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What could possibly be worse than struggling with a painful condition and feeling ashamed to discuss the problem because of its intimate nature? Such is the case for many suffering with pudendal neuralgia, a little known disease that affects one of the most sensitive areas of the body. This area is innervated by the pudendal nerve, named after the Latin word for shame. Due to the location of the discomfort combined with inadequate knowledge, some physicians make reference to the pain as psychological. But nothing could be further from the truth. Unfortunately, discussing the condition with gynecologists, urologists and neurologists often proves fruitless since most know nothing about the condition and therefore cannot diagnose it. Pudendal neuralgia is a chronic and painful condition that occurs in both men and women, although studies reveal that about two-thirds of those with the disease are women. The primary symptom is pain in the genitals or the anal-rectal area and the immense discomfort is usually worse when sitting. The pain tends to move around in the pelvic area and can occur on one or both sides of the body. Sufferers describe the pain as burning, knife-like or aching, stabbing, pinching, twisting and even numbness. These symptoms are usually accompanied by urinary problems, bowel problems and sexual dysfunction. Because the pudendal nerve is responsible for sexual pleasure and is one of the primary nerves related to orgasm, sexual activity is extremely painful, if not impossible for many pudendalites. When this nerve becomes damaged, irritated, or entrapped, and pudendal neuralgia sets in, life loses most of its pleasure. So, where exactly is the pudendal nerve? It lies deep in the pelvis and follows a path that comes from the sacral area and later separates into three branches, one going to the anal-rectal area, one to the perineum, and one to the penis or clitoris. Since there are slight anatomic variations with each person, a patient’s symptoms can depend on which of the branches are affected, although often all three branches are involved. The fact that the pudendal nerve carries sensory, motor, and autonomic signals adds to the variety of symptoms that can be exhibited. Because pudendal neuralgia is uncommon and can be similar to other diseases, it is often misdiagnosed, leading some to have inappropriate and unnecessary surgery. Early in the diagnosis process, it is crucially important to undergo an MRI of the lumbar-sacral and pelvic regions to determine that no tumors or cysts are pressing on the nerve. In addition, the patient should be screened for possible infections or immune diseases, as well as having an evaluation by a pelvic floor physical therapist to determine the health of the pelvic floor muscles and to uncover whether skeletal alignment abnormalities exist. An accurate patient history is needed to assess whether there has been a trauma or an injury to the nerve from surgery, childbirth, or exercise. Tests that offer additional diagnostic clues include sensory testing, the pudendal nerve motor latency test, and electromyography. A nerve block that provides several hours of relief is another tool that helps to determine if the pudendal nerve is the source of pain. One of the most common symptoms that accompanies pudendal neuralgia is severe depression. Some people with the disease have committed suicide due to the intractable pain. For that reason, it is important to consider antidepressants, as they can help lessen the hypersensitivity of the genital area in addition to relieving bladder problems. Certain anti-seizure drugs reportedly help to alleviate neuropathic pain while anti-anxiety drugs provide substantial relief of muscle spasms and assist with sleeping. Uninformed physicians are reluctant to prescribe opiates for an illness that shows no visible abnormality, yet the desperate nature of genital nerve pain requires that opiates be prescribed for these patients. While medications are not always satisfactory, they do help take the edge off of the pain for many people. Until the correct treatment is determined, it is imperative that patients with pudendal neuralgia receive adequate pain management since the pain associated with this illness can be intense. Treatment depends on the cause of distress to the nerve. When the cause is not obvious patients are advised to try the least invasive and least risky therapies initially. Physical therapy that includes myofascial release and trigger point therapy internally through the vagina or rectum assists with relaxing of the pelvic floor, especially if pelvic floor dysfunction is the cause of nerve irritation. If no improvement is found after six to twelve sessions, nerve damage or nerve entrapment might be considered.Botox is now used in medical settings to relax muscles and shows promise when injected into pelvic floor muscles; though finding a physician adept at this treatment is difficult.Pudendal nerve blocks using a long-acting analgesic and a steroid can reduce the nerve inflammation and are usually given in a series of three injections four to six weeks apart. If physical therapy, Botox, and nerve injections fail to provide adequate relief, some patients opt for pudendal nerve decompression surgery. There are three published approaches to pudendal nerve decompression surgery but there is debate among members of the pudendal nerve entrapment community as to which approach is the best. Since there are advantages and disadvantages to each approach, patients face considerable confusion when deciding which type of surgery to choose. Because there are only a handful of surgeons in the world who perform these surgeries, most patients have to travel long distances for help. Moreover, the recovery period is often painful and takes anywhere from six months to several years since nerves heal very