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Human herpes virus is of eight types of which the two types are Herpes simplex virus 1 (HHV 1) & Herpes simplex virus 2 (HHV 2) Herpes labialis or cold sores involving the lips, and gingivostomatitis or the inflammation of the gums and oral cavity, oropharyngeal, cutaneous, and ocular lesions in the form of keratoconjunctivitis are produced by the (HSV-1) while (HSV-2) is known to cause genital herpes. Herpes simplex virus (HSV) in Males and Females. In males, balanoposthitis or inflammation of the glans penis is common whereas in females, vulvovaginitis is seen. However, each of viral types is capable of producing any of the manifestations. Effects of Herpes Simplex Virus 1 (HSV 1). HSV-1 mostly remains dormant within the trigeminal ganglion and has an affinity for the mucocutaneous junctions. Any drop in the immunity of the individual leads to recurrent herpes labialis. The eyes may get infected in the form of herpetic keratoconjunctivitis and the nailbed can get affected as herpetic whitlow. Effects of Herpes Simplex Virus 2 (HSV 2) The HSV-2 herpes virus is more virulent and tends to remain dormant in the sacral ganglia. It can also produce aseptic meningitis and neuralgias along the genitocrural, sciatic and obturator nerves due to radiculomyelopathy. The pain radiates from the hip downwards and forwards to the upper thighs and groins. In very severe cases and in immunocompromised individuals, the infection can produce encephalitis or hepatitis and eventually the patient can succumb to these pathologies. Other Effects of Herpes Simplex Virus This virus has been linked to cervical cancers too. In people indulging in anal sex, the anorectal region is also involved. The virus can be transmitted to the infant during delivery if the mother is having outbreaks at that time. Hence, in such cases, the caesarian section is usually adopted to prevent the spread of the infection from the mother to her baby. Herpes genital (HG) is a very common cause of genital ulceration. The vesicles [fluid filled eruptions] are inside the epidermis of the skin. Reticular degeneration of the epidermal cells with acantholysis can be seen on histopathological examination. The herpes viruses are known to produce cellular changes that cause infiltration of typical multinucleate giant cells within the lesions. Signs and symptoms of herpes simplex virus Primary genital herpes (PGH) The first attack of herpes genitalis is pretty violent, following which the virus remains dormant within the neuronal cells of the dorsal root ganglion and then gives rise to recurrent lesions but milder in intensity as compared to the primary attack. Primary genital herpes or PGH infection may have an incubation period of upto a fortnight after exposure to the virus through unprotected sexual intercourse with an infected partner. The manifestations are usually symptoms such as painful, itching, or burning vesicular i.e. fluid filled eruptions which may coalesce and then break open to form circumscribed ulcers. There may be concomitant fever with headache, malaise, lymphadenopathy, and dysuria. Remisssion takes place within a month and the lesions subside. Recurrent genital herpes (RGH) In the case of Recurrent genital herpes or RGH, constitutional signs and symptoms are seldom seen and the intensity and duration of progress is lesser than the primary attack. The vesicular eruptions are usually preceded by burning or tingling in the affected areas; however, the area involved is again lesser as compared to the primary lesions. On an average, a person can have outbreaks almost every two months but the remission time is about a week. The factors that tend to trigger the relapses are found to be stress, exertion, heat, hormonal fluctuations, other infections which tend to drop the immunity, etc. In our next article we are going to throw some light on the remedies and treatment of Herpes Simplex Virus. enlargment manhattan penile surgeon pro solution pills penis elargement patch vigrx pill does pnis enlargement work pennis enlargement program enargement manhattan penis penis elargement patch

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I happen to operate an unusual business. I make men's penises larger. Sounds strange doesn't it? But the reason I chose this line of business was because I used to be a primary care doctor taking care of the needs of my patients. Many times, my patients would pull me aside asking me about penis enlargement surgery and if it really works. Of course, I read all of the journal reports and it was a relatively new procedure but still, it was an interesting proposition. Forget about lowering high blood pressure and serum cholesterol levels...I soon became intimately involved in the subject of penis enlargement because of disastrous results sustained by a friend of mine who happen to under male enhancement surgery. Being a man, I know first-hand what men think and feel about the subject of penis enlargement because quite honestly, I've thought the very same thoughts as most men wondering if their size could be improved. To be honest...the following list encapsulates the most commonly held views by the majority of men concerning