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When thinking about my patients, I've noticed a pattern to the marital conflicts that they share. Here's my list of the top ten things that put your marriage at higher risk for break-up and the things you must do to strengthen it. 1) Putting-Down Spouse's Friends/Family Don't badmouth your spouse or her/his friends, family or associates. Spouses need to know you appreciate their world outside of you. Rather, compliment her friends and family. 2) Not Using Good Listening Skills This includes indulging pre-occupation, avoiding eye contact, looking somewhere else as the conversation unfolds etc. Rather, use good eye contact, wait 'til your spouse finishes talking and concentrate so much on what s/he is saying that you paraphrase it to demonstrate you REALLY listened. 3) Lack of Sexual Interplay This is a very ominous sign in marriage. If your partner has complaints that prevent him/her from wanting to engage you sexually, get help. Seek medical and/or psychological counseling, if necessary. Men, don't get hung-up on wanting SEX-SEXUAL INTERCOURSE all the time. Be able to frequently engage your partner slowly and tenderly in a SENSUAL fashion without SEX. Don't worry, your penis won't explode because of pent-up semen. Don't leave your partner clueless as to why you aren't interested in sex. 4) Always Having the Last Word or Need to be Right This includes lecturing, criticizing and over-correcting your partner. Narcissists are HARD to love! Occasionally, admit that you made a mistake, don't know or compliment your partner as having made a "good point" (and leave it at that). Please be concise. Don't answer every question with a lecture on the topic. 5) Not Following-Thru Actions do speak louder than words. Be reliable and trustworthy. When you commit yourself to doing something, do it. This builds the trust necessary to maintain a close relationship. Trust involves everyday things, not just fidelity. 6) Inconsiderate Teasing Believe your spouse if s/he says that your teasing was hurtful or a put down. Don't give a lecture about why that wasn't correct. Just stop it. Ask yourself what s/he would find complimentary and say that instead. If you just LISTEN to your spouse you can learn alot. 7) Deceit, Lies and Falsehoods Having lies and secrets creates distance and serious suspicions in your mate. This leads to lack of trust and robs your relationship of the fuel it needs to keep going. Swallow, bite the bullet, be considerate and be honest. 8) Being Juvenile When you know you are annoying and you continue to annoy, it's immature and VERY wearing on a spouse. Find better ways to get attention and use healthy communication techniques to communicate your gripes. 9) Explosive Anger You must handle conflict constructively EVEN if your spouse doesn't. Having angry outbursts always makes you the loser, even if you ARE right. That's called being "self-defeating." Copyright, Shery, 2006 real penis enargement free pnis enlargement pnis enlargement before and after picture herbal penis enlagement pills elargement forum free matter penis size penis enlarement without pills bottle vimax pills easy enlargement free pennis surgery way

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Definition of Erectile dysfunction Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”. The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections. Ayurveda defines Erectile dysfunction or ED as follows. Sankalpapravano nityam priyaam vashyaamapi sthreeyam || na yaathi lingashaithilyaath kadaachidyaathi vaa yadi | Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha || mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam | This means even though a man has a strong desire to perform sexual act with a cooperative partner, he can not perform sexual act because of looseness (absence of erection) of his phallus (penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex. Physiology of erection The two chambers of penis (corpora cavernosa,) which run throught the organ are filled with spongy tissue. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa. Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue. The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the chambers, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection recedes. In ayurveda physiology of erection and ejaculation is described as follows Vrishunow basthimedram cha naabhyuuru vankshnow gudam| Apaanasthaanamantrasthaha shukra mootra shakrunti cha|| The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools. Shushruta explains the process of erection and ejaculation as When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This causes arousal or “harsha”. Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the teja or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection. Causes of ED Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED. Lowered level of testosterone hormone: The primary male hormone is testosterone. After age 40, a man's testosterone level gradually declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction. The whole male body responds to testosterone. Even sushruta has illustrated about this response of body to the element “Shukra” . He has said "yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara." This means the shukra (the element which helps in reproduction) is present all over the body. This can be explained with the following examples: 1. The ghee is present in milk in an invisible form. This is extracted from milk using many processes. 2. The sugar is present all over the sugarcane. It is extracted by subjecting the sugarcane to number of processes. Same way shukra is present all over the body. But the cream of shukra (semen) comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body. Decrease in production of “Shukra” causes erectile dysfunction. Over exertion - physically and mentally: Working for long hours in office, mental stress at office and home, short temperedness ,insufficient sleep cause erectile dysfunction. These causes are explained in ayurveda as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror. Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner. Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women. Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction.. According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases, anemia, asthma, liver disorders, tiredness. Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction. Consumption of medicines, drugs and tobacco: Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction. In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food, drinks and medicines" cause impotence or erectile dysfunction. Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction. These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda. Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction. Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. "diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence." Remedies for ED ED is treatable at any age. The total treatment in for impotence is called as “Vajikarana therapy” in ayurveda. As this therapy increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ('Vaaji'=Horse.) Vaajikarana therapy leads to • Happiness. • Good strength. • Potency to produce healthy offspring. • Increased span of erection. Eligibility for vajikarana therapy. 1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age. 2. These therapies should be administered only to a self controlled person. If this therapy is administered to a person who does not have self control, he becomes nuisance to society through his illegitimate sex acts. Psychotherapy Decreasing anxiety associated with intercourse, with psychologically based treatment helps to cure ED. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated. Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac.“ Drug Therapy Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for production of semen. Ayurveda tips to overcome ED 1. Consuming herbal preparations to rejuvenate the reproductive organs. 2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac. 3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress. 4. Sleep at least for 8 hours a day. 5. Avoiding the consumption of alcohol, tobacco, heroin etc. 6. Exercise regularly. 7. Avoid hot, spicy and bitter foods. 8. Favor sweets, milk products, nuts and urad dal. 9. Add little ghee in your diet. 10. Give a gap of four days between two consecutive intercourses buy penis enlargement pills vimax real penis enlargement vimax extender penile enlargement secret manual penis enlargment plus review vig rx penile enlargement pump pennis enlargement operation penile enlargment without pills

Known under many nicknames over time and feared by any man who seeks to enjoy life, impotence is getting to be a more and more common dysfunction in these times. Higher levels of stress and pollution, lifestyles that are harmful to the body and exposure to beauty and sex standards that are not widely met within the society are the likely culprits for this situation. Impotence may be caused by many different factors of both physical and psychological nature. The list of physical factors features inherited impotence, genetic disorders, various conditions and the medication prescribed for them. Studies have shown that many cases of impotence are inherited from ancestors who had similar problems. Long term consumption of alcohol and nicotine is also an established cause of impotence, due to the way alcohol influences the cardiovascular system. Conditions and diseases that affect the flow of blood within the body are practically guaranteed to cause impotence. Since erections are based on the amount of blood that can be trapped by the penis and on the time it takes to do so, it’s easy to see why people suffering from cardiovascular conditions or diabetes have problems getting erections. The medication used to keep in check these conditions is also bound to affect the flow of blood, especially in the case of high blood pressure. Other types of medication that interfere with erections are those which modify the responses of the central nervous system to various reflex actions. Such drugs are likely to inhibit the reflex widening of arteries that allows an erection to occur. Antidepressants are well-known for listing impotence among their side effects. However, any man that wakes in the morning with a full or half-full erection can probably say that there is nothing wrong on the physical side. Which means, of course, that the problem probably lies within the mind. The best known psychological factors that cause impotence are stress and lack of confidence. Stress depletes the energy reserves of the human body and hinders the normal functioning of the brain. Men suffering from stress lose the ability to respond correctly to their impulses and reflexes. Lack of confidence is a huge problem for certain men who should not have any problem at all. It breaks the focus needed for sex and puts all efforts in doubt. This intimate fear of failure is usually the start of a descent into depression. With each failed erection, the man becomes more and more convinced that his fear of failure is warranted, thus reinforcing his belief in his own inadequacy. If left untreated, this situation can spiral out of control and turn a physically healthy man into a recluse afraid of any intimate contact. However, impotence is not a death sentence. It can be treated. Not by moping about and waiting for the problem to solve itself, of course, but by taking the initiative. If there’s nothing wrong with physical side, then counseling and practice (yes, you read that right!) should help anyone drive impotence away. With every sex session that ends successfully for both partners, confidence returns and a positive view replaces the negative one. If the problem is on the physical side, then men should look around and try to identify the source. It may be that the cause is medication or a condition, in which case a trip to a doctor for advice on how to handle the situation is in order. Heavy drinkers and smokers would do well to lay off the alcohol and cigarettes for a while and try to put their circulatory systems in order. Such a change in lifestyle choices has many benefits. Of course, this is where penis exercises like the PenisHealth program and pills like VolumePills can help men put this old foe to