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Before we get into discussing Cialis and other erectile dysfunction medications. Lets discuss what erectile dysfunction (ED) is. When a man can't get an erection to have sex or can't keep an erection long enough to finish having sex, it's called erectile dysfunction. Complete erectile dysfunction is known as impotence. Erectile dysfunction can occur at any age, but is more common in men age 65 and order.
There are many way to treat erectile dysfunction. These treatments include Oral medications (ie. Viagra (Sildenafil), Cialis (Tadalafil), and Levitra (Vardenafil). As well as injection therapy, muse intra-urethral therapy, hormone replacement therapy, surgical implants, vacuum pump, vascular surgery, and psychological counseling.
One of the most popular treatments available is oral medication. The big three available for treating erectile dysfunction are Viagra (Sildenafil), Cialis (Tadalafil) and Levitra (Vardenafil). The first to be approved by the FDA was Viagra, in 1998. Levitra and Cialis soon followed and were approved in 2003. Since their inception, millions of prescriptions have been written for these (ED) medications.
Viagra, Levitra, and Cialis are chemically known as phosphodiesterase Type 5 (PDE5) inhibitors. These three medications perform in a similar fashion. They do not cause an immediate erection, but they due allow an erection to occur when there is sexual stimulation. This erection occurs when the chemical inhibitors block the chemical in the penis that normally causes an erection to subside. This increases the amount of blood to the penis, which causes the penis to become erect and stay erect.
Viagra has shown to be an effective treatment for ED, with approximately 70% of Viagra patients reporting a positive response. Although Levitra and Cialis have only been on the market since 2003, they are also showing success rates like those of Viagra. While these medications have many of the same characteristics, they also have differences.
The variables are dosage, duration of effectiveness and possible side effects. For example, Viagra and Levitra both start working after about 30 minutes. With Viagra, the effects last for about 4 hours. On the other hand, the effects of Levitra last for around 5 hours. Cialis is supposed to be the fastest acting of the three, with effects taking place within 15 minutes and lasting for up to 36 hours. Individuals who test all three medications often come to different conclusions about which drug works better for them. At the present there has been no study comparing these three medications. And since Viagra, Cialis, and Levitra work in the same way, it’s very probable that if you have failed with one, you will most likely fail with the other.
Although Viagra, Levitra and Cialis have been beneficial for many men, some men should not use these drugs, due to interactions with other drug prescriptions and other health conditions. Men who have suffered a heart attack, stroke, or life-threatening heart rhythm in the last six months should not use these medications. As these drugs can cause dangerous reactions with other drugs, they should not be taken with nitrate medications, alpha-blocking medications, or with the drug Amyl nitrate.
There are also possible side effects when using Viagra, Levitra, or Cialis, including rash, headaches, facial flushing, nasal congestion, painful erection, chest pain, indigestion and visual disturbances. Before taking any medication, always consult your physician about possible side effects and any possible health and drug interactions.
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Alright guys, I decided to let you in on a little preview of what Penis enlargement ( PE ) is all about. I'm going to give you the basic routine that most people do in their first month of PE. I'm pretty sure that you'll be positively surprised at the results and will want to continue or get into the more advanced routines.
Alright well first off, the most important thing to remember is that consistency is key. It's THE MOST important thing to successful PE. You have to be dedicated to the task at hand ( no pun intended ). I've done it both ways, being constant & NOT being constant. Let me tell you, I tell everyone now how much of a difference it makes. Truthfully, when I wasn't consistant, I was more prone to injury, & I lacked gains. But since I've restarted, I haven't missed a day of my preset "pe" days, and it shows.
Most people preach the 3 on 1 off 2 on 1 off. Wich means, you do PE for 3 days then take a day off, then you do 2 days on and another day off. But personally, I went with another type of routine. My routine is more like this: Monday, Tuesday, Thursday, Friday are my "on" days. Wednesday, and the weekend I don't do anything. It's been working great for me. You shouldn't workout everyday, since your penis needs to rebuild itself to get bigger. Not giving it enough time to rebuild itself is just like taking a step forward and two steps back. It'll hurt your results. So even though your in a hurry to make those gains, stick to the days your put as your "on" days and ONLY those days.