slowly. Unfortunately, early statistics indicate that only 60 to 80 percent of surgeries are successful in offering at least a 50 percent improvement. Patients whose surgeries are not successful or who do not wish to pursue surgery have the option of trying an intrathecal pain pump which delivers pain medication locally and helps to avoid some of the side effects of oral medications. Others pursue the option of a neurostimulator either to the sacral area or directly to the pudendal nerves. These are relatively new therapies for pudendal neuralgia so it is difficult to predict success rates. Some pudendalites have devised ingenious contraptions for pain relief ranging from u-shaped cushions cut from garden pads all the way to balloons filled with water, frozen, and inserted into the vagina. Most have a favorite cushion for sitting and many have special computer set-ups for home and office use in order to avoid sitting. Generally speaking, jeans are a no-no, so patients revise their wardrobes to include baggy pants and baggy underwear – if they are able to tolerate wearing underwear. Clearly more research is required to find effective methods to better manage the pain and debilitation of pudendal neuralgia. But in the meantime, friends and family close to those who have this devastating illness play a huge role in helping patients cope, thereby maintaining the best quality of life possible. Support, love and understanding are of primary importance for those suffering with this affliction. pennis enlargement doctor pennis enlargement surgery photo penile enlargement video enargement forum free matter penis size com elargement penis penis pump penis enlargment review penis enargement operation health pro solution

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Genital Warts symptoms are quite easy to identify, but many people ignore the symptoms of genital warts and do nothing about them. All warts are caused by the Human Papilloma Virus. HPV is the most rapidly spreading STD in America and affects more people than HIV-aids. There are about 5 million new cases reported each year, and this number is growing all the time. It is important to be able to identify genital warts symptoms, so you may treat them immediately. There are many carriers of the Human Papilloma virus who do not even have any Genital Warts symptoms. In fact, most carriers of the virus, don't even have any warts! The virus is able to lay dormant in the body for months or even years, and can be passed from one person to another through sexual intercourse. So it is possible to pass the virus on, without having any genital wart symptoms at all. Genital wart symptoms are normally quite obvious. Small bumps or growths appear in the genital region, including in and around the anus, vagina and penis. They can appear as individual growths or they can group together in clusters. Some of these clusters may have a cauliflower-like appearance. They range in color from whitish or grey looking to red, pink or skin color. Unless they become lacerated and bleed, genital warts are usually not painful but may be itchy and irritating. It is best to stick to natural methods for successful treatment. does pnis enlargement work penis enlagement before and after picture male penis elargement penis enargement exercise pennis enlargement operation com enlarement penis penis pump vimax penis enlargement surgery best pennis enlargement surgery male pnis enlargement

Sexual dissatisfaction makes a man to fall prey to bitterness in life. A man is not fully happy until his sexual intimacy is aimed to make his wife physically content. Among various health problems in men, impotence or Erectile Dysfunction (ED) is foremost in being a big talk of the day today. Levitra is one of the most popular drugs today to help men suffering from impotence. Levitra is a very effective power booster which enables men to retain his erection for long, and helps people suffering from ED in a great way. There are many reasons such as smoking, drug or alcohol abuse, particularly over a long period of time which degenerate the blood vessels of the penis, and cause impotence or ED. Levitra works by reducing the effects of an enzyme called PDE-5. Reduced activity of PDE5 enzymes causes more blood flow to the penis. Increased blood flow to penis results in an improved and longer erection. Levitra medication drug has to be taken according to doctor’s instructions. Doctor normally recommended 10 mg of starting dose for most men. Levitra should be taken approx 1 hour prior to sexual activity. It starts working just within 16 minutes of its intake and may last for up to 24 hours. One must be aware of the fact that Levitra alone can’t give an erection. One needs sexual stimulation for an erection to happen, and get his erection improved through Levitra. this drug is not an aphrodisiac or hormone, and nor does it cure Erectile Dysfunction. It improves the hardness of one’s erection as well as ability to maintain erection during sex. The most common side effects of taking Levitra are headaches, flushing, stuffy or running nose. Doctor’s advice is inevitable, if any serious abnormalities are seen during its usage. The tremendous success of Levitra medication in helping men suffering from impotence or ED has made this drug a very popular among male of all ages. elargement free penis pills sample com enlarement penis penis pump penis enlagement pic before and after free penis elargement pills permanent penis enlargment natural penis enlargement pill pro solution pill side effects permanent penis enargement male pnis enlargement

