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Surgical castration by orchidectomy Surgical castration is the simplest and cheapest way to treat metastatic prostate cancer. The obvious disadvantage is the psychological effect of the loss of the testicles. LHRH-analogues LHRH-analogues and oestrogen achieve a "medical castration" by stopping the testicular production of testosterone. LHRH-analogues are injections that have to be given monthly or three monthly for the rest of the patient's life. They are effective but very expensive. Oestrogen Oestrogen can be taken orally on a daily basis. It has a high incidence of thrombotic complications such as stroke and myocardial infarction. Anti-androgens Anti-androgens oppose the action of testosterone by blocking the androgen receptors. The incidence of erectile dysfunction is less than with surgical or medical orchidectomy because testosterone levels are maintained in the bloodstream. Anti-androgens alone are probably not adequate treatment for metastatic disease. Total androgen blockade by a combination of steroidal anti-androgens and LHRH-analogues or orchidectomy has not been shown to be better than LHRH-analogues or orchidectomy alone. However, non-steroidal anti-androgens yields slightly better results than castration alone. Locally advanced disease without metastases. The overall results of treatment of patients with disease beyond the prostate are not good. Some patients with early disease beyond the prostatic capsule, and no evidence of metastases, benefit from radical treatment. The most widely used treatment regimens consist of a combination of radiotherapy and hormonal treatment. Treatment options for locally advanced and metastatic disease. · Early hormonal treatment · Watchful waiting with hormonal treatment once symptoms develop Disease that has spread to the seminal vesicles and beyond is not real curable. Prostate cancer is dependent on the male hormone testosterone. 80% of patients will respond to hormonal treatment that deprives the tumor of testosterone. This response usually involves the shrinkage of metastases and symptomatic improvement for the patient. The response to hormonal treatment is not a cure but can last for many years in some patients. The average duration of response is 2 years. Most cancers eventually escape hormonal manipulation. This is referred to as hormone independent disease and is usually followed by death within a few months. Controversy exists regarding the timing of hormonal treatment. Most studies indicate a survival benefit for early rather than late hormonal maneuver. Testosterone deprivation has side effects like erectile dysfunction, breast enlargement and osteoporosis. The earlier hormonal treatment is instituted the greater the chance of complications. Once again treatment has to be individualized to the needs of the specific patient. With our next information - we will inform you about the “Staging and grading of prostate cancer” - so you should have a look on this site in the next 2 weeks! If you have any question sends us your e-mail. vig rx oil surgical penis enlarement vig rx scam penile enlargment cream do penile enlargment pills work penis enlagement traction device best penis enlargement surgery penis enargement product

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A few fortunate, and likely quite popular men, have learned to make ejaculation voluntary. This means they can last a long time and come when they want to. Most however ejaculate involuntarily—perhaps prematurely, that is, before they or their partner are ready for it. Coming too soon may be due to a physical medical condition, but this is not common. Most men who ejaculate prematurely do so because of learned behavior and sexual beliefs, or because they haven’t discovered the simple techniques that can help them last. In order to make ejaculation completely voluntary, a man must learn to do two things. First he must learn to keep his entire body relaxed regardless of how sexually aroused he becomes. Second he must learn to move the sexual charge that builds up during lovemaking away from his genitals and circulate that energy throughout his entire body. RELAXATION Men usually tense their bodies as ejaculation approaches. This is a natural involuntary reflex, but by deliberately applying some of the following relaxation techniques you can become skilled at letting go and staying loose even at intense levels of sexual arousal. Massage Few things enable a man to be as profoundly relaxed as a loving erotic full-body massage. Women can help men get out of their heads and into their bodies by giving them a massage as a prelude to intercourse. Most men will notice a significant improvement in their ability to delay ejaculation after receiving a massage. Not only does massage help relax your body, it also opens up your flow of energy so that the sexual charge does not get stuck in your genitals. Stop And Become Still Or Slow Down Before you get to the point of no return, try slowing or stopping all movement. This usually works every time. Wait for the energy and excitement to subside and then you can resume active lovemaking. Breathe Slowly And Deeply As you come close to climax, switch your attention away from your genitals onto your breath. Take slow deep breaths that fill your entire lungs. Make your exhalation last about as long as