rout. Penis enlargement exercises can help improve the responses of an untrained penis to the erection reflex. The exercises are also an excellent way of learning to control ejaculation, which is crucial for the confidence of fast comers. Knowing that you can hold back as much as you like in order to please your partner is priceless. VolumePills, on the other hand, contains natural ingredients that promote the flow of blood to the penis and boost the production of testosterone. This serves to jumpstart the male sex drive and increases both the need to have sex and pleasure derived from satisfying this need. Not to mention that the increased production of sperm and the longer orgasms are a nice side effect. vimax best enlargement exercise penis penis enhancement excercises manual penis enargement exercise vimax natural penis enlargement penis enlarement traction device easy enhancement free penis surgery way pnis enlargement drug sex vigrx penile enlargment without pills

Do you find it difficult to have an erection or does the erection lasts for very less time leaving you sexually unsatisfied? You may suffer from “Erectile Dysfunction”. Don’t panic, you can get it cured. Erectile dysfunction is defined as a sexual dysfunction which is characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. It is also known as impotency. It is found that one in ten people suffer from erectile dysfunction. So don’t worry, if you are one of them. Cause for erectile dysfunction may vary from person to person. Medical problems such as diabetes, hypertension, and atherosclerosis are found to be the main factor causing erectile dysfunction. Stress, anxiety or too much alcohol often causes temporary erectile dysfunction. It is commonly found among men by age 45, most men have experienced erectile dysfunction at least some of the time. There are various alternative treatments available for Erectile dysfunctional such as PDE-5 inhibitors like levitra, injection therapy, urethral insertion tablet, vacuum devices, surgical implants and many other oral medicines. But, in case if you are looking for the best option to erectile dysfunction, then levitra is the best option. Levitra can work as an effective alternative to erectile dysfunction. It works by blocking an enzyme called phosphodiesterase-5. It then relaxes smooth muscles in the penis thereby improving the blood flow. Once blood flow is changed, a natural erection can happen. Thus, giving a solution to all your worries related to erectile dysfunction. You can obtain levitra prescription from your doctor. In case, your busy schedule doesn’t allow you to go to your doctor. Don’t worry now you can get the levitra prescription online that too from licensed physicians. Levitra is a round shaped orange tablet which is to be swallowed available in strengths of 5mg, 10mg or 20mg. Levitra taken around one hour before sexual intercourse helps the Erectile Dysfunctional patients in attaining and maintaining erection when he is stimulated sexually. It does not work on its own, sexual stimulation is a must. Order the required levitra online. Just fill in the online form on the online pharmacy websites; it will save your valuable money as well as time. Erectile dysfunction may cause distress in sexual relationship with your partner. Overcome this problem boldly with the right option that relieves from all the stress adding new color to your life. penis enargement tool vimax penis enlargment penis enhancement excercises vimax free penis enlargement pills does penile enlargement work penis enlarement drug natural penis enargement exercise free penis enlargment video penile enlargment without pills

From the first days of puberty and showers after physical education, boys begin to worry about the size of their penis. Older boys that are pretty endowed make fun of the younger boys that are just beginning to develop into manhood. However, this behavior does not necessarily stop when the boy is older. They still stand around and discuss aspects of their sexual life. Girls and boys, as teenagers, differ in the things they talk about when it comes to sex, men they look at the size of their penis and how far they got with their girlfriends. Girls look more to the romantic side, how cool, and good-looking their boyfriend is. Here come even more problems. To be cool the guy he must be confident, if his penis is small, he has been teased because of it and he feels inferior he will not have the confidence he needs to attract girls. This mental state travels with the boy into manhood. As a man, he still may feel inferior because of his small penis, or what he believes is a small penis because of past experiences. Women can tell a successful man with one glance, not because of his car, his clothing, or his looks but how he actually carries himself. At this point, many men with a small penis may not be performing well in the romance department, but he may also be failing at work. Men in business can see if a man has less confidence in himself and many times, he is overlooked when it comes to promotions even when he is excellent at his job. If any of this sounds familiar to you then maybe you should consider penis enlargement methods. A larger penis will give you the confidence you need to ask out the girl in the office or the one that works in the deli. You will no longer feel inferior to other men such as your boss; because you know that, he has nothing on you. Remember, though, enlarging your penis does not mean you want to get one that is so long that it scares the ladies away you just desire one that is impressive in length say around 8 inches. Longer penises can in fact be uncomfortable to some women, especially small dainty ones. Their vaginas are not long enough for the penis to fit without hitting the uterus and this can become painful with all the thrusting. Longer penises and ones with more girth with give you confidence, more stamina for a romp in the hay, more control over your ejaculation, longer love making sessions and in many cases please your lover more. Leave depression, low self-esteem, and loneliness in the past and look toward your future with a penis enlargement method that will have you on the road of success in no time.