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Happiness and sexuality may not be grossly proportionate to each other but a healthy sex life can definitely be the source of happiness. For a happy sexual life, it is necessary to take adequate care of our physical and sexual health. But many content relationships find themselves in the dock when one of the partners is diagnosed with a sexual dysfunction. Latest studies have indicated the emergence of sexual dysfunction in women termed Female sexual dysfunction (FSD) and says that 50 percent women over the age of thirty faces the risk of sexual dysfunction. But in most cases it is the male sexual dysfunction which has reached alarming levels affecting millions across the world. The most significant among them is erectile dysfunction or impotence. As commonly believed, any problem related to sexual life like, lack of sexual desire, premature ejaculation or problem with orgasm is considered to be impotence. But in reality, impotence or erectile dysfunction is the inability in a man to achieve or sustain an erection necessary for sexual activity. An occasional failure in having an erection cannot be judged as erectile dysfunction. It is diagnosed so if maintaining an erection becomes a consistent problem for a prolonged period of time. Men suffering from impotence are too embarrassed to speak about their sexual dilemma and they live under continuous stress fearing rejection by their loved one. Such situations can jeopardize many relationships. So talk to your partner because, problem shared is problem halved and you can definitely win over impotence. Consult your physician and seek out an amiable treatment. Though medical experts and researchers all over world have been trying out various forms of treatment but the most popular and widely accepted treatment has been with the oral prescription drug Viagra. Since its FDA approval and introduction to its consumers in 1998, Viagra has successfully managed to acquire their trust both with its effective qualities and cheap prices. But the main ingredient present in Viagra which is mainly responsible for treating erectile dysfunction is its chemical component Sildenafil citrate. It works by relaxing the penile arteries hardened due to arteriosclerosis and improves the flow of blood to the penis on sexual arousal thus facilitating erection. Viagra is the most publicized drug in its category and its popularity can be assessed by the number of websites providing information on Viagra online. These Viagra online information sites not only provide all information and latest research studies but also cater to free consultations from medical experts. So if you are embarrassed to see a doctor in person you can seek the help of the online medical experts but it is advisable to use Viagra only under medical supervision. Moreover, you can buy Viagra from online pharmacies with the click of a mouse in the privacy of your home. Viagra can definitely transform your sexual dilemma for a happy and content sex life. enlargement manhattan pnis surgeon pnis enlargement result penis enlargment excercises pnis enlargement device penis girth enargement vimax penis enlargement cream free penis enlargment exercise natural pennis enlargement exercise

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Here we will look at some natural cures that can not only increase your libido but also help you overcome impotence as well. When looking at sexual problems it is important to note that if a person is healthy, problems can either be mental or physical. Here we will look at several natural cures that can help in both areas. How an erection Occurs One of the primary factors required to trigger an erection is nitric oxide. When we think about sex, nitric oxide is released, which enables the blood vessels in the penis to dilate and fill with blood, thus causing an erection. Natural impotence treatments contain substances that are sources of nitrogen molecules which aid in the production of nitric oxide and help the blood circulation, while others can do much to reduce stress which is a major cause of lack of desire. Here are a slection of herbs, vitamins, amino acids and minerals that are all known to affect libido and sex drive. L-Arginine Known as “natures Viagra” It not only bolsters the immune system and increases growth hormones it also increases the amount of nitric oxide in the body which we have just see is critical for an erection to take place. A study published in 1994 showed an 80% improvement in the erectile function of men given 2.8 grams of argentine a day for a period of two weeks. Ginkgo biloba Ginkgo biloba is recommended for circulation problems, low energy levels. Ginkgo's role in helping circulation can also help improve impotence. Research has shown the chemicals in the leaves, known as flavonoids, relax blood vessels while improving sluggish circulation caused by paralyzed or flaccid blood vessels. A recent study showed that Ginkgo helped sexual function 70% of men tested. Ginkgo biloba to be 84 per cent effective in treating impotence caused by depression, by helping to raise both sex drive and the quality of erections Ginseng Known as the 'male remedy' in China, there is evidence to suggest that ginseng can improve vitality and sexual desire. The chief organs in the body responsible for dealing with stress are the adrenal glands. These glands secrete a variety of hormones, such as adrenaline and cortisol, which have important roles to play in the body's response to stress. Ginseng is believed to improve the body's capacity for mental and physical exertion by reducing cortisol and adrenaline, which cause stress. Research in Korea showed that 60% of patients taking ginseng benefited from its therapeutic properties during intercourse. L Tyrosine Supports and assists neurotransmitters in the brain. Reduced levels of L-Tyrosine are present when the body is stressed and tired. L-Tyrosine helps reduce stress, improves mental alertness, and enhances mood, which in many instances results in increased male libido. Selenium Selenium - believed to be good for sperm production and mobility - nearly 50% of the selenium in a man is in the testes and seminal ducts; men lose selenium in their semen. Getting enough selenium is therefore helps men obtain peak sexual performance. Other supplements that can be considered in addition to the above are listed below. Most people will not lack these if they have a healthy diet however, if you do lack any of the list libido and sex drive will suffer. Zinc Zinc is required for the production of testosterone, and the zinc content of the prostate gland and sperm, is higher than in any other body tissues. Zinc not only helps produce testosterone, but also helps to maintain semen volume and adequate levels of testosterone, therefore increasing sex drive. Magnesium Magnesium is important for the production of sex hormones such as androgen, estrogen and neurotransmitters that modulate the sex drive - such as dopamine and nor epinephrine Vitamin B6 (pyridoxine) Vitamin B6 Is responsible for the formation of neurotransmitters that affect mood and enhance sexual stimulation. Vitamin B6 is believed to benefit impotence enhancing the levels of testosterone in the body and also improving the stimulus required to get the erection process started. Vitamin B3 (niacin) Vitamin B3 increases blood circulation and is involved in the synthesis of sex hormones. Vitamin E Is referred to as the sex vitamin, is a powerful anti-aging antioxidant that protects cell membranes from free-radical damage. The above will all help increase libido and desire but we must stress finally that you need to live a healthy lifestyle that means no heavy drinking smoking or recreational drugs these are all known sex drive killers. If you are in good health and take the above supplements you should see an increase in both sexual desire and performance. penis enlargment pill pro solution free penis enhancement technique pennis enlargement herb penis elargement pills penis enlarement fact penis enlargement pills review herbal penis enhancement pills penile enlargement pills vigrx penis enlargement pill

