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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. free penile enlargement homemade penis enlarement best penis enhancement pills vimax penis enlargement traction device natural penis enhancement exercise free penis enlagement pills penis enlargment before and after picture penis elargement surgery
Viagra, the erectile dysfunction (ED) drug has become a craze for teenagers. Teenage boys regularly opt for ED drug for improvising their sexual performance and machismo. Most of the time, they get hold of the drug through online pharmacies without prescription. An increasing use of Viagra is noticed by teenagers at a party or local club. It’s surprising that Viagra, the older man's drug, has earned a place among hard-partying youth. It has gone recreational practically without anyone noticing. A huge number of younger men take it in the hopes of enhancing performance and endurance as far as sex is concerned. This growing trend in youth is becoming a cause of concern as it can cause severe damage to the health of its users. The worst part about this current trend is that teenage boys and 20-something guys are taking Viagra with club drugs such as Ecstasy. Although Ecstasy can boost energy and provide the desired high, it lessens a male's ability to have an erection alike alcohol which also does the same thing to a man's sexual abilities. With the usage of Viagra for a drug cocktail restores virility because the prescription drug's main biological action is to increase the nitric oxide production needed to encourage blood flow to the penis. The result is that a lot of young guys-and more than a few in their 30s, 40s and beyond-are suddenly more able to have sex when it is least advisable. Viagra works for four to six hours, which only extends the time to make unwise late-night decision, such as not using a condom which can often lead to sexual infections such as HIV (AIDS) and genital herpes. Another problem with Viagra use is that some men-usually older males-might unwittingly mix nitroglycerin heart medicine and the sexual function drug. This combination can create potential blood pressure irregularities. So it’s wiser to use the ED drug for treating ED only otherwise it can prove fatal for the health of its users. penile enlargement secret safe penis enlagement penis enhancement supplement online vig rx penis enlagement excersizes free penis enlarement video penis enhancement system penis enargement pills penile enlargement pills
Hashimoto’s disease (by Japanese surgeon; Hashimoto, Hakaru 1881-1934) is a chronic thyroiditis. It is characterized by the production of autoantibodies that attack the thyroid. This will eventually cause a lack of thyroid hormone, thyroid fibrosis, and infiltration of thyroid tissue by lymphoid tissue. Hashimoto’s disease is also a common cause of a goiter. A goiter is an enlargement of the thyroid gland. It becomes clearly visible as a swelling on the front part of the neck because the thyroids tends to grow 2 to 5 times bigger than normal. Hashimoto’s disease is also called Hashimoto’s struma, Hashimoto’s thyroiditis, or struma lymphomatosa. The thyroid gland secretes two hormones controlling the usage of energy and the body temperature. To determine if the thyroid gland is working properly, different hormone levels can be measured in the blood. The pituitary gland secretes a hormone called TSH (thyroid-stimulating hormone). TSH level is clearly elevated when the thyroid gland is not functioning properly. Also an iodine absorption test may be performed to show too low uptake of iodine, which may indicate hypothyroidism. If you suspect that your thyroid is not active enough, you can do a thyroid self-test in the morning. Stay in bed after you awake and take your temperature from under your arm. Try to stay very still and quiet for fifteen minutes. If your temperature is 97.6F or lower for 5 days, you can ask your professional health care provider if there is a reason to test the condition of your thyroid. Symptoms of Hashimoto’s disease include fatigue, loss of appetite, weight gain, sensitivity to cold, muscle cramps, depression, fertility problems, painful premenstrual periods, muscle weakness, dry and scaly skin, yellowish coloration in the skin, yellowish bumps on the eyelids, hair loss, constipation, persistent infections, swollen eyes, and milky discharge from breasts. Hashimoto’s disease is a rare disease and it is more common among women than men. Usually it appears in the age range of 30-50. About 10-30% of people suffering from Hashimoto’s disease will develop hypothyroidism. The treatment is usually replacement of the thyroid hormone for the rest of the patient’s life. In case autoimmune diseases run in your family it doesn’t mean that you will definitely be ill. vimax homemade penis enlargement cheap penile enlargment pills magna rx penile enlargement stretcher penis enlagement secret does penis enlargment work enlargment manhattan penile vimax free penis enlargement video penile enlargement pills
