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More Women Now Choose Pain Relief During Labor
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More women are opting for some type of pain relief during their labor and delivery, according to a study by the Department of Anesthesiology at the University of Colorado at Denver and online pharmacy viagra Sciences Center.

A survey of 378 hospitals showed that only 6 percent to 12 percent of women did not request pain relief, compared to 11 percent to 33 percent nine years prior.

Regional analgesia, including epidural, spinal or combined epidural-spinal techniques, accounted for 76 percent of the anesthesia services provided in the larger hospitals and for 57 percent in smaller hospitals.

There are two types of regional pain-relieving drugs - analgesics and anesthetics. Analgesia - pain relief without total loss of feeling or muscle movement - is typically administered to women in labor. This treatment blocks pain by numbing the nerves around the spinal or epidural space that encases the spinal cord. Anesthesia blocks all feeling and movement.

In the past, doctors debated the safety of using an epidural during early labor in first-time mothers. But newer research shows that those who are concerned about receiving pain relief during early labor may be able to rest easy.

Spinal-epidural analgesia during early labor does not increase the cesarean delivery rate in first-time mothers, according to a study by Dr. Cynthia A. Wong, associate professor of anesthesiology at Northwestern University Feinberg School of Medicine in Chicago.

This study also found that analgesia via combined spinal-epidural techniques resulted in better pain relief and a shorter labor when compared to pain medications administered by other routes such as intravenous or intramuscular injections.

"Mothers have come to expect the kind of pain relief provided by regional techniques," said Dr. Brenda Bucklin, associate professor of anesthesiology at the University of Colorado at Denver and Health Sciences Center. "With recent studies showing that having this type of anesthesia early in labor will not increase chances of a cesarean delivery, I think their popularity will continue."


Remedy for male sexual problem and male infertility
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To conclude, these findings are on the basis of my years of experience with Musli Power X-tra in thousands of patients and from my own experience.


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Senior Consultant.

My Dr Visit, Questions asked and answered
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Readers:

I had my visit with my urologists yesterday at my two week visit. He had two medical students shadowing him and I allowed them to also feel the pump in my scrotum and feel the tips of the cylinders under the glans penis. They were very gentle so I told them they could squeeze a little harder if they needed to, in order to feel the tips as it wouldn't hurt or bother me. I'm just not that shy anymore, so standing naked in front of three guys doesn't embarass me very much anymore. They asked me about my decision to have a penile implant surgically implanted and I had a very frank discussion about my juvenile diabetes as my probable, primary reason for my ED. I explained my experience with cheap viagra and cheap cialis as being less than ideal and that I've discussed with other men their use and experiences with PDE 5 drugs such as viagra, cialis, and vardenafil and why they don't work for everybody. What the side effects are and my experience with an erection from those agents. I discussed my expereince with caverject, Bi-mix, and Tri-mix and injecting those agents into my penis. That both my wife and I were very satisfied with the erection that the injections produced along with a 2 hour erection being very much appreciated from my wife's point of view. The reasons I had for quitting injections due to fibrosis beginning to occurr in my penis as a result of those injections over a 13 year period. I also spoke of my expectations following my implant surgery. The research that I had done over the past year and of this blog that I'm keeping which really surprised them and my doctor. I gave them the url of this blog and asked for their feedback. My grasp of the pathology of Erectile Disfunction allowed me to speak on their level. I also questioned my doctor about penile length loss by men who had their prostate removed because of prostate cancer. I learned that approximately one third of men who have lost their prostate due to cancer will suffer a loss of one or more inches of length with a penile implant. My urologist explained that doctors don't have a clear understanding of why this happens. It has been discussed at several conferences among urologists and nobody has a clear explaination why thisoccurrs. Dr Weinstein explained that when the prostate is removed, the bladder is repositioned lower in the abdomen, and this compensates the loss of the prostate to conect to the remaining ureter. I asked if radiation treatments affect things. He explained that if the prostate is cancerous, they can watch it, as in someone over 70 with a slow growing cancer. This I know from needle core biopsies that I've processed in hundreds of cases. Another treatment option is inserting radioactive seeds which destroys the cancer if it is caught early enough. And the last option, if the cancer is at risk of growing through the prostate and entering lymph nodes and thus metatstizing through out the body, then complete removal of the prostate is warranted. And radiation is then not needed.
In my case, my doctor's expectations are at most, a loss of up to one half inch to an increase in length of 3 mms. 2.5 mm = `1 inch. Because I only had a small amount of scarring in my penis prior to surgery, the implant will over several months stretch my penis by a small amount. The penis is limited by the corpus spongiosum, the ureter, and basically the rest of the penis from growing longer. The possible loss in length are due to the glands penis or head not becoming engorged with blood as in a normal erection. This can account for 1/4 to 1/2 an inch of length loss which varies among men. What also limits length is the [use it or loose it] principle. When we were younger, we experienced erections all night long. This served to stretch the tissues and provide much needed oxygenation through out the penis. Men who opt for the implant are men who for many years in most cases, have not or do not still experience strong nightly erections occurring on a regular basis. We have erections using most often a vacuum erection device or injections of vasoactive agents which over amplify the erection above normal. Even the penile skin can become semi engorged along with the corpora and the tissue surounding the urethra and the glans penis. This adds extra to the erection and the implant is unable to match that expectation. The implant, if correctly implanted and sized gives an erection length that cannot match the length of when we were younger men. What it gives us is an erection that closely mimics a man's length minus the engorgement of the glans and minus whatever loss is due to fibrosis and aging.
I would have liked to have explored more questions, but my urologist had other patients waiting. The medical students thanked me. I feel that the decision to have a surgical implant is a dificult one. The experience can be made a more positive one if the man goes into it armed with as much knowledge as they can obtain. Knowledge if coupled to realistic expectations brings about a better experience. What I want, boiled down to the smallest point of reference, is an erection suitable enough and hard enough that I can experience full penetrative intercourse with my wife, and that allows both of us to express love to each other, and ends in both of us achieving at some point, a sexual climax that is satisfying to both of us. That in a nutshell is what it is all about.
Bob