sexual difficulties and issues pertaining to genital size: Men don't like to admit they have troubles or need help. When the subject happens to be in the bedroom performance arena, men simply clam up and try to figure things out on their own. It's only been since the introduction of Viagra that men are beginning to speak with their doctors about their erections. Prior to that...mum was the word. Men have been led to believe that their penis size is of relative little importance to their significant other. While it is true that the first 2-3 inches of the vagina is the most sensitive, it's also true that if a man is of smaller size women want more because they have not received enough "physical" stimulation. While erectile dysfunction (ED) affects 1/3 of men worldwide, this number is steadily climbing. Dr. Kinsey's study into the average male penis size was to say the least controversial at it's inception. His findings that the average penis size is 5.5" have recently come under criticisms. The most common form of cancer in the world is prostate cancer which takes the lives of 38,000 men in the United States alone every year. Benign prostatic hypertrophy (BPH) occurs in 50-75% of men which directly impedes and effects not only their ability to sleep through the night, but also their ability to perform sexually. 90% of men are unhappy with their current penis size, penis length and sexual performance ability. While some of the above are medical statistics, you'd be surprised how many men actual depend upon obtaining legitimate answers online to their penis needs. For some reason, men feel comfortable and more at ease discussing penis enlargement, testosterone and erectile dysfunction issues via email rather than face-to-face with their own primary care physicians. Because of that...the only conclusion one can reach is that men perceive they are not receiving answers to their most common and basic needs questions via normal means. I should say...from their primary care doctors that is. Men's health education is poorly lacking in this country...and the obvious pre-existing attitudes men have toward the subject doesn't help the matter at all. cheap penis enhancement pills prosolution penis elargement pills best enlagement exercise penis herbal penile enlargement truth about penis enlagement best penile enlargement plastic surgery penis elargement free penis enargement pills enhancement manhattan penis

Current research suggests that premature ejaculation is a medical disorder with a psychological as well as a physical basis. Regarding psychological explanations, this theory often look to early male sexual experiences that conditioned rapid responsiveness. A second theory asserts that the pressure to perform under heightened anxiety may be another cause. Scientific evidence indicates that increasing the amount of serotonin to the central nervous system through the use of selective serotonin reuptake inhibitors (SSRI's) appears to increase the latency or period of time from penetration to ejaculation. The amount of data related to serotonin levels in the brain suggests that premature ejaculation has an organic basis. Regarding physical explanations, part of specialists agree that there are three main causes of premature ejaculation or early release during sex act: hypersensivity of penis nerves; hyperspasticity of the pelvic muscles; weakness of prostate glands. Pharmacological treatment targets one of more from the above identified causes. The use of low dose anti-depressants including Anfronil, Clomipramine, Prozac, and Zoloft have been reported to be successful in prolonging ejaculation for many men. Levitra is now receiving increased attention from physicians as it has some good results during trials. The Food and Drug Administration is reviewing an application for Dapoxetine, a drug similar to a family of antidepressants called selective serotonin reuptake inhibitors, which was developed by Ortho-McNeil Pharmaceutical, an affiliate of Johnson & Johnson. If approved by the FDA, Dapoxetine hydrochloride would be the first prescription treatment designed specifically to treat premature ejaculation. To avoid the adverse drug side effects from such prescription medications many men is seeking natural remedies. There is now a new herbal formula - Climatrol - that provides natural serotonin precursors and nutrients to improve the speed of the chemical reaction in the brain. It allows more serotonin to be formed and available for use by the body while simultaneously delivering safe and effective herbal antidepressants. penis elargement surgery cost penis enlargement doctor penis enlarement without pills top penile enlargment pills penis enargement drug manual penis enlarement exercise cheapest penis elargement pills top rated penis enlargment pills enhancement manhattan penis

