Wednesday, April 29, 2009

Your Man's Secret Fears

A lot of guys try to give the impression that they're calm and cool, that they can handle the pressure, that they think worrying is for wimps.

And the sad part is, the women in their lives sometimes buy this act, or even encourage it. Heck, if he isn't worried, they can feel calmer, too. Maybe you buy the act because the only time you see emotion in your man is when he's watching the first round of March Madness, and his bracket is about to go down in flames.

Or maybe it's because the only time you've seen him sweat was when he had to wear a suit to an August wedding. Or maybe it's because the last time you asked him, "Aren't you worried?" he responded with a dismissive.

While men pretend that they're wired with steel cable, not nerves, they have their shakedown moments, too. Here are some of the biggest worries that can weigh on a guy's mind.

That He's Going to Lose His Hair

Yes, I know it seems surface-level to worry about such a vanity issue as baldness, but lots of guys equate follicle failure as a failure in masculinity, as well. Oh, we know it's not true - that hair loss has nothing to do with how funny, smart, or good a guy is. But knowing is a heck of a lot different than feeling. Pluck a lion's mane sometime, and see if he purrs.
That He's Going Broke

Economic shocks (like the one we're in right now) worry guys for lots of reasons: Your man probably feels like one of his largest charges in life is to be able to provide comfortably for his family. While money and job problems have their own tangible effects, they can also undermine the way he sees himself as a man. So if he's a little freaky around the checkbook, it's because his bank balance is closely tied to his emotional balance. A simple four-step plan for your savings like this one can ease his fears.

That He'll Have One Cheeseburger Too Many

Millions and millions of guys worry about their health - more, of course, as they get older. The one killer that really makes us think: the heart attack. One minute you're watching Simpson reruns; the next minute you're staring at the ceiling of an ambulance. Because we've read too many stories or known too many people who checked out earlier than they should have, the threat is always lingering - in our bodies as well as our minds.
That He'll be Called Out in Public

Some of us are thick-skinned when it comes to taking criticism from bosses, spouses, and every other kind of critic. And some of us have skin thinner than a Spring Break T-shirt. But none of us like getting called out or picked on in front of a crowd. It's not that we can't take the criticism, or can't think of a comeback, or can't accept the fact that we're imperfect. It's that public attack forces us to counter-attack or retreat - both of which have their downsides.

That His Kid Won't Make the Free Throw

Granted, a guy is going to worry a heck of a lot more about the big things when it comes to parenting - that junior wears a helmet when he rides his skateboard, that he does well in school, and that he thinks drugs are for losers.

But want to see a guy's heart pump? Put his kid on the field, court, or dance floor. He's pulling hard for his gene-carrier to do well - not because he wants to live vicariously through them (as most people assume), but because he wants to see their smiles and their fist pumps. It's because happiness is directly correlated to theirs.
That He'll Fail to Perform in the Clutch

When a man can't rise to the occasion he feels about as useful as a '63 Oldsmobile with rusted spark plugs. But before you put him up on blocks, reassure him that more than one in ten will have trouble with erectile dysfunction at some point in their lives, and the other 9 guys out of 10 have good reason to be concerned as well.

As part of our research for the new book "Eat This, Not That!," my coauthor Matt Goulding and I under covered evidence that the American diet is slowing our sex lives (for both men and women) to a crawl. You can find out why that's happening and discover the best and worst sex foods by clicking here.

Wednesday, April 22, 2009

Bromocriptine mesylate or cabergoline for infertility

Bromocriptine and cabergoline reduce the body's amount of prolactin, a hormone produced by the pituitary gland. Excess prolactin makes a woman stop ovulating; in a man, it reduces sperm production, impairs sex drive, and causes impotence (erectile dysfunction).

Why It Is Used:

Bromocriptine or cabergoline may be used when a woman is not ovulating because she has high levels of prolactin in her blood.

Bromocriptine may be used to treat a man whose reproductive functions are impaired because he has abnormally high levels of prolactin.

High prolactin is commonly produced by a pituitary tumor. If you have elevated prolactin levels, you will need further testing to find whether a tumor is present. Bromocriptine is used to treat male infertility only if it is associated with a prolactin-producing pituitary tumor; the medication helps to normalize interactions between the pituitary gland and the testicles.

How Well It Works:

Among women who have ovulation problems due to excess prolactin, 70% to 90% will begin having menstrual periods on a regular cycle and 50% to 75% will begin ovulating normally while taking these medications.


Ovulation rates do not reflect the fact that well-timed intercourse is necessary to conceive, and some pregnancies miscarry. In any group of women, ovulation rates are higher than pregnancy rates, which are higher than live birth rates.