Alright, now for the first technique. It's called the PC flex. It's probably one of the more helpfull exercises in PE since it's the exercise that gives you those rock-hard erections. These exercises train, well, your PC muscle. What muscle is that? Well have you ever stopped been peeing and stopped so you could hear what your drunk friend was saying outside the door, or just stopped peing in the middle of the act? Well the PC was responsible for that. So do what you did to stop your flow, come on, do it now...You should feel a squeeze from under your package and in front of your anus. That's where the PC is, and you just basically did a PC flex! Now how easy was that?! So now, since your just starting, your PC needs to become stronger, and we do that one step at a time.
Alright, here's what you do: Do these flexes for 5 min during your first week. You can do them whenever, wherever you like. I do them sitting at work in front of my computer. You don't need to have a hard-on to do these. After that first week, raise it to 10min; 3rd week, 20 min & 4th week, 30 min. From now on you don't need to add any more minutes. Always do 30min from now on. I used to do them for an hour, but I developped back pains, but now, no pain, all gain. Only do PC flexes on your on days, it also needs rest to become stronger. In no time, you'll have hard as hell erections, and you could learn to control your ejaculations. Wich is something for another article all-together. Doing ONLY this exercise could give you gains in your girth from the increased bloodflow. Not alot tough, since you need to do other exercises to stretch to allow more blood in and create more places for blood to go in.
The second exercise is the basis of all the lenght exercises, the Long Schlong. This is pretty easy to do. Just grab your penis under the head with an ok grip. An ok grip is just making an "O" with your thumb and index finger. So do that and stretch in front of you and hold it there for 15 secs. After that massage. Now repeat this for every direction: Up,Down,Left,Right,Straight out. Make sure you massage in between every rep. Do 4 sets in all directions. Don't pull too hard until you feel pain though, you should only pull until you feel a good stretch. We don't want you to go injuring your favorite member now do we? Oh and if your having a hard time getting a good grip on your soldier, I use toilet paper. If you can find something softer wich still gives you a good grip, then go for it. I've even heard of people using boxers. Even though I can't see how well that can work... You may start to get an erection since it's your first time. It can be annoying, but don't sweat it, it's happenned to EVERYONE. Just give it time and that'll go away.
Next up, the basis of all PE, the Jelq. This is mainly go girth, you'll be using this pretty much throughout your PE journey.
For this exercise you should use lubrication. Preferably water based. Baby oil is a popular choice. I myself use Stives moisturizer but might switch to baby oil after my supply runs out. You'll be using lubrication for most of your girth work, so you should get some before you start. And Baby oil doesn't look as bad as buying Vaseline wich is part of alot of jokes. You should always do your girth exercises after your stretching exercises for this reason, since you'll probably have a hard time grabbing your head and getting a good grip if it's lubricated. Now, for the exercise, first off, get yourself an 80% erection. I usually know I'm at around 80% when I'm hard but I can still bend it pretty easily. Once you've got that taken care of, make an ok grip at the base and slide it up towards the head. This should take about 2-3 secs. Make sure your pushing the blood and not just the skin. Now when your up at the head, switch hands and start again. Do 25 of these in your first week. Then, each week, add another set of 25. Continue like this until you reach 200 jelqs, wich should be around the end of your second month. Remember to always massage after each set. This'll help prevent injury.
The last important thing to talk about is the Warm up and Warm down. For the warm up, before you start the Long Schlong, take a hot towel and wrap it on your penis for about 3 mins. It's that simple. For the warm down, you can either do the warm towel again, or you can do what I do and take a bath or a shower. They all work. Some have developped fancier ways to warm up. But I'm a fan of the KISS way of fàdoing things: Keep It Simple Stupid.
And there you go! Those are the basic exercises that most people do in their first month of Penis enlargement. Now go start so you can marvel at the effects of these techniques.
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Women's capacity for orgasm is awesome. They can come over and over again, and still be ready for more! This capacity seems almost limitless. They can experience clitoral orgasms, g-spot orgasms, vaginal orgasms, ejaculatory orgasms, blended orgasms, and not only one but multiples of any of these! They've even been blessed with a body part, the clitoris, whose only purpose is sexual pleasure. This may all seem a bit unfair to men who typically reach a precipice, fall over the edge, roll over and go to sleep!