your inhalation. Let your body go loose. Open your eyes and make eye contact with your partner. Try to breathe in rhythm together. Continue breathing in this deliberate way until your sexual energy has calmed down. Avoid Stimulating The Frenulum The frenulum is the bulge of loose skin just below the glans head on the underside of your penis. This spot is very easily excitable and can build the man too quickly to climax. Stay away from this spot to avoid involuntary ejaculation. Squeezing The Glans The glans of the penis is the big smooth head at the top of the penis shaft. When ejaculation is imminent you or your partner can squeeze the glans firmly and hold on tight. With the other hand use your thumb and index finger to press firmly on both sides of your penis at the base where the penis rises from the pubic bone. This effectively cuts off the neurological ejaculatory response from your brain to your prostate and will stop the ejaculation. This technique is easiest to use when your are being stimulated orally or manually. It also requires split second timing. Do not do it if ejaculation has already begun, it can be quite painful! Three Finger Perineum Press When you reach a point of high arousal and you know ejaculation is close, you or your partner can press on the perineum, the stretch of skin between your anus and scrotum. In preparation for using the technique during active intercourse, try touching this spot when an ejaculation starts and you will feel the vibrations of climax in your prostate gland. This is how you will know where to press. Notice where the vibrations are strongest - usually at about the midpoint on the perineum. To delay ejaculation, when you are at the point of no return but before the ejaculation has started, press firmly on this area of the perineum with the first three fingers of either hand. You can do this yourself or your partner can do it for you. Hold until the urge to ejaculate subsides. MOVING YOUR SEXUAL ENERGY Learning to circulate hot sexual energy is not really difficult, but it takes discipline and practice. Within a few days of trying some of the techniques mentioned below you’ll likely notice an improvement in your ability to delay ejaculation. Real sexual energy mastery, however, may take several months or even years. But unlike childhood piano lessons this is practice you’ll look forward to! The PC Pump PC stands for pubococcygeus muscle. Actually the PC muscle is a group of muscles that together make up the pelvic diaphragm which stretches from your pubic bone around to your tailbone. It includes muscles used in urination and bowel movements, muscles around your anus, testicles, penis, and perineum. Pumping the PC muscle is one of the easiest, simplest and fastest ways to learn to move energy and delay ejaculation. Pumping the PC muscle means squeezing or contracting the muscle and then allowing it to relax repeatedly. Alternately you can squeeze and then push out. You can do rapid pumps or long slow ones. When you squeeze the PC muscle you pump the hot sexual energy up from your genitals and into the upper part of your body. This prevents the sexual energy from building up to involuntary ejaculation. If you can stay relaxed and move energy away from your prostate as fast as it builds up, you can delay ejaculation as long as you want. This is how Tantric lovers are able to extend active lovemaking for 6 or 8 hours or more. By the way, strengthening your PC muscle usually results in longer and stronger ejaculations when you do have them. Add PC pumping to your fitness routine. Build up to several hundred squeezes per day over a two week period and eventually (if you are really keen) increase to 1000 or more per day. This might sound like a lot but you can do 100 PC squeezes in a few minutes. You don’t even need to find new time to do PC pumps—try them when you are standing in line, driving your car, hoisting a few at the bar. Make Sound As you get more and more excited make lots of sounds. You can moan, groan, yell, scream, chant, sing, growl and make animal noises. The louder and stronger the sounds you make the more that sound will carry your sexual energy with it, up and away from your genitals. A wonderful technique is to harmonize your chanting sounds with your lover. When you do this at the peak of sexual arousal the sounds you make together can be exquisitely beautiful. Hand Movements Moving your hands up your body, or having your partner move her hands up your body from your genitals to the top of your head, either on the front or back of your body, is an amazingly simple but effective way to move energy. You and your partner can do this repeatedly throughout the length of your lovemaking. The Big Draw You can alternate relaxing your body with a conscious full-body contraction—the Big Draw. Breathe very deeply and rapidly for about a minute when you are almost ready to come. Then hold your breath and clench every muscle in your body. Tighten you fists. Curl your toes. Grit your teeth. Tighten your buttocks, abdomen, arms, legs, chest, etc. If you are lying on your back (recommended for doing the Big Draw), push off from the surface with your buttocks and neck, while arching your back. This forces the hot sexual energy up and often leads to an explosive orgasm without any ejaculation. You may also experience altered states of consciousness with this very