LIFE AFTER BIRTH: THE FIRST 6 WEEKS Life after birth can be chaotic, especially if this is your first baby. Taking care of your newborn is hard work and won’t be much fun until he or she develops a personality. In case you didn’t know, a newborn doesn’t laugh or smile, it can’t play or even hold its own head up without a supporting hand. All it can do is eat, sleep, dirty diapers, pass gas, throw up and cry. Despite all of this, you will – believe it or not – love your little tot more than anything else in the world. Moreover, you will learn a lot about yourself and your partner as you both navigate through these initial days of parenthood. Sex (or lack thereof) You should know that sex is off-limits for at least 6 weeks after your partner gives birth. Don’t forget that she just delivered a fair-sized human through a very tiny birth canal and her body will need time to heal. Your gal’s doctor will ask to see her about six weeks after delivery for a full physical and emotional post-baby follow-up. At this visit, the doctor will check to see how her wounds are healing. If everything is good, your partner will get the green light for sex. However, this doesn’t mean that she will be as keen and eager to get back into the game. She’ll likely be tired from the whole pregnancy ordeal and from the added responsibilities of caring for a newborn. Help out as much as possible and be patient. Her interest in sex will return…just don’t push her too hard. Sleep (or lack thereof) The good news is that babies need a lot of sleep – about 15-16 hours a day. Unfortunately, newborns don’t have regular sleep patterns and don’t sleep for long hours at a time. This means that you won’t have regular sleep patterns either. Get used to napping throughout the day. And if that doesn’t work for you, then get used to sleep deprivation. You and your partner may feel like you are losing your minds as you quickly realize how cranky and dysfunctional you can be after several nights of disrupted sleep. Hang in there. After about 8 or 10 weeks, your baby will start to sleep through the night (approximately five consecutive hours) and your sleep-deprived, zombie-like state will be a thing of the past. You may with to alternate night shifts to maximize the amount of uninterrupted sleep each partner gets. There really is no need for both of you to get up every time the baby needs to be fed, coddled or changed. Caring for Your Tiny Tot After your shopping spree for nursery items, layettes and strollers, you may have thought that you were fully ready for your baby. While these purchases were necessary, they are only a small part of what you need to survive postnatal care. There will be many new and strange things for you and your partner to learn. The ins-and-outs of feeding, bathing, diapering and umbilical cord care are in no way intuitive. Don’t get scared or discouraged by your new-found incompetence. Chances are that your partner is also incompetent in this area. It’s okay to make mistakes; every new parent does. The good news is that the parental learning curve is steep. You and your partner will quickly develop the skills needed to care for your tot. To give you a helping hand, here is are a few pointers on baby care basics: Feeding The first step is to decide your method of feeding – breast milk or formula? There are many benefits of breastfeeding, including nutritional and emotional advantages. Breast milk is a complete food source that contains hormones and disease-fighting compounds that are absent in formula. Nursing also helps build a special bond between mother and baby. Studies show that babies thrive on the skin-to-skin contact, cuddling and holding that occurs during breastfeeding. However, there are a variety of reasons why many women do not nurse. They may not be able to produce enough milk or they may have to return to work soon after birth and are not available to nurse the baby throughout the day. Whatever the reason, your gal should not feel guilty or uncomfortable with deciding to bottle-feed. There are many excellent formulas available which are highly nutritious. Speak with your partner’s physician or pediatrician about recommended formulas. Regardless of your method of feeding, you should know that most newborns eat about 8 times a day (approximately every two to three hours). However, you shouldn’t try to set scheduled eating times during the first few weeks after birth. Let your baby eat whenever he or she seems hungry. Bathing Because your baby’s umbilical cord will need to heal, it is very important that you keep it dry to prevent infection. After about two weeks, the gross looking stump (i.e., remnants of the umbilical cord) will fall off and your baby will be left with a cute little belly button. In the meantime, take extra care not to wet the umbilical cord during bathing. The best way to do this is to give your tot sponge baths until the cord heals. To give a sponge bath, you will need a stable surface, a soft washcloth and lukewarm water. Make sure that you test the water temperature before applying the cloth to your baby to prevent scalding him or her. Your elbow or the inner part of your wrist is a good place to test water temperature. Your hand is not a good guide since it is not very sensitive enough to tell how hot or cold the water really is. Now you can begin wiping your baby gently with the moistened washcloth. Begin by wiping your baby’s eyes (from inside to outside), ears and under arms. Then you can move onto legs and genitalia. When washing the bottom, make sure you wipe from front to back to avoid bringing any feces near the genitals. If you have had your baby boy circumcised, then you will want to speak with your pediatrician about caring for the penis while it heals. The most important thing to remember when bathing your baby is to NEVER leave him or her along – not even for a second. Babies squirm around a lot, so you should always keep your eyes and one hand on your little one during bath time. The same rule applies when you are changing your baby’s diaper. Changing Diapers Don’t avoid this responsibility because it you have never changed a diaper before. Because babies pee and poop so often, you will spend