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Male factors are projected to produce about thirty percent of all infertility troubles and to contribute to them in another twenty percent. Whatever conventional wisdom may have to say about whose "fault" the problem is that figures indicate that the responsibility is split about equally between the sexes. Studies initiated by the National Institutes of Health at six universities are exploring the infertility consequences of the increase of sexually transmitted diseases among the young. At greatest risk are those between the ages of fifteen and nineteen regardless of socioeconomic differences. The production or quality of sperm may be affected by congenital and genetic abnormalities, injuries to the genital tract, heat, age, sperm agglutination, acute and chronic infection (often sexually transmissible infections), malnutrition, previous surgery, allergies, chronic illness, environmental or occupational factors (such as radiation), varicocele, or certain medications. Among these medications are Tagamet, used in ulcer treatment; drugs used for treating cancer; and some antibiotics (especially those used to treat tuberculosis). Also heavy smoking of marijuana and smoking generally, alcoholism and stress may result in impotence or inability to ejaculate. Varicocele, a varicose enlargement of the veins of the spermatic cord, is a potentially curable cause of male infertility. While this condition occurs in many men with normal fertility, it has been found to be present in as many as forty percent of infertile men. Half of all men with varicoceles have decreased sperm count or sperm motility or other changes in the semen analysis. Theories of the cause of these changes include heat, pressure and toxic substances from the dilated vessels. Permanent or temporary damage to the male testis can occur as a result of a genital infection or a systemic infection. Gonorrhea may do enough damage to the male genital tract to result temporarily in a marked decrease in the sperm count. Mumps in an adult male may involve one or both testicles and may cause severe testicular damage. Fortunately, usually only one testicle suffers severe impairment and the sperm count, though possibly reduced, is usually compatible with fertility. Any systemic viral or bacterial infection may cause a temporary depression in the sperm count. Because many of the infertility tests for women are more complicated and involve more risk than those for men, infertility testing often begins with the male. A semen analysis is a simple test that can provide a great deal of information. The male is asked to submit a recently ejaculated semen specimen to the physician or laboratory. This specimen is then examined microscopically to determine sperm count, their size and shape and if they are able to move normally. There is no sharp line of demarcation between fertility and sterility in the sperm count. Counts of less than twenty to forty million per cubic centimeter are often correlated with decreased fertility, although men with counts of five to ten million have fathered children. A high percentage of sperm with abnormal shape, size, or decreased motility is also correlated with decreased fertility. The semen can be analyzed also for antibodies and cultured for various infections. The hormone levels in the man's blood are also measured to make sure his hypothalamus and pituitary glands are functioning normally. surgical penis enhancement free penile enlargment video manual penile enlargment exercise best penis enhancement surgery pro solution review penile enlargment before and after picture penis enlargement pic penile enlargement doctor

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More than 50 percent of diabetic men suffer from impotence, and almost all complain bitterly that it has destroyed something that is very important to them. Impotence caused by diabetes can be prevented or reversed in almost all men whose bodies can still make insulin. Diabetes causes horrendous nerve damage including blindness, deafness, burning foot syndrome, loss of feeling, loss of muscle control, pain and tingling and impotence. The penis is the only gland in the body that has its blood supply shut off all the time. Muscles surrounding the penile artery constrict the artery to prevent blood from flowing to the penis. When a man is excited, his brain sends messages along nerves that cause the nerves to secrete a chemical called nitric oxide theat relaxes the muscles around the arteries to open blood flow to the penis and the balloons in the penis fill with blood and the man has an erection. More than 90 percent of diabetics who can still make their own insulin can be controlled so that they do not suffer nerve damage. When you eat, your blood sugar level rises. If it rises too high, sugar sticks to cells and causes permanent nerve damage. Doctors can measure how much sugar is stuck on cells with a blood test called HBA1C. To get your HBA1C to a normal range below 6.1, you have to avoid foods that cause a high rise in blood sugar such as those with added sugar, those made from flour such as bakery products and pastas, and fruit juices. Most cases of nerve damage from diabetes can be reversed by good control of diabetes, but sometimes the damage is permanent. For example once person goes blind from diabetes, he will never get his vision back. However, impotence is often reversible with good control of diabetes. Men who are impotent from diabetes must be seen every month and each month, the doctor must draw a blood test called HBA1C which measures diabetic control for the last 12 weeks, or another blood test called fructosamine, which measures diabetic control over the last 2 weeks. Every time, the HBA1C is greater than 6.1, the doctor must change the patient's drugs and the patient must change his diet. All diabetics should get a blood test called C-peptide to tell if their bodies can make insulin. If their C peptide is greater than 1, they should not be placed on insulin and should be started immediately on Glucophage and Actos or Avandia. These drugs lower high blood sugar levels, never cause low blood sugar, and also lower insulin to prevent obesity and heart attacks. Only if blood sugar levels cannot be controlled by diet and these insulin-lowering drugs should doctors prescribe drugs that raise insulin. best elargement exercise penis best penis enhancement com elargement penis penis pump truth about penile enlargment vimax safe penis enlargement natural penis enargement and lengthening pennis enlargement surgery photo penile enlargement picture free penis enhancement exercise

