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The Man Seed The penis Throws its peapod, to the sun Emancipates itself from the hierarchy with nowhere to go. His environment is the present offer with no outline, His roads bunched to a tie, The tie himself, He rises with the man to achieve— Body needs, Body cravings Innocent as a newborn’s yell. Beastlike, he twirls, reflects, Devoted to his likeness, Through nothing but substance— Flavored, color white! In his cave His interment, And his mound and this He dies with lustrous carcasses. #1315 4/2006 This contemporary poem, breath-taking I find it, written this morning in my husbands life; the only poem, and the only attempt I think at a poem, by him, making a dramatic sand between man and his body, extraordinary it is. I don’t know of anyone else who has attempted to capture mans essence, fundamental nature, and quintessence: man himself, and separate him in the process. As he has told me, many a times, “Trust the man, if you wish, but not his nature.” And after reading his poem I asked myself: just what is his nature? I seldom do his notes, or commentaries, for I do not know the real meaning of his poems that well (I am learning), but this one seems to grab me to where I have to say something, for he will not I am sure; I believe he will leave it for the vultures; when each man needs to examine his inner self; place his psyche beside his nature might be a better way of putting it. Rosa Penaloza de Siluk penis enargement surgery photo penis girth elargement cheapest penis enargement pills truth about penis enlagement penis enargement before and after photo penis enhancement surgery vigrx penis enlagement result

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Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology 8(2):198–206, 2000. Fromme, K.; D’Amico, E.; and Katz, E.C. Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol 60(1):54–63, 1999. George, W.H.; Stoner, S.A.; Norris, J.; et al. Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol 61(1):168–176, 2000. Grant, B. F.: Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. J. Stud. Alcoh., 58(5), 464-73., 1977. MacDonald, T.K.; MacDonald, G.; Zanna, M.P.; and Fong, G.T. Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology 19(3):290–298, 2000. Malow, R.M.; Dévieux, J.G.; Jennings, T.; et al. Substance-abusing adolescents at varying levels of HIV risk: Psychosocial characteristics, drug use, and sexual behavior. Journal of Substance Abuse 13:103–117, 2001. Maslow, C.B.; Friedman, S.R.; Perlis, T.E.; et al. Changes in HIV seroprevalence and related behaviors among male injection drug users who do and do not have sex with men: New York City, 1990–1999. American Journal of Public Health 92(3):382–384, 2002. McKirnan, D.J.; Vanable, P.A.; Ostrow, D.G.; and Hope, B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse 13(1–2):137–154, 2001. Petry, N.M. Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS 10(9):561–570, 1999. Purcell, D.W.; Parsons, J.T.; Halkitis, P.N.; et al. Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13(1–2):185–200, 2001. Rovner, S.; Dramatic overlap of addiction, mental illness. Washington Post Health, 14-15. 1990. Selzer, M., Winokur, A. & Van Rooijen, C.; A self-administered Short Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 36, 117-126, 1975. Seto, M. C. & Barbaree, H. E.; The role of alcohol in sexual aggression. Clin. Psych. Rew. 15 (6), 545-66, 1995. Stall, R.; McKusick, L.; Wiley, J.; et al. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly 13(4):359–371, 1986. Volpicelli, J. R.; Alcohol abuse and alcoholism: An overview. J. Clin. Psychiat., 62, 4-10, 2001. cheap penis enlargement penis enlagement pump penis enlagement exercise penis enlagement surgeries free penis enlagement exercise vimax penis enlargement traction device penis elargement surgery picture pnis enlargement fact penile enlargement product

Children and teenagers are commonly confronted with strep throat. Due to its very contagious character, strep throat can be easily acquired by children during the flu seasons. Strep throat is a type a sore throat caused by infection with group A streptococcus bacteria. Unlike sore throat, the bacterial form of the illness usually generates more intense symptoms which can persist for more than a week. Strep throat can cause symptoms such as throat inflammation and pain, enlargement of the tonsils and lymph nodes, difficult swallowing, difficult breathing, mucus-producing cough, headache, fatigue, poor appetite, nausea and fever. When it occurs in children, strep throat can also be accompanied by skin rash. The reason why strep throat is very common among children and teenagers is that they interact with large groups of persons in kindergarten or school, rendering them very vulnerable to contracting streptococcus bacteria or other infectious agents. In order to avoid the occurrence of strep throat, it is very important to timely educate your child in maintaining a good level of personal hygiene. Proper