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We can thank the media and legislators for bringing the risk of anabolic steroid side effects to the forefront. Despite the exaggeration of the risks of using these drugs, steroids can still pose problems for users. Keep in mind that the risk of developing side effects is usually in proportion to the length of the steroid cycles and the size of the stacks being followed. To keep things clear we've separated the potential side effects into those experienced by men, women, and teenagers. Men Despite steroids being derived from the male sex hormone, testosterone, males who use these drugs may ironically develop the feminizing side effect, gynecomastia. Also called bitch tits, this condition is recognized by a swelling of the nipple region to the point that it may take on the appearance of female breasts! This unsightly condition occurs because one of the breakdown products of steroids and testosterone is the female hormone estrogen. And as males also have estrogen receptors the elevated estrogen levels may start producing female like effects - including gynecomastia - in men's bodies. Although this is probably the most severe cosmetic effect, there are others including " Reduced sperm count " Impotence " Development of breasts " Shrinking of the testicles " Difficulty or pain while urinating Women It's not surprising that women who take the drugs may develop masculinizing anabolic steroid side effects. After all steroids are derivatives of the male hormone testosterone. These include the following: " Facial hair growth " Deepened voice " Breast reduction " Menstrual cycle changes " Clitoral enlargement Both sexes When individuals stay on extended steroid cycles, the risk of developing side effects increases. Both sexes can experience the following, which range from the merely ugly and unsightly to the life-threatening. They include: " Acne " Water retention " Rapid weight gain " Clotting disorders " Liver enzyme irregularities " Elevated cholesterol levels " Tendon damage from proportionally stronger muscles " Mood swings Teenagers No discussion on steroid side effects would be complete without mentioning teenage usage of these drugs. Anabolic steroids can pose several serious health issues to teens. These drugs have been known to fuse the growth centers (epiphyseal plates) in teenagers bones; and once closed they cannot reopen. The end result is that the adolescent may end up shorter than his or her natural genetic height. Steroids have also been linked to severe mood swings. This could have severe repercussions as the teenage years are naturally marked by fluctuations in moods. Although not proven, there have been a few cases where the usage of steroids may have contributed to the suicide of a few teens. It's because of the previous anabolic steroid side effects that teenagers should under no circumstances use these drugs. Addiction? Despite the limited evidence, it is possible that steroids may cause addiction. Some studies suggests that heavy users of anabolic steroids may experience some of the classic symptoms of addiction including uncontrollable cravings, difficulty in terminating usage, and withdrawal symptoms. For many users of these drugs, coming off the "juice" can be very traumatic as they begin to lose their esteem building muscular size and strength. This loss of a key component of their identity can leave them suffering many of the same symptoms and side effects as those using common street drugs. Side effect free! Wouldn't it be great if there were supplements available that produced steroid-like muscle-building effects without side effects? Well guess what - there is! They are called steroid alternatives and they are fast becoming the choice of bodybuilders everywhere. Users report steroid-like gains in muscular size and strength without side effects. You owe it to yourself to check them out today! © Bob Howard 4/14/2006 © Bob Howard 4/15/2006 manual penis enargement exercise best enlargement exercise penile free penis enlarement tip penile enlargement surgery cost cheap vigrx pill penis girth elargement truth about penis enlargement free exercise tip for pennis enlargement

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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 penis enlargment system cheap vigrx pill vimax penis pillss in uk vig rx side effects pnis enlargement exercise penis enlagement surgeon enlargement forum free matter pennis size penis enargement excersizes truth about penis enlargement

What is email marketing? Basically, in plain English, email marketing is a targeted mass mailing done via email. The purpose of email marketing could be advertising in order to recruit new clients, introducing a new set of products or services to an existing client base, keeping your clients informed by means of a newsletter, etc. All of the before mentioned activities are very legitimate business efforts, as long as you respect some unwritten rules and as long as the list of emails you use is what is called 'targeted', in other words the names came from a database generated by your marketing division and represents your existing client base, a carefully selected list of potential prospects or a list of people who opted in to receive your messages. If instead of the above you use a list that you bought (you know, "25 million guaranteed AOL email addresses for only 19.95 - plus shipping"), or are doing it without warning the people on your list, or using other shady methods, then you are considered a spammer and what you are sending is spam, bulk mail, unsolicited email, basically, the main enemy of all things virtue and life in general. Yes folks, it is that easy to be labeled as a spammer, and very hard to get out of it. Once your message is considered unsolicited, you will immediately be put on zillions of black lists, side by side with those who promise inches and inches of extra extremities and hours and hours of ecstatic pleasures (for only 3 easy payments and some handling fees). Sound pretty risky, so why bother? Obviously, opt-in email advertising is far more cost effective than direct marketing via regular mail, door-to-door sales, or telemarketing. Paper, printing, envelopes, and postage can add up quickly. Door to door sales require paying out commissions. Telemarketing results in high long distance bills, often without great results, as people become more and more blood thirsty toward the people on the other end of the so called cold call. So why not just use my personal email or my company's mail server and some mailing software? In the early days of email marketing (that is, before the art of penile enlargement was crafted), that's exactly what people did. They would gather all their emails into some primitive version of a spreadsheet, fire up some mail merging program, hook it up to their corporate mail system and voila, thousands of emails were flying away. Today, the scenario is certainly possible, but let me tell you in a simple set of scenarios what can happen: One of the many not-for-profit groups that decided to police the internet will intercept that a large number of emails were generated and sent by a server near you (yep, they