The greatest source of discomfort for cyclists is the nose of their bike seat pressing on nerves and soft tissues. For men, this pain brings the additional worry of impotence. Impotence is caused by nerve and artery damage. Exercising regularly helps to keep arteries healthy, so bicycling helps prevent impotence, as long as it does not damage the local arteries and nerves. Recent studies show that three percent of regular male bicycle riders become impotent, and virtually all of them felt pain or numbness before the problem occurred. When a nerve is pinched or the blood supply is shut off to the penis, a man feels numb. Men who ride with conventional bicycle seats and do not feel numb are not likely to be at risk. If you feel no discomfort when you ride, keep on riding and stop worrying. If you feel numbness, get a new seat. Half of the penis is inside the body and the main blood supply comes from the area just behind the scrotum and in front of the rectum. So bicycle seats that press on that area can cause impotence, while those that do not have a nose and have a widened area to hold your weight on your sitz bones should prevent the problem. Some entrepreneurs developed seats that have holes in the middle. Their theory is that if there is no pressure behind the scrotum, there will be no numbness. However, no good studies show that these seats prevent numbness and therefore prevent impotence, because the nose in front of the hole still exerts pressure on the nerves and arteries. They may make the problem worse because the pressure on an area increases as an area deceases. Making a hole in the middle decreases the surface area of the saddle and therefore increases the pressure on the arteries and nerves. The best way to avoid pressure on the arteries that carry blood to the penis is to use a saddle without any nose. I use a rectangular-shaped seat with rounded edges in the front, called The Seat by Ergo. Similar designs are available from The Solution Bicycle Seat, Easyseat, Spongywonder and Spiderflex brands. The Seat is wide enough to allow me to put my weight on the sitz bones of my pelvis instead of my crotch. I never suffer numbness and don't worry about impotence, but it doesn't work for everyone. Racers need to have a bicycle seat nose between their legs to help control the bicycle with their legs, but if you have no need to ride with both hands off the handle bars at the same time, you should be able to use a nose-less seat. Nose-less seats force you to bend forward. To keep yourself from falling, you have to hold yourself up on your handlebars. This puts a lot of pressure on your shoulders arms and hands, so you must strengthen your upper body and change positions often. Other tips for comfort in a bicycle seat include: 1) Avoid seats with excessive padding. The greater the padding, the deeper you sink into the saddle and the more likely you are to feel numbness. 2) Use gel saddles. They are not too hard and not too soft. 3) Never tilt the saddle nose upward. The seat should be level or angle downward slightly. 4) Set your handlebars higher so that you do not have to bend forward. The lower you bend, the greater the pressure on your perineum. 5) Ride a more upright position. However, this increases wind resistance and will slow you down. 6) Change positions often as you ride. 7) Wear thin padding in your pants. Most good bicycle pants come with form-fitted chamois padding. penis enlarement secret penis enargement drug surgical penis enlargment natural penis enargement and lengthening buy penis enlargement pill vimax does penis enlargement work penis enargement before and after photo free magna rx free penis enhancement exercise

A sub-standard erection can be a very frustrating thing, particularly if it happens with regularity. But there are steps that can be taken and that is the purpose of this article, to give well informed advice on how to achieve harder erections every time. Almost all the factors behind a sub-standard erection are temporary and can quite easily be rectified so that the problem is a thing of the past. One of the most common reasons for not having harder erections is alcohol. People like to have a few drinks to loosen up before they engage in sexual intercourse and this will stop you getting harder erections. Alcohol dulls the all the nerves between the penis and the brain making it impossible for the brain to send the chemical signals that tell the hormones to activate the blood flow to the penis. When you are trying to achieve a harder erection the first thing you should remember is not to focus on the task at hand. Just as a watched kettle never boils, a watched penis never rises! All focusing on the problem does is make it harder for you to focus on erotic thoughts which will make it even harder to get a harder erection. There are many factors which will inhibit harder erections and not surprisingly most of them revolve around the