Why is it then that so many women are frustrated rather than satisfied? Why is it that for so many loving couples, the female orgasm remains an elusive dream; one in which she's perhaps become resigned to sex that's pleasurable but not truly satisfying, or even worse, faking it to salvage her partner's ego. If it is really bad perhaps she fakes orgasm just to get the sexual ordeal over with! Or he sadly wonders: What's wrong with me? Why can't I make her come despite stiff fingers and aching tongue? His sexual self-esteem is wounded, and he secretly feels less of a man believing he has failed her.
The first step on the path to freeing a woman's orgasm is for both men and women to understand that men do not give women orgasms. Women allow themselves to have orgasms. Despite popular belief, no matter how good a lover you may be, unless your partner can give herself up to the pleasures of her body, she won't have orgasms. This realization alone can open the door to women becoming orgasmic. It takes the pressure to "perform" off of men, and it frees women to take responsibility for their own sexual fulfillment.
This is very important. If your woman is blaming you, and you may also be blaming yourself for her not having orgasms, it is quite possible, even likely, that you are both looking in the wrong place to solve the problem. Mind you, an unskilled, selfish, or insensitive male lover can be a real problem, and at the very least is certainly a dull bore. And to say that a woman is responsible for her own sexual fulfillment does not mean you revert to a slam-bam-thank-you-ma'am approach to sex and let her fend for herself. After all, the more skilled and attentive a lover is the more pleasure he himself receives, and although you can't give her an orgasm you certainly can help her to have one, or even lots of them. So even though it's not entirely up to you, there is something you can do to help.
The biggest barrier to orgasm for women is mental distraction - thoughts that float into her mind, catching her in her head, and taking her away from what's going on in her body. As soon as she starts thinking, she is out of the moment and will lose touch with her senses and her pleasure. Some of these thoughts may trigger feelings of shame or guilt about experiencing sexual pleasure, for no matter how liberated our attitudes toward sex seem to have become, there yet exists the perception that "good" girls don't! Even today women are divided into categories of "virgin" or "whore". Those who engage lustily in the delights of the body are somehow morally questionable. You can help your delectable partner move beyond these pleasure stifling attitudes by letting her know how much you respect, admire and cherish her fully female sensual self. Tell her often, especially when you're making love, that it thoroughly turns you on to see her let loose the passionate side of her nature.
This is not always easy for men to do. They may have internalized an unconscious conditioning that leads them to accept the rather misogynist belief that women can't be good and pure, and also be fantastic lovers. If they believe this, they are placing themselves in a very unfortunate situation. This belief system inevitably leads to the man selecting one woman for a partner, spouse and mother, and a different partner for an affair or mistress. Adultery is about the only option left to a man who holds such a belief system. The resulting deceit and lying force a separation between the couple and the relationship ends soon enough, for example in breaking up or divorce. In this scenario, the man is at fault and the solution does lie with him. Only a change in his beliefs will solve this problem.
Sexual abuse is a horror and curse that is unbelievably common in our society. Women that have been sexually abused often have great difficulty in allowing themselves to trust their lover, let go into the sensual moment, and surrender to sexual ecstasy. If your lady is having difficulty experiencing orgasm; if you are a reasonably skilled lover; and if you have communicated to her that you honestly wish her to fully awaken as a sexual partner, then the problem could be some psychological damage from sexual abuse. Ask her about this with the greatest tenderness and caring that you are capable of. Be aware that many women actually blame themselves for their own sexual abuse, so this can be the touchiest of all possible subjects for discussion. If sexual abuse is an issue, it is advisable to encourage her to seek professional counseling or some other form of help.
Besides worrying about whether they are "bad" if they really enjoy and want sex "a lot", many women worry about enjoying sex the right way. They worry about how they look, smell and taste. They worry that the cellulite in their upper thighs or the slight bulge of tummy fat may quiver unattractively. They worry about being "clean down there". They worry about how long it takes to reach climax, how much time their man has to spend stroking, licking, and caressing to help them fly over the mountain. All of these thoughts take them out of lovemaking. To help her stay in the pleasures of her body tell her with words and sounds and looks that you adore her, you love to devour her with your tongue, you could keep on touching her forever, it's a delight to you to give her pleasure. And mean it, because if you haven't learned how to enjoy pleasuring your partner, pretty soon you won't have one!
Once she's able to relax into the joys of lovemaking and focus on the exquisite sensations her body can feel rather than listening to the demon distractors her mind can conjure up, a woman's path to orgasm is much clearer. With particular loving skills of your own you can assist her to break that path wide open.
