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The debate in many towns continues throughout this country about who should hold the responsibility of educating young people about sex and sexuality. On one side of the spectrum there are those who believe that parents and only parents should be teaching such sensitive and value-fill information to kids. On the other side, there are those who say that not enough education is being done in the home and that the schools need to step up and do the right thing by kids. To further the debate and increase its complexity is the question about what exactly kids need to know and when. President Bush has issued his own view on the matter by granting government funding for those schools and programs that provide “abstinent only” education, meaning that there is no discussion about anything but abstaining from sex until marriage. Many people believe, and most research proves, that this message severely short changes children and could potentially set them up for making bad and or even life threatening decisions. Many parents that I talk to believe in comprehensive education (talking about all aspects of sex and sexuality including abstinence), and are always comforted to hear that research is firm in showing that kids want to hear it from their parents and often make better choices when they have had those parental conversations. But…..parents as sex educators…. This prospect for some is almost as frightening as the concept of kids having sex. Take it from me; it doesn’t have to be frightening. There is so much information available that anyone, even parents, can do a great job. There are just a few things to keep in mind in order to be successful. A. Be honest and open. The rule is that if a kid asks a question, he got the idea from somewhere and needs to have an age appropriate response. Ignoring the question or telling a child that he/she shouldn’t be asking about such things sends the message that certain questions are off limits and they will take those questions elsewhere, school friends for example, who don’t always have the correct answers or have the family values that you would want articulated in mind. Keep in mind the "age appropriate" part of this tip. As parents we don't want our kids to know to much to soon, but developmentally, they may be more advanced and ready to hear more than you think. If you aren't sure, look it up. B. It is ok to share your values and morals and what you expect for your family. I think that often parents feel like they can’t express their own expectations for their children when they educate about sexuality. You can talk about methods of pregnancy and disease prevention at the same time that you are talking about abstinence and relationship building. One is not exclusive of the other. C. It is also ok to set limits and boundaries where you need. Talking about a penis in the middle of the grocery store is not appropriate. Those types of situations can easily be handled by telling a child that his or her question is valid and important, but would be much better dealt with at home. The thing to remember here is that you must go back to your child with the question when you said you would. Thinking that your child will just forget and you’ll be off the hook does nothing for your credibility. And trust me, your kids will not forget, they will just remind you that you forgot when it suits their needs. D. Often times a parent will get a question about a topic or a situation that they are not comfortable with or have very little information about. It is critical for parents to know and believe that they do not have to be experts in sex education. They must be able to, however, know their limits and know where to get the resources they need to refer their children for the right answers. It is also ok to admit to your child that you aren’t the best person to talk about this topic, but that you know the person who is. E. As difficult as it may be, it is also important to completely understand what your child is asking and why he/she is asking the question. I heard a story once that a little girl asked her Dad what secs was. Hearing this, Dad automatically assumed that she was asking about sex and went into his whole birds and bees lecture. When he was finished he asked his daughter why she had asked the question. The young daughter stated that mom said that dinner would be done in a couple of secs. She just wanted to know what that meant. Clarifying the question is vital to making sure that you are answering their questions thoroughly and completely. F. Bone up on your own education. It is not enough that your children know about the latest method of birth control, you should also know. Know what it is that kids are talking about and thinking about when it comes to sexuality. Go to teen websites, read teen magazines, have conversations with your kids. The more information you have the better you can educate your kids. G. Take advantage of teachable moments. Kids won’t always want to talk to their parents. Especially if you haven’t set up your home environment this way. So you may have to bring up a subject out of the blue. Use situations that you see on television shows or articles that you have read to get kids opinions. Ask them what they think. Share with them what you think and why. For example, you are watching the latest episode of The Bachelor. Ask you child how they feel about having intimate relationships with so many people in such a short time. Discuss the messages that you think the show sends, find out what messages your child is receiving. How do they feel about group dates? Anything