Speed Read | Relationship Advice And Dating Tips With Your Loved One
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Love and compassion are the two important things in any relationships. If there is enough of both any relationship in this planet will be strong, and it is hard for any external force to break it.

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Long-Distance Relationships

Long distance relationship is a very complicated thing. It demands a lot of patience and trust. If you can pull it off, your relationship will be stronger than ever.

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To all people who need some action without any strings attached, it is the perfect relationship to be in.

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It is absolute bliss to see couples who are so romantic with each other. The love that they share is something that cannot be described in words.

From Our Blog

Dating After Cancer – Taking the Next Steps


On SexHealthMatters, we often discuss how cancer and its treatment affect one’s sexual health. (See the links at the bottom of this post to learn more.) Often, a supportive partner plays an important role in sexual recovery after cancer. Usually, the partner has been there from the beginning and has some idea of what to expect going forward.

But what if you’re single?

The idea of dating after cancer may sound overwhelming, especially if you have been out of the dating scene for a while. But there’s no reason you can’t have a satisfying dating life – and sex life – as a cancer survivor.

Just take it step by step.

Are you ready?

During your cancer treatment, dating was probably not your top priority. And you might not feel up to it at first. That’s okay – the timetable is up to you.

Don’t rush into dating because you feel you should. There is nothing wrong with waiting, if that is what feels right to you. But if you do feel like dating, or if you meet someone who interests you, then there’s no reason not to pursue it.

Meeting partners

In the age of dating apps, “swiping right,” and “swiping left,” it should seem easy to find potential mates. But sometimes that just isn’t the case.

Some people use dating websites specifically for cancer survivors. In this way, they might meet people who might better understand what they’re going through.

However, meeting partners “the old fashioned way” can be effective, too. Instead of focusing precisely on dating, try just having fun. Take that cooking class you’ve been thinking about, join a Scrabble club or a cosplay group, or volunteer with a cause you’re passionate about. You may meet partners, or you may not. But you will likely make friends who could introduce you to others later on.

Talking about cancer

When should you disclose your cancer situation to a new partner? The answer depends on you. Some people like to discuss cancer early in the relationship, so their partner is aware. Others prefer to wait until they know their new partner better. It’s entirely your call.

If you feel nervous about the conversation, think ahead to what you think your partner should know and what questions they may have. You don’t have to disclose more than you’re comfortable with, but preparing ahead of time can make the conversation go more smoothly. You might try writing down what you’ll say or practicing the dialogue with a friend.

It may also help to seek support from fellow cancer survivors. Ask your doctor about a group that meets in your area or look for one online. Peers can share their experiences with dating and cancer and offer tips for discussing cancer with partners.

Becoming intimate

Cancer and its treatment can take a toll on sexuality. Men might find it more difficult to achieve firm erections. Women may find intercourse uncomfortable because of vaginal dryness. People often struggle with body image after treatment, and worry that they will not be attractive to a sexual partner.

Don’t hesitate to ask your cancer care team about treatments for sexual problems. For example, ED can be treated, and vaginal lubricants and moisturizers may alleviate discomfort during intercourse.

You might also consider seeing a sex therapist who specializes in cancer care. A professional can help you navigate these changes, rebuild your sexual self-esteem, and offer practical suggestions to try in the bedroom.

When you’re ready to become intimate, be honest with your partner about any sexual concerns you have. If you are self-conscious about surgical scars, be open about it. If a specific sexual position is uncomfortable, try suggesting an alternative. If you need more time to get aroused, explain your situation and tell your partner how you enjoy being touched.

Chances are, your partner will appreciate your openness and reassure you that everything is okay. Remember, your partner wants to be intimate with you.

If it doesn’t work out…

If your first attempt at dating doesn’t work out, don’t give up. Sometimes, people just don’t click. That’s true regardless of whether someone has had cancer.

Don’t let cancer prevent you from having a fulfilling relationship. When you’re ready, just try again.

See these links to learn more about cancer and sexuality:

Female Cancer Survivors and Sex Health Issues

Cancer and Sexuality: Questions For Your Provider

The Effects of Cancer on Women’s Sexuality

How Does Cancer Affect Men’s Sexual Health?

