Posted by: Karsai manhoodtherapies | May 31, 2017

Erection helpers

Erection aids

Viagra and levitra should be tahen 1 hour before intercourse and 
can last effectively 7-8 hours and in actively for up to 36 hours. 
They are affected by food and alcohol. That is too much food and alcohol 
can inhibit their effectiveness.

Cialis need to be take 2 hours before intercourse and is unaffected by 
food and lasts  12 hours or so.  

These drugs may lose their efficacy if the man takes them continuously 
for 2-5 years.

Other ED options that are available are:-

Intracavernous injections
Vacuum devices
Penile prosthetic implant - semi rigid and inflatable

Posted by: Karsai manhoodtherapies | May 31, 2017


To understand how these drugs work we need to understand the 
mechanism of an erection.  Basically  in this rising of an erection 
two enzymes come into play.  One is the penile hardening enzyme called 
cGMP  -guanosinemonophosphate.  The other enzyme which is the penile 
softening enzyme is called phosphodiesterase or pde5.  
Why do pde5 exists?    Pde5 exists to regulate erection 
because a man is not supposed to be perpetually erect.  The flaccid penis 
is the natural state.

When a man gets sexually aroused his brain sends a signal to cGMP 
to cause the red blood cells to release nitric oxide to  cause smooth
 muscles in the penis to relax and subsequently engorged. 
 So after an orgasm the brain then sends another signal to turn 
down the production of the cGMP.  Then the Pde5 can complete its 
regulation of an erection and the penis returns to its natural state.    

And if this pde5 is too active in a man or there are just 
too many in your body it will reduce the cGMP levels in the body 
and make it difficult to achieve a usable  erection. So the aim of 
these drugs is to block or inhibit the function of the pde5 
- the penile softening enzyme.

Side effects
Most of of the pde5 are found in the genitalia of the man. 
That being said, there are minute amounts found in other parts 
of the body, face,  stomach, intestines, blood vessels of the brain 
even in the erectile tissues of the nose.  The effect of Pde5 inhibitor
on all these areas is the same and makes the smooth muscles relax.
So the drug works in every organ that contains pde5. Relaxing the 
smooth muscles. That may be what you are hoping only  in your penis. 
The effect however is the same for all these organs in the body and to 
prolong the effect of cGMP and make smooth muscles relax.  
In the brain however it causes headaches, in the nose 
nasal stuffiness, in the face flushing, in the eyes blurred vision 
and a bluish/greenish tinge to your sight. It can also cause 
vascular dilation and a precipitious drop in the blood pressure 
especially if taken  with alcohol, or combined with blood pressure 
medications or alpha blockers. The risks are not to be ignored in older 
men with low blood pressure or very high blood pressure. 
These people should try and avoid these drugs.

These drugs work well in relatively healthy men and do not work well in  
men with diabetes or those with low testosterone levels or 
in men who have damaged nerve after a radical prostatectomy. They 
are not so effective in diabetics because it is harder for 
diabetics' smooth muscles to relax as they have a higher and tigther tone 
in their smooth muscles and the effect of cGMP caused by these Pde5 drugs 
may not be enough to create and prolong erection.  These drugs are 
also not so effective in those with low testosterone because when 
the blood testosterone is low it is harder for the cells to relax.  Until  
hormonal imbalance is corrected the drugs will not have enough effect  
to correct the ED problem.   Another disadvantage with the drug is for 
it to work a man has to be sexually aroused.
There are some novel ED drugs available that can cause an erection 
without the man feeling aroused.

Posted by: Karsai manhoodtherapies | May 31, 2017

Rainbow shaped penis

Penile curvature or Peyronie's disease caused by hard tissues
mainly scar tissues in the penis causing it to bend and curve 
during an erection.  This curvature may be slight and unnoticeable 
if less than 5° or in severe cases more than 35°.   It is 
believed that this symptom is caused by some previous trauma.  
If there had been no obvious trauma then it may have been acquired 
through rigorous  sexual intercourse that caused minute scar 
tissues to form  
over several episodes of sexual activity. 

During sexual excitement  the penis filled is with blood and 
starts to elongate and stretch and  then starts to erect.  However 
the scarred area of the penis is not as elastic as the rest of 
the penis and cannot stretch and as a result a curve is bent around 
the plaque of scar tissue. Depending on the location of the scar it may  
influence the way it curve upwards or downwards. If there are equal 
amount of scar tissue above the penile shaft as well as below the then 
it may even out and not curve at all.

The problem usually starts with a pain in the penis and the feeling of 
a bump on the  shaft.  The man will notice a curve starting to appear 
either upward downward or side way.  Usually it will jot go away on its 
own.  If the curvature is severe enough to cause pain to the man or to
 his partner, there are treatments  that can correct this problem.