to open up those lines of communication. So, what do you do when the big day comes and your child asks you a tough question? You can start by using the C.A.L.M. method of answering. C- Clarify the question. Ask the child why the question is being asked. Where did the topic come up? What does the child know about the topic or what does he/she think the answers are. This will definitely make sure that you are staying on the right track. A- Answer the question basically. I like to think about building blocks when answering tough questions. You start with the most basic answer and then build on that answering from the next level and so on. Try to avoid the tendency to lecture. Kids, especially young ones, rarely listen to a long explanation; they only are listening for they think they want to hear. This could become problematic in that kids will not hear the correct answer or they will interpret incorrectly what you have said. L- Listen to your child response. By answering basically you allow your child to let you know if he/she got the complete answer they were looking for. If they ask you another question, you know you need to go to the next building block. Don’t forget to watch for body language too. Some children may not have the words to ask more questions. But you know your child and you will know when his body language shows that he isn’t clear or in completion with your answer. M- Motivate your child to continue to feel comfortable to ask more questions. Letting kids know that you are a safe person to come back to and that you will continue to answer their questions will keep them doing so. We all want to do what is best for our kids, and for most of us, their safety is priority one. 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Human herpes virus is of eight types of which the two types are Herpes simplex virus 1 (HHV 1) & Herpes simplex virus 2 (HHV 2) Herpes labialis or cold sores involving the lips, and gingivostomatitis or the inflammation of the gums and oral cavity, oropharyngeal, cutaneous, and ocular lesions in the form of keratoconjunctivitis are produced by the (HSV-1) while (HSV-2) is known to cause genital herpes. Herpes simplex virus (HSV) in Males and Females. In males, balanoposthitis or inflammation of the glans penis is common whereas in females, vulvovaginitis is seen. However, each of viral types is capable of producing any of the manifestations. Effects of Herpes Simplex Virus 1 (HSV 1). HSV-1 mostly remains dormant within the trigeminal ganglion and has an affinity for the mucocutaneous junctions. Any drop in the immunity of the individual leads to recurrent herpes labialis. The eyes may get infected in the form of herpetic keratoconjunctivitis and the nailbed can get affected as herpetic whitlow. Effects of Herpes Simplex Virus 2 (HSV 2) The HSV-2 herpes virus is more virulent and tends to remain dormant in the sacral ganglia. It can also produce aseptic meningitis and neuralgias along the genitocrural, sciatic and obturator nerves due to radiculomyelopathy. The pain radiates from the hip downwards and forwards to the upper thighs and groins. In very severe cases and in immunocompromised individuals, the infection can produce encephalitis or hepatitis and eventually the patient can succumb to these pathologies. Other Effects of Herpes Simplex Virus This virus has been linked to cervical cancers too. In people indulging in anal sex, the anorectal region is also involved. The virus can be transmitted to the infant during delivery if the mother is having outbreaks at that time. Hence, in such cases, the caesarian section is usually adopted to prevent the spread of the infection from the mother to her baby. Herpes genital (HG) is a very common cause of genital ulceration. The vesicles [fluid filled eruptions] are inside the epidermis of the skin. Reticular degeneration of the epidermal cells with acantholysis can be seen on histopathological examination. The herpes viruses are known to produce cellular changes that cause infiltration of typical multinucleate giant cells within the lesions. Signs and symptoms of herpes simplex virus Primary genital herpes (PGH) The first attack of herpes genitalis is pretty violent, following which the virus remains dormant within the neuronal cells of the dorsal root ganglion and then gives rise to recurrent lesions but milder in intensity as compared to the primary attack. Primary genital herpes or PGH infection may have an incubation period of upto a fortnight after exposure to the virus through unprotected sexual intercourse with an infected partner. The manifestations are usually symptoms such as painful, itching, or burning vesicular i.e. fluid filled eruptions which may coalesce and then break open to form circumscribed ulcers. There may be concomitant fever with headache, malaise, lymphadenopathy, and dysuria. Remisssion takes place within a month and the lesions subside. Recurrent genital herpes (RGH) In the case of Recurrent genital herpes or RGH, constitutional signs and symptoms are seldom seen and the intensity and duration of progress is lesser than the primary attack. The vesicular eruptions are usually preceded by burning or tingling in the affected areas; however, the area involved is again lesser as compared to the primary lesions. On an average, a person can have outbreaks almost every two months but the remission time is about a week. The factors that tend to trigger the relapses are found to be stress, exertion, heat, hormonal fluctuations, other infections which tend to drop the immunity, etc. In our next article we are going to throw some light on the remedies and treatment of Herpes Simplex Virus. penis enargement pills product medical penis enlargment free exercise tip for penile enlargement best penis enlarement pnis enlargement herb pnis enlargement forum manual penis elargement exercise male pennis enlargement com enlarement penis penis pump
