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One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. do penile enlargement pills work penis enhancement tool penis enhancement technique vimax customer service vimax permanent penis enlargement penile enlargement system vigrx for men vimax home penis enlargement

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1) “Why do Eskimos and husky dogs do not eat polar bear liver?” Because it contains huge amounts of Vitamin A. One gram of polar bear liver contains 12 times the daily required amount of Vitamin A (1 mg). And what happens if you overdose on Vitamin A? Here is a not-too-pleasant list: skin problems (itching, peeling off), drowsiness and sleepiness, splitting headaches, spleen and liver enlargement, painful swelling of tissues next to the bones, loss of appetite. Vitamin A overdose during the first three months of pregnancy can cause congenital abnormalities. 2) “Why did Linus Pauling took 40,000 mg of Vitamin C a day?” Linus Pauling, the only scientist who won 2 Nobel prizes in history (Chemistry 1954 and Peace in 1962), was a big-time believer in Vitamin C. Pauling himself took massive amounts of it daily to prevent common cold. He started taking 12,000 mg a day and took it all the way up to 40,000 mg. He claimed he delayed the onset of his prostate cancer by twenty years by taking such unheard of quantities of Vitamin C before he died at 93. The modern medical research could not prove that Vitamin C protects against common cold or cancer. However, Vitamin C is of course essential for healthy gums, fighting gingivitis, healthy vision, among its many other benefits. Vitamin C deficiency causes scurvy. 3) “What does Vitamin Choline do?” Perhaps you’ve never heard of Vitamin Choline, which is a member of the Vitamin B family. It’s other name is “Amanitine” and is found in Lecithin. Some doctors recommend Choline for alcoholics or diabetics. It is used to fight Alzheimer’s disease, angina, atherosclerosis, fatty liver, senility, high blood pressure, thrombosis, and strokes. Choline is found in bananas, green leafy vegetables, legumes, beef, nuts, wheat germ, shellfish, whole grain cereals. The literature does not cite any serious side effects. ---------------------------------------------------- (312 words, Copyright May 2006 Ugur Akinci) by Ugur Akinci, Ph.D. Creative Copywriter and Technical Communicator writer111@gmail.com www.writer111.com cheap penis enargement pennis enlargement herb pennis enlargement pic manual pennis enlargement plastic surgery penis enhancement penis elargement result penis enlargement secret truth about penis enlargment pills do penis enhancement pills work

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 penis enargement product do penis enlarement pills work cheap vig rx pill guide to penis enargement best penis enlarement vimax best penis enlargement natural penile enlargement technique penis enlarement pic do penis enhancement pills work

Sexual dysfunction, in one form or the other and in varying degrees, is common among both men and women. According to recent studies, a large percentage of all men and women encounter some sort of sexual dysfunction at some point in their lives. And as they grow older, such problems become increasingly common. In males, sexual dysfunction may be of different types like lack of desire, failure to obtain and/or maintain an erection, and other problems like premature ejaculation and ejaculatory impotence, or the inability to ejaculate in coitus. Erectile dysfunction, however, is certainly the cause for maximum concern. For the treatment of erectile dysfunction, three oral medications are available: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). They boost the levels of nitric oxide, thereby relaxing the blood vessels and smooth muscle in the penis. As a result, the flow of blood is increased, and erection is achieved and maintained. Whatever may be the cause of erectile dysfunction, sildenafil, vardenafil, and tadalafil have proved themselves extremely helpful. In Europe, another drug under the brand name of Uprima (apomorphine) has hit the market, although it still awaits the approval of the U.S. FDA. Instead of increasing blood flow in the penis, apomorphine acts on the brain to enhance erection. These drugs should not, however, be used by those who have had a heart problem during the past six months, or those with serious liver or kidney ailments, certain eye disorders, and extreme levels of blood pressure. In females, lack of libido, failure to become aroused, lack of orgasm or anorgasmy, and vaginismus are the common sexual dysfunctions. Although no medications have yet been approved specifically for the treatment of female sexual dysfunction, research is continuing on the subject, which includes looking into the possibility of the use of sildenafil in females. A pharmaceutical major is now about to get the go-ahead for a testosterone patch for the treatment of low libido in postmenopausal women. Falls in testosterone levels are believed to be responsible to a large extent for lack of libido in both men and women. The proposed transdermal testosterone patch, to be marketed under the name “Intrinsa,” is worn on the lower abdomen. Further research will determine who should or shouldn’t use the testosterone patch, and its possible side effects as well. cheapest penis enlargement pills penile enlargement product side effects magna rx free penis enhancement video prosolution penis enhancement pills penis enlarement device easy enlagement free penis surgery way penis enargement pic do penis enhancement pills work

Two thousand years of progress and the pinnacle of mankind’s achievement online is a website with photos of Paris Hilton after she was beaten by her former boyfriend. I am not an intellectual by any stretch of the imagination, but what is stunning to me is the amount of garbage there is floating around on the Internet. On any given day you are bombarded with ads for penis enlargement, hit with spyware, and receive messages from some person in Africa claiming to be a prince that wants to share his fortune with you. I recently saw an advertisement from a company telling me to click on the banner to remove advertisements on my computer. My response and yours should always the same to this bombardment of substandard waste. Run Lava Soft’s Ad Aware when finished surfing the net, try your best to shield your eyes from the ads, tell the guy from Liberia his check is in the mail, and if necessary ask the good people at the “Rhino Penis Company” how much they want. The sites I go to, when I am done with that cavalcade of gallstone inducing madness that is my email account, are the news sites. I get my news, maybe a few cheap laughs, and then I sign off. Not as exciting as say putting a stick of dynamite down my throat and trying to put out the fuse before it blows, but this kills time between classes and keeps me sharp. I never know when someone is going to regurgitate what he or she saw on the news and misinterpret it to make a point in class. You should never believe everything you read, and you should not form an opinion on something without all the facts. All because The New York Post makes things up does not mean you should either. Every website out there looks exactly the same. Almost all of the sites that I had a chance to check out were either a cheap knock off of a popular site, or the site amounted to another Norman Rockwell who took their PHP mastery or some such nonsense, gave it a sleek "look at me I'm a nerd" design, and piled on everything they thought they could that would get people to go to their site. Now you have these blogs popping up everywhere like a foot rash. I loathe blogs because most of the time it is some unqualified, blithering, teenager yapping endlessly about what they think about George Bush or waxing philosophical on such intellectual matters as whether to scratch their behind with the left or right hand. And then of course you have the blogs that just focus on celebrities and offer snarky comments that a 3-year-old chimp named Ooka could top. The media needs to stop their love affair with blogs and “citizen journalists.” There is too much danger in this flash journalism style that people will be harmed. The unfortunate events of the media misreporting the coal miner tragedy in West Virginia will happen again under “flash journalism.” It seems to me we have been on a downward spiral in terms of what we expect for entertainment and the Internet reflects our low standards. So I say go to your usual sites, stay informed so you don’t turn into a blithering blogger, and for the love of everything holy run Lavasoft’s Ad Aware or some kind of spyware protection when you are done.