According to the scientists, individuals who are sexually active live a longer life than other individuals who are sexually less active. The reality today is something else; nearly 70% of couples today are having the unsatisfactory sex life. The problems in the sex life are damaging the men-women relationship. The numbers of divorces per year are increasing due to the unsatisfactory sex life. One of old method mentioned in Kama Sutra is Foreplay is the 100% solution for the unsatisfactory sex life. Foreplay is a key for the sexual satisfaction. Everybody would be thinking, what is foreplay? Foreplay is similar like the warm-up that we do before the exercise.

You can call foreplay as the erotic stimulation before the sexual intercourse. Foreplay is the first activity that should be done compulsorily before the sexual activity. Foreplay before sex is like the sharpening of weapons done before the war. The main and the most common misinterpretation of the foreplay is having the oral sex that is stimulating each other sex organs with the help of tongue, but this is absolutely wrong. Foreplay is not only to pay attention towards only sexual organs but to play attention towards the entire body of your partner. Yes, you can call stimulation of the sex organs as one of the methods of Foreplay. You can call foreplay as the first step to set the mood. Foreplay means the action that are performed or created in the object of showing the sexual feelings toward each other that leads to the secretion of hormones, nerve and muscle changes, and thus making each other ready for the sexual activity. Men usually skip the step of foreplay and make the sexual activity more mechanical than passionate. By introducing the foreplay in your sexual activity, men can make their sexual activity more passionate and spicy that will finally lead to the sexual satisfaction. Men should avoid going directly for the copulation because women are not ready for the direct intercourse.

Thus, men should learn to start the sexual activity with foreplay so as to make sexual activity comfortable for the women. Sexual intercourse without foreplay will be difficult, painful, and possibly causing small tears in the vaginal tissue as her vagina won’t have secreted any natural lubricant either, making penetration difficult. Women like a lot of talking, mood setting and tenderness before sex. Foreplay gets her mind (the most important sexual organ, its often said) ready as well as her body for the sexual intercourse. These are the some easy techniques of foreplay—Pay attention towards the entire body of your partner. Foreplay doesn’t means only the stimulation of the sex organs; Massaging each others body is the one of the most affective method of foreplay that could lead to the superb sexual pleasure and ultimately to the sexual satisfaction; Undressing each other slowly and exploring the each and every part of the body will make a wonderful experience of foreplay to each other and both the partners will have a maximum sexual satisfaction; Kissing each others body is the one of best methods of foreplay and women enjoy its lot. You can enjoy and can include any activities as the foreplay that will arouse both the partners. Hence, we can call foreplay, a key for sexual satisfaction.

Erectile dysfunction is a problem that affects practically all men at a certain stage of their lives. And if the common belief links impotence to older stages of life, in reality younger and middle-aged men also experience erectile dysfunction in a great extent. We are not speaking about occasional mishaps that happen to everyone. Erectile dysfunction is not when you can’t get an erection from time to tome – that’s natural, as there are so many factors influencing a hard, solid erection that you might wonder why you are still able to get one. Erectile dysfunction is when a good erection can’t be achieved on a regular basis, making suitable sexual life almost impossible. And it’s a medical condition that has its causes, which should be addressed.

Of course, impotence can be caused by a series of factors such as medications that you are taking, surgeries that you have recently undergone, or conditions that you are suffering from. And by treating the factors, which are influencing erectile dysfunction, you will be able to overcome impotence. However, in many cases, conditions such as diabetes, blood pressure issues, cholesterol imbalance, hormone level problems, which are all the primary causes for ED, are strongly influenced by your lifestyle. Eating unhealthy food, lacking physical exercise, smoking, drinking, abusing recreational drugs – these are all an effective way of developing erectile dysfunction in just any age. So before you visit one of those onlineViagra sites to order some pills, take a closer look on the way you live your life.