It is not uncommon to notice unusual visual symptoms at night after LASIK. Patients often report symptoms of haloes, glare, or a general feeling of poor night vision. Fortunately, these symptoms almost always resolve with time. There has been a large amount of debate as to the cause of night vision symptoms after LASIK. What is known is that it is much less common than it was with the older generation laser treatments. There are some patients who had LASIK surgery many years ago who will require frequent eye drops to minimize the symptoms. The major debate has surrounded whethere the size of a persons pupil at night plays into night vision symptoms. In the dark,a person's pupil will enlarge in size. Some people believe that it is this enlargement of pupil size that causes the night vision complaints. More specifically, the pupil size has enlarged to allow light in that is outside the optical zone created by the laser. Therefore, this light is reflected in a different manner than light inside the optical zone; this leading to night vision complaints. A study published in a peer-reviewed journal has suggested this is wrong. At this point, it is unclear as to the true answer. However, pupil measurement is a standard part of the preoperative workup. A major development in laser vision correction has been the measurement of higher order abberations. It is felt that these abberations, such as spherical abberation and coma cause a lot of the post-operative visual symptoms that may cause a patient to have a less than satisfactory post-surgical outcome. The development of wavefront abberation treatment or custom cornea treatment is designed to address the treatment of these pre-existing abberations and to minimize the induction of these abberations. It is felt that by treating these abberations symptoms such a night vision haloes and glare can be minimized. Many surgeons will agree that the advancement with this technology in addition to creating smoother optical zone treatments has minimized these symptoms compared to earlier generation lasers. penis enlargement surgeries vimax compare penis enlargement pills do penile enlargement pills work penis elargement video vimax free penis enlargement vimax natural penis enargement and lengthening penis enlagement pic before and after com enlarement penis penis pump
Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction. Viagra, Levitra and Cialis Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc. Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation. Cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC. The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug. Mechanism of Action PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body's response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Effectiveness of PDE-5 Inhibitors All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%. Pharmaceutical Forms, Onset of Action and Duration of Effect Viagra and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences. Viagra: 25 mg, 50 mg 100 mg tablets Onset of action: 30 minutes (effect delayed if taken with food) Duration of action: 4 to 5 hours Levitra: 2.5 mg, 5 mg, 10 mg, 20 mg tablets Onset of action: 25 minutes (effect delayed by fatty meal) Duration of action: 4 to 5 hours Cialis: 5 mg, 10 mg, 20 mg tablets Onset of action: 16-45 minutes (effect NOT delayed by food) Duration of action: 36 hours All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis has a slower onset of action and longer duration of action, which is attributed to its longer half-life. Patients who wish for spontaneity may opt for Cialis, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects. Dosage The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day. Possible Side Effects Although all three drugs are generally well tolerated, side effects are still possible. Most common side effects: Viagra: facial flushing, headache, indigestion Levitra: facial flushing, headache Cialis: headache, indigestion Less Common Side Effects: Viagra: altered vision, dizziness, nasal, congestion Levitra: indigestion, nausea, dizziness, nasal congestion Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness Precautions and Contraindications All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates. Alpha-blockers Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. The 25 mg dose of Viagra has not been shown to significantly decrease blood pressure and in patients who take 25 mg of Viagra, use of any of the alpha-blockers is considered safe. Levitra is contraindicated in patients taking alpha-blockers. Cialis is contraindicated in patients taking alpha-blockers, except for tamsulosin (Flomax). Since both Viagra and Levitra have moderate vasodilatory and hypotensive effects, they should not be given in the presence of marked arterial or orthostatic hypotension, and should only be administered with caution in aortic stenosis or hypertrophic obstructive cardiomyopathy. Men who have had a heart attack or stroke within the past 6 months and those with certain medical conditions (e.g., uncontrolled high blood pressure, severe low blood pressure or liver disease, unstable angina) that make sexual activity inadvisable should not take Cialis. Dosages of the drug should be limited in patients with kidney or liver disorders. 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