the East Indians and Tibetans have Tantra. Tantra is the art and science of cultivating sexual energy and directing it to spiritual transformation. Deepak Chopra says, “Tantra is the closest you can get to magic or alchemy or transmutation. Tantric rituals are basically spiritual disciplines that allow you to trap and transform power. When properly understood, tantra is one of the most dynamic and consistent paths to enlightenment. Of course, sexuality is a component of it. Tantra acknowledges that sexual energy is the most powerful energy in the universe because it is the creative energy in the universe.” I think exploring the concepts and practices of Erotic rituals are important for westerners. We have a deep sexual wounding from our Judeo-Christian heritage. Our sexual natures were first denied when Adam and Eve “saw their nakedness” as they were evicted from the Garden of Eden. The teaching of original sin is a body centered, sexual one. Erotic rituals teach us to hold our bodies as sacred. To experience sexual energy as the cosmic creative gift that it is. A primary key in Tantra is an ability to be present with your partner; to focus with eye-contact, to match the rhythms of the breath, or meditate together. Tantra also teaches the importance of mastering the orgasm. Women have four levels of orgasm: the clitoral orgasm, the vaginal orgasm, multiple orgasms and the amrita, or divine nectar. Men are taught to master ejaculation. Rather than lose their sexual energy out through the penis the orgasmic energy is directed up the chakras. Thus men become capable of multiple orgasms. Tantric rituals are most effective in committed long-term relationships. The defenses and barriers of our personality are healed in the safety, intensity and intimacy of our primary relationships. My friend Sean Michael used to say, “Intimacy means In-To-Me- See.” Keith Hennessy defines intimacy as, “An un-armed encounter between two individuals.” Both of these describe the expression of a self without the armor of defenses, a vulnerability of just being with another person. Commitment is needed to create the container that allows all the personality defenses to present themselves. Safety and vulnerability come as those defenses are consciously healed. Mastering erotic energy has two primary results. As the art of love making it creates ecstatic satisfaction. It also generates intense energy for healing on all levels of body, mind and spirit. As a teacher and a professional body-worker, I think it wise to add: a spiritual and body-centered transformation can be a personal journey and/or work with a teacher or professional. The practices that involve a teacher, a therapist or facilitator are not to be used for cultivating sexual energy. Healthy, consensual sex is defined as sex between two individuals who share an equal balance of power. This excludes professional relationships such as Doctor/Psychotherapist and patients, Lawyer/Massage therapist and clients, or teachers and students. Sex between a client and professional is abusive. Erotic rituals invoke powerful energetic experiences. Utilized unconsciously they negatively effect relationships and spiritual evolution. pnis enlargement review penis elargement cream penis enlagement without pills truth about penis elargement cheap penis enlargement pills free penile enlargment video erection penis pills size vimax free penis enlargement vimax guide to penis enlargement

Now, you may ask yourself, what's the connection between arousal and the g spot? Well, the g spot is best found and stimulated when you are completely turned on. If you try to stimulate it before it can be hard to find, and stimulation can be uncomfortable or even painful. The best time to explore the g spot is when your partner is so hot she’s begging you to be inside her. To help you get to that place quickly and easily, we’re focusing this article on getting you both highly aroused - quickly and easily. Speaking of arousal, did you know the most important part of the body for arousal is ... the mind? Yes, its not the clitoris, the penis, or any erogenous zone. Its the mind. About 75% of arousal comes from the mind (especially for women). So, guys, I’ve created a sample evening to use with your partner, and worked in many small techniques to build arousal. I suggest you read this over, completely, and then plan an evening with your partner this week and follow the steps: 1) when you wake up, tell your partner that you love her, and then share two or three things you enjoy about being with her. When you are sharing this, focus on speaking from your root ... you may notice often your energy is in your head, or your throat. Use your breathe, and your awareness to speak from your sex. Speak with heart, and with emotion. be real! 2) tell your partner that you’ve planned a super sexy night for her, and that you have a surprise for her as well. (DO NOT TELL HER WHAT IT IS!) This will let your partner know that tonight is not a normal night. It will also make her think about it all day. This is what you want. 3) don’t spend much time with your partner that day. be out, be busy. its important to have physical seperation, to build a bit of distance. 4) however, make a point to call her and say that you love her and are looking forward to going out later that night. by now, she’ll likely be telling her friends how strange you’re acting! : ) When you are out that night, do whatever you would normally do: cook-in, go out to a nice restaurant, have wine, cocktails, etc. 5) However, when you first greet her, make a point to hug/kiss her with love and intensity. Also, create an excuse to whisper something (anything) in her ear, and let your breath linger on her neck. 6) Then, throughout the evening, create excuses to massage her shoulders, touch her arm or leg, be close to her, etc. Now, you can do all these small techniques things at any time, on any day. (In fact, I recommend you do them all the time!). I’m just framing them over an evening date to make them easier to teach you. Its likely by now that she’ll ask you about your surprise ... don’t tell her what it is. Keep the suspense and mystery. Feel free to be playful – but don’t tell her. Now, its after dinner, you’re coming back home. Tell her that the first part of the surprise is that you’ve planned a special evening once you get back. Say, I’m going to give you a cocktail (or a glass of wine, etc.) when we get home and go upstairs and prepare. This makes her even more curious, and lets her know you’re taking care of everything. Women generally find this super sexy. Go to your bedroom, and set things up. You’re going to be doing some massage and sexual exercises with your partner. Prepare for that, and then invite your partner into the space. Now, in this part of the evening, you’re going to experiment with some simple exercises that build attraction, arousal and intimacy. Again, you can use these techniques any time, together or separate. I’ve just put them into an evening activity as a way to teach them (it also makes for a great night of fun!) 1) tell your partner that you’ve designed an evening to help create intimacy and arousal. that neither of you will be orgasming tonight – that’s its about loving each other, and getting hot and sexy – without the pressure of orgasm. (you heard me – don’t have an orgasm ... take away the predicable path ... you’ll get much more hot for each other, and its good practice. trust me! 2) take a few minutes to share a bit about what you appreciate and admire about each other. we often don’t do this with our partners. share 2 or 3 things each. 3) now, take a few minutes, to look into your partners left eye. sit quietly, be present with each other, feel your partner. if you mind wanders bring it back. this is a small exercise to build presence and intimacy. it will likely feel quite weird in the beginning. do it anyway! 