There are three different types of muscle tissue in the human body: cardiac muscle, which is only in the heart; smooth muscle, which is found in organs & blood vessels; and of course skeletal muscle, which is found all over the body and is responsible for movement. All three of these muscle types have distinctly different anatomical structure and function in the body. We know that muscles get bigger and stronger when put under stress, which is called adaption. Which simply means that the muscle is preparing itself in case it’s put under the same type of stress again. An analogy is calluses on your hand, if you rub your hand on a course surface causing enough friction eventually the skin adapts by building up calluses, thus protecting it self from future happenings. Muscle reacts much the same way, if you train them or put them under enough stress they will adapt to this stress by growing bigger and stronger. So the next time you train them they will be capable of handling this new level of stress. Now obviously that is a very basic explanation, but hang on to your dumbbells we’ll get more in depth! Inside a muscle there are groups of motor units separated by membranes. Each motor unit consists of a single neuron and all of the muscle fibers it stimulates. In muscles such as the hand where fine motor control is necessary the ratio of nerves to fibers will be much higher than that of a muscle such as the calf. Muscle fiber consists of myofibrils, a myofibril is a small bundle of myofilaments. Myofilaments are mainly comprised of two types of proteins called actin and myosin. The myofilament is the part of the muscle that actually shortens upon contraction where the actin and myosin filaments slide over each other, which is called the sliding filament theory. Basically by the way of chemical bonds and receptor sites located on the myofilaments the actin and myosin attract each other thereby causing a contraction. A contraction can be held until fatigue sets in, and the strength of a contraction is determined by the number of motor units that are recruited. Inevitably, the more force that is necessary for muscle contraction requires an increased number of motor units to allow the muscle to contract. Within skeletal muscle there are three types of muscle fibers: Type I, Type IIa and Type IIb. Everyone has their own unique distribution of these fibers, some people are predominately Type I, and some Type IIa, however the “average person” has an even amount of red and white fiber. Type I muscle fiber often referred to as slow-twitch or red fiber and is highly resistant to fatigue and has a high oxidative capacity, This muscle fiber is responsible for aerobic exercises and activities, such as running. Type IIa muscle fiber often referred to as fast-twitch or white fiber is an intermediate fiber and they’re larger in size and much stronger than Type I fibers. Type IIb muscle fiber, which are also fast twitch & white fiber, are capable of producing more force than Type IIa, but they’re low in oxidative capacity, and fatigue very quickly. Fast twitch fibers have thicker nerves that give them an increased contractile impulse, which is measured by the number of twitches per second, hence the name fast twitch fiber. Slow twitch fibers have smaller nerves, thereby twitch much slower, however they have a higher number of mitochondria, which increases their oxidative capacity. Mitochondria are the cells in a muscle that synthesize ATP (Adenosine Triphosphate), often referred to as the cell’s “powerhouse”. Okay, so now you have a basic understanding of muscle physiology, let’s talk about how we make them grow! The enlargement of a muscle fiber is called hypertrophy. As I mentioned earlier muscle growth or hypertrophy is a result of adaption to a new stress placed upon the muscle. So, what is the best form of stress? Well, there really is no single best principle that will work for every person. This is where the muscle fiber type distribution that you posses becomes important. If you train using appropriate methods based on your individual body type you will ultimately get faster results. First I would like to define the 7 Laws (adapted from the writings of Fredrick C. Hatfield) that should be adhered to regardless of the type of training system you employ: Law I – The Principle Of Individual Differences We must recognize and accept that we are all different based on genetics. We all have different body types, often referred to as the somatotypes: ectomorph, mesomorph & endomorph (most people are a combination of all 3 body types). The somatotypes is a very general classification that can help you determine the best type of training for you, but it’s a very basic tool and there is much more involved in one’s genetic make-up and musculature. Somatotypes are defined as follows: - Ectomorph: Thin, light bone structure, difficult to gain mass. - Mesomorph: Muscular, lean, gains muscle mass relatively easy. - Endomorph: Heavy, large bone structure, propensity to weight gain. Law II – The Overcompensation Principle The body overcompensates in defense to the stress placed upon it. A muscle grows bigger and stronger when trained with heavy weights, just as your hand will develop calluses when friction is applied. If you do not change the form of stress the muscles will have no reason to further adapt. Law III – The Overload Principle Relates to Law II, in that to gain further size & strength, endurance, etc., you must use training that is greater than what the body would normally encounter. If you train with the same amount of weight and/or repetitions every workout