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© David K. Edwards.

© David K. Edwards. Once upon a time this was an ordinary orange candle stuck in a carved and painted wooden candlestick. During a couple of weeks while I was out of town, La Jolla suffered a significant heat wave. During this, the orange candle softened and wilted most grievously. It droops and hangs. The brand-names Viagra and Cialis come to mind. Will you be ready when the time is right? Will you? WL U?

 

The photograph is poorly exposed and murky. It is intended as an element of reporterage: okay, granted, there was definitely a hot day in the snooty little suburb of La Jolla. But nobody on the planet gives a shit, frankly, and the photograph itself is not worth even the most fleeting glance. A cumbersome, foggy, amateur snapshot at best. Move on.

West 31st street

During the late 16th and 17th centuries in France, male impotence was considered a crime, as well as legal grounds for a divorce. The practice, which involved inspection of the complainants by court experts, was declared obscene in 1677. John R. Brinkley initiated a boom in male impotence cures in the U.S. in the 1920s and 1930s. His radio programs recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon Serge Voronoff. Modern drug therapy for ED made a significant advance in 1983, when British physiologist Giles Brindley dropped his trousers and demonstrated to a shocked Urodynamics Society audience his papaverine-induced erection. The drug Brindley injected into his penis was a non-specific vasodilator, an alpha-blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. The effect that Brindley discovered established the fundamentals for the later development of specific, safe, and orally effective drug therapies.

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. Erectile dysfunction can have psychological consequences as it can be tied to relationship difficulties and self-image. The most important organic causes of impotence are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but can often be helped. In psychological impotence, there is a strong response to placebo treatment. Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor (such as sildenafil). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery. Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection.

Causes

Medications (antidepressants, such as SSRIs, and nicotine[citation needed] are most common)

Neurogenic disorders

Cavernosal disorders (Peyronie's disease)

Hyperprolactinemia (e.g., due to a prolactinoma)

Psychological causes: performance anxiety, stress, and mental disorders

Surgery

Aging. It is four times more common in men aged in their 60s than those in their 40s.

Kidney failure

Diseases such as diabetes mellitus and multiple sclerosis (MS). While these two causes have not been proven they are likely suspects as they cause issues with both the blood flow and nervous systems. Lifestyle: smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing. Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Erectile dysfunction is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve an erection. As far as inguinal hernia surgery is concerned, in most cases, and in the absence of postoperative complications, the operative repair can lead to a recovery of the sexual life of patients with preoperative sexual dysfunction, while, in most cases, it does not affect patients with a preoperative normal sexual life. ED can also be associated with bicycling due to both neurological and vascular problems due to compression. The increase risk appears to be about 1.7-fold. Concerns that use of pornography can cause erectile dysfunction have not been substantiated in epidemiological studies according to a 2015 literature review. However, another review and case studies article maintains that use of pornography does indeed cause erectile dysfunction, and critiques the previously described literature review. Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain. In both cases, an intact neural system is required for a successful and complete erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis), and subsequently penile erection. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems. Spinal cord injury causes sexual dysfunction including ED. Restriction of blood flow can arise from impaired endothelial function due to the usual causes associated with coronary artery disease, but can also be caused by prolonged exposure to bright light. It is analyzed in several ways: Obtaining full erections at some times, such as nocturnal penile tumescence when asleep (when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working. Other factors leading to erectile dysfunction are diabetes mellitus (causing neuropathy). There are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease, such as hypogonadism and prolactinoma. Impotence is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease such as coronary artery disease and peripheral vascular disease. Therefore, a thorough physical examination is helpful, in particular the simple search for a previously undetected groin hernia since it can affect sexual functions in men and is easily curable. A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. The current diagnostic and statistical manual of mental diseases (DSM-IV) has included a listing for impotence.

Duplex ultrasound

Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Injecting prostaglandin, a hormone-like stimulator produced in the body, induces the erection. Ultrasound is then used to see vascular dilation and measure penile blood pressure.

Penile nerves function

Tests such as the bulbocavernosus reflex test are used to determine if there is sufficient nerve sensation in the penis. The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger inserted past the anus.

Nocturnal penile tumescence (NPT)

It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections.

Penile biothesiometry

This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis.

Dynamic infusion cavernosometry (DICC)

technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection.

Corpus cavernosometry

Cavernosography measurement of the vascular pressure in the corpus cavernosum. Saline is infused under pressure into the corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an erection indicates the degree of venous leakage. The leaking veins responsible may be visualized by infusing a mixture of saline and x-ray contrast medium and performing a cavernosogram.[20] In Digital Subtraction Angiography (DSA), the images are acquired digitally.