4) if it seems appropriate share a bit about how that ways, and try it again 5) now, take 5 minutes to kiss each other. pretend you’ve just met. explore each other. kiss as if that’s all you are going to do tonight, not as an excuse to get to have sex. explore her lips, tongue, neck, ears, chin, throat, etc. 6) you will likely get bored and want to move on. don’t! i’ve done workshops where you have to kiss 1,000 times differently. be creative. push through the normal patterns. we are retraining how you approach sex. slowing you down. re- awakening your senses. building creative muscle. 7) after this, lay your partner down, and put a blindfold on her. (if you don’t have one, you can use a scarf, or something else) 8) take 10 or 15 minutes to touch your partners body. NOT HER CLITORUS OR VAGINA. enjoy yourself. if you are having fun, you will be much more present, and amazingly enough, it will feel much better to her. experiment with different kinds of touch: hard, fast, slow, soft, circular, fingernails, pads of fingers, feather, silk, tongue, lips, cold breathe, hot breathe, something warm, something cold, etc. track your partner’s response. what you are doing should be turning her on. if its not, try something different, and check in with her 9) never feel bad about requesting, giving or receiving feedback. you can’t know everything, so don’t expect it of yourself. 10) now, at this point in the evening, you can start to innovate. you can either have you partner lay you down and do the same thing to you. you can start to involve her yoni and clitoris. you can branch into massage, oral sex, sex, etc. be creative. Remember, do not have an orgasm tonight. Use the evening to enjoy each other. Revel in each other’s taste, smell’s, and passion. Love and be loved. Find the freedom that comes from not trying to get somewhere. free penile enlargement technique best penis enlagement free penis enlarement exercise penis enlargement forum male pennis enlargement manual penile enlargement penis enargement supplement pro solution pills vimax guide to penis enlargement

Better and Safer than the "Little Blue Pill" for Male Enhancement? Natural male enhancement products are often regarded with a degree of skepticism - and understandably so. Who would think you can increase size, volume and sexual pleasure by taking a natural pill, with ingredients taken straight form nature? It seems too good to be true. And many times, it is. Some companies make outrageous claims of increasing actual size by inches, and giving you "hours" of sexual stamina. However, there are some definite winners out there that are high quality, safe alternatives to the likes of Pfizer's Viagra or GlaxoSmithKline's Levitra. The "winners" will indeed increase your libido, increase stamina, and also increase the size and volume of a man's aroused penis. Some may scoff at these claims, but all you need to do is a little research to find that these products have made a world of difference in many lives. After all, is it so hard to believe that you can get the same results from a natural product that you can from a prescription medication? Keep in mind, most ingredients in prescription medications originated in nature, albeit they are drastically modified from their natural state, but they are nonetheless derived from nature and then "tinkered with" by science. Some of the typical statements taken from men who have used a quality product may be "it made me feel younger, and made my orgasms last longer and feel more intensely pleasurable", or from a girlfriend of a user "our sex life has improved dramatically, he has strong orgasms and I swear he is bigger in girth and length". These statements are just examples of thousands of typical testimonials to how natural enhancement products have worked for couples and individuals. How Do These Natural Male Enhancement Supplements Work? From a biological standpoint, it has been proven that when a man is more fully aroused, he gains both length, width and girth. These supplements help a man achieve full arousal by increasing blood flow, and hence sensation, which also attributes to the sometimes dramatic change in size. Not only that, the larger surface area provides for more intense pleasure for both the man and woman, since this creates more friction. Friction is the precise mechanism by which both men AND women achieve orgasm. So it only makes sense that increased size and stamina equals increased intensity of sexual climax for both women and men. What Are the Benefits of Natural Male Enhancement Over Prescription Medications? 1.) You do not need a prescription because they are herbal in nature and not currently regulated by prescription and FDA laws. This also means you don't need to visit a doctor, and can get these types of products online discreetly shipped directly to you. 2.) Some of the common side effects of prescription sexual dysfunction or enhancement products are: headaches, flushing, stomach ache, and changes in vision. Also, these medications are to be approached with much caution since they have been linked to heart attacks. 3.) With a natural product, you can be sure you will gain additional benefits from a male enhancement product, due to the ingredients used. Many of the ingredients play dual roles in enhancing sex, as well as providing additional energy and being a natural "youth" remedy. A lot of men report having a renewed sense of vitality and having desires they may not have felt in months or even years. 4.) Cost. Currently even the cheapest online pharmacies Generic male enhancement offerings are around $160 for just 90 tablets. They can cost much more than this depending on where they are purchased. Many people shy away from online medical pharmacies due to their reputation for diluted or inactive products, so this option is not even advisable. As you can see, there are some definite benefits to choosing a natural male enhancer over a prescription one. In the end, the choice is really up to you, and there's no telling how these products can work for you until you actually try them. Decide for yourself which natural product is right for you, and you just may become another success story!