Everybody hates Abbott
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Abbott Laboratories is under fire for its business practices in the field of HIV yet again--but not from the usual suspects. Typically the target of patient activist groups and third-world governments, this time Abbott is being sued by other businesses.

The Wall Street Journal reports that Safeway Inc., Walgreen Co., Kroger Co., New Albertson's Inc., and American Sales Co., all of which carry Abbott's HIV drug Norvir in their pharmacies, are suing Abbott for having "unlawfully extended its monopoly as the sole provider of Norvir." What does that mean? In this case, it means that Abbott raised the price of Norvir by 400% in 2003.

Why did Abbott hike the price? Norvir, rather than fighting HIV directly, is used in small quantities with the class of anti-HIV drugs known as protease inhibitors; Norvir increases the concentrations of those drugs within the body and thus boosts their effectiveness. There are several protease inhibitors now on the market, and one of those is Abbott's medication Kaletra -- the only protease cheap cialis that also contains Norvir. All of Kaletra's competitors require a separate purchase of Norvir in order to get boosted efficacy; therefore, the Norvir price hike was a strategic move in an effort by Abbott to insulate Kaletra from competition. Now, Kaletra is cheaper than taking another protease inhibitor, such as Reyataz or Prezista, in combination with the higher-priced Norvir. (Additional scenarios considered were to discontinue the capsule form of Norvir and sell only its oral formulation, which is said to taste like vomit, and to take Norvir completely off the market.)

I do not wish to defend Abbott's decision. But I will defend Abbott's perfect moral right to make that decision.

It's bad enough that HIV activists and governments believe that patients have the right to a pharmaceutical company's products at whatever price they choose to pay (or for no cost at all), just because the patients need the drugs. But it's even more distasteful that the businesses that sell these drugs to consumers are joining in the fray. One would think that other businessmen would understand the right of a producer to offer his product at whatever price he chooses to ask. Patients do have rights here -- they can choose to take their protease inhibitors without Norvir (an option that many patients take even without considering the price difference), or they can choose to take a regimen that doesn't include a protease inhibitor at all. They can protest Abbott's pricing decision peacefully. What they must not do is use physical force (i.e., the government) to coerce Abbott into selling Norvir at their preferred price. The same goes for pharmacies: Just because the management is unhappy that it can't offer Norvir as cheaply as it used to, it doesn't mean that they can force Abbott to sell Norvir at the old price at the point of a gun.

One would also think other businessmen would understand the danger of letting the government decide at what price Abbott should be allowed to sell Norvir. If Norvir is to be sold at a lower price because patients need it, or because Albertson's supermarkets want to increase volume by selling the drug more cheaply, why shouldn't the government then be able to force Albertson's to sell its groceries at cost, because after all, what do human beings need more than food and drink?

This lawsuit should be dismissed for the farce that it is. There is no such thing as "unlawfully extending monopoly" when that monopoly is not government-enforced.

Pompoir: The Art of Milking the Lingam
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See also: cialis | 


Pompoir is the art of “milking” the lingam of your partner with your yoni. (Lingam and yoni are Sanskrit for order cialis and vagina.) While both partners are still, the woman grips and massages her man's erection with rhythmic, rippling contractions of the pubococcygeus muscle (PC) and other pelvic floor muscles. (This rippling effect also happens during an intense orgasm in a woman.) The rippling causes a kind of milking action that can be felt by the lingam.

