One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections

There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys

Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

More men now opt for laser prostate removal as it has the following advantages:

1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.

Know About Laser Prostate Surgery

Sex tips every woman needs to know by the time she is 30
 
Thirty is more or less the age by which you can consider yourself a woman of the world. You have toiled hard to get into a comfortable space at work and are into a stable relationship as well. An important aspect to not ignore is your sexual life. Be equipped with the right ideas and ways to enjoy that aspect of your life.

Some facts and tips for the women of today.

1. Safety is foremost: meaningless hookups or otherwise - you cannot be careless; safety must be your priority. 

2. Express yourself: men are bad at guessing. They will not be able to guess what you like and how you like it. Tell the man exactly what you expect.

3. Live in the moment: a quickie is never a bad idea. Having frequent sex has its perks for your mood as well as overall health. An impromptu quickie will only put a spring to your steps.

4. Watch each other pleasuring self: it is not just for visual appeal, it is in fact educative - you get to study exactly what type of touch, speed, grip, etc gives him the most pleasure. He gets to know the same about you.

5. Take the initiative: most men like being shown that they are desired too. Why should he always initiate sex. Take the lead.

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Sex Facts Every Woman Needs To Know By The Time She Is 30

Erectile dysfunction is a disorder where the person affected is unable to maintain or achieve an erection during sexual intercourse. As diabetes is a disorder that affects blood supply to organs, so the ability to achieve or maintain erections are impaired, as erections are dependent on proper blood supply to the penis. Fortunately, there are treatments for these symptoms and they are:

1. Injection therapy and oral medications

Some medications are directly injected to the penis in order to facilitate erection, while certain other oral drugs are administered to treat symptoms of erectile dysfunction which have a higher success rate in treating people who are diabetic than those who are not.

2. Regular exercise and a healthy diet

Exercising on a regular basis combined with a healthy diet can reduce the symptoms of both diabetes as well as erectile dysfunction.

3. Reviewing medications

Some medications used to treat blood pressure and depression can often cause erectile dysfunction. So, the medications should be reviewed by a doctor and, if necessary, should be changed.

4. Usage of vacuum constriction devices

These devices are used to create a pump in the penis which facilitate the ability to maintain an erection and engage in sexual intercourse. It is reported to work in 80% of the cases.

5. Penile implants

It is a surgical procedure where a penis implant is used to treat this disorder.

6. Intraurethral therapy

In this treatment, the medicine is placed in the urethra of the penis in the form of suppository by an applicator. These medicines improve blood flow and thus facilitate a normal erection.

How To Deal With Erectile Dysfunction If You Are A Diabetic?

The vagina is a muscular, tubular structure of the female genital tract extending from the vulva to the cervix (the opening of the urethra). Sexual activity affects vaginal health in a number of different ways during intercourse and in the long term. A few of the varying effects and the factors responsible for these effects are listed below:

1.  Changing size of the vagina

The vagina is designed to be elastic and adjustable. So, no permanent change in size is possible but it does undergo temporary changes in sizes as effects of sex. The inner walls of the vagina enlarge during sexual intercourse and during childbirth. Tissues in the clitoris puff out and harden, this also causes an expansion in size. It takes a while to get back to its normal size.

2.  Vaginal secretion

When you are aroused during sex, the blood vessels supplying the vagina expand immediately. The blood flow increases to lubricate the vaginal walls (rugae). The rugae unfold and the space increases. These secretions are important because, women who are sexually inactive for a long time at a stretch, experience dryness that leads to urinating difficulties and rashes.

3.  Unusual discharge

Apart from natural lubricants, vagina secretes some fluids, the process being termed as 'female ejaculation'. A tiny amount of white fluid made of prostate plasma cells, is produced just before you climax and discharged with some quantity of urine. Sometimes, prostatic specific antigen (PSA) and prostatic acid phosphatase (usually found in semen) are also found in the secretion.

4.  Infections in the urinary tract

The friction caused by sexual intercourse may cause small cuts which enable bacteria to pass from the vagina to the urinary bladder through the urethra. This causes infection in the bladder, the urinary tract and the vagina. These can be avoided by using a condom or by urinating before and after having sex.

5.  Vaginal pain

A lot of women report the experience of pain and discomfort inside or around the vagina during and immediately after sex. The pain can result from repeated sex within a short period of time or reduced secretion of natural lubricants. If the pain is too severe, you should see a doctor because yeast infections or chronic vulvodynia can also be responsible for the pain sensation.

Effects Of Frequent Sex On Vagina 

Hypogonadism in females occurs when your sex glands produce little or no sex hormones.The sex glands, also called gonads that are responsible for ovary formation in females, breast enlargement and in menstrual cycle.

What Are the Types of Female Hypogonadism?
There two types of hypogonadism are primary and central hypogonadism.

Primary Hypogonadism
Primary hypogonadism means that you don't have enough sex hormones in your body due to a problem in your gonads. Your gonads are still receiving the message to produce hormones from your brain, but they aren't able to produce them.