circulation of blood. Doing exercise of any type will ensure better circulation and hence harder erections but there are a few that stand out from the pack. Any exercises that will increase blood flow to the extremities of the body are the best, and ones that increase it to the muscle and blood vessels are optimal. One thing you can try is when you have an erection you can hang small amounts of weight from your penis and clench the anal muscles which will make the penis rise and lift the weight. Just like any other muscle in the body it will grow when this happens and the result will be a stronger penis with harder erections. Smoking can also be a major factor in the quest for a harder erection because the particles introduced to the body by smoking are gathered in the fine blood vessels that are in places in the body like the eyes and the penis. The basic aim of doing all these things is to increase the volume of blood that the corpora cavernosa can contain. The corpora cavernosa is the collection of tiny blood vessels in the penis that are responsible for about ninety percent of the erection. Even small increases or decreases in the amount of blood you can get into this spongy apparatus will have a big impact on the hardness of your erection. One thing to remember is that you cannot raise the volume capabilities of your corpora cavernosa with a vacuum pump like so many advertisements claim. All you will end up with is a bill for fifty dollars and a swollen penis that will go down in half an hour. penis enlagement tip vig rx pill truth about penis enlargement pill penis enargement patch best penis enlargement surgery penis elargement technique vigrx results best enlargement exercise pnis free penis enhancement exercise

Ok, so maybe you started smoking thinking it looked cool and that it might affect your sex life to look cool, or be grown up or rebellious or whatever. You are of course totally correct in assuming that smoking affects your sex life. In fact, several recent studies have looked at exactly this question in regard to male impotence and found that there is a link between smoking and difficulties having an erection. Now tell me how cool is that? That is surely far too grown up, that is as grown up as your aged grandfather! Smoking has been linked to coronary artery blockage, but now we know that arteries in the penis are damaged by smoking, too. In a study of men with penile artery blockage (average age 35), the smokers were significantly more blocked than non-smokers. And the more they smoked, the more their arteries were blocked. Since erections are mainly caused by blood flowing into the penis through arteries, unclogged arteries are very important in enhancing one's sex life. Nicotine is a vasoconstrictor, meaning it tightens blood vessels and restricts blood flow. In the long term, it has even been shown to cause permanent damage to arteries. Since a man's erection depends on blood flow, researchers assumed smoking would affect erections. Studies have confirmed this time and again. In one study published in 1986 in Addiction Behavior, it was shown that just two cigarettes could cause softer erections in male smokers. Results are corroborated by a definitive study published in June 2001 that looked at all studies done on impotent men over the last two decades. The research showed that 40 percent of men affected by impotence were smokers, as opposed to 28 percent of the general male population. Interesting eh? So what does all this discussion about impotence mean for women? During sexual arousal, the labia, clitoris, and vagina also swell up with blood, similar to a man's penis, enhancing sensation and arousal. If nicotine can restrict blood flow and cause erectile dysfunction in men, it can be assumed that blood flow is restricted in women as well, and may have a negative effect on sensation. In the British Medical Associations report: "Smoking and Reproductive Life", the report states that Women who smoke take longer to conceive. Among smokers, the chances of conceiving fall by 10 – 40 per cent per cycle. The greater the quantity of cigarettes smoked, the longer a woman is likely to take to achieve pregnancy. Cigarette smoking can also affect male fertility: smoking reduces the quality of semen. Men who smoke have a lower sperm count than non-smokers, and their semen contains a higher proportion of malformed sperm. By-products of nicotine present in semen of smokers have been found to reduce the mobility of sperm. Of course, quitting smoking would also eliminate stained teeth, unhealthy skin, rapid accumulation of wrinkles on the face, and clothing, hair, and breath that stink of smoke. That might improve one's sex life. Decreasing your risk of cancer and heart disease — which also do tend to have negative effects on one's sex life — can also be sexy in the long run. Smokers may have enjoyed a sexy image in the past, but research tells us that they are not "doing it" as often as non-smokers. Studies show that men between 25 and 40 years who smoked one or more packs per day had sex less often than non-smoking men of the same age. Another study suggested that carbon monoxide in the blood caused by smoking inhibits the production of testosterone (a hormone that creates sex drive). Lastly, smoking affects fertility. Smokers' sperm come in many sizes and shapes - many of them not normal. Some have two tails or two heads, others have giant or tiny heads, and some have split tails. The more a man smokes, the worse the damage. Nicotine essentially poisons the sperm and its ability to fertilize an egg. Smoking isn't good for your lungs or heart as is very well documented, and it certainly isn't good for your sex life. It is no longer cool. Are you sleeping with an inactive ashtray? Is your libido being smoked away?