powerful technique. LEARNING THROUGH MASTURBATION Masturbation is an excellent way to become skilled at lasting a long time. Select a private, comfortable, safe place for your practice where you will not be interrupted. A wonderful variation is to have your partner watch you masturbate. In this way you can teach her exactly how you like to be touched and stimulated. But try it a few times alone before you put on a show for your lover. Build your arousal to approximately 75% of the way to the point of no return. As you get better at it, you can go closer to 90% or more. The point of no return is that point at which ejaculation will become involuntary, when you’re likely to ejaculate within seconds, most certainly within minutes. Stop what you are doing. Use some of the techniques above for relaxation and energy movement and allow your excitement to subside. Your erection should also subside before you start again. This allows the old blood to move out of the penis taking with it waste products. When you start to re-build your arousal, fresh blood will engorge the penis giving you a new erection. This new blood carries with it a fresh supply of oxygen and hormones bringing strength, vitality and virility. Many men ejaculate simply because they do not allow their erection to diminish every 30-45 minutes—the penis becomes exhausted and involuntary ejaculation follows quickly. Repeat this masturbation process of building to approximately 75% of your point of no return, then stop, rest, and build again, for any number of times. As you do this pay very careful attention to what is happening in your body. Notice how your body feels as you get closer and closer to orgasm. Notice that your body gives you signals about how close to ejaculation you are: heat and hardness of your erection, rapid breathing, muscular tension, and so on. In particular look for sensations in your genital area at the prostate gland. As your sexual energy builds in the prostate it is like a pressure cooker. When the pressure gets too high, smooth muscles go into involuntary spasm, forcing the ejaculation. If you pay attention you will certainly feel something in the prostate as you approach this point of involuntary ejaculation. As soon as you feel this sensation, instead of going on to complete the ejaculation, you are going to stop stimulating yourself and rest. Notice how your body feels as you relax and let the energy (and erection) subside. Once you become adept at recognizing this feeling in your prostate during self-pleasuring, you can also be alert to this feeling during lovemaking, including active intercourse with a partner. OTHER TECHNIQUES FOR MASTERING EJACULATION Positions Change intercourse positions frequently. Experiment with various positions to find out if you can more easily delay ejaculation in some of them. There are an infinite variety of positions in the following categories: face to face, front to back, lying down, standing up, sitting, rear entry, and sideways. Some men report that it is easier for them to last longer during intercourse if the woman is on top. Also, face to face positions tend to be calmer, making it easier for the man to delay ejaculation, while rear entry positions tend to increase arousal very rapidly. Communicate With Your Lover You must communicate your state of arousal to your lover. If your arousal is cresting too rapidly ask her to change what she is doing, to stop what she is doing or to slow down. Give her very specific feedback on what you want and what you can stand. Be sure to do this in a loving, respectful and playful way! Some women believe that men aren’t happy with the lovemaking until they come. Let her know that you’re having a great time and want to keep on sharing your pleasure together. Examine Your Beliefs And Assumptions About Sex And Women. Generally the more you like, respect and admire women the easier it will be to learn voluntary ejaculation. On the other hand, the more you dislike women the more difficult it will be. The simple reason for this is that you will be in a hurry when you have sex if you dislike women. Sex will tend to be a maintenance chore necessary for tension release. With a subtle shift in the way you think, perhaps you can begin to make love instead of just having sex. Open yourself to giving and receiving pleasure rather than trying to perform. Open your heart. Allow yourself to love your partner and be loved by her. Allow yourself to feel emotions as well as physical pleasure. Quick ejaculation is one of the ways men use to deny themselves pleasure and to avoid intimacy. Extended, ecstatic lovemaking requires surrendering and being vulnerable to your partner. Many men find that when they can let go of the need to keep everything under control, including lovemaking, their ejaculation response becomes much more manageable. It is ironic that less repressive control of feelings means more “control” or mastery of ejaculation response. SORE PROSTATE If after practicing techniques for delaying ejaculation you experience a sore prostate or “blue balls”, this only means that the sexual energy is building up in your genitals faster than you can move it out. This is not dangerous, simply uncomfortable. You can relieve this discomfort immediately by ejaculating, which releases all the pressure. If the discomfort does not go away, this may mean you have a medical disorder, such as a urinary tract infection, and you should see your doctor. penile enlargment testimonials health pro solution compare penis enargement pills vimax penis pill vigrx pill compare penis enlarement pills free penis enargement exercise compare penis enlarement pills magna rx