Most men enjoy having their genitals touched at any time, whether they're sexually aroused or not. This isn't usually the case with women. Think of the vagina as a "potential" opening, a magical door that will happily open wide to receive you, but only after you've called ahead to ensure your welcome. Be certain she's eager for your genital explorations by focusing loving attention on other parts of her body first - lots of kissing, neck nuzzling, tender strokes on back, shoulders and arms, then adoring caresses of her breasts. Only after you sense she's ready, through signs like rapid breathing, flushed skin, hardened nipples or enticing moans should you move to her vagina. Once your hand or mouth is at her sweet honey pot begin to explore it from the outside inward - outer lips, clitoris, inner lips, vaginal canal.
Generally women reach orgasm most easily through clitoral stimulation. The clitoris is extremely sensitive to touch of all kinds. Often the head of the clitoris, the pointed tip, is too sensitive for much direct pressure, so focus your attention on the sides. Touch around the clitoris instead of right on it, at least until her level of excitement increases. The skin tissue of your fingers is not nearly as sensitive as the tissue around her clitoris. But the tissue of your mouth and tongue is an almost perfect match in sensitivity. Unless you are more highly skilled in using your fingers, it is a much safer way to start by using your mouth for oral stimulation of the clitoris. Experiment with different pressures, strokes and speeds. Ask her which ones she likes best. A good way to do this is to try two different touches, then ask her if she likes "a" or "b" better.
If she's willing, invite her to masturbate for you so you can learn exactly how she likes to be touched. Many women are shy to do this at first but with some gentle encouragement she may really show her wanton self. It can be a great turn-on for both of you. Many men are actually quite frightened by a woman who is fully sexually awakened. They may doubt their own ability as a man to keep up, or to be able to perform adequately. They may fear that if she is too much woman sexually for him, that she may go elsewhere and find what she wants. It may help you to overcome this fear if you remember that you are not responsible for giving your lady sexual satisfaction. She must do that for herself. But if this fear is very strong, you may seek counseling help to deal with it.
When you do find a particular stroke or caress that is really driving her wild, keep doing it and keep doing it and keep doing it. Don't change anything about it. Don't go faster, slower, softer, harder, or switch direction. Keep doing exactly the same thing until she lets you know she wants a change either through words or body movement. This holds true whether you're pleasuring her clitorally or vaginally with your fingers or your mouth. Keep going even if your hands or mouth get really tired!
It's a good idea to wait until she is very aroused before entering her vagina either with your fingers or your penis. Generally if she's not wet, she's not ready. It's as simple as that. If your lover doesn't have a lot of natural vaginal juices even when she is fully aroused be sure to use a good silicone or water-based lubricant. Nothing can be a quicker turn-off than rough, dry skin rubbing on soft vaginal tissues. Water-based or silicone lubricant is better because oil can clog the sensitive vaginal tissue.
The most sensitive part of a woman's vaginal canal is the first inch to two inches. It's here that most of the nerve endings are located, so when you first enter her concentrate most of your attention there. The elusive g-spot can usually be found in this general area, on the top of the vaginal wall, a couple of inches in. Imagine a glass lying on the floor. If you reach your first two fingers into the glass at the top, i.e., toward the ceiling rather than the bottom towards the floor, you should find it. It is difficult to reach the g-spot through intercourse, so you will find it much easier with you fingers than with your penis. There are also some interesting dildos and vibrators with just the right shape to reach the G-spot. Move your index finger or your first two fingers in a "come hither" motion (as if you were asking someone from across the room to come over to where you are) and gently stroke her. When you touch her g-spot you may notice a more bumpy or raised area of skin, but you may not. The best way to know you've found this highly intense love spot is by her reaction. Where you look is not quite as important as when you look. Unless she is excited through and through, perhaps from a clitoral orgasm beforehand, it can be difficult to find the g-spot.
Stimulation of the g-spot can produce extraordinarily intense orgasms. As a woman is approaching a g-spot orgasm she may feel she has to urinate. This may immediately cause her to tighten up, stop, and pull back from the edge of bliss. If she can stay relaxed and keep going through that "have-to-pee" sensation it will pass and move on into deep waves of sexual delight. The woman should urinate before intercourse begins, so she can be more confident that the feeling that she has to urinate is a misleading feeling and can be safely ignored.