Magnetic resonance angiography (MRA)

This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. Doctors may inject a "contrast agent" into the patient's bloodstream that causes vascular tissues to stand out against other tissues. The contrast agent provides for enhanced information regarding blood supply and vascular anomalies.

 

en.wikipedia.org/wiki/Erectile_dysfunction

  

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Teenage boys and adult males, circumcision may result in significant postoperative pain. In his many years of practice as a Los Angeles urologist.Preputioplasty

Viagra is a brand-name prescription drug that is approved to treat erectile dysfunction (ED) and pulmonary arterial hypertension. It is taken by mouth or by injection into a vein. The active ingredient is sildenafil, which works by enlarging the blood vessels, allowing the blood to flow more easily to the affected areas. Its chemical formula is C22H30N6O4S.

 

Source: Licensed from stock.adobe.com/

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

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Infertility in young couples is not an aberration. You can have it corrected by visiting a competent fertility doctor and following the right course of treatment.

However, being unable to get pregnant does not PUT the onus on the female partner either! Statistics have revealed at almost 30% of infertility stems from the male as well.

It would certainly help you to understand the underlying cause by contacting an infertility specialist. You are welcome to check the facts at kicbengaluru.com/male-infertility/ as well.

In fact, you would be interested to know that the most common causes of infertility in men include the following:-

1. Low quality of sperms

2. Erectile dysfunction

3. Low sperm count

4. Varicocele

5. Retrograde or premature ejaculation

 

ED is generally caused by the insufficient blood supply to the penis or an issue with the nerves that control erections. This is a product of other factors, such as hardening of the heart, elevated blood pressure, and high cholesterol or diabetes.

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Accupuncture for Erectile Dysfunction

 

And study published in the International Journal of Impotence Research in 2003, found that acupuncture worked in about two thirds of cases of psychogenic erectile dysfunction.

 

The researchers, led by Dr. Paul Engelhardt, took 22 men with an average age of 39 who reported psychogenic erectile dysfunction over the last two years.

 

They then split them into two groups.

 

The first group received acupuncture treatment specific to ED.

 

The second group received acupuncture treatment for headaches.

 

This second group was the placebo group, tracked just to see if they reacted to the acupuncture experience itself, rather than the ED specific treatment.

 

The researchers also did a crossover….

 

Where they took the non-responders from the placebo group and put them into the treatment group to see if these individuals would respond to the treatment (after not responding to the placebo).

 

The study was measured against all the major erectile functionality scores, including:

 

-Levels of sex hormones

-IIEF scores (a questionnaire to evaluate erectile functionality)

-Nocturnal penile tumescence testing (measuring nocturnal erections)

 

The researchers also measured the response rate to Viagra just to check that it wasn’t a physical thing, as opposed to psychogenic ED.

 

Each patient received up to 20 treatment sessions, depending on the response rate.

 

The researchers found that:

 

-Of those who underwent the placebo treatment, 91% reported no results.

-13 of 19 patients who received the actual treatment reported success.

-4 of 19 patients reported that it was moderately successful.

-2 of 19 patients saw no difference.

 

Therefore, the researchers concluded that yes, acupuncture works – and it is effective at treating ED in most people.

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

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Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

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Magnesium for Erectile Dysfunction

 

You may have read about how important vasodilators are to erectile function. That’s because healthy blood flow to your penis and the surrounding tissue is the core process behind erections.

 

If your blood vessels are too narrow or tight, that healthy blood flow can’t happen.

 

Age-related arterial stiffness is a common complaint of growing older, and a contributing factor to age-related erectile dysfunction.

 

In 2011, Dr. Van Laecke and his team at the Ghent University Hospital in Belgium examined the impact of low magnesium on age-related arterial stiffness in a study of 512 men.

 

Over the course of six years, the team examined over 10 factors that could impact arterial stiffness. Some of the other factors included age, diabetes and smoking status, body weight, blood pressure, and various hormone levels.

 

Van Laecke concluded that low magnesium levels correlated strongly with levels of arterial stiffness, enough to stand out from the crowd of other factors. They declared low magnesium an “independent predictor” of arterial stiffness.

 

They also found this impact was strongest in patients over 55 years old.

 

Bottom line: there’s no guarantee that extra magnesium will fix your ED. But if you have low magnesium, getting it back to normal levels can fix this particular cause of erectile dysfunction.