Enjoying Intimacy Despite Sexual Pain and Discomfort

Resources

CancerCare.org

“Dating and New Relationships: During and After Cancer”

(Last updated: June 5, 2019)

https://www.cancercare.org/publications/293-dating_and_new_relationships_during_and_after_cancer

NextAvenue.org

Starr, Liane

“Dating After Cancer: How Men and Women Navigate a New Reality”

(July 10, 2019)

Dating After Cancer: How Men and Women Navigate a New Reality



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Keep Your Relationship Strong During Infertility Treatments


Sex can be especially exciting when you’re trying to start a family. You and your partner can enjoy your time together, bond as a couple, and smile to yourselves, wondering if your most recent bedroom encounter will result in a new family member nine months from now.

But if you and your partner aren’t experiencing this fairy tale, sex and relationships can become more difficult. Some couples drift apart during infertility treatments, but it’s important to stay connected – including sexually.

Let’s look at some of the challenges couples face:

Having sex on a schedule. Many couple feel like they have to have sex at a certain time, depending on what the calendar or clock tells them about ovulation cycles. No matter how they feel, they need to take advantage of a window of opportunity. However, the real world doesn’t always work that day. Your fertility specialist might say that October 6 is the ideal time to make a baby, but when that day arrives, one of you might have had a stressful day at work. Or you might be away on business. Or your partner might have the flu. If sex doesn’t work out, you might feel guilty about losing the opportunity.

Try this: Make sure you are still having sex for connection and fun. It might help to plan date nights, explore fantasies, and keep that romantic spark burning. Remember that there are lots of good reasons to have sex. Becoming pregnant is only one.

Coping with disappointment. If you and your partner have been trying to conceive for a long time, it’s natural to feel sad and frustrated if it doesn’t happen. Depression and anxiety can take a toll on all aspects of a relationship, including sexuality.

Try this: Don’t keep your feelings bottled up inside. If you are feeling down, be open with your partner. Don’t blame each other for your situation. Just know that you are in this together. Consider joining a support group in your community where you can talk to other couples coping with infertility. You might also see a counselor or therapist – alone or as a couple – to help keep your relationship strong. It’s okay to seek help.

Dealing with “know-it-alls” and nosy people. Friends and family, no matter how well-intentioned, may ask invasive questions. (When are you going to have a baby? How often do you try? What’s your sperm count?) or make thoughtless comments. (You just need to relax. You’re trying too hard. My co-worker got pregnant after she started using X supplement.)

Try this: You and your partner are in charge of this journey. If someone asks you a nosy question, you do not have to answer it. If someone makes an insensitive comment, don’t take it to heart. You know your situation best. Talk together about how much information you’re willing to share and with whom you’re willing to share it.

Putting your relationship on the back burner. During infertility treatment, it’s easy to get swept away by the whirlwind of doctor’s appointments, hormones, and tests. And all of this takes place in the midst of your daily lives, which can have their own stresses.

Try this: This is the time to make your relationship a priority. You and your partner got together for a reason. Think about what brought you close and what keeps your relationship solid. And don’t forget to have fun. Go out with friends, see a silly movie, make an elaborate meal together. Share a hug or a smile. Keep yourselves connected.

You and your partner might not know what the future holds for your family. But one thing you can know is that you’re in this together, for now and for the future.

Resources

FertilityIQ.com

Jaeger-Skigen, Beth, LCSW

“Sex & Infertility: How to Reconnect Sexually During Infertility”

https://www.fertilityiq.com/topics/mental-health-and-infertility/sex-and-infertility-how-to-reconnect-sexually-during-infertility

The Journal of Sexual Medicine

Gao, Jingjing, MM, et al.

“Relationship between Sexual Dysfunction and Psychological Burden in Men with Infertility: A Large Observational Study in China”

(Abstract. First published: May 20, 2013)

https://onlinelibrary.wiley.com/doi/abs/10.1111/jsm.12207

SexHealthMatters

“Men with Infertility”

https://www.sexhealthmatters.org/premature-ejaculation/men-with-infertility

Sexual Medicine

Winkelman, William D., MD, et al.

“The Sexual Impact of Infertility Among Women Seeking Fertility Care”

(Full-text. Published online: May 7, 2016)

https://www.smoa.jsexmed.org/article/S2050-1161(16)30022-8/fulltext

WebMD

Watson, Laurie J., LMFT

“How to Stay Sexually Connected During Infertility Treatment”

(June 5, 2019)

https://blogs.webmd.com/healthy-sex/20190605/how-to-stay-sexually-connected-during-infertility-treatment



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The most scenic Santorini Tours for you!