Side Effects:

Cabergoline causes few side effects, the most common being headache.

Bromocriptine can cause mild to moderate side effects, including:

* Nasal stuffiness.
* Nausea.
* Diarrhea.
* Headache.
* Dizziness, lightheaded.
* Fatigue.

Side effects from bromocriptine can be minimized by building up slowly to a full dose or by administering tablets vaginally rather than orally.

Cabergoline causes minimal side effects compared to bromocriptine, but its effects on the fetus are not as fully researched.

Tuesday, April 14, 2009

Fertility Awareness

Fertility awareness (also called natural family planning or periodic abstinence) is a way to check the changes your body goes through during a menstrual cycle. This information can help you learn when you ovulate. You can then time sexual intercourse to try to become pregnant or to try to avoid pregnancy.

A woman is usually able to get pregnant for about 5 days each month, around the days when ovulation occurs. On average, ovulation occurs 12 to 16 days before the menstrual period begins. So ovulation would occur on about day 10 of a 24-day menstrual cycle, day 14 of a 28-day cycle, or day 21 of a 35-day cycle. Sperm can live for 3 to 5 days in a woman's reproductive tract, so it is possible to become pregnant if sex occurs 2 to 3 days before ovulation.

For fertility awareness to be used as birth control, either you must not have sex or you must use a barrier method of birth control (such as a diaphragm or condom) for 8 to 16 days of every menstrual cycle. To use fertility awareness, you must prepare each month, be familiar with your body changes, and talk with your partner about your cycle.

Fertility awareness is not the best method of birth control to prevent a pregnancy. The number of unplanned pregnancies is 25 out of 100 women who typically use fertility awareness. But this method can be very helpful to time when to have sex to become pregnant.

There are several basic methods for determining the time of ovulation. For fertility awareness to be most effective, you need to use all of these methods in combination. Check your body changes using these methods for several months before using them to avoid pregnancy.

* Calendar (rhythm) method. For the calendar method, you guess your next ovulation time after recording your last few months of menstrual cycles. From the record, you guess which days of the month you are most likely to ovulate (be fertile). Your fertile days start 5 days before ovulation. This method works if your menstrual cycle is regular because then you will ovulate on a certain day of the month. But very few women have regular 28-day cycles. Even women who have regular cycles can have irregular periods from time to time. Also, a woman does not always ovulate right in the middle of her cycle and is more likely to ovulate between 9 and 17 days before her next period. So the calendar method alone is not the most effective method of guessing when you might be ovulating.
* Standard days method (SDM). The SDM works best for women who have cycles between 26 and 32 days long. You usually use a special colored string of beads (Cycle Beads) to keep track of your cycle if you use this method. The red bead is the first day (day 1) of your period. Count each day as one bead. A dark brown bead marks day 26 and the last brown bead before the red bead is day 32. If you have more than one cycle in one year that is shorter than 26 days or longer than 32 days, you may need to use another method to avoid pregnancy.
* Basal body temperature (BBT) method. Basal body temperature (BBT) is the lowest body temperature a healthy person has during the day. A woman's hormone levels during her menstrual cycle naturally cause her BBT to fall 1 to 2 days before ovulation and then rise 1 to 2 days after ovulation. By carefully measuring and recording your BBT every morning before you get out of bed, you may be able to guess the day you will ovulate.
* Cervical mucus method (Billings method). The amount, texture, and look of mucus made by your cervix changes during your menstrual cycle. By watching, feeling, and recording this information for several cycles, you may be able to guess when you will ovulate.
o Right after your menstrual period, you will not have much cervical mucus and it is thick, cloudy, and sticky.
o Just before and during ovulation, you will have more cervical mucus and it is thin, clear, and stringy.
* Hormone monitoring. Home ovulation kits can be used to help you learn the most fertile days of your menstrual cycle. These tests check the level of luteinizing hormone (LH) in your urine. You use a dipstick or test strip, dip it in your urine, and read the level on the strip or put the strip in a small computer unit that shows the level of LH. The computer can tell you when your most fertile days are.
* Combined (symptomatically) method. This method uses some of the other methods all at once to tell you the most fertile days of your cycle. You check your basal body temperature, the changes in your cervical mucus, a hormone test, and watch for signs of ovulation (such as breast tenderness, belly pain, and mood changes). The physical signs of ovulation help you learn when you ovulate.

Monday, April 6, 2009

The method of treatment

Treatment of phimosis
Typically, treatment of phimosis is reduced:

- Excision of foreskin

- Sparks the separation between the head of the penis and foreskin. This is done under general anesthesia or without anesthesia (to effect "). The child receives a psychological trauma after the operation, and often relapse phimosis.

