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One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. penis enlargment traction device real penis enlarement enlargement penis pill vimax natural penis elargement exercise cheap vigrx homemade penis elargement do penis enlargement pills really work penile enlargment pills product

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Women can orgasm several different ways, via clitoral, vaginal, and of course the G-Spot, the latter can give her a massively satisfying orgasm if stimulated correctly. Here we will look at how to find it and give your partner immense pleasure once you do! Where is the G Spot? The G-Spot is the area to target for maximum sexual arousal. You will be able to help give added pleasure and a mind blowing climax to your partner if you can locate and stimulate it. The G-Spot is essentially a bean shaped area of nerve tissue, located about halfway between the back of the pubic bone and the top of a women’s cervix. The size and location of the G-Spot will vary between women, but it usually lies about 1.5” to 3” inside the vagina. This area inside the vagina has a different texture; it’s ridged, not smooth like the rest of the vagina, and when aroused has a spongy feel. The G-Spot is not easily located. Sometimes even women have a hard time finding it and some don’t even believe it exists, but it does. All you need to do is to locate it and arouse it and with a little trial and error between you and your partner you can. Locating the G Spot To explore and find the G spot, have your partner lie down, knees bent and feet flat on the floor or bed, with a pillow under her buttocks for comfort. Insert your fingers into her vagina towards her navel. This will be between 1.5 – 3” inches inside the vagina to find the exact spot. Press with the fingers against the front wall of the vagina. As it's surrounded by tissue and deep in the vaginal wall, you will need to apply a little pressure. When you finally hit the right spot, it will swell the same way a penis does. Slide your fingers from side to side. Have your partner tell you when you hit the right place and you she will know, as you will see the reaction when you hit it! G Spot Technique When you have found it move your fingers in even circles all around the inside of the vagina walls. It generally feels best for her if you keep consistent, firm pressure along the entire length of the vaginal walls and use a steady rotational rhythm. Stop rotating your fingers and rest your fingertips on the ridged area of the G Spot. Then move the fingers in and out and do rotational movements to keep hitting the spot. Finding a rhythm is what you are looking for here; keep moving the fingers in and out and around constantly hitting the G Spot. You can give your partner even more pleasure by licking her clitoris and stimulating her G-Spot at the same time, to give her an amazing climax. Stimulating the G Spot to the level where it will ejaculate requires three components: 1.Time: Needs to be taken to work your partner up 2.Gentle attention: Listen to your partner and find out what gives her pleasure. 3.Tapping: Keep constantly tapping the G-spot while you are moving your fingers. Penis stimulation Penises curve and the ones that curve upwards are most likely to hit the G territory. However if your penis curves to the left or the right, all is not lost,There are options! If your penis curves to the left, right or to the south, you can position yourself in such a way that your penis hits the spot i.e you need to be in a position where your penis points north. For example, if your penis curves to the side. You lie horizontally, she lies vertically and you gain the same impact and will be able to hit her G Spot. If your penis curves downwards, place her on top of you but facing the other way, you will see her buttocks and then move to hit the G spot. Other methods of stimulation There are a number of adult toys such as vibrators etc that are designed to hit and stimulate the G Spot and the huge variety out there means there is one for every women. Finally… The G Spot is there in women all you have to do is find it and stimulate it to give your partner huge pleasure. There is a lot of mystique related to the spot but to find the G spot and give your partner pleasure is really all about communication. She will be able to guide you, all you need to do is follow her instructions have patience and find out what’s right for her. If you do, you will add another dimension to your relationship and your partner will be very grateful for your effort! penis enargement pills review penis enlagement patch penis enlagement patch enlargment manhattan penis free penis enlargment video penis enhancement pills review cheap pennis enlargement medical penis enlargment penis enlargment surgery picture