 

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Singapore, Singapore - January 7, 2022: The Swissotel The Stamford hotel, when seen together with and between the two domes of the Esplanade, forms an outline resembling that of a penis and testicles.

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

i know, this is a terrible photo, but i was laughing so hard i about fell over. weeks ago, i found a pregnancy test box...so i thought this one was somehow hysterically funny and possibly connected in some odd way. or not. whichever, it's quite an amusing find.

A man is considered to possess male erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be ready to have intercourse, or if it interferes with other sexual intercourse .

Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ED) is merely considered a priority if satisfactory sexual performance has been impossible on variety of occasions for a few time.

 

Here Dr Tahira Rubab Hafeez is explaining that it’s no secret that men place a high value on how to increase sex power without medicine. And that makes sense. There’s usually a good reason to want to make such a pleasurable experience last as long as possible, right? However, doing so seems easier for some rather than others. If you aren’t lasting as long as you’d like, you consider yourself suffering from premature ejaculation or erectile dysfunction. Before you start worrying about whether there’s something wrong, however, you should know that most of the time, your partner is perfectly satisfied with your endurance. in this video I told you how to increase sex power without medicine. so watch the complete video and don't miss any second.

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

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Grab a free copy of my ebook at the url above.

 

Oysters and Erectile Dysfunction

 

Oysters Contain Erection Boosting Nutrients

 

At the simplest level, oysters carry a lot of the nutrients you

 

need for optimal sexual health and erectile function.

 

These include:

 

-Zinc, an important building block for your production of

 

testosterone

-B6, which increases healthy blood flow and improves nerve

 

sensitivity

-Magnesium, for metabolizing nitric oxide (itself vital to the

 

blood flow that makes erections happen)

-Selenium, a mineral that helps with semen quality and sperm

 

health

-Vitamin C, which improves blood flow

-Iron, for improved oxygen content in the blood

-Omega 3 Fatty Acids that help both with blood flow and tissue

 

elasticity

 

Oysters also contain a lot of vitamin D….

 

Modern research hasn’t yet established exactly why vitamin D is

 

helpful for erections, but it has conclusively linked vitamin D

 

deficiency with high likelihood of erectile dysfunction.

 

We do know more. Vitamin D also helps with testosterone, so

 

that’s a good hint.

 

Bottom line: these guys are basically a multivitamin for erectile

 

health.

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

morningsteel.com/get-free-e-book/

 

Grab a free copy of my ebook at the url above.

 

Cinnamon Boosts Testosterone

 

Cinnamon is really, really good for your testosterone production. We know this because of a whole series of studies that show direct and indirect evidence of this effect.

 

Researchers studied this by giving subjects cinnamon, cinnamon oil, or cinnamon extract. They then took blood tests and examined organs to determine the results.

 

An incomplete list of what this research shows cinnamon can do for sexual health includes:

 

Direct increase of testosterone levels, up to 134% of a control group

Improved semen quality

Greater semen quantity

Increased testes weight and size

Greater number of leydig cells

Like with some of the gut flora research, most of what we know about this, we know because we’ve seen it in rodents.

 

But the link between gut health and sex hormone production has been clearly demonstrated, so it’s just a matter of time before we have some solid human data on this subject.

 

Why You Should Care

 

Testosterone is the most important hormone in a man’s body when it comes to powerful erections, libido, and almost every other aspect of sex and sexual health.

 

More testosterone = more, better, stronger, longer-lasting erections…and more cinnamon = more testosterone.

Dr Tahira Rubab Hafeez is an internationally authorized clinical psychologist. Her passion and approach to growing together brought Tahira Rubab to the personal development sector and her 10 years of experience does not limit to the provision of mental health services to the general population, sexual minorities, and marginalized groups but also to developing and implementing mental health projects for different organizations, schools, and institutions.

Best Psychologist In Lahore

Here Dr Tahira Rubab Hafeez is explaining the facts that sexual problems, well, there are so many individuals, a couple, who suffer from this problem nowadays. It is pretty frequent too. However, it becomes a big concern when it impacts both your health and your sexual life! So, yes, we're taking an effort to give extensive information about the most prevalent sexual difficulties and treatments.

What are Sexual Issues?

A sexual issue is defined as a difficulty that occurs throughout any stage of the sexual response cycle and inhibits an individual or couple from receiving satisfaction from their sexual engagement. There are four stages in the sexual response cycle: stimulation, plateau, climax, and resolution. I am talking about these issues in this video series.

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