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Current research suggests that premature ejaculation is a medical disorder with a psychological as well as a physical basis. Regarding psychological explanations, this theory often look to early male sexual experiences that conditioned rapid responsiveness. A second theory asserts that the pressure to perform under heightened anxiety may be another cause. Scientific evidence indicates that increasing the amount of serotonin to the central nervous system through the use of selective serotonin reuptake inhibitors (SSRI's) appears to increase the latency or period of time from penetration to ejaculation. The amount of data related to serotonin levels in the brain suggests that premature ejaculation has an organic basis. Regarding physical explanations, part of specialists agree that there are three main causes of premature ejaculation or early release during sex act: hypersensivity of penis nerves; hyperspasticity of the pelvic muscles; weakness of prostate glands. Pharmacological treatment targets one of more from the above identified causes. The use of low dose anti-depressants including Anfronil, Clomipramine, Prozac, and Zoloft have been reported to be successful in prolonging ejaculation for many men. Levitra is now receiving increased attention from physicians as it has some good results during trials. The Food and Drug Administration is reviewing an application for Dapoxetine, a drug similar to a family of antidepressants called selective serotonin reuptake inhibitors, which was developed by Ortho-McNeil Pharmaceutical, an affiliate of Johnson & Johnson. If approved by the FDA, Dapoxetine hydrochloride would be the first prescription treatment designed specifically to treat premature ejaculation. To avoid the adverse drug side effects from such prescription medications many men is seeking natural remedies. There is now a new herbal formula - Climatrol - that provides natural serotonin precursors and nutrients to improve the speed of the chemical reaction in the brain. It allows more serotonin to be formed and available for use by the body while simultaneously delivering safe and effective herbal antidepressants. penis enlargment procedure penis enlargment result best enargement exercise penis penis enhancement operation vimax penis enlargement program free penis enhancement video compare penis enlargement pill free exercise tip for penis elargement

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Breast implants vary in several different ways: · Filling · Shape · Texture Once you have chosen to have a breast augmentation surgery, you must also decide what type of implant will suit your needs best. To help you with this decision, the plastic surgeon, like Dr. Hendricks in Newport Beach, CA, will work closely with you. Although the decision to undergo breast enhancement surgery is very personal, your plastic surgeon can provide you with much needed help when making various breast augmentation choices. “I provide high-quality, compassionate care to all my patients,” says Dr. Douglas Hendricks, “using scientifically proven, modern breast enhancement techniques, I help my patients achieve their goals of achieving youthful, healthy, vibrant appearances.” All available breast implants have at least two things in common: a shell and a filling material. Breast implant shells are made of silicone elastomer, with the exception of polypropylene implants, which are silicone free. Although you may have heard about saline and silicone breast implants, the difference between the two is the material used to fill the silicone elastomer shell. · Saline Breast Implants – are filled with a sterile saltwater solution; much like what you would receive to treat dehydration in the hospital. · Silicone Breast Implants – are pre-filled with a silicone gel. Saline breast implants are not only completely safe, but they are also the most common form of breast implant. If they were to rupture, the body has no difficulty absorbing the solution because saline breast implants contain just a sterile saltwater solution. Silicone breast implants contain a silicone gel, and they are pre-filled so that chances of allowing the silicone gel enter the body while performing the breast enhancement surgery is much lessened. Also, the incision made during breast enhancement surgery with silicone breast implants is larger; to accommodate the size of the pre filled implant. Saline breast implants can also be selected either pre-filled or filled after being placed. The incision made for breast enlargement surgery with an empty breast implant is much smaller because the breast implant is filled after the surgery is complete. Silicone breast implants are now being filled with a cohesive gel. This means that if the implant were to rupture, the gel sticks to itself, like bread dough. At the moment, saline implants are widely available, while silicone implants can only be placed through plastic surgeons participating in cohesive gel silicone breast implant surveys. Saline breast implants, however, are available in different shapes and textures. Anatomical, or contoured implants and traditional, or round, implants can both be used to give a breast augmentation surgery patient the results they are looking for. · Contoured Breast Implants – are shaped like a teardrop, and were originally developed for women who needed breast reconstruction. · Round Breast Implants – are more common, and