Recent studies have shown that a turn towards a healthily lifestyle can dramatically improve the quality of your erection. A group of obese men with various degrees of erectile dysfunction, who were drinking and smoking, have taken part in an experiment that has taken two years to be complete. Over this period of time, these men had to follow a low-calorie diet, give up smoking and drinking too much alcohol, had to exercise regularly and follow a healthy sleeping schedule. The results were quite impressive, because not only the test subject have minimized their health risks such as diabetes and blood diseases, but have also shown a dramatic improvement in the quality of their sexual lives, about a third of them stating that they had completely forgotten about erectile dysfunction. And they weren’t taking any drugs like Viagra or other erectile dysfunction treatments.

So when you think about treating ED, first think of the way you’re treating your body and living your life. Maybe changing your lifestyle will be the step you need to make for enjoying your sexual life to the max?

The researchers running the whole project, Stacy Mandras and Mandeep Mehra, have undertaken a detailed analysis comprising the results of other researches that studied sexual activity in men who were suffering from coronary artery disease. The results of such an analysis were rather surprising, showing that men with such a condition and without it had the same levels of increase in heart and respiratory rate that were all within safe limits. In fact, the highest hear rate reported in the study while a man was having sex was lower than a daily maximum achieved during simple everyday activities.

The studies have also included patients with chronic heart failure who also suffered from erectile dysfunction. Erectile dysfunction usually takes place when there’s not enough blood flowing into the penis for the man to be able to achieve erection. Drugs used for treating the problem such as Viagra or Levitra stimulate the blood flow into the penis and thus can make the problem even worse.

They have also taken into account the safety of such drugs in cases of congestive heart failure. ED medications directly affect the blood flow and blood vessels and it would pose a great health risks if combined with other heart medications, leading to dramatic changes in blood pressure levels over a short period of time.

However, the studies have displayed that Viagra can be safely used in such patients taking heart medications only with the sole condition of being under strict medical supervision. There isn’t sufficient data on how safe other ED drugs such as Levitra and Cialis are in such situations, but taking into account that they have quite the same pharmacological properties and mechanism of action one can assume that they are quite safe too.

Thus, the authors of this study conclude that it’s safe form men with erectile dysfunction and mild to moderate chronic heart failure to buy Viagraand use it with the purpose of improving the quality of their erection, still with the condition of going through detailed screening before being prescribed with the drug.

Still there are people who cannot use such drugs, what’s the solution for them? Health care specialists state that men can enjoy having active sexual life regardless of their age if following a healthy lifestyle and having regular physical activity. Erectile dysfunction can also be caused by certain medications that you are taking or even inappropriate nutrition. Take a closer look at your lifestyle and make the necessary improvements and you will see that the quality of your sexual life will be improved.

MRI of the spine:-

Homoeopathy:-

Introduction:-

Prostate is a glandular organ present only in males.  It surrounds the neck of bladder & the first part of urethra and condributes a secretion to the semen. The gland is conical in shape and measures 3 cm in vertical diameter and 4 cm in transverse diameter.It has got five lobes anterior,posterior,two lateral and a median lobe.Since  the first part of the urethra pass through it any lesion in the prostate will produce difficulty in passing urine.

Diseases of the prostate gland:-

1) Prostatitis:-

This is the inflamation of the prostate gland due to bacterial infection.

2) Benign enlargement of the prostate:-

This is a non cancerous tumour of  the prostate seen after the age of 50.  3,Cancer of the prostate:-This is the 4th most common cause of death from malignant diseases in males.

Cancer of the prostate.

Cancer of the prostate is directly linked with the male sex hormones(androgens).If the levels of sex hormone increases the growth rate of cancer also increases.It is found that after the removel of testes there is marked reduction in the size of tumour.

Site of tumour:-

Prostate cancer is seen mainly in the posterior lobe.Non cancerous enlargement is seen in other lobes.

Changes in the gland in cancer:-

The gland becomes hard with irregular surface with loss of normal lobulation .Histologically prostate cancer is an adeno carcinoma(cancer of the epithelial cells in the gland)

Growth :-

Growth rate is very fast in prostate cancer .The tumour compresses the urethra and produce difficulty in urination.

