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What could possibly be worse than struggling with a painful condition and feeling ashamed to discuss the problem because of its intimate nature? Such is the case for many suffering with pudendal neuralgia, a little known disease that affects one of the most sensitive areas of the body. This area is innervated by the pudendal nerve, named after the Latin word for shame. Due to the location of the discomfort combined with inadequate knowledge, some physicians make reference to the pain as psychological. But nothing could be further from the truth. Unfortunately, discussing the condition with gynecologists, urologists and neurologists often proves fruitless since most know nothing about the condition and therefore cannot diagnose it. Pudendal neuralgia is a chronic and painful condition that occurs in both men and women, although studies reveal that about two-thirds of those with the disease are women. The primary symptom is pain in the genitals or the anal-rectal area and the immense discomfort is usually worse when sitting. The pain tends to move around in the pelvic area and can occur on one or both sides of the body. Sufferers describe the pain as burning, knife-like or aching, stabbing, pinching, twisting and even numbness. These symptoms are usually accompanied by urinary problems, bowel problems and sexual dysfunction. Because the pudendal nerve is responsible for sexual pleasure and is one of the primary nerves related to orgasm, sexual activity is extremely painful, if not impossible for many pudendalites. When this nerve becomes damaged, irritated, or entrapped, and pudendal neuralgia sets in, life loses most of its pleasure. So, where exactly is the pudendal nerve? It lies deep in the pelvis and follows a path that comes from the sacral area and later separates into three branches, one going to the anal-rectal area, one to the perineum, and one to the penis or clitoris. Since there are slight anatomic variations with each person, a patient’s symptoms can depend on which of the branches are affected, although often all three branches are involved. The fact that the pudendal nerve carries sensory, motor, and autonomic signals adds to the variety of symptoms that can be exhibited. Because pudendal neuralgia is uncommon and can be similar to other diseases, it is often misdiagnosed, leading some to have inappropriate and unnecessary surgery. Early in the diagnosis process, it is crucially important to undergo an MRI of the lumbar-sacral and pelvic regions to determine that no tumors or cysts are pressing on the nerve. In addition, the patient should be screened for possible infections or immune diseases, as well as having an evaluation by a pelvic floor physical therapist to determine the health of the pelvic floor muscles and to uncover whether skeletal alignment abnormalities exist. An accurate patient history is needed to assess whether there has been a trauma or an injury to the nerve from surgery, childbirth, or exercise. Tests that offer additional diagnostic clues include sensory testing, the pudendal nerve motor latency test, and electromyography. A nerve block that provides several hours of relief is another tool that helps to determine if the pudendal nerve is the source of pain. One of the most common symptoms that accompanies pudendal neuralgia is severe depression. Some people with the disease have committed suicide due to the intractable pain. For that reason, it is important to consider antidepressants, as they can help lessen the hypersensitivity of the genital area in addition to relieving bladder problems. Certain anti-seizure drugs reportedly help to alleviate neuropathic pain while anti-anxiety drugs provide substantial relief of muscle spasms and assist with sleeping. Uninformed physicians are reluctant to prescribe opiates for an illness that shows no visible abnormality, yet the desperate nature of genital nerve pain requires that opiates be prescribed for these patients. While medications are not always satisfactory, they do help take the edge off of the pain for many people. Until the correct treatment is determined, it is imperative that patients with pudendal neuralgia receive adequate pain management since the pain associated with this illness can be intense. Treatment depends on the cause of distress to the nerve. When the cause is not obvious patients are advised to try the least invasive and least risky therapies initially. Physical therapy that includes myofascial release and trigger point therapy internally through the vagina or rectum assists with relaxing of the pelvic floor, especially if pelvic floor dysfunction is the cause of nerve irritation. If no improvement is found after six to twelve sessions, nerve damage or nerve entrapment might be considered.Botox is now used in medical settings to relax muscles and shows promise when injected into pelvic floor muscles; though finding a physician adept at this treatment is difficult.Pudendal nerve blocks using a long-acting analgesic and a steroid can reduce the nerve inflammation and are usually given in a series of three injections four to six weeks apart. If physical therapy, Botox, and nerve injections fail to provide adequate relief, some patients opt for pudendal nerve decompression surgery. There are three published approaches to pudendal nerve decompression surgery but there is debate among members of the pudendal nerve entrapment community as to which approach is the best. Since there are advantages and disadvantages to each approach, patients face considerable confusion when deciding which type of surgery to choose. Because there are only a handful of surgeons in the world who perform these surgeries, most patients have to travel long distances for help. Moreover, the recovery period is often painful and takes anywhere from six months to several years since