Central Hypogonadism or Secondary Hypogonadism
In central hypogonadism, the problem lies in your brain. The hypothalamus and pituitary gland in your brain, which control your gonads, aren't working properly.

Causes of Primary Hypogonadism
1. Autoimmune disorders, such as Addison's disease and hypoparathyroidism
2. Genetic disorders, such as Turner syndrome and Klinefelter syndrome
3. Severe infections
4. Liver and kidney diseases
5. Hemochromatosis, which happens when your body absorbs too much iron
6. Radiation exposure
7. Surgery of your sex organs

Causes of Central or Secondary Hypogonadism include
1. Genetic disorders, such as Kallmann syndrome (abnormal hypothalamic development)
2 Infections, including HIV and AIDS
3. Pituitary disorders
4. Inflammatory diseases including sarcoidosis, tuberculosis, and histiocytosis
5. Obesity
6. Rapid weight loss
7. Nutritional deficiencies
8. Use of steroids or opiates (especially long-term usage)
9. Brain surgery
10. Radiation exposure
11. Injury to your pituitary gland or hypothalamus
12. A tumor in or near your pituitary gland

Symptoms that May Affect Females Include:
1. Lack of menstruation
2. Slow or absent breast growth
3. Hot flashes
4. Loss of body hair
5. Low or absent sex drive
6. Milky discharge from your breasts

Treatment for Hypogonadism in Women
Your treatment will involve increasing the amount of female sex hormones in your body. Your first line of treatment will probably be estrogen therapy if you've had a hysterectomy. Either a patch or pill can administer the supplemental estrogen hormone. Estrogen must be balanced with progesterone, because taking estrogen alone leads to a dangerous build up of the lining of the uterus (endometrial hyperplasia) that can lead to cancer of the uterus. Low-dose testosterone may be added for women with hypogonadism who have a low sex drive.

Types, Causes and Symptoms of Female Hypogonadism

Erectile dysfunction refers to the situation when a man has difficulty in getting a firm erection or an erection, which is required to achieve sexual penetration. Several cases of erectile dysfunction can cause impotency in a man.

Causes
1. A problem in the blood flow, proper hormone secretion and nervous supply in the body may cause erectile dysfunction.
2. Erectile dysfunction also happens due to vascular causes along with neurological causes.
3. Arthrosclerosis is a disease which often leads to erectile dysfunction. This disease is commonly caused because of smoking and diabetes. The arteries to the penis become narrow and clogged and erectile dysfunction occurs.
4. Neuropathy caused due to diabetes, known as diabetic neuropathy, is a primary neurological cause of erectile dysfunction. Nerve damage on account of surgery around the pelvis area may also lead to erectile dysfunction.
5. High blood pressure or hypertension damages arteries all over the vascular system. Blood flow is impaired and proper erection is prohibited, which signifies erectile dysfunction.

Erectile dysfunction also happens due to physical causes such as:
1. High cholesterol and obesity
2. Parkinson's disease and multiple cases of sclerosis
3. Smoking, excessive alcohol consumption and substance abuse
4. Disorder in anatomy or structure of the penis
5. Surgical complications
6. Several prescribed medicines may also lead to erectile dysfunction because of reactions and side effects.

Erectile dysfunction may also result due to several psychological causes:
1. Depression makes a person uninterested in sex due to lower libido and may cause erectile dysfunction.
2. A large amount of stress, fear, tension or anxiety may also lead to erectile dysfunction.
3. Many men suffer from performance anxiety and feelings of sexual failure. This may result in erectile dysfunction.
4. Poor communication with a partner or pressure from partner regarding sex may also cause erectile dysfunction.

Homeopathic Remedies For Impotency (erectile dysfunction)
1. Agnus Castus: Homeopathic medicine Agnus Castus is used in cases where there is complete inability to attain penile erection during the sexual act. Homeopathic medicine Agnus Castus can be used in cases of erectile dysfunction and sexual weakness where the male has a mental aversion to indulge in sex, along with decreased physical strength.

2. Caladium: Homeopathic medicine Caladium is of great help for treatment of erectile dysfunction when the male is unable to have an erection despite having a sexual desire or urge.

3. Lycopodium: Homeopathic medicine Lycopodium is of great help for both young people and elderly people suffering from erectile dysfunction.

4. Tribulus Terrestris: The main indication for using Homeopathic medicine Tribulus Terrestris is the presence of urinary troubles along with erectile Dysfunction.

5. Nuphar Luteum: Homeopathic medicine Nuphar Luteum can be beneficial for all those males with erectile Dysfunction in whom the desire to indulge in sexual activity is totally absent. There is no sexual desire with relaxed genitalia.

Erectile dysfunction affects the self-esteem and confidence of a man as he is unable to have sex. Necessary measures should be taken to cure erectile dysfunction.

Homeopathic Treatment for Erectile Dysfunction - 5 Natural Remedies

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