can move freely inside the pocket made by the plastic surgeon behind the breast. Although round breast implants almost always take the shape of a teardrop after the healing process has completed, some women prefer contoured breast implants because they mimic the natural shape of the breast. Round breast implants are shaped like a globe; after they’ve been placed, they can rotate within the breast pocket created by the plastic surgeon, without distorting the shape of the breast. There are also differences in the surgeries involving round or contoured breast implants. During a breast augmentation surgery with a contoured breast implant, the plastic surgeon must make a more precise pocket for the contoured breast implant so that it does not rotate, and distort the shape of the breast, after it has been placed. Contoured breast implants are also textured so that there is less chance of rotation within the breast pocket. This means that the shell of the implant is thicker to compensate for the texture. Breast implants can also be selected on the texture of the outer shell. Textured implants were developed to decrease the chance of capsular contracture. · Textured Breast Implants – surface of the implants is marred to feel similar to sand paper; the shell is thicker to compensate for the marring. · Smooth Breast Implants – surface is smooth so that the breast implant can move freely within the pocket formed behind the breast; smooth, round, saline breast implants are the most common form of breast implant. It has still not been determined whether or not textured implants actually lessen the chance of capsular contracture or not. When deciding on your breast augmentation surgery, it is important to consider all aspects of the procedure. The breast implant is one of the most important parts of this. The breast implant is what actually provides you with the enhancement and it is placed behind your breast. Not only can its size be selected to give you the appearance you want, but also the shape, texture, and what it is filled with. penis enlargment procedure penis enlarement forum penile enlargment pills vimax cheapest penis enlargement pills pennis enlargement forum pnis enlargement surgery picture homemade pnis enlargement penis girth enlagement free penis enlagement video

Breast enlargement is an operation to increase the size of the breasts. This is usually achieved by placing an artificial implant under the skin or muscle of the chest. Breast enlargement surgery is a procedure that has become increasingly common amongst many women, and people have this surgery for a number of reasons. Many opt for breast enlargement surgery simply as a matter of personal taste. They may feel uncomfortable because they feel that their bust is too small, and in a society where a big bust line seems to be the in thing they are prepared to go the extra mile to compete. Some women opt for breast enlargement surgery because they want to go into a particular profession, such as modeling, exotic dancing, etc. and they feel that a larger bust will help. Others have breast enlargement surgery for less superficial reasons, perhaps due to differently sized breasts or to correct the breast volume after pregnancy. Reasons for breast enlargement Aesthetic or cosmetic reasons for breast enlargement include: Feeling that the breasts are simply too small or out of proportion Loss of breast volume after pregnancy Difference in size between the two breasts Breast size that has reduced after losing weight Breast enlargement is usually done under general anesthetic and may be performed as a day case, without the need for an overnight stay in hospital. It is important to remember that breast enlargement does involve surgery, and any surgery involves an element of risk. Although this procedure is performed every day and usually without problems, there are no guarantees with any type of surgery. There are risks regarding the results of the surgery for instance, the result may not be all you expected, even after paying out a large sum of money. In addition, there are more serious risks, such as infections, hardening, swelling, and scarring. cheap vig rx pill penis enlargement surgery photo truth about penis enlagement pills best penis enlarement surgery penis enlargment before and after photo penis enhancement traction device magna rx patch best penis enlargement free penis enlagement video

Penile Implants These are the most irreversible and drastic ways of achieving artificial erection. Only when all other measures have been exhausted with no longer-lasting effects are achieved is that penile implants are warranted. These are prosthetic devices made of inert silicone, which are surgically inserted into the penis. Normal erection cannot be achieved after that. There are two kinds of penile implants: Passive Implants: Two rods of silicone are inserted into the penis, which remains erect all the time. The silicone rods can be put in different angles, but this may be an embarrassment in public occasions such as swimming. Orgasm may be achieved unless there are hormonal or neural factors which impede it. Active Implants: These are inflatable silicone pouches which are also implanted into the penis. The penis remains in flaccid state until a proper manipulation of the prosthesis causes its inflation and consequent erection. One type of implant is activated by pressing the glans (the head of the penis) with one hand. Liquid is