personal hygiene is a very effective means of preventing strep throat and many other types of contagious diseases. Especially in the flu seasons, teach your child to wash his hands regularly and to avoid sharing personal items with other people. Once acquired, strep throat can be very difficult to overcome and hence it is best to take proper measures in preventing the occurrence of the illness in the first place. When your child has a persistent sore throat accompanied by fever, inflamed tonsils and lymph nodes, it is a sign of infection with bacteria and you should pay a visit to a pediatrician as soon as possible. Before seeking medical guidance, avoid giving your child left-over medications, as you can generate more harm rather than good. Administered to very young children, even aspirin can have pronounced side-effects. It is very important to note that strep throat doesn’t clear on itself. Unlike most sore throats, strep throat may require a course of antibiotics. Although antibiotics have various side-effects and they also attack the body’s benign bacterial flora, in present they are the best means of curing strep throat. Prescribed in the incipient stages of infection, antibiotics such as penicillin and amoxicillin can effectively overcome strep throat, also minimizing the risk of developing complications. If the infection is serious, the doctor may prescribe a course of cephalosporins, a strong type of antibiotics. In order to ensure a complete recovery and to avoid a recurrence of the infection, the medical treatment with antibiotics needs to be administered for at least 10 days. It is very important to follow the doctor’s exact instructions when giving antibiotics to your child. Make sure that you respect the dosage specified by the doctor and avoid interrupting the treatment prematurely. Even if the child appears to be completely recovered from illness within the first days of treatment, it is important to complete the course of antibiotics in order to minimize the chances of relapse. pnis girth enlargement pnis enlargement program natural penis elargement prosolution penis enlagement pills free natural penis enlargement free exercise tip for penis enlagement best penis enlarement surgery penis enlagement herb penile enlargement product

VIAGRA What is Viagra? Viagra is an anti-impotence drug manufactured by Pfizer with an active ingredient sildenafile citrate for treatment of male impotence. Sildenafile citrate relaxes the muscles and increases the blood flow to particular areas of the body. The intake of Viagra increases the ability to achieve and sustain erection on being sexually stimulated. Men taking Viagra have reported an amplified sex drive, increased stamina, and quicker recharge. Viagra works together with sexual stimulation to help achieve maximum sexual satisfaction. However, Viagra does not guarantee protection from getting sexually transmitted diseases, including HIV and Hepatitis. How Viagra works? Viagra enables many men with ED to respond to sexual stimulation. When a man is sexually aroused, the arteries in the penis relax and widen, allowing more blood to flow into the penis. As the arteries in the penis expand and harden, the veins that normally carry blood away from the penis become compressed, restricting the blood flow out of the penis. With more blood flowing in and less flowing out, the penis enlarges, resulting in an erection. It is to be noted that Viagra is not a hormone or aphrodisiac, it works only when a man is sexually stimulated. Viagra Dosage Viagra is available in the form of tablet and is meant to be taken orally. Ideally it is to be taken almost an hour before the sexual activity. However, Viagra can be taken anytime from 4 hours to 30 minutes before sexual activity. It takes 30 – 45 minutes for showing Viagra’s effect and this effect lasts for almost four hours. If you take Viagra after a high-fat meal (such as fish & chips, cheeseburger or French fries), it may take a little longer to start working. Viagra should not be taken more than once a day unless prescribed by your doctor. Warnings/Precautions It is always advisable to consult physician before starting the intake of Viagra. In case you have the history of an heart attack, stroke, or life-threatening irregular heartbeats within the last six months; or have heart failure in the past; coronary artery disease; angina; high or low blood pressure; liver problems; kidney problems; blood problems, including sickle cell anemia or leukemia; a bleeding disorder; stomach ulcer; retinitis pigmentosa (an inherited condition of the eye); physical deformity of the penis such as Peyronie's disease; or a condition that could lead to prolonged and painful erections, such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or you are taking any other medicine containing nitrates your blood pressure could suddenly drop to an unsafe level and can risk your life. All these medical conditions and also allergy to sildenafile or any of its ingredients can lead to disastrous results. So it is always