Other factors that may have caused it can be circumcision, or using a 

Doctor's Treatment :-  Very tiny multiple injections over 6 weeks to 
2 years may help to dissolve the internal collagen of the scars 
and lessen the scars but this not  guaranteed. There are four 
or five other treatment /surgeries your doctor can do 
to straighten out the shaft.
Oral drugs are also available to straighten the chordee of the 
rainbow shaped penis.  If the injections and the oral drugs do 
not work then  there are several different surgeries available to 
straighten it .  But beware  some of them may significantly shorten 
the length of the penis.
Posted by: Karsai manhoodtherapies | May 31, 2017


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Posted by: Karsai manhoodtherapies | May 25, 2017

BLOOD IN SEMEN Hematospermia

Blood in ejaculation (hematospermia)

Blood in the semen does not necessarily signal a major medical problem. 
For younger men blood in the urine tend to resolve by itself without any 
treatment. For older men this could be infection or inflammation of the 
tubes and glands that carry sperm into the penis like the seminal vesicles,
 vas deferens or even the prostate. This can also be an STD or 
sexually transmitted disease or an UTI urinary tract infection.
Further causes can be trauma to the pelvic region or from a medical 
procedure which can lead to temporary bleeding. This can disappear after 
a few days your doctor can be consulted for assessment. Radiation, 
vasectomy, hemmorhoid treatment,  excessive masturbation, excessive 
vigorous sexual activity can also cause blood in the semen.

Having an enlarged prostate can cause the prostate to squeeze the 
urethra can also be linked to blood in the semen. 

Other obstruction to the tubes and glands in the reproductive or 
urinal region like kidneys, urethra  can also cause blood in the semen. 

Other medical conditions like leukemia, unusually elevated high blood
 pressure, liver damage can also produce the symptom or blood in the urine.

It is not known how common this symptom is because most men do not 
tend to look  at their ejaculatory fluid.  

To diagnose blood in the semen your doctor may do a urinalysis to 
check for infection in the urinary tract.  A blood test can also be 
taken to check the PSA - prostate specific antigen to check for enlarged 
prostate and subsequently do a biopsy to check for prostate infection.
Treatment can include antibiotic or subsequently a biopsy.
If the patient has repeated episodes of blood in the semen coupled with 
painful urination or painful ejaculation then a urologist 
should be consulted.  It is generally a good idea to check this health
symptom if it get chronic (longer then 3 months) as it may eventually 
infect the kidneys and the bladder.

Disclaimer!  I am not a medical professional.  
Nothing on this site  is  meant to replace medical advice. 
Please contact your doctor about your health.

Posted by: Karsai manhoodtherapies | May 23, 2017

BHP enlarged prostate

Posted by: Karsai manhoodtherapies | May 23, 2017

The Prostate Gland

Prostatic Gland

It is a glandular part of the reproductive system.  
It sits underneath the bladder, embraces the urethra 
(the tube that drains urine and semen out of the body). 
And shares the same membrane wall as the rectum.  
This men gland consists of several glandular lobes and is 
encased in a membrane called the stroma.  Part of the urethra tube  
passes through the prostate and is known as the prostatic urethra.

Sitting next to the prostatic gland there are  
other glands all connected in the production and 
draining of reproductive fluids, the seminal vesicles, 
cowpers glands, and the vas deferences.  

In general most men's prostate gland tend to  grow as they grow older.  
In a baby the prostate weighs just  a few grams.  
It grows under hormonal influence just at pre-puberty and in the mid life.  In pre puberty under the increase production of testosterone and in mid life it may be due to hormonal  imbalances between estrogen and testosterone production.  Men with low testosterone are more prone to enlarge prostate. Possibly can be due to estrogen production  remaining the same as the testosterone production drops. In a man estrogen is produced in the adrenal glands sitting above the kidneys.  Because generally speaking estrogen is a growth hormone.

Most men are for most part of their life not even aware 
they have this gland until it starts giving them discomfort and even pain.
Posted by: Karsai manhoodtherapies | May 23, 2017

BHP – what to do

The main health issues with the prostate are:-

BHP  enlarged prostate  benign prostate hyperplasia
Prostatic infection - bacterial and non bacterial
Prostate tumor
Prostate cancer

BHP  enlarged prostate (benign prostatic hyperplasia)

For many older men urinating can become quite troublesome 
due to a blockage caused by an enlarged prostate. This is known as BHP.  
This condition not only interferes with the urine process but can go 
on to becoming more serious and causing kidney stones, urogenital infection.
The problem may range from having frequent urination  especially at night, 
weak urine flow, low urine volume and the feeling that the bladder is always
quite not empty.
Diet and lifestyle may contribute to an enlarged prostate, inertia, not
enough exercise, too much fatty meaty foods, processed foods and maybe
Many surgeries can be done to correct an enlarged prostate, laser, 
heating, freezing and the more common procedure is called TURP - 
transurethral resection of the prostate. This requires general anesthesia, 
hospital stay and the use of a  foley catheter for a day or two.  
In this surgery the enlarged prostate is being shaved and the chips 
are washed away and some will be taken away  for biopsy.  And sometimes  
in a small percentage of men repeat operation  may be require several years 
in the future.

 Another operation less invasive and is done  under local anesthesia is 
known as the urolift. Where the surgeon  insert tack like implants to pin 
the prostate up against its own wall membrane lifting it up  to allow more 
space for the urethra to allow better urine flow. This procedure is less 
invasive than most others. 

This is more flexible as it is a day procedure, not so invasive and the
tack like implants can be removed anytime if the patient so wish. Best of
all this will leave your sexual and urinal performance intact.  Unlike
some other procedure, the sexual performance afterwards
may be changed that is the man can no longer ejaculate like
before although orgasm is still 
possible but it will be a dry retrograde ejaculation.

As with any surgical procedure always 
seek out the surgeons who has had the most hands on experience to 
get better results.
 Disclaimer! I am not a medical please check with your doctor for your
 health issues.
Posted by: Karsai manhoodtherapies | January 7, 2011

Prostate Anomalies

The Main anomalies are:-

enlarged prostate

prostatitis or prostate infection

prostate tumour

prostate cancer

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