Penis enlargement is a special issue in today’s world. Buried underneath tons of unsolicited emails promising the most unlikely results, plagued by dishonest practitioners and obscured by myths and hearsay, the honest traders of this industry have pushed forward with their products and services. Most of the time, men prefer to turn away and say enlargement does not work, even though they have no idea whether this is true or not. Hearsay is just as good as sound, hands-on information if one is not really interested in the issue or if one is afraid of the truth. Many people are keen to dismiss penis exercises as myths even though they are not familiar with the facts. Penis exercises have been around in one form or other for a very long time. Primitive tribes are still using weights, various objects and exercises to force parts of the human body to change size and achieve a new look. The women of the Paduang tribe use metal rings to lengthen their necks, while the people from other tribes hang weights from their lips or ear lobes in order to reach their own standards of beauty. Chinese women of high birth had their feet shrunk in order to fit the local ideal of a sexy look. With all these going on, why should it be so hard to believe that the penis was ignored? Especially since we know that it was not. Various penis enlargement techniques have also been reported, especially among the nomad Arabic tribes. Body enhancement techniques performed by males were always tied to the position of the person in question within the tribe or with the manhood initiation rites. It seems that men found early on that the human body can be modified using devices or exercises. The only traction devices at their disposal for a long period of time were weights, but stretching the penis using one’s own hands was just as good as any device. The basic principle behind body enhancement is the adaptability of the human body in response to external stimuli. Everybody knows that the extra physical effort put into working out at the gym will trigger an increase in the size of the muscles that have to sustain the effort. Thus, repeated exercises focused on the penis, like the ones offered by Penis Health, will force the body to start multiplying the cells that make up the penis tissues and to increase both the length and girth of the penis in order to cope with the new situation. The best known penis enlargement exercise is the Jelq. This exercise is designed to enlarge the penis using milking movements in order to increase the blood flow into the corpora cavernosa, the sponge-like tissues of the penis. The increased blood flow will, in time, force the tissues to expand and increase both the flaccid and erect sizes of the penis. Dr. Brian Richards has conducted a study of penis enlargement exercises in the 1970s and found that jelq helped nearly 90 percent of patients increase their penis size. The gains ranged in size, of course, but it was proven that men could add an inch or even more to their penises. Penis Health is one of the best penis exercises programs around. Hundreds of customers have successfully enlarged their penises using the exercises developed by the people at Penis Health. You don’t have to take anything on faith. Just browse the Mens Network forum and discuss gains with the registered users or browse the Penis Health site and read through the signed testimonials and opinions culled from forum posts. Customers are content with the program and excited about the results. We think there’s nothing better for a man’s confidence than an extra inch or two on his penis. Despite the rabid skepticism of those cannot be bothered to check the facts, common sense and evidence point to the fact that penis enlargement exercises do work. No man who could use an extra inch or two in length or girth should write them off until he’s actually tried them. Many skeptics have been pleasantly surprised by our program of exercises, so why not give it a go? There’s nothing to lose and a whole world of sexual pleasure and self-respect to gain. best pennis enlargement pills penile enlargment permanent penis enlagement penis enlagement do penis enlargment pills work penis enhancement result penis girth enlarement vigrx side effects penile enlargement pills
Do you suffer from recurring vaginal or male yeast infection? below is a home remedy or yeast infection treatment for men and women. But first, what causes yeast infection? It is caused by a fungus named Candida Albicans. Yeast is a tiny organism that lives in small numbers on the skin and in the vagina. When the acidic balance in the vagina is lowered, the yeast grows and causes a vaginal infection. Yeast infection symptoms are not serious but are very unpleasant. They include a thick white discharge from the vagina. Burning during urination, vaginal itching, irritation, redness and swelling. Irritation, soreness and white spots on the penis. One of the main causes of recurring yeast infection is sexual activity. If a woman with yeast infection has unprotected sex, her partner can contract the infection. Since alot of men do not even know they are infected as they do not show any visible symptoms right away. The woman can treat her infection only to contract it again from her partner. Thus the recurring yeast infection can go on until the male notices symptoms. One of the best home remedies for treating yeast infection is dabbing apple cider vinegar mixed with garlic and water to dilute the vinegar. The vinegar stops the yeast from growing while the garlic stops the itching. Tips on preventing yeast infection. 1. Do not wear tight clothes. 2. Wear cotton underwear. 3. Removing your swimsuit right after swimming. 4. Do not wear a sanitary pad longer than your period. 5. Do not use deodorant tampons or pads. 6. Always dry the vulva area adequately after swimming or bathing.-a blow dryer set on cool to ensure your genital area is dry. 7. Try not to wear pantyhose every day. 8. For the men use a condom but not a nonoxynol-9 lubricated kind. Although it is impossible to totally prevent a vaginal yeast infection. Using these tips can create a vaginal environment which can slow down the causes of recurring yeast infection