advisable to consult your doctor for adjusting the dosages after monitoring the treatments listed above. Viagra is not approved or recommended for use in women. Therefore, women should not take Viagra under any circumstances. It also not recommended for men older than 65 years unless they tolerate it in small doses for those who are sensitive to the effects of Viagra. Missed Dose Viagra can be taken as and when needed and there is no concept of missed dosage. Possible Side Effects of Viagra Every medicine has some or the other side effect and so does Viagra. It depends on individual to individual and is usually mild to moderate and don't last longer than a few hours. Mostly these side effects are evident with high intakes of Viagra. The most common side effects of Viagra are headache, nausea, flushing of the face, and upset stomach. Also there can be some temporary changes in color vision (such as trouble telling the difference between blue and green objects or having a blue color tinge to them), eyes becoming sensitive to light, or blurred vision. But if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Viagra, or if you have sudden vision loss or have any of these signs of allergic reactions like hives; difficulty breathing; swelling of your face, lips, tongue, or throat seek emergency medical help immediately. It is also advisable to stop using Viagra and call your doctor immediately if you have any of these serious problems like - chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath and vision changes. In rare instances, men have reported an erection that lasts many hours. But if this is the case then you should call a doctor immediately if an erection lasts more than 4 hours. If not treated right away, permanent damage to your penis could occur. Heart attack, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Viagra. cheap pennis enlargement natural pnis enlargement and lengthening best pennis enlargement penile enlargment before and after pennis enlargement secret home penis enlarement cheap penis elargement pills penile enlargment product penile enlargement product

Erectile dysfunction or ED is the inability of a male to keep the erection firm for sexual intercourse. There are large numbers of people who fail to do sex due to such disease. Viagra is a drug for the treatment of such erectile dysfunction in male body. The chemical name for Viagra is sildenafil citrate. It is marketed by Pfizer Inc and is approved by FDA. Viagra works by inhibiting the phosphodiesterase enzymes type 5 in the penis, which increases the blood, flow in it. Due to this the penis gets enlarged and as a result of it, the person gets an erection. This erection ends with ejaculation at the end of the sexual act. Doctor’s consultation is essential before taking a Viagra pill. Tell your doctor about any medication you are going through or if you are suffering from any heart disease, asthma, diabetes or allergy. Viagra should not be taken along with nitrates and alpha-blockers as their medication can contradict each other. It is customary taken an hour before having sex. The effect of the drug remains for 4-5 hours after taking it. Don’t go for more than one dose in a day. During the consumption of Viagra, you may come across certain common side effects such as headache, stomach and facial blushing. . You can consult a doctor in such cases or if any other discomforts such as chest pain, nausea etc occurs. Free online prescriptions are provided to the consumers through a large number of online pharmacies. This acts as a great help to you if you are shy in talking about such sexual health related concerns. You can buy Viagra pill through these online pharmacies to get it delivered at your doorstep. Alternatives and generic versions of Viagra are also available through various online pharmacies. These are: •Levitra – Blocks the enzyme called phosphodiesterase-5 and relaxes smooth muscles in the penis for improved blood flow. •Cialis – A drug launched by Lilly ICOS LLC for treating ED or erectile dysfunction amongst men. •Uprima – An ED treatment drug launched by TAP pharmaceuticals. Relaxes the penis muscles by sending signals to the brains. •Cavertaa – Works on the principles of Viagra and Levitra, which was launched by Ranbaxy laboratories •Silagra – A drug by Cipla pharmaceuticals which dilate arteries for increasing the blood flow in the penis •Edegra – An ED drug by Sun Pharma •Kamagra – It consists of sildenafil citrate as in Viagra, used to treat erectile dysfunction. •Meltabs – This oral lozenge dissolves in mouth and goes in the veins faster for quicker effect. This activity thereby, causes an erection until the completion of an intercourse. •Veega – A low cost version of Levitra. It helps the individual to get sexually aroused sourcing an erection. •Soft tabs – It can be referred as a generic Viagra product . It works by relaxing the penis for better blood flow. Coming back to Viagra, it has helped most of the men with ED in achieving better erections and has a proven safety record.