can do that). In order to protect the civilized world from those who spread spam, viruses and other vermin, they will put you on a list of threats to humanity. Those other nice corporate folks who were your indented recipients, have an IT department that gets constantly yelled at by angry users who get emails with naked people. Well - Mel, their IT guy decides to put up an anti-spam system that links to that not-for-profit's database of known spammers (oh yeah, did I mention you are now a 'known spammer'?) and block your emails. Your emails might actually be blocked so well that your company will have a real trouble communicating via email and your IT folks will all go nuts and/or get fired. Basically, not so good. Other things that can happen are: you'll have to build some opt-in / opt-out system, in some states there are laws that require that you make it very easy for your audience to unsubscribe, you'll have a hard time formatting your emails in a decent, eye pleasing way, etc. Lastly, the process of sending thousands of emails and managing lists, subscribing and unsubscribing people is tedious and just plain annoying. The only way to do it is with a maximum degree of automation, or, the better solution - to outsource to a company that does it professionally. Folks, I am known for promoting the "do it in house" concept, and am not that big on outsourcing. But when it comes to mass mailing... I say stay away from it and let the professionals do what they do. If you are worried about cost, know that the fee you pay for email marketing services, will still cost less than the continued overhead and expenses of the traditional options, not to mention the great possibilities of reaching a much larger audience, much faster (practically instantly). What to look for in an email marketing company? 1. Automating Your Subscribe and Unsubscribe Requests Many email marketing companies will provide you with exact HTML code you need to paste to your site to have a subscription form on your web site. The better services also provide a link at the bottom of each email that enables subscribers to update their information or unsubscribe from a list, automating everything for you. 2. Personalization of Emails Another powerful feature of many email marketing services is the ability to use mail merge capabilities to personalize each email that you send. The better services allow to have custom fields, additional to the standard first name and last name. 3. Bounceback email handling Bouncebacks are emails that are sent to email accounts that no longer exist or are full, blocked, etc. Essentially, you'll get a response stating that your message did not make it. All email list management software programs are able to manage subscribe and unsubscribe requests and send out messages, however without integrated bounceback email handling all the non-deliverable emails will be sent back to you, a rather big nuisance if your list is large. Ideally, the email software you use will be able to manage your bouncebacks for you. Whenever a bounceback is received, the software makes a note of the address and if another bounceback is received the email address will be sent to a list of dead addresses. This remove capability is extremely important since if you continuously send out emails with many bouncebacks you may be blacklisted as a spammer. This is something you really want to avoid at all cost. 4. HTML email The ability to send out HTML emails has been around for quite some time. Most email marketing companies support the ability to send out messages that include graphics and formatted text. This is surely something you'll want to look for. However, not all of your users have the ability to view email messages in HTML format. This percentage is usually between 10-20%. Instead of seeing your aesthetically pleasing email they might see a string of meaningless code. Using most email list management programs, these 10-20% of users will open up emails from you and be very inclined to call you a spammer. To avoid this, look for companies that use multi-part MIME to send out messages. When you send an HTML email in multi-part MIME, users who do not have the ability to view HTML messages will receive the email in the usual text format. So who should you use? Do your homework, read reviews, eventually, make use of a trial account and see if it fits your needs. 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Any method used to prevent pregnancy is known as birth control. Barrier and non-barrier methods are the two types of birth control used. How do I know what method is right for me? The birth control method you choose should take into account your overall health, the number of sexual partners, whether you want to have children, how effective each method is in preventing pregnancy, potential side effects, and your comfort level with using the method. It is recommended that you use a condom or some other form of birth control to get added protection against unplanned pregnancies and unwanted sexually transmitted diseases. How effective are birth control methods? Sterilization is the most effective method. Abstinence is the only 100% method of effective birth control. Birth control pills are more than 99% effective. Male condoms are 98% effective, while female condoms are 95% successful. These effective rates are applicable only when each method is used properly. How can I get birth control? You can normally get birth control devices from family planning clinics, health centers, and hospitals. Birth control pills cost $10to $20 per cycle. Condoms cost $0.50 to $2.00 per condom and are available in pharmacy stores. Sterilization occurs only with the help of surgery. It is the permanent protection against pregnancy, and it costs between $350 and $2,500. Do I need a prescription to get birth control? How can I get a prescription? To get some form of birth control, a prescription is needed. The pill, the shot, and the patch need a prescription from a medical practitioner. To get a prescription, a woman must have a pelvic exam. The pelvic exam ensures that her body is healthy and can accept the birth control method. Other birth control methods such as male and female condoms, sponges, and spermicides need no prescription and are available at drugstores. Do I need to use protection during oral sex? Yes, sexually transmitted diseases may be transmitted though oral sex. This does not mean that you cannot enjoy oral sex. You can use a latex barrier for avoiding most sexually transmitted diseases. What is a male condom and how effective is it? The male condom is a thin piece of material that a man wears over his penis during any type of sexual relations in order to prevent pregnancy and sexually transmitted diseases. Condoms are made of latex, polyurethane, or natural skin. If used correctly, condoms are 98% effective. What is a birth control pill and how does it work? Birth control pills contain hormones that stop releasing the egg. They also thicken the mucus on the cervix and make it difficult for the sperm to enter the egg. What is withdrawal? Withdrawal occurs when a man pulls his penis out of his partner's vagina before he ejaculates. Thus, no semen enters her body.