transferred from a reservoir to the main inflatable pouches. In another type, the liquid reservoir is implanted into the scrotal sac, and can be pumped by hand. Other Treatments Other surgical and non-surgical treatments for impotence are being tried in an experimental basis, and there may be a promising future for some of them. For instance, groups of physicians in Russia and Germany have been experimenting with electrical stimulation of the pelvic area using an external pad applied to the abdomen and back. There are already commercial devices using this principle, which seems to increase the blood flow in the genital area. Direct stimulation of pelvic nerves (leading to a nerve-induced erection) by using implanted electrodes and an electrical pacemaker-like device are also being considered. "Natural" or alternative methods do abound. They range from "natural" foods which have high testosterone or DHEA levels, such as green oats (marketed under the brand name of SEXATIVA) or saw palmetto; to yoga exercises to increase muscle tone and blood flow in the genital area. It is hard to say whether there are real effects or they are just the effect of suggestion or placebo phenomena. One thing has been scientifically determined, however. The blood levels of testosterone increase just after exercise, or by loosing excessive weight. Thus, a natural way of combating mild hypogonadism might be frequent exercising and keeping a normal weight. Controversial and unapproved treatments Controversial and unapproved treatments Bremelanotide The experimental drug Bremelanotide (formerly PT-141) does not act on the vascular system like the former compounds but increases sexual desire and drive in male as well as female. It is applied as a nasal spray. Bremelanotide works by activating melanocortin receptors in the brain. It is currently in Phase IIb trials. Ginseng A double-blind study appears to show evidence that ginseng is better than placebo: see the ginseng article for links and more details. Enzyte Enzyte is a product that has been advertised by saturation coverage on television channels such as Court-TV. However, the Center for Science in the Public Interest (CSPI) has filed a complaint with the Federal Trade Commission (FTC) about Enzyte for deceptive advertising. It is manufactured by Berkeley Nutritionals, which is alleged to be the subject of an investigation by the Attorney General of Ohio and the defendant in class-action lawsuits. Enzyte is a supplement that claims to increase the male libido or frequency of erections of the penis. Commercials for Enzyte are shown regularly on television. These commercials feature a man named Bob who never stops smiling, apparently because he had taken Enzyte and improved the size of his sex organs. The commercials are riddled with symbolic phallic imagery, e.g. golf clubs, remarkably tall glasses of iced tea, and a hose spraying barely a trickle of water (carried by someone who doesn't use Enzyte). The effectiveness of Enzyte is in dispute. Some medical professionals in fact advise against taking Enzyte, saying that it can lead to damage. The Center for Science in the Public Interest have urged the Federal Trade Commission to disallow further television advertising for Enzyte due to a lack of proper studies supporting claims. Enzyte maker Berkeley Premium Nutraceuticals, Inc., is currently under a class action lawsuit for false advertising. Enzyte is said to contain: Tribulus terrestris; Yohimbe Extract; Niacin; Epimedium; Avena sativa; Zinc Oxide; Maca; Muira Pauma; Ginkgo biloba; L-Arginine; Saw Palmetto. Other ingredients: gelatin, rice bran, oat fiber, magnesium stearate, silicon dioxide. Herbal and other alternative treatments These are generally ineffective when tested blind, but may be useful for their psychological (placebo) effect: if a good result is expected, any highly-praised, and often expensive, treatment can be effective. Reputable drugs can also benefit from the same effect. Uncontroversial treatments for erectile dysfunction PDE5 Inhibitors The prescription PDE5 inhibitors sildenafil (Viagra®), vardenafil (Levitra®) and tadalafil (Cialis®) are prescription drugs which are taken orally. They work by blocking the action of PDE5, which causes cGMP to degrade. cGMP causes the smooth muscle of the arteries in the penis to relax, allowing the corpus cavernosum to fill with blood. Vacuum pump An external vacuum pump will produce an engorged penis with success approaching 90%; a penis ring will maintain this state, although it should be removed after not more than 30 minutes. The erection is not as rigid or hard as a natural erection; drugs or injections, when they work, may be preferable. Various studies show the degree of satisfaction of users and their partners to be vary variable, even when drugs and injections do not work; in one study, about 20% of men who tried a (high-priced) pump decided to proceed to purchase one. Other studies show higher percentages of satisfied users. In some cases frequent use of a vacuum pump can eventually improve the degree of erection attainable without use of the pump. Claims of cheap "penis pumps" to permanently increase maximum penis size should be viewed with caution, however. Some vacuum pumps are sold at a higher price with 100% refund within 90 days to dissatisfied users, with a somewhat lower price with 50% refund guarantee (Osbon Erecaid, [7]). This pump is supported by medical insurance schemes, including the UK's NHS and US Medicare and private insurers. The better-known pumps sell for prices of around 200 GBP/400 USD (2006). There is at least one vacuum pump with rings which sells for around one-fifth of this price (Noogleberry, [8]). Specific devices are mentioned for information only; mention should not be taken as endorsement. vimax penis enlargement video pennis enlargement surgery picture manual penis enlargement exercise vimax best penis enlargement surgery penis enlargement surgeries vig rx pill penis enargement testimonials penis enlarement before and after photo free penis enlagement video