nerves heal very slowly. Unfortunately, early statistics indicate that only 60 to 80 percent of surgeries are successful in offering at least a 50 percent improvement. Patients whose surgeries are not successful or who do not wish to pursue surgery have the option of trying an intrathecal pain pump which delivers pain medication locally and helps to avoid some of the side effects of oral medications. Others pursue the option of a neurostimulator either to the sacral area or directly to the pudendal nerves. These are relatively new therapies for pudendal neuralgia so it is difficult to predict success rates. Some pudendalites have devised ingenious contraptions for pain relief ranging from u-shaped cushions cut from garden pads all the way to balloons filled with water, frozen, and inserted into the vagina. Most have a favorite cushion for sitting and many have special computer set-ups for home and office use in order to avoid sitting. Generally speaking, jeans are a no-no, so patients revise their wardrobes to include baggy pants and baggy underwear – if they are able to tolerate wearing underwear. Clearly more research is required to find effective methods to better manage the pain and debilitation of pudendal neuralgia. But in the meantime, friends and family close to those who have this devastating illness play a huge role in helping patients cope, thereby maintaining the best quality of life possible. Support, love and understanding are of primary importance for those suffering with this affliction. buy pennis enlargement pills herbal penis enlarement pills cheapest pennis enlargement pills penile enlargment before and after photo penis enlargment doctor prosolution penis elargement pills penis enlagement supplement penis enhancement testimonials

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Sometimes overcoming premature ejaculation is a matter of learning effective relaxation techniques and bringing more awareness into your sexual experiences. Interestingly, this idea contradicts a lot of prevailing wisdom around 'numbing' sexual sensations and distracting oneself from the experience. I want to share a very simple exercise to increase what I call your "cock awareness". The more you are present with all your feelings and sensations, the greater the level of your control and arousal and so the more intense your orgasms can become. Remember orgasm and ejaculation are two separate physiological events for a man (and oh, just by the way, for a woman too!). The final outcome is that you will develop more control, simply by increasing and refining your awareness, especially of your cock. The focus and development of awareness is one of the gifts of Tantra. The word Tantra is a Sanskrit word that means expansion of consciousness and liberation of energy. I'd need a whole other series of articles to begin to delve into that. For now, I want you to focus on an exercise. We are all in the chronic habit of holding ourselves away from our genitals, so try this! THE EXERCISE: Sitting or laying down, be comfortable. Relax your breath, notice each breath moving through the nostrils. Then after a few minutes, drop your breath awareness to the navel. Next drop awareness to the perineum, between the testicles and anus. And then to the pelvic floor. Bring your awareness to your pelvic floor and relax everything. Relax your buttocks and anus. (The pelvic floor is the web of muscles across the base of the pelvis, attaching to the sitz bones, pubic bone and coccyx, forming the base of your torso) The genitals are enmeshed in these muscles. Usually you are continually pulling up the pelvic floor unconsciously with your inner tension, cutting of sensation. From this point on, every moment you remember, bring your awareness to the pelvic floor and RELAX EVERYTHING! As you are sitting or laying down, feel with your awareness the full length of your cock as it extends from the deep core within and away from the body. Feel the deep root, where it joins and emerges from your body. Visualize your sacred cock, as a generator of love energy, a magic wand. Imagine and feel a fire filling up and flooding of the pelvic area. Feel the intensity of the most subtle sensations. Relax into the genitals. Feel them from the inside out. Relax. Be more rooted in the base of your penis. Hold the entire penis in your awareness, not just the tip. Ask yourself, "How can I open more?" Focus on how it feels, not where it is. Notice how your sensitivity and arousal increase by feeling in a relaxed manner. There is no outcome here, except to relax and feel more. That is the exercise, practice it often! While it seems at odds with so much theory around distraction from, and numbing of, sexual pleasure, the basic principle of increasing awareness during sex is this; Feel your body, sexuality and orgasms; and Learn your body, sexuality and orgasms; then Master your body, sexuality and orgasms!!! In an upcoming article I will explore how the idea of sexual control and mastery is not about control at all … but that would be getting ahead of myself. Until then enjoy yourself practicing. Love, Mukee Okan Copyright 2005 Mukee Okan natural penis enlagement and lengthening vimax prosolution penis enlargement pills buy vigrx pennis enlargement traction device penis enhancement program vimax penis enlargement before and after picture pro solution review herbal natural penis elargement herbal penis enhancement pills

