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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley pnis enlargement tip top penis enargement pills vimax free penis enlargement video penis enlagement surgery vimax pills penile enlargement testimonials penis enhancement doctor buy penis elargement pills

manual penis enlargment

Most men love this. Fellatio is the act of applying your lips to a man's penis with the purpose of giving him pleasure. The lips and the tongue are the major sources of stimulation in Fellatio and it is the lips and tongue that you can use to make your partner enjoy a mind blowing experience. While practice makes perfect, here are some basic tips on how to improve your Fellatio technique. Watch your teeth to prevent hurting him suck in your lips to remove the problem of your teeth grazing or nicking him. Safety. If you're unsure of your partners history play safe and use a condom. Oral sex is easier and gives more pleasure without a condom, but you need to think of your own health and don’t take unnecessary risks. Condoms can actually however be quite fun Try some flavored condoms on the market and applying water-based lubRICANT to the penis before you put on the condom will greatly increase his pleasure when receiving. Positions. Get into a position that is comfortable and allows you unhindered access to all areas of the penis. If you are kneeling use a pillow under your knees so that you can concentrate and don’t be afraid to change angles and positions. Enthusiasm The key to giving your man pleasure is enthusiasm, let him know you are enjoying it to and this enthusiasm will arouse him even more. No one wants to feel like their partner is just doing it to please them they want to know you enjoy it to! It will make the experience that much more pleasurable for him. Variety is the spice of life Don’t always use the same moves or techniques in the same order surprise him each time and this means using your imagination and plenty of variety, keep him guessing Make him respond. Whether it's harder, softer, faster or slower, no one knows exactly what he wants better than your partner so get him to respond to you. This can either be verbally, or more subtle clues such as moans and groans. Whichever way you do it, make him feel that he can let you know exactly how he likes fellatio. Start gently. You can start gently slowly stroke, kiss, and lick, run your tongue up and down the penis shaft, take the penis all the way into your mouth and start to build the experience. The anticipation of the warm up can do wonders for his imagination and expectation. Be uninhibited. Women exert considerable control over their partner’s aroused, erect penis and it is important to be uninhibited and enjoy fellatio. While you can start slowly, the best way to satisfy your partner is to exert more pressure as you progress. Really try and get into and concentrate on what you are doing, free your mind and you will provide a massive amount of pleasure The Sensitive spot On the underside of the penis, just below the head, you will find a small ridge of skin known as the fenulum. This area of the penis on many men is extremely sensitive and learning to hit this spot at the right time while performing, can enhance his pleasure considerably. Bring it to conclusion. Once he's fully aroused and heading towards what will be a satisfying orgasm, its time to bring things to a conclusion. Use gentle but firm suction and use an up and down motion with your head to move him toward conclusion and satisfaction. Use Your Hands as well! You can also use your hands to add some variety to Fellatio. Run your hands over his chest, legs and grab his behind, also gently cup his testicles and fondle them. You can also run your hand up and down the penis shaft as you use your mouth to heighten the experience. This will make him feel great; it adds variety and shows your enthusiasm. So, there you have hit a quick guide to the pleasures of Fellatio. Keep in mind enthusiasm, variety and expectation, combined with lots of practice and you are well on your way to great Fellatio! penis enlargment review vimax penis enlargement exercise penis enlargement testimonials cheap penis enlargment pnis enlargement pic free penile enlargement technique penis enargement excercises vigrx pills manual penis enlargment

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. enargement forum free matter penis size cheap penis enlargment penis enlargment secret vigrx penis enlargment pill vimax penis enlargement tip com enlargment penis penis pump vimax free penis enlargement tip penile enlargement information manual penis enlargment

As long as people have been having sex for fun, there have been methods of birth control. Other than abstinence, which is not really very exciting, the next oldest method of birth control is the withdrawal method, sometimes known by its latin name, coitus interruptus. The withdrawal method is not very complicated. It´s most important feature is that the penis must be withdrawn from the vagina before intercourse. If ejaculation happens inside the vagina, or if semen comes into contact with the vagina, withdrawal has not been used. Withdrawal has been criticized from a number of angles. One of the most important criticisms is that many men do not have the discipline to consistently withdraw. As if may be difficult to know when to woman is ovulating, withdrawal must happen each and every time. Another criticism is that pre-ejaculate contains some sperm. This is sometimes true, which affects the overall effectiveness of the method. When it is used consistently, withdrawal is much better than not using any type of contraception at all. If you simply don´t want to abstain, and you don´t have any birth control available, using withdrawal is well advised. For people who do want to be a bit more prepared, there are many types of contraceptives available. Condoms, pills, devices, diaphragms caps and charts are some of the modern methods that are available to today's sexually active partners. penis enlagement forum permanent penis enlargement free penis enlargment pennis enlargement stretcher top rated pnis enlargement pills penis enargement pills natural penis enlargement and lengthening best penis enlargement pills manual penis enlargment

It is estimated that over one million men are infected with genital warts at any given time in the United States. As you know sexually transmitted diseases are running rampant in the world. This article will give you the facts about male genital warts. Genital warts are a sexually transmitted disease which causes a person to become infected with a human papillomavirus or HPV. There are over 100 known HPV's of which a couple will cause visible male genital warts. They are spread by unprotected sexual or genital contact. Males with multiple partners or weakened immune systems are especially at risk. Even if have no visible symptoms, you can still spread the virus. Condoms offer protection but do not completely protect you during sexual or genital contact. The virus may lie dormant in your system for years. Typically genital warts appear within a few months of the infection. They usually appear on the shaft of the penis, the scrotum, the anal area,or in the groin area. Genital warts look like small puffy white blisters in a cauliflower like pattern. This link has genital wart pictures and other valuable information Click Here. The warts will typically disappear on their own within three weeks to three months. You will still have the virus, so you can still infect your partner. Unforetunately, even after the warts go away or are treated, they re appear in 20 to 50% of the cases. It is interesting to note the HPV's that cause genital warts, are not the same as, those that cause planter warts, flat warts, or other warts. You need to seek medical advice or attention if you present with any of the following symptoms. Discharge from the penis or burning while urinating are typical indications. Other indicators are rashes, bumps, or sores or blisters in the genital or anal areas. Your treatment options are dependent on several factors. The number and size of your genital warts. Where they are located, and if special equipment is needed. The cost of the treatment is also a factor. The following link provides treatment options. Click Here. There are several treatments available by prescription that you can apply at home. Treatment can be painful and you should be cautious when applying, so as to not damage surrounding skin. Stronger topical applications are available, but must be administered by a healthcare professional. The appearance of male genital warts is a traumatic experience. Especially when you find out the virus (HPV) will still be in your system, after the warts disappear. It is staggering to realize the infection multiplication factors, when you have multiple partners. Abstinence? This is an option. Whatever your sexual prediliction, protected sex is no longer an option. A more than passing knowledge of your partner is now becoming paramount. Males get genital warts and we must not infect anyone else!