Is this an all too familiar scenario? Hot and heavy loving with hungry kisses and tender caresses that promise orgasmic bliss for both you and your eager partner when all of a sudden you're one thrust past the edge, the dam bursts and it's over. You're finished, "spent" and ready for sleep. She's still waiting for more, perhaps wistfully contemplating a purchase of that acrylic vibrating dildo her friend has been raving about. Well, you're not alone in this too-quick-for-her-climax intercourse. The "average" man makes about 50 thrusts before he ejaculates. For most women it takes approximately 10 minutes of active intercourse to reach orgasm. Even the most optimistic lover can see these numbers just don't add up! But don't roll over and nod off yet, there are some simple things you can do to bring your partner and you much closer together. These male/female discrepancies in timing are part physiological and part habit. Physically men's and women's arousal rates vary widely, but for the most part women become fully turned on much more slowly than men. So a great way to make sure you're both happy with your love life is to include lots of foreplay. Help her reach orgasm with your fingers, tongue, and lips before you even start to have intercourse. Secondly, most men's experience with sex starts out as rather furtive masturbation, a quick release in the bathroom or under the bedcovers before someone can see what's going on. Then onto early sexual experiences with a girlfriend in back seats of cars or in a basement rec room, again in a hurry, before she changes her mind or her parents come along to change it for her. Now when you have the time and space for long lovemaking good old John Thomas is still back in the "I've gotta come now" days, and he's not going to slow down just because you tell him to. That's like asking a guy who's trained as a sprint champ to bring home a gold in the 5000 meter instead. He may well be able to make the shift but he's going to need coaching. You can train him with your mind, your muscles and your breath or a combination of all three. It's not entirely up to you either, your loving partner can assist, after all it's for her benefit as well! The first step is to become aware of your own levels of arousal. Experiment, take your time and give yourself a very real self-loving exploration, not just a quick masturbatory release. Notice how your penis moves through distinct changes before orgasm and ejaculation, he's not just soft and then hard and spewing. There are four defined stages of erection: lengthening and filling; swelling; full erection; rigid erection. The fourth stage, rigid erection, characterized by a penis that's very stiff (a boner) and very hot, signifies ejaculation is close at hand. Through attentive self-arousal and the playful hands of your sweetheart you can learn how to stay for longer periods of time in the exciting, but less explosive, third stage of firm erection. When you feel yourself moving into the hard, hot level stop stimulation, relax and pay attention to your breathing. Breathe slowly and deeply. The Power of Breath Conscious breathing is a key for extended lovemaking. Rapid breathing excites and arouses you. Slow, controlled breathing, way down into your belly, calms you and helps delay ejaculation. Focusing on your breath takes your attention away from your genitals. Synchronizing your breathing rhythm with your partner's strengthens your connection with each other. Adding sound to your breathing can also help you ride the edge of pleasure. As you exhale send out a deep lion roar. Feel the sound come from your scrotum, up through your belly and lungs and out your mouth as a powerful release of the orgasmic tension building inside you. You can use some of the following "muscle techniques" to postpone ejaculation as well. PC (pubococcygeous) Muscle Contraction This is simply squeezing your pelvic floor muscles, around the scrotum, penis and anus as you feel ejaculation approaching. An easy way to practice this is to interrupt your urine stream when you are going to the bathroom. Perineum Pressure Pressing on the perineum, a spot midway between your scrotum and your anus, will help to stop ejaculation because this spot reaches through to the prostate gland. It is the prostate that contracts and expands during orgasm and then expels the ejaculation fluid. Ask your partner to apply this loving pressure for you. Testes Tug When a man nears orgasm his scrotum rises up closer to his body. You can delay ejaculation by gently pulling your testes down and away from your body. Your partner can also do this for you. Penis Tip Squeeze Squeezing your penis just below the head or glans can help to stop oncoming ejaculation. It necessitates withdrawing completely from your partner during intercourse, but is an excellent way to begin practice on your own