A woman trained in the art of pompoir is called a Kabbazah in the Middle East. The word Kabbazah translates to “one who holds." Men say that pompoir feels like having a warm, soft, wet, velvet-gloved hand wrapped around their lingam, firmly gripping it and stroking them into the most delicious sexual nirvana they have ever experienced.

The PC Muscle Routine

In order to practice pompoir, your PC and pelvic floor muscles must be trained to improve their strength and performance. Locate the PC muscles by inserting a finger into your yoni and trying to squeeze your finger. Make sure you’re not also tensing your thighs, buttocks, or anal muscles. Then try these exercises:

1) The short squeeze. Contract the PC muscles 10 times at approximately one squeeze per second. Inhale gently as you contract and exhale when you release. Start with two sets of 10. Gradually build up to two sets of 50 a day.

2) The long squeeze. Hold the muscle contraction for a count of three. Relax between contractions. Work up to holding for 10 seconds and relaxing for 10 seconds. Start with two sets of 10 each and gradually build up to two sets of 50.

3) Pull-in, push-out. Pull up the entire pelvic floor as though trying to suck water into the yoni, and then push out or bear down as if trying to push the water out. This exercise uses the abdominal muscles as well as the PC muscles. Do this five times in a row. Build up to 10 sets.

4) The elevator. Imagine that there’s an elevator in your pelvic region and that you want to raise it up floor by floor. Starting at the ground floor, go up to the first floor, then up the second floor, and last, to the third floor. Then gradually allow the “elevator” to go back down, stopping at each floor. Once you get to the ground floor, completely relax the muscles you’ve just exercised. Start with one set of 10 repetitions and build up to five sets of 10.

You can break up your exercises and do them in two or more sessions daily (in fact, I would recommend it) and still get the same benefits as long as you complete the total number of repetitions. Vary your position from standing, to sitting, to kneeling, to sitting in order to completely exercise the pelvic floor muscles.

As you perfect these exercises and strengthen the muscles, you’ll begin to notice that you can isolate groups of muscles in your pelvic floor. This enables you to isolate your clitoris, for instance, and stimulate yourself at any time.

Milking the Lingam

1) The best positions for pompoir are women on top and sitting positions, such as Yab-Yum.

2) Begin by having your man lie down. He should relax and remain passive, letting you do the work.

3) Stimulate him until he is erect. Once he is erect, insert his lingam into your yoni.

4) He is not to thrust or move his lingam in any fashion. He should remain as still as he can.

5) Once his lingam is inserted and you’re in position, either straddling him or sitting in his lap, you should try to not move your pelvis. Your only movements should come from contracting your yoni using your pompoir skills.

6) You may kiss and caress each other freely, but no thrusting or rocking.

7) Flex and contract your PC muscles in various patterns until you feel his lingam throbbing. (With Kegel exercises, the yoni becomes more sensitive.) This should occur after 10 to 15 minutes and is an indication of his intense arousal.

8) Get the feel of his throbbing lingam and time your squeezing and releasing with his throbbing. Squeeze and release as fast as you can as he nears ejaculation.

9) Keep “milking” his lingam as he climaxes, which will make him feel as if the ejaculate is being pulled from his body - a thrilling sensation for both of you.

10) After his orgasm, keep flexing and relaxing your PC muscles and build up to your own climax. Add additional clitoral stimulation with your fingers as needed and keep flexing until you are satisfied.

For experienced Tantra practitioners, combining pompoir in the Yab-Yum position with eye gazing may propel you and your partner to new heights of sexual ecstasy and spiritual connection. Enjoy.

Being able to give your man pleasure by caressing, fondling, gripping, massaging, and milking his lingam without using your hands is enough reason for a woman to learn pompoir. However, developing the PC muscles used to do the gripping also increases a woman's orgasm frequency, intensity, and variety. For most women, orgasm is centered in the clitoris, but with proper exercise not only does your clitoral orgasm improve, you develop the ability to experience vaginal, multiple, and ejaculating orgasms.

When personal Tantra instruction is either inconvenient or too expensive, Al Link and Pala Copeland's Sexual Mastery Course and Kerry and Diane Riley's Ultimate Home Tantra Course are two excellent self-teaching courses. I highly recommend either of these courses for those who can't find a local Tantra teacher, attend a Tantra workshop, or just want to explore Tantra in the privacy of their own home.