With Merkal in West Germany being pragmatic by pushing through benefit reforms and the big German companies pushing the unions to agree new conditions in exchange for jobs to remain in Germany and respond to Globalisation by moving production to low cost Eastern European or Asian countries. These conditions covered both working practices and redundancy benefits payable. In Germany it appears to be working, with the increase in output and the only country in socialist Europe. Now it’s the turn of France and the French have to look at Germany and see the changes they need to implement. Royal [1] is very likeable and it would be interesting to see the second largest European country with a female President. Can Merkal be the model for Royal to follow and therefore change to being a right wing socialist. The French have to wake up and see that Globalisation is something they must respond to if they are going to survive and not set the other socialist countries of Europe down the wrong road. The enlargement of the European Union [2] with the Eastern European countries will for them be an easy change from communist to socialist. The problem now is that their move to Western Europe will cause earlier immigrants and part-time low cost British workers to lose out to them accepting low wages. But when they stay it will turn and they will seek hire wages, the problem is how long will this take ! in India about two to three decades, now that the Rupe is level with the US dollar. More drain on the UK benefit system will make it collapse. In the European Union there are more socialist countries and governments than conservative or right wing socialist and we now have the mainly Washington DC neo-cons trying to change views throughout the Europe. At least with Germany as the model the rest can hopefully be led. Without change the European Union will be dragged down by the non-producing member countries, like the recent new members. France will have to face Globalisation [3] and change like Germany and not be like most of Europe and try to protect themselves from China and India and other Asian countries. The recent article on Globalisation covers some very hard points and should make everybody in Europe sit up and think about how they are going to survive. European countries without change are now facing very hard times. In the UK demographics have made the government bring in a anti-age law to prevent employers from rejecting older workers and try to ease the skills shortage and is a form of response to Globalisation. Under the labour government socialist reforms have to stop and the unions have to face up to changes like those in Germany, although they are weaker in the UK, they are strong with government employees and transport and telecommunications employees. But that is changing and e-Government is marching forward. The Internet is now the Globalisation tool allowing people to work from any location in the world that telecommunications and satellites allow. Its also the tool of change and will be the driving force for that and enable debate on issues that now affect all of us in the World [4]. [1] FT Magazine October 21/22 2006, Liberté, égalité, féminité by John Thornhill [2] FT Magazine October 21/22 2006, A most unhappy union, review by Quentin Peel [3] FT Magazine October 14/15 2006, Profits of doom by Richard Tomkins [4] Welcome to the Project for the New American Century penis enlargement procedure free penile enlargment pills real penis enlargement real penile enlargment free penis enlargement pills herbal penis enhancement best enlargement exercise pennis best elargement exercise penis penis enlargment surgery picture

The G-spot is a highly erogenous zone inside the vagina. It was discovered in 1950 by the gynaecologist Ernst Grafenberg. For a while not many people actually believed the G-spot existed. Then in 1978 a book called “The G Spot “ by Alice K. Ladas, Beverly Whipple and John D. Perry was published. This confirmed existence of the G-spot. Today sexologists believe every woman has a G-spot. It is thought that the G-spot is either a bundle of nerves coming from the clitoris or a gland or series of glands that produces lubrication. It is also thought to be analogous to the prostate gland in men. When unstimulated the G-spot is about the size of a bean. When your lover is aroused it becomes more pronounced. The G-spot is located behind the pubic bone within the front wall of the vagina, about two to three inches deep. The important thing to note is that the G-spot responds to pressure, not just touch. Because the G-spot is close to the bladder stimulating the G-spot may result in a feeling of needing to urinate. This feeling my last anywhere from a few seconds to up to thirty seconds. Here are some sexual positions that are good for G-spot stimulation. Doggy style This is a good position as the head of the penis is pointed directly at the G-spot. Lap While sitting on the edge of a couch or a bed have your lover sit on your lap, facing you. Her legs should be either wrapped around your waist. Standing with her lying down Stand facing a bed, desk, or something similar. Have your lover lie down in front of you. Her pelvis should be about one foot lower than yours. Place your lover’s feet on your shoulders. Now have her tilt her pelvis so it forms a straight line where your crotches meet. Put your hands underneath her buttocks so you can hold her at that angle. penis enlargment cream penile enlargement doctor vimax cheapest penis enlargement pills penile enlargment before and after vimax pill vimax free natural penis enlargement penis enlargment review natural penis enargement and lengthening penis enlargment surgery picture