- To corticosteroid therapy. Regular and frequent use of corticosteroid ointment to the head of the penis and the flesh slightly increases the elasticity of tissue in the flesh, with the result that it may fall, thus decreasing the extent of the disease. However, in practice, even months of the application of corticosteroid ointments more often than not there is any effect. In general, this method of treatment of phimosis should be declared ineffective, and recommend it to the application is not worth it.

The method of treatment that I use
It should be noted that every child needs an individual approach, regardless of age. If there sinewy separate adhesions under local anesthesia with the use of special drugs that provide a full recovery without the child's psychological trauma, and without general anesthesia. In some cases, can not be avoided operative treatment (circumcision foreskin).

My method of circumcision
Best of old and new methods followed in the operation of my equipment. I use a special clamp that ensures minimal tissue trauma in the flesh, and there is no risk of damage to the head of the penis. Excision foreskin is made special appliances, it provides a complete homeostasis (stopping bleeding) and simultaneously connects the sheets in the flesh. Thus, the operation is performed bloodlessly, a good cosmetic effect is achieved without complications.

Pianissimos treatment

Pianissimos - the narrowing of the external openings of the flesh. It must be remembered that pianissimos can be congenital and acquired. Congenital narrowing of the very flesh of the majority of births occur as a physiological phenomenon up to 3 years. During the first 3 years of life extension is happening preoccupations holes, physiological pianissimos runs itself and needs no further correction.
Physiological pianissimos has all the same complications as normal pianissimos acquired.

Acquired pianissimos may be formed under the influence of different factors:

Inflammation of foreskin and head of the penis (abolitionist) can lead to edema in the flesh, and temporarily reducing the diameter of the outer holes.

Mechanical trauma can lead to the formation of scar tissue (not able to stretch) in the flesh.

In childhood, the period of active growth of the head and the foreskin may be a temporary or permanent gap of diameter head and the outer holes in the flesh.

Lack of connective tissue in the body that has a genetic predisposition.

Sunshine - adhesions between the head of the penis and foreskin hinder the release of the head of the penis, is a modification of the rules for children under 3 years. Very often, under the translucent skin of a physiological or grease schema - it gaseous mass, which is a good breeding ground for microorganisms and is often a cause of inflammatory processes blatant and plantations. Sunshine encouraged to grow.
Manifestations and symptoms of pianissimos
Determine the extreme narrowing of the flesh, and it is impossible to uncover the head of the penis, through the formation of scar pianissimos.

Sometimes the child is pain, discomfort during urination, the urine under pressure inflates the "ball" at the end of the penis. Sometimes a kid is difficult to urinate, have to retch. This urine is allocated a thin trickle.

Hyper trophic pianissimos, the disease is characterized by abnormal foreskin, its thickening and loss of elasticity, making it difficult to complete the withdrawal of the penis head.

Treatment Of Erectile Dysfunction

While erectile dysfunction has been described since ancient times, adequate treatment has only been available for the last three decades. Modern penile prosthetic devices were first developed in the early 1970s when Small et along with Scott . reported the implantation of penile prosthetic devices into the corpora cavernous to fill the corpora cavernous and provide a physiologically functional erection with good cosmetic results.

Semi rigid rod and mechanical prostheses available today are the successors of the devices designed in the 1970s. These devices, while easier to implant, have few advantages over the newer inflatable devices because infection and mechanical malfunction rates are similar. The semi rigid devices consist of a central metal core and a silicone elastomer rod while the mechanical Dur II implant is a series of disks held in position by a central cable. The latter design facilitates positioning of the implant between uses.

The three-piece inflatable penile prostheses vary in construction from three-layer silicon/Dacron/Lycra to a single layer of silicon or Bioflex . Options include girth expansion and/or length elongation. Design modifications over the past two decades have decreased mechanical malfunction rates from greater than 30% to less than 5% and antibiotic coating has reduced the infection rates from over 4% to fewer than 1%.

The three-piece inflatable penile prostheses continue to be the most satisfactory prostheses. These prosthetic devices produce the most natural appearing erection in girth, length, and with satisfactory rigidity and excellent flaccidity for optimal concealment. They also have advantages for many patients with complex penile implantations because the flaccid position removes pressure from the corporal cavernous and decreases the possibility of erosion in these highly difficult implantations.

Patients chosen for penile implantation therapy are usually those that have failed PDE5 inhibitors and less invasive therapy. Careful informed consent is critical in counsellings patients before surgery. Post operatively patients should be counseled to cycle their devices daily and that satisfaction increases over 3 to 6 months after implantation. Multi center studies have documented the long term satisfaction and normal mechanical function of penile implants and their satisfaction rates. Patients queried 5 years after surgery were using their implants an average of three times monthly.