Spread of tumour:-

Metastasis in cancer of prostate is very early.

1) Local spread:-

From the posterior lobe the cancer cells go to the lateral lobes and seminal vesicles.Tumour cells also move to the neck and base of the urinary bladder.

2) Lymphatic spread:-

Through the lymph vessels cancer cells reach the internal and external illiac group of lymph nodes.From there cells move to retroperitonial(Behind the peritonium) and mediastinal lymph nodes(in the chest)

3) Spread through the blood:-

Spread of cancer cells takeplace through the periprostatic venous plexus and reaches the vertebral veins while coughing and sneezing and finally enders the vertebral bodies of the lumbar vertebrae.

Signs and symptoms of prostate cancer:–

Signs and symptoms depend upon the stage of the cancer. The following symptoms may be seen.

1) No symptoms:-

Tumour is small and only in the posterior lobe.  This is diagnosed accidentely.

2) Slight difficulty in urination:-

Here the tumour is enlarged and urethra is slightly compressed.Shortly there will be frequent urge for urination with difficult urination.

3) When the tumour spread to all nearby areas including neck of bladder and urethra there will be painful urination with bleeding.Urine comes drop by drop.

4) Retention of urine:-

When the urethra is completely compressed there will be retention of urine.This can lead to hydronephrosis, renal failure ect.In this condition patient may get convulsions due to renal failure and finally coma.

5) Signs of metastasis:-

Some patients come with the signs and symptoms of metastasis.

a) Lumbo sacral pain due to spread of cancer cells to lumbar and sacral vertebrae.

b) Fracture of spine due to cancerous growth in the spine.

c) Swelling, pain and fluid collection in the abdomen due to lesion in the abdomen.

d) Respiratory complaints due to cancer of mediastinal lymphnodes and lungs.

e) General weakness due to spread of cancer to different parts of the body.

f) Anaemia due to involment of bone marrow and increased destruction of RBCs.

Clinical examination :-

Includes per rectal examination to feel the prostate gland,palpation of abdomen to feel the swelling in kidneys and any tumours.Patient is examined from head to foot to find out any lesions.

Investigations:-

1) Complete blood investigations;-

RBC,WBC,Platlets,ESR,bleeding time ,clotting time ect.

2) Urine analysis:-

Microscopic examination to detect pus cells,occult blood,casts,Crystals ect.

3) Renal function tests:-

Blood urea level,serum creatinine level,electrolyte level ect.

4) Serum acid phosphatase:-

Increased in cancer of prostate.

5) x-ray of the spine:-

To detect any tumour or fracture.

6) Ultra sonography;-

Gives idea about prostate,bladder,kidney ect.

7) C T scan:-

More detailed information about organs and tumour.

MRI of the spine:-

Gives detailed information about spine ,disc and nearby soft tissues.

9) Lymphangiography:-

Gives idea about lymphatic spread of cancer.

10) Biopsy to confirm cancer:-

Biopsy is taken from the tumour and is send for histopathological examination under the microscope.This will detect the presence of cancer cells.

Treatment:-

1) If there is retention of urine catheterisation is needed.

2) Dialysis if kidney failure.

3) If there is coma monitoring of all vital functions along with parentral nutrition and electolyte supply.

4) Specific treatment is prostatectomy(removal of prostate)

Partial prostatectomy :-

Here only the affected lobe is removed.

Radical prostatectomy :-

Total removal of prostate along with nearby lymphnodes.

5, Hormone therapy :-

Stilbestrol is given to reduce tumour growth.Since this treatement increases the chance for cardiovascular disease phosphorylated diethyle stilbesterol is used nowadays.

6) Chemotherapy:-Drugs like cyclophosphamide, cisoplatim ect are given.

7) Radiotherapy is also done for some cases.

Homoeopathy:-

Homoeopathic drugs like carcinocin, conium, sabal, crotalus, thuja, iodum, selinium, staphysagria, sulphur ect can be given according to symptoms.Constitutional homoeopathic medicine will give great relief and can increase the life span.

9) Yoga and meditation is also healpful.