Suleiman the Magnificent was a legendary lover but how did he maintain such a strong libido? This article will let you know some of his secrets and some of the colorful history that surrounded his life including classic sexual positions that have stood the test of time and are renowned for providing both partners with sexual satisfaction. He ruled the Ottoman Empire from 1520 to 1566, and was said to have made love daily at least twice to five times right up until his death until his death. How did he do it? Is it myth? Doubtful it was only myth as his sexual prowess was well known as well as his military might and his refinement of the Law. In spite of his great love for his Roxelana (a Russian slave that became his first wife and Queen mother), he was a daily visitor to his harem, and in fact, spent most of his days there. To keep so many women happy, or at least to try, Suleiman had to be in great physical shape, and also an expert in the art of lovemaking. According to much literature written about him, as well as traditional well known stories (told in Turkey and other parts of the once all-powerful Ottoman empire) Suleiman’s diet & exercise regime Suleiman followed a daily routine of martial exercise (usually horse riding with the use of weapons), fencing, and then hours in his hamam (steam bath) a combination of physical exertion combined with adequate rest in between and a special diet to keep his libido strong. His diet was rich is pistacio nuts, and honey, but an hour before entering the harem for sex he would eat a specially spiced honey with 41 herbs. The recipe was kept secret, and to reveal it meant death for the proto-pharmacists who concocted it for him. Many of these herbs have been covered in our other articles but the essence of his diet was to eat raw foods full of nutrients Today alas we tend to eat processed foods and lack energy in times gone by this was not so and the lesson is to eat as “naturally from the earth” as possible and avoid processed foods. Energy was provided y good carbs such as brown rice an excellent food and meat was lean and plentiful with an abundance of fresh fruit and vegetables. It is said also the Suleiman’s physicians advised him to daily eat fresh eggs with white bread, which will aid in sperm production, increase of libido, and sexual prowess. Suleiman’s sexual preferences, according to letters written by Roxelana, were the third, eighth and a special position called Doc-al-arz, from the Arab Classic, The Perfumed Garden. The Yawning Position (3rd from the Perfumed Garden) The woman lies on her back, lifting her left leg halfway to her chest. The man does not lie, but suspends himself between her lifted and laying leg, supporting him with outstretched arms and is actually on his knees. He enters the woman, and gives a strong thrusting movement. This is a great clitoral and g-spot stimulation posture, and if the man is truly vigorous, he can bring a great deal of satisfaction to himself and his partner. The 8th Position from the Perfumed Garden The woman lies prone (on her stomach) with her legs apart. The man then enters her from the rear, but his legs are, instead of between the woman’s, outside them (at least one leg is; the other is between the woman’s two legs). The man is resting on his knees, but is not laying on top of the woman, but is having his torso straight, resting his outstretched arm on the woman’s neck or shoulder. The man trusts vigorously, using hip motion. The woman will be in ecstasy very quickly, and should experience a profound orgasm. Doc-al-Arc (Pounding on the spot). Suleiman’s Most Favorite The man sits on the edge of the bed. The woman sits on the man’s lap, facing him (this is most important), and wraps her legs around his waste. The man enters her, and keeps his penis fully inserted at all times. The trusting is done by rotational movement, and the woman doing a kind go grind (as seen in belly dancing), pushing and rubbing her vulva and thus clitoris against the man’s pubis area. Orgasm comes very quickly and profoundly to the woman, and if the man can control his own climax, the woman will have the opportunity at multiple orgasms. What can you learn from this? Well a lot actually! The reason Suleiman maintained such a strong libido was down to good diet and exercise now you don’t have to workout like he did but exercise and a diet of natural foods with potent herbs will keep libido strong. The sexual positions above are from classic literature of the day and have been known throughout history to provide great satisfaction for both partners, so try them and see!