your muscles will not continue to adapt. Thus, you must overload in some way to cause further adaption. Law IV – The SAID Principle Specific Adaption to Imposed Demands, basically this law states that in order to meet your training objectives, e.g. increase explosiveness, you must you use specific training methods that will increase explosiveness. Or, if your goal is to increase limit strength, you must train with heavy weights. Law V – The Use/Disuse Principle Very simply put: “use it, or lose it”! If you increase a muscle via weight training you must continue to place the same or more stress upon the muscle or it will inevitably return to it’s normal size, which is called atrophy. Law VI – The Specificity Principle This law states that you must progress from foundational training to specific training to meet your final objective, whether it be a competition or improving your game of golf. An example would be to increase your maximum squat you need to use squats in your training rather than leg presses. Law VII – The GAS Principle General Adaption Syndrome, there are three stages: the alarm stage (intense training), the resistance stage (adaption) and the exhaustion stage (over training). If one is not careful in their training regimen they will over train according to this law. To avoid over training you must use periods of high intensity training, followed by periods of low intensity training and/or rest. So, no matter what method of training you utilize, the 7 Laws should be adhered to as closely as possible to facilitate maximum gains and to avoid a state of over training. The two most common questions are how much weight and how many reps? Unfortunately there is no magic number; it will vary from individual to individual. An “ectomorph” who is predominantly red fiber will respond better to higher repetition training, whereas a “mesomorph” who is predominantly white fiber will respond better to lower repetitions and heavier weights. However, no one is any single somatotype, most of us are a combination of all three, so there is no canned program that will yield the best results. For overall size gains, the goal of a bodybuilder, using a multitude of rep ranges, poundage’s and varying intensity will be most beneficial as well as staying in your 55-85 percent maximum range. If your max on bench press were 200lbs, using varying weights of 110lbs up to 170lbs would be your “training zone”. That does not mean you should never go above or below those poundage’s, it just means that the majority of training you do should be within that range. Typically, for hypertrophy to take place your reps should be in the 4-8 range. There is no need to ever use a weight that you cannot perform at least 4 reps with, unless your goal is pure strength. There are a few reasons that I say this, one is that when you train at 90 percent or higher of your maximum weight Type IIb muscle fibers are doing the majority of the work, and this will not do much for hypertrophy. In fact, even power lifters and Olympic lifters do the majority of their training at around 85% of their max. You may be thinking that 55-85 percent is quite a difference in poundage, well it is. This is where periodization comes into play. Periodization is a concept where you use cycles to break up your training. Regardless of your ultimate goal you should have a plan, and this plan needs to be broken up into your daily, weekly, and monthly workouts. So, you may have a week of heavy intense training, then a maintenance week of lighter training, the light week allows the muscles to recuperate, yet because they’re still being trained atrophy will not occur from disuse. In order to avoid a state of over training, and continue to grow, we need to recover. Remember your muscles do not grow in the gym, they grow when at rest. Many factors contribute to over training, including inadequate rest, continued heavy training, and deficiencies in diet & nutrition. By using periodization to map out your training you will avoid over training and keep your muscles in a state of continued adaption. Principles that can be used when planning your training cycles: Cycle Training: this is where you break up your training into bulk cycles, strength cycles and cutting cycles; which will help keep your muscles in a responsive state. Split Training: this is breaking up your training into separate body parts each work-out which allows for shorter and more intense sessions. Muscle Confusion: your muscles adapt to stress, and ultimately you can reach a plateau. By constantly varying the exercises, weights, sets and reps you can ensure continued adaption. Progressive Overload: continue to increase different parameters in your training, whether it be more weight, increasing sets and reps, etc. Eclectic Training: using a variety of methods in your training, combining numerous techniques such as compound and isolation exercises. Principles that can assist you in arranging each workout: Supersets: alternating two opposing muscle groups with little rest in between sets. Giant Sets: performing several exercises for a single muscle group with little rest in between sets. Muscle Priority: training a weaker body part first in your work out. Pre-Exhaustion: this is where you perform an isolation exercise preceding a compound exercise, e.g. leg extensions before squats. Pyramiding: beginning with a lighter weight, gradually increasing weight and lowering reps, then work backwards, decreasing weight and increasing reps. Stripping: going from a heavy weight, and stripping off weight each set as fatigue sets in. Principles that can be used with each exercise: Forced reps: once failure has been reached on a set, your partner assists you in performing additional reps that could not be performed alone. Continuous tension: maintaining slow continuous tension thru out the rep, which will maximize red muscle fiber recruitment. Cheating: once failure is reached the weight is swung past your sticking point to complete the movement. (useful when you do not have a spotter) Partial reps: as the name implies only part of the full movement is performed, e.g. only curling a barbell half way up, which can be effective due to the varying points of leverage. Peak contraction: at the completion of a set holding the weight fully contracted for a few seconds. Super speed: using a lighter weight, reps are performed explosively yet controlled, called “compensatory acceleration”, which can help with white fiber recruitment. Another very important component of your training and growth is nutrition. Unfortunately, the scope of this article is not diet and nutrition, but I want to emphasize its importance. Since protein is required for anabolism, it’s crucial that your protein intake be adequate. The general rule of thumb for protein requirements is 1 to 1.5 grams of protein per pound of bodyweight. This means that a 200lb bodybuilder should be consuming 200-300 grams of protein per day spread across 5-6 meals each day (33 to 50 grams per meal). You should consume protein from a variety of sources, including red meat, chicken, eggs, milk, fish, cheese and whey to name a few. Many times people will say they just cannot gain weight; well the answer is simple “eat more calories”. In order to gain weight, including muscle mass, you must be consuming more calories than you’re burning, period. So, if you feel that you’re doing everything correctly in regards to training, and you’re not gaining weight, try increasing your calories by 200-300 per day. I am not saying the answer is that simple, although often times it is, I am just making the point that you cannot gain weight without adequate calories. For more detailed information on diet and nutrition please see the section on this site where you will find several articles on the subject. penis enlarement photo penis enargement drug best penis enlargment surgery free exercise tip for penis elargement prosolutionpill vimax penis enlargement technique penis enhancement cream magnarx enhancement manhattan penis

One of the problems with benign prostatic hypertrophy (an enlargement of the prostate which affects the majority of men above the age of 60) is that the symptoms can vary widely from one person to the next and it can be difficult to assess the degree of treatment required, or indeed whether treatment is needed at all. To assist in this assessment the American Urological Association has designed a short questionnaire consisting of just seven questions. For the first six questions you allocate yourself a score according to your answers as follows: 0 points - not at all. 1 point - less than 1 time in 5. 2 points - less than half the time. 3 points - about half the time. 4 points - more than half the time. 5 points - almost always. The questions, which apply to the previous period of one month, are: How often have you experienced a sensation of not emptying your bladder after urinating? How often have you had to urinate less than two hours after your previous urination? How often have you stopped and started again several times during urination? How often have you experienced an urgent need to urinate and found it difficult to hold on? How often have you experienced a weak flow of urine? How often have you felt the need to urinate but have had to strain to begin urination? For the final question, which also applies to the previous month, you simply allocate a point score equal to your answer (up to a maximum of 5). So, if your answer is twice you allocate 2 points and if your answer is four times you give yourself 4 points. The question is: On average, how many times have you had to get up during the night to urinate? Once you have completed the questionnaire and allocated a points score to each answer you then total up your score, which will fall somewhere between 0 and 35. The higher your score the more severe your symptoms and the greater your need for treatment. In general, a score of 7 or less would indicate that your condition does not warrant treatment at this time. It should be stressed that this test is just one test among several that your doctor may use to assess whether you are suffering from benign prostatic hypertrophy and, if so, what treatment would be appropriate. It is not designed to be used in isolation or for self-diagnosis. If you are experiencing problems and suspect that you may be suffering from benign prostatic hypertrophy then you should consult your doctor.