with masturbation. Passion Pump This technique, which combines squeezing the PC muscles, rolling your eyes upward, touching your tongue to the roof of your mouth, and visualizing your sexual energy flowing up through your body while you practice controlled deep breathing is one of the most effective ways of delaying ejaculation. It's a Taoist sexual kung fu technique that has the added benefit of helping you circulate your sexual energy through your body rather than having it remain hot and heavy in your genital region. Special Tip It is easier to delay ejaculation by focusing on moving your sex energy through your body rather than focusing on not ejaculating. Stopping movement, relaxing a little and breathing deeply and slowly will all aid with this practice. The Importance of the Prostate Gland When you practice delaying ejaculation it is very important to massage the prostate gland, so that it doesn't become sore. You can do this by pressing on the perineum. The prostate can be felt as a bumpy walnut shape beneath your fingers. Especially delightful is massaging in circular motions, first clockwise and then counterclockwise, with a piece of folded silk on the perineum spot. Thrusting Technique A superb thrusting technique that brings great pleasure to a woman and helps a man to last is a combination of deep and shallow thrusts. By shallow thrusts we mean your penis only enters 11/2 to 2 inches inside your partner. These first couple of inches are the most sensitive part of a woman's vagina. Deep thrusts mean your penis enters as fully as you can. In this technique you combine a series of nine fairly quick shallow thrusts with one slow deep one. The shallow thrusts stimulate your partner's most sensitive vaginal tissues and at the same time create a vacuum effect that makes her ache for the deep thrust to come. And because most of your thrusts are shallow ones, exciting only the first few inches of your penis, you're able to rock on for much longer! Mind over Muscle Practicing squeezing your PC muscles will enable you to gradually become so familiar with your genitals, that you will be able to discern each separate muscle group and contract/relax them at will. At first you will tighten your genitals and everything will contract at once. Later you will be able to contract your anal muscles without moving your penis or scrotum, or pull up your scrotum while your anus and penis remain relaxed, or bob your penis up and down while nothing else moves. Eventually just a thought will relax everything, especially your smooth genital muscles, sending your hot sexual energy shooting through your body, not out the end of your penis, but instead into your partner through eye contact, intercourse, or touching. Smooth muscles are internal muscles over which you normally have no conscious control. You may not have been aware that you have smooth muscles. They're muscles like your heart muscle, the muscles that push your food through your digestive tract and the muscles that push the sperm and semen out the end of your penis. Becoming aware of your smooth muscles and eventually gaining enough mastery to be able to consciously keep them relaxed will enable blood to flow into the penis, maintaining an erection almost indefinitely - certainly long enough to satisfy the most demanding partner, through and through. Gaining control over the smooth muscles in your genitals is the key to maintaining your peak sexual arousal for long periods of time -- even long enough to experience whole body orgasms, rather than simply genital orgasms. In a whole body orgasm your entire body becomes an exquisite erogenous zone, much like your genitals always are. You can actually reach orgasm when your lover is rubbing your chest, or sucking on your toes and fingers, or nibbling your ears and throat. The magical key to opening the doorway into multiple whole body orgasms is relaxation of your smooth muscles, no matter how aroused, excited, or turned on you are. Train your mind to think of something other than ejaculation. Thinking "I don't want to ejaculate" is still thinking about ejaculation. You must have something else to focus your attention. We don't recommend reciting sports stats or in any way diverting your attention from lovemaking. It is essential that you be fully present from moment to moment. But instead of thinking about ejaculation, or worrying about ejaculating too quickly, we suggest you think about pleasing your partner. Learn to take pleasure for yourself in the pleasing of your partner. Notice how she reacts when your tongue is exploring around her clitoris, but also notice how her clitoris feels on your tongue. Notice how she enjoys when you suck on her nipples, but also notice how her breasts feel pressed against your face. Notice how she moans when you gently run your fingers up the inside of her thighs, but also notice how her skin feels so soft and warm against your fingers. With your attention fully engaged in this way - on your partner, your breath, your genital muscles -- you are going to last a long time. As your lovemaking goes on, and on, and on... perhaps for hours, the energy within you and between you and your lover will accumulate to such an intense level that you may spontaneously experience the opening of your higher "spiritual" centres. With this opening comes an experience of ecstasy, bliss, joy, and wonder. This is where mastery of ejaculation can lead you and your satisfied partner.