Pompoir: The Art of Milking the Lingam
zanacrop
See also: cheap cialis | 


Pompoir is the art of “milking” the lingam of your partner with your yoni. (Lingam and yoni are Sanskrit for purchase cialis and vagina.) While both partners are still, the woman grips and massages her man's erection with rhythmic, rippling contractions of the pubococcygeus muscle (PC) and other pelvic floor muscles. (This rippling effect also happens during an intense orgasm in a woman.) The rippling causes a kind of milking action that can be felt by the lingam.

A woman trained in the art of pompoir is called a Kabbazah in the Middle East. The word Kabbazah translates to “one who holds." Men say that pompoir feels like having a warm, soft, wet, velvet-gloved hand wrapped around their lingam, firmly gripping it and stroking them into the most delicious sexual nirvana they have ever experienced.

The PC Muscle Routine

In order to practice pompoir, your PC and pelvic floor muscles must be trained to improve their strength and performance. Locate the PC muscles by inserting a finger into your yoni and trying to squeeze your finger. Make sure you’re not also tensing your thighs, buttocks, or anal muscles. Then try these exercises:

1) The short squeeze. Contract the PC muscles 10 times at approximately one squeeze per second. Inhale gently as you contract and exhale when you release. Start with two sets of 10. Gradually build up to two sets of 50 a day.

2) The long squeeze. Hold the muscle contraction for a count of three. Relax between contractions. Work up to holding for 10 seconds and relaxing for 10 seconds. Start with two sets of 10 each and gradually build up to two sets of 50.

3) Pull-in, push-out. Pull up the entire pelvic floor as though trying to suck water into the yoni, and then push out or bear down as if trying to push the water out. This exercise uses the abdominal muscles as well as the PC muscles. Do this five times in a row. Build up to 10 sets.

4) The elevator. Imagine that there’s an elevator in your pelvic region and that you want to raise it up floor by floor. Starting at the ground floor, go up to the first floor, then up the second floor, and last, to the third floor. Then gradually allow the “elevator” to go back down, stopping at each floor. Once you get to the ground floor, completely relax the muscles you’ve just exercised. Start with one set of 10 repetitions and build up to five sets of 10.

You can break up your exercises and do them in two or more sessions daily (in fact, I would recommend it) and still get the same benefits as long as you complete the total number of repetitions. Vary your position from standing, to sitting, to kneeling, to sitting in order to completely exercise the pelvic floor muscles.

As you perfect these exercises and strengthen the muscles, you’ll begin to notice that you can isolate groups of muscles in your pelvic floor. This enables you to isolate your clitoris, for instance, and stimulate yourself at any time.

Milking the Lingam

1) The best positions for pompoir are women on top and sitting positions, such as Yab-Yum.

2) Begin by having your man lie down. He should relax and remain passive, letting you do the work.

3) Stimulate him until he is erect. Once he is erect, insert his lingam into your yoni.

4) He is not to thrust or move his lingam in any fashion. He should remain as still as he can.

5) Once his lingam is inserted and you’re in position, either straddling him or sitting in his lap, you should try to not move your pelvis. Your only movements should come from contracting your yoni using your pompoir skills.

6) You may kiss and caress each other freely, but no thrusting or rocking.

7) Flex and contract your PC muscles in various patterns until you feel his lingam throbbing. (With Kegel exercises, the yoni becomes more sensitive.) This should occur after 10 to 15 minutes and is an indication of his intense arousal.

8) Get the feel of his throbbing lingam and time your squeezing and releasing with his throbbing. Squeeze and release as fast as you can as he nears ejaculation.

9) Keep “milking” his lingam as he climaxes, which will make him feel as if the ejaculate is being pulled from his body - a thrilling sensation for both of you.

10) After his orgasm, keep flexing and relaxing your PC muscles and build up to your own climax. Add additional clitoral stimulation with your fingers as needed and keep flexing until you are satisfied.

For experienced Tantra practitioners, combining pompoir in the Yab-Yum position with eye gazing may propel you and your partner to new heights of sexual ecstasy and spiritual connection. Enjoy.

Being able to give your man pleasure by caressing, fondling, gripping, massaging, and milking his lingam without using your hands is enough reason for a woman to learn pompoir. However, developing the PC muscles used to do the gripping also increases a woman's orgasm frequency, intensity, and variety. For most women, orgasm is centered in the clitoris, but with proper exercise not only does your clitoral orgasm improve, you develop the ability to experience vaginal, multiple, and ejaculating orgasms.

When personal Tantra instruction is either inconvenient or too expensive, Al Link and Pala Copeland's Sexual Mastery Course and Kerry and Diane Riley's Ultimate Home Tantra Course are two excellent self-teaching courses. I highly recommend either of these courses for those who can't find a local Tantra teacher, attend a Tantra workshop, or just want to explore Tantra in the privacy of their own home.