Sex is a biological process, which is provided by the nature to those species that reproduce sexually. Penis in male and vagina in female are the external sexual organs without which love making is not possible. Proper erection of penis and continuity of erection during the intercourse is essential for enjoying sex by both partners which is the mechanical aspect of the love making. Thus, sex completely can be defined as a bio-mechanical process. No species enjoys sex as frequently as human beings do. Generally, under social customs, human beings establish sexual relations with the partner to whom they love; however, exceptions also exist. Love provides you a fertile ground for love making but without fulfilling mechanical requirements it is not possible to make love. Nature has provided a man capability to erect penis when he prepares for sexual intercourse. Generally, there is no need for any external stimulation for bringing penis in erect position. This kind of non-stimulated erection is very common in early young age because responses of sex hormones are quick in that phase of life. However, a mature man may need some foreplay to bring penis in erect position. Foreplay is essential for enjoying sex with high intensity. Tricks of foreplay defers according to matrix of the society. A woman has several erogenous spots over her body; kissing and titillation on those spots can ignite her for sex. In some societies, fingering and licking in vagina are very common; licking can generate irresistible urge for penetrative sex. On other hand, women generally use her hand to erect penis and an experienced woman knows how to erect penis using her mouth and tongue. There can be a stage in life when penis doesn’t erect even after all intense foreplay. Non-erection of penis makes a man impotent. In medical terminology, non-erection of penis is known as erectile dysfunction (ED). ED generally occurs in mature age when man loses his libido but it also can occur in early young age. ED is very embarrassing for a man as a woman doesn’t want come in contact with such a man who cannot satisfy her. Though ED can occur because of psychological reasons, but in more than 90% cases its cause is physical degeneration. Levitra can help all those men who are suffering from ED. Levitra pills contain Vardenafil as its active constituent, which stimulates production of GMP. Secretion of GMP takes place to fill the blood in the capillaries of penis. This stimulation and proper flow of blood provides the penis hard and firm erection. Erection of penis provided by Levitra may stay for about 4 hours because Levitra inhibits the working of phosphodiesterase-5 (PDE-5). This is the chemical secretion, which brings back penis in relaxed position and responsible for early fall of penis. The beneficial drug Levitra may have some mild side-effects like nausea, dizziness, painful erection and chest pain. These side effects are short lived and generally disappear with continuous use of Levitra for few days. This is an oral prescription medication, which should not be used without doctor’s prescription. 4 hours long erection enables a man to quench sexual thirst of a woman many times in a single sexual encounter. Probably she desperately has been waiting for such a satisfaction for a long time. herbal penis elargement penile enlargement penis elargement pic before and after vimax penis enlargement surgery photo penis enlargment fact guide to penis enlargement herbal penis enlargement pills forum magna rx magna rx

Vaginismus is an involuntary contraction of the muscles surrounding the entrance to the vagina, making penetration painful, and or impossible. The muscle group involved is called the pubococcygeal muscles (PC). These are the same muscles used for kegel exercises. Normally, the vaginal sphincter keeps the vagina closed until the need to expand and relax. This relaxation allows for sexual intercourse, medical examination, insertion of tampons and childbirth. Vaginismus occurs when the vagina is unable to relax and permit the penetration of the penis during intercourse however, when vaginismus does occur, the sphincter goes into spasm resulting in the tightening of the vagina. In some women vaginismus prevents all attempts at successful intercourse. Vaginismus may even occur anytime in life, even if a woman has a history of enjoyable and painless intercourse. The severity of vaginismus varies from woman to woman. Some are able to insert a tampon and complete a gynecological exam but are unable to insert a penis. Others are unable to insert anything into their vagina. Vaginismus is not due to a physical abnormality of the genitals. Some women wonder if their vagina is too small to "accomodate" a penis, or perhaps they have no vaginal opening at all. This is understandable especially when the vaginal muscles are in spasm as they can give the appearance that the opening is nonexistent. These concerns, however, are incorrect as the genital area is completely normal. In addition to vaginismus, there are a number of other disorders, such as endometriosis, pelvic