a lot of time changing diapers. Take advantage of this precious time with junior. You may also have to develop silly and immature techniques to comfort your baby if he/she does not enjoy the diapering process. As ridiculous as you may feel, this is actually an important part of establishing a parent-tot bond. While it may be dirty work, diapering is not rocket science. For easy to follow instructions, make sure to read our article on How to Change a Diaper at www.thefunkystork.com. Caring for Yourself and Your Partner As flighty and silly as it might sound, self-care is important. Neither you nor your partner is doing your tot any good by neglecting yourselves. Try a shift-work system where you schedule an hour or two during the day where one parent will care for the baby alone. This way, the other parent can practice self-care – taking a long, warm bath, going for a run, doing yoga, reading or just going for coffee with a friend. You will find that self-care will also help maintain civility in your relationship with your partner. By making time to do something for yourself, you will find that you won’t feel as overwhelmed by your initiation to parenthood. And don’t forget that this rule also applies to your partner. In fact, she will likely need more time for self-care than you since she will also be recovering from both 40 weeks of pregnancy and hours of childbirth. Also be aware that your partner is particularly vulnerable to postpartum depression during the first weeks after birth. Postpartum depression, which is a more serious case of the baby blues, can begin as early as a few days after delivery. Experts don’t know the real cause of postpartum depression, but they suspect that it has something to do with changes hormonal levels. Stress, disturbed sleeping patterns and changes in daily routine can all contribute to postpartum depression. Signs and symptoms include restlessness, irritability, changes in appetite, sadness and anxiety. If your partner is experiencing any of these symptoms or if you sense that something isn’t right with the way your partner is behaving, you should consult your physician immediately. Untreated, postpartum depression can develop into postpartum psychosis, which is a serious mental illness that requires medical intervention. Both you and your partner should take her postnatal psychological state very seriously. On a lighter note, you and your partner make an extra effort to keep the romance in your relationship. While your baby will require a lot of your time and attention, he or she will also be taking a lot of naps. Nap-time may be the perfect (and only) time for your and your partner to romance each other. Snuggle, watch a movie, make dinner or enjoy a glass of wine together. Whatever you decide to do, take a minute to set the mood with candles and relaxing music. Another important factor to consider is how involved you want your parents or partner’s parents to be. Parental intervention can add some seriously unneeded stress to the situation and unnecessary strain on your relationship. That said, you shouldn’t reject offers to help. Being a new parent is not going to be easy and you will need all the help that you can get. Just remember to set limits and don’t be afraid to tell your relatives what you need (and don’t need). The last thing you want is to have one overbearing relatives overstepping their boundaries and overstaying their welcome. Now What? Things change after about 6 weeks of caring for your newborn. You and your partner will be different people, your relationship will be redefined and your tot will begin to act more like a baby than a squirmy alien. Life will get easier from here on out. Your tot will become a toddler and will begin roaming around the house. Make sure you are prepared for junior’s curiosity by baby-proofing your home early. cheap penis enlargement pills free penis enargement technique vimax testimonials natural penis enlarement penile enlargment device vimax penis enlargement device vimax penis enlargement manual penis enlarement exercise male pnis enlargement

What's the average size of the penis? What are the extremes? According to specialists, the average is 15cm and 90% are between 13 and 18cm. The records for a fully functional penis are 1.5cm and 30cm. Can penis size be increased? Yes. There are two surgical procedures to increase penis size-- the Bihari Procedure, and Fat Injection. The Bihari Procedure consists of cutting the ligament that secures the base of the penis to the body. This gives between one-half and two inches of increased length to the penis; however, because the penis is no longer anchored to the body an erection no longer points 'up.' Fat Injection is the process of removing fat from the backs of the thighs and injecting it into the body of the penis to make the penis thicker. Because the body rejects a significant portion of the injection this procedure may need to be repeated several times and each operation carries with it a severe risk of infection. What is circumcision and why is it done? Male circumcision is the surgical removal of the foreskin from the penis. When performed in a hospital, it is usually done shortly after birth by a doctor or midwife. Circumcisions are also given to Jewish boys by a mohel in a ceremony eight days after birth. Some Islamic boys are circumcised when they are older, around age 12. The majority of American boys are circumcised. Common reasons for circumcision include: better hygiene, "normal" or "better" appearance, and "his penis should look like his father's." Common reasons against circumcision include: it is no longer necessary for hygienic reasons; it is a painful, barbaric practice; possibility of infection or surgical error; "normal" or "better" appearance; "his penis should look like his father's."; and "greater sensitivity of uncircumcised penis." Hope this clears some mysteries for you.