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. magna rx pill vigrx free exercise tip for penis enlargment truth about penis enlargement pill forum magna rx buy place vigrx pnis girth enlargement natural penis elargement vigrx penis enlargement pill

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Ever heard of arousal step-down techniques? How about the PC muscle and Kegels? If you're like most guys, you probably haven't. And as such, most men - unaware of the numerous ways they can boost their sexual skill and 'lasting' power - regularly produce mediocre performances in bed, leaving themselves disappointed and the women they're with disillusioned and usually orgasmless. It's a real shame. In a poll, 93% of men asked, said they'd like to last longer in bed before ejaculating - but 100% of those men were unaware of how they could achieve such a seemingly impossible feat. The truth is, it's not impossible (or even difficult) to maximise your sexual performance and attain complete control over how long you boogie for and generally get on down with the ladies. So, let's take a look at one sexual method that'll allow you massive control over your arousal levels and always give you the choice of when to cum or when to continue. During sex, most men begin to lose control of themselves (in terms of ejaculation!) at around the 2 or 3 minute mark - which is usually midway through the first sexual position. And what a letdown ejaculating at this point would be! So, that's usually the first point at which you'll use this technique. It involves two steps. The first takes place in your mind - which is the root of many a male's sexual performance troubles. 1. When you first feel those telltale sensations in your penis (the heightened sensitivity and energy that let you know that if you carry on doing what you're doing you'll soon explode) don't panic! Too many men are pushed over the edge, right to ejaculation, because they mentally begin to panic when they feel they're close to orgasm. Panic phrases rush through their heads, like: "Uh oh, I'm gonna blow!" and "Not again, this is going to be embarrassing." Instead of letting these counter-productive thoughts fill your mind and quicken the onset of orgasm, instead calmly say in your head: "Okay, I'm close to ejaculating. Time to use an arousal step-down technique." Then move onto step number two. 2. The most sensitive part of your penis is the top of the shaft and especially the head. To decrease its stimulation (without stopping the 'action') slowly and deeply thrust into your partner, as far as you can go and she can pleasurably take. Then, gently grind your hips, wiggling your pubic bone (the hard area above your penis, about 8 inches down from your belly button) on her vagina. To her, this seems and feels like a wonderful stroke variation, which gives her external clitoral stimulation (the number one way to make any woman orgasm). However, behind the scenes, it's momentarily decreasing your stimulation, enabling you to last longer. This happens because when you plunge deep into her, your penis enters a wider area of her vagina, which lessens its contact and stimulation. Then, to cap it off, you grind and wiggle, instead of thrusting in and out, which further decreases the intense sensations of sex. After 30 seconds or so, your arousal levels will have dropped enough for you to restart your thrusting. By using this technique, you're able to control your urge to pop without stopping sex and while giving your partner extra sexual stimulation. Now how much better a technique is that for tackling premature ejaculation when compared to what most people consider to be effective techniques? Things like: "Count backward from 100" and "Think of dead puppies!" Sex, as you well know, is all about fun. Using the 2-step technique above, you can fully enjoy the experience - without the worry of it all being over too soon!