inflammatory disease, and Bartholin cysts that can result in painful sexual intercourse or penetration. It's important that a reliable diagnosis is obtained so that the appropriate treatment can be recommended. Nonphysical Causes: The cause of vaginismus is often a result of an aversive stimulus associated with penetration. Some of the more common aversive stimuli are traumatic sexual assaults, painful intercourse, and traumatic pelvic exam. Vaginismus may also result from the patient having strong inhibitions about sex stemming from strict religious beliefs or cultural norms. This disorder does not mean that women suffering from this disorder are frigid. Many are very sexually responsive and may have orgasms through clitoral stimulation. Many women with vaginismus may seek sexual contact and sexual foreplay as long as actual intercourse/vaginal penetration is avoided. Concepts such as penetration, intercourse and even sex can cause fear or trepidation in the mind of may a young inexperienced woman who may hear stories about painful first intercourse, which then reinforce the fear of penetration. This fear can compound and create a pattern of sexual anxiety, causing the vagina to remain dry and unrelaxed before intercourse. Treatment: The treatment of vaginismus is usually a therapy program that includes vaginal dilation exercises using plastic dilators. It's important that the use of dilators proceeds in a systematic progression under the direction of a sex therapist and should actively involve the woman's sexual partner. The treatment include gradually more intimate contact eventually culminating in successful and pain free intercourse. Sex education is also very important to counter sexual naivety and dispel any misinformation which has been identified as a factor in 90% of vaginismus cases. This education should include information about sexual anatomy, physiology, the sexual response cycle, and common myths about sex. Psychotherapy and Counseling See a qualified, licensed professional. Anyone can call themselves a sex therapist, so find a qualified psychologist or psychiatrist; one you trust. Try to get referred by your own physician or health care provider. pennis enlargement pills product pennis enlargement pills product vig rx penis pill com enlargement pnis pnis pump cheap vigrx pills penile enlargment fact pennis enlargement system penis enlagement before and after picture magna rx

Once you will learn how to find the G-spot with your lady partner, and with the use of appropriate sexual positions to stimulate it, you can give her mind blowing orgasms time after time. But what is this G-spot, where it is located, and how will you know that you have really found it? A German doctor (a gynecologist) Ernst Graftenburg is the discoverer, which is why it’s called the “G” spot. The G-spot is an area inside the vagina, on its front wall. Strangely enough, this area can be stimulated by constant pressure and it often ends up in an orgasm. It’s not difficult to locate, as it corresponds directly to the area where the urethra is closest to the top of the vaginal wall. The G-spot does vary from woman to woman, so you will need to follow the directions below to locate it exactly. Using well lubricated two fingers, insert them carefully inside your partner’s vagina, touching the top of the vaginal wall. You will feel somewhere a lattice-work of muscle tissue and in that tissue is the G-spot. Be very careful how you touch it; do not hurt your partner! Too little pressure and your partner will be meaningless, while too much pressure and she will cause an unpleasant pain. Now that you have located it (you partner will gladly confirm to you that you have) see these three methods to use to pleasure your partner. •A very good method to stimulate the G-spot is while performing cunnilingus. Insert two well lubricated fingers and apply a steady and firm (but not rough) pressure to the G-spot. You can be very sure that after 20 minutes of cunnilingus, and pressure to the G-spot, your partner will experience a steady and profound orgasm. •The second natural way to stimulate the G-spot is by intercourse. The man will lie on his back and woman will mount on top, facing the man. The beauty of this position is that the man should do nothing at all, only have an erection. The woman move till she finds the G-spot herself, and she will apply just the correct pressure, using the man’s erect penis. Orgasm quickly follows. •Another sure sexual position to stimulate the G-spot is a modified missionary, of sorts. In this position, the woman will lie on her back, and the man faces her, sitting on his thighs. The woman now places her feet on the man’s chest with her legs apart. At this point the man will penetrate the woman, but does not move or thrust. He will just lean back a bit, insuring his penis is firmly touching the vaginal wall. The woman can move if she wishes to adjust the pressure. As it in position, the man’s penis will be tilting upwards pressing directly against the G-spot. Not long after the woman will experience a strong orgasm, as the clitoris is also stimulated. Stimulation of the G-spot one is accomplished by intense and constant localized pressure. Thrusting is not so effective as constant and strong pressure to the G-spot itself. Once learned, both partners will seek to return to its stimulation again and again.