Caverta is the new generation Viagra. It is generic form of Viagra used to treat Erectile Dysfunction in men. Caverta is Ranbaxy's brand of Sildenafil Citrate. Sildenafil is the latest oral drug introduced for the treatment of Erectile Dysfunction(ED), also called as impotence in men. The Caverta medicine contains same chemical compound as Viagra. The men suffer from ED; can not get proper erection during intercourse due to lack of blood circulation inside penis arteries. Sildenafil helps in activating the enzyme phosphodiasterase type 5 (PDE 5). Sildenafil works by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation. So blood flow is got increased. This results in better and longer-lasting erection.CAVERTA is not a hormone. It’s a prescription medicine that can improve the erectile function of most men with erection problems. So Caverta will work only when man is sexually exicited. It is not sex stimulant or sex drives. The drug Caverta does not produce erection without any initiative. It will only work when man is in sexually stimulated condition. The Caverta helps in getting fuller and harder erection when men are sexually excited. The dosage of Caverta should be started under the doctor's supervision. It is orally taken pill. The Caverta is available as Caverta 100m, Caverta 50mg. The recommended dose of Caverta is 50mg. The Caverta pill should be taken 1 hour before sexual activity. The possible side-effects due to Caverta drug are headache, facial flushing, dyspepsia and nasal congestion. Caverta may also cause bluish or blurred vision, or sensitivity to light. Be careful while taking Caverta dosage with another medication. The medicines, along with Caverta are strictly avoided which contain Nitrates. Because Nitrates lowers the blood pressure. So consult your doctor before starting Caverta dosage. Caverta is only for a patient with ED. Caverta is not for children or women. For more information about Caverta, please log on to GENERIC VIAGRA You may visit www.genericpills4less.com homemade penis enlargement get vigrx truth about penis enlargement easy enlargment free penile surgery way free penis enlargment video manual penile enlargement exercise does vimax work vimax com enlargement penis penis pump herbal penis enhancement pills

Is there a link between penis size and body height? A 2002 study conducted by the British Journal of Urology gives some answers. Maybe this is one of the most popular myths about the size of the penis : while you could easily guess the shapes of a woman’s breast, legs and hips regardless of the clothes she is wearing, guessing a man penis size is notoriously a harder task without direct and real observation. Of course, some “happy few” can clearly boast – but this is rare – a big bulging organ behind their clothes. That’s also why many people still believe that the penis size could be related to factors like the size of the ears or nose, or the size of the hands or feet. Let’s go back to scientific facts : in 2002, a study conducted by the British Journal of Urology made clear there was no correlation between the size of the male foot and the penis size. It is also true that the study did not focus on body height to identify the penis size, but the result has of course every chance of applying to it. It must be understood that the penis is an appendage like the ears or the nose, and that it is not influenced by the body height. In fact, penis does not follow the same rules as bones or muscles which match the body height to simply sustain its weight and maintain its common erect posture. Study found that there is also no correlation between the limbs and the penis – even it is made clear that the development of the penis and the limbs inside the womb is controlled by the same genes. Remember that the overall human body development during childhood and puberty is controlled by genes and hormones in large numbers. And that is very unlikely that genes or hormones could control the size of two different parts or organs. This is why science has to do such myths justice or disapprove them forever, because there is no indication that they will ever vanish from the vast ocean of common ideas shared by mankind. free penis enhancement pills does penis enlagement work best penis enlargment surgery free exercise tip for penis enlargement pennis enlargement device penis enhancement program penis enlargement forum sex vig rx herbal penis enhancement pills

The discomfort and embarrassment of a enlarge prostate affects 60% of men between the ages of 40 and 60. Up to 80% of those who are 80 years old. A enlargement of this gland puts pressure on your urethra. This results in problems when you urinate.(Increasing in a need to urinate more frequently and leaving you with a strange feeling that you haven't urinated or emptied your bladder at all.) Zinc is an essential for prostate health. Studies have shown that taking zinc supplements reduces the size of the prostate and relieves the symptoms.(Fed Pro 35:361, 1976). Take 60 mgs of zinc a day for 6 months. You can then reduce this to 15 to 30 mgs a day. Saw palmetto is another great source you can add to your diet. This is a herbal supplement with no side effects. 80 to 160 mgs a day would be an appropriate preventive dose. Saw palmetto has been used by the Native Americans for years. Watch out for these symptoms. * Frequent need to urinate.(Waking up several times a night to urinate.) * Feeling a urgent need to urinate(this can make you feel like you are going to have a accident if you don't get to the toilet in time. And you start doing this alot.) *A Difficulty in urinating(initial hesitation before urine starts to flow.) *Dribbling after urinating. *Blood in your urine. To keep your prostate from bugging you in the prevention of a unhealthy prostate, start having alot of interaction in love making and sex. You need to keep ejaculating and you need to ejaculate frequently. If you are having a problem ejaculating properly, there are products available over on my blog to get you started. Yes, lots of love making and sex. HINT: If one stops having orgasms, the fluid backs up and the glands become swollen. This is what is called prostate congestion(swollen glands and then pain.) It wouldn't hurt to stay active sexually. Do something about your prostate now before its too late.