For most women it is difficult to reach a climax through intercourse alone. This is because the sensitive clitoris isn't easily stimulated just by thrusting motions; the g-spot is difficult to reach with even a fully erect penis; and because often the male partner goes over the edge into ejaculatory orgasm before the woman has had enough action to bring her to the heights. If you touch her clitoris before and during intercourse, and if you've pleasured her vaginally by touching the g-spot with your fingers, the chances are much better that she will have a deep vaginal orgasm while your penis is inside her.
Learn the strokes that turn her on. Tell her how fabulous it is that she's sensual and sexual. Let her know you adore her body and love to touch and kiss it for hours. Help her forget about trying to make orgasm happen and focus instead on thoroughly enjoying every moment of lovemaking. If you awaken your multi-orgasmic woman you are going to like it!
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Erectile dysfunction is not new, although decades ago not many men admitted suffering from it. Erectile dysfunction affects all ages but is also treatable despite age.
There are several causes of erectile dysfunction, and as a result of this the available treatments are also different.
Psychotherapy is a very powerful treatment because often, erectile dysfunction is not due to a medical condition, but is the result of emotional stress. In psychotherapy the role and the attitude of the partner is very important.
Modern men take pills for everything, and erectile dysfunction is no exception. In addition to the famous Viagra (approved by the Food and Drug Administration in 1998), which was the first oral medication for erectile dysfunction, there are other popular drugs that act similarly to Viagra (Sildenafil) – for instance, Cialis (Tadalafil) and Vardenafil (Levitra) also stimulate the flow of blood to the penis, thus making it easier to get an erection when there is sexual stimulation.
But before resorting to erectile dysfunction drugs, consult your doctor because there are cases (for instance a recent heart attack) when you should not even think about them. In the rare cases where the reason for erectile dysfunction is testosterone deficiency, hormone replacement therapy might be enough.
Mechanical vacuum devices create a partial vacuum, which causes the blood to flow to the penis. After an erection is achieved, a special elastic band, which is attached at the base of the penis, prevents the blood from flowing back to the body. This technique delivers a long-lasting erection to make an intercourse possible.
Vascular surgery and penile implants are the “heavy artillery” of erectile dysfunction treatment. In addition to being much more expensive, these methods of treatment are riskier, and are resorted to only when the other methods are not giving results. But it is likely that for lighter forms of erectile dysfunction there will be no need to go that far.
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Vitamins are essential for the growth and development of the human body. Vitamins are found in natural foods. A good diet virtually ensures an abundant supply of vitamins. Sometimes due to certain medical conditions, the body is deprived of certain vitamins, leading to a deficiency.
Vitamin A deficiency is a common disease in poorer parts of the world and causes night blindness. Vitamin A is found in fish, liver and green vegetables. Failure to consume sufficient quantities of meat, milk or milk products leads to a deficiency in Vitamin B12. This deficiency causes megaloblastic anemia and, if severe enough, can result in irreversible damage to the nerves, liver and intestinal tract. A person can experience hallucinations, memory loss, eye disorders and anemia.
Vitamin C, found in green vegetables, berries and citrus fruits, helps prevent infection, enhances immunology and can help prevent cancer. A lack of Vitamin C can cause anemia, bleeding gums, muscle degeneration and blood clots. A deficiency in Vitamin D affects the bones, heart, kidneys and the thyroid gland. Common symptoms are irregular heartbeat, Osteoporosis and brittle and fragile bones. Vitamin D also enhances the immune system.
Vitamin E is found in vegetable oils, whole grains, spinach and milk. A deficiency may cause an enlargement of the prostate gland, gastrointestinal disease, impotency and decreased circulation. Vitamin E helps prevent cancer and cardiovascular diseases. Vitamin K plays an important role in the formation of bones and blood clotting. It also converts glucose into glycogen for storage in the liver. A lack of Vitamin K leads to a low platelet count and poor blood clotting.
Folic acid is essential for the formation of red blood cells and is vital for normal growth and development. Folic acid is found in beans, beef, barley and chicken, amongst others. A deficiency of folic acid causes depression, anxiety and birth defects in pregnant women.
Vitamin deficiency can treated by recommending dietary regulations, oral supplements, or by injections. Oral supplements are useful for those unable to consume food rich in vitamins. Injections are useful for persons with diseases that prevent absorption of fat-soluble vitamins.