Even one of the most seasoned traveler can not be but aid seduced by Santorini. The island’s caldera rises out of the Aegean Sea in a collection of towering multi-coloured high cliffs, creating an absolutely dramatic technique by boat. Obviously, its amazing beauty makes Santorini a very popular traveler destination; run away the crowds as well as experience the island at your own pace, on an exclusive Santorini trip with a regional overview.

Ancient Thira was the site of one of the biggest volcanic eruptions in modern background, which struck during the elevation of the Minoan human being. Proof of the Minoans, together with Hellenic, Roman and also Oriental ruins, can be located around the island. See the famous whitewashed towns of Oia and Akrotiri (your overview will locate you the best regional cuisine to sample along the way) and be sure to watch the sunlight set over the ocean from the edge of the caldera.

Your guide enjoys to create an exclusive Santorini scenic tour that shows your special rate of interests in this sensational Cycladic island.

Extraordinary sunsets, pearly white buildings decorated with bougainvillea, blue-domed churches, and attractive windmills make Santorini a popular destination. This Greek paradise attracts couples and pairs from around the globe eager to witness its well known sunsets of Oia, swim in thermal springs, savor its cuisine, and also indulge in lavish resorts.

Whether you fly in or take the ferry from the various other islands, it’s impossible to miss the striking sight of the mainly immersed caldera (volcanic crater) visible from quaint negotiations atop lava-layered cliffs. The whitewashed settlements of Firá and also Oia are the island’s most alluring destinations. In between both towns, small towns cling to the clifftops, offering quieter and more loosened up settings for your holiday.

Santorini has more to offer than multi-colored coastlines as well as incredible views. Get on your own an ATV or a smart auto and set concerning experiencing the tough island on undulating roads.

For concepts on just how to spend your time, see our checklist of the top traveler destinations in Santorini.

Also the most seasoned tourist can’t aid however be attracted by Santorini. Of program, its amazing charm makes Santorini an extremely prominent tourist location; leave the crowds and also experience the island at your own rate, on a private Santorini trip with a local overview.

Santorini has more to supply than extraordinary panoramas as well as multi-colored beaches.

See more about Santorini:

 

 

Sexual Effects of ADHD Different in Men and Women


We get it. When you have a sexual problem, you might not want to talk about it. Sex is a delicate, private subject, and lots of people don’t want to admit they’re having trouble. 

Instead of seeing a doctor, many people turn to the internet and look for products that might help. But are supplements the answer? 

Over-the-counter supplements don’t require a prescription, and you can easily get them in pharmacies, in health food stores, and over the internet. And buying them this way saves you a trip to the doctor. 

Cost is another important factor. Sexual health treatments, such as pills for erectile dysfunction (ED) aren’t always covered by insurance, and they can carry a hefty price tag. The supplement route can be more affordable. 

But before you add a sexual enhancement supplement to your cart, keep these points in mind: 

Lack of regulation

  • Supplements aren’t regulated by agencies like the U.S. Food and Drug Administration (FDA). In fact, the FDA considers supplements to be foods, and manufacturers are not required to provide evidence of their products’ safety and effectiveness. 

Buzzwords

  • Products are often marketed with terms that imply safety, like natural, homeopathic, and organic. These descriptions can be misleading. As Dr. Ryan Terlecki of Wake Forest University told Medscape.com, “Nothing falls from a tree in the shape of a pill or capsule.”

Unlisted ingredients

Examples: 

Scientists have found supplements that contained prescription drugs for erectile dysfunction (sildenafil, tadalafil) or antidepressants (dapoxetine). Such ingredients may not be safe for everyone, and they aren’t always on the supplement label.

Men who take nitrates for conditions like heart disease and diabetes should never take ED drugs because the interaction can cause a serious drop in blood pressure.

Interactions and side effects

Examples: 

Fenugreek, a common supplement ingredient, can interact with anticoagulants (medicines that help prevent blood clots). 

People who take antidepressants, blood pressure medications, or central nervous system stimulants should avoid yohimbine. 

In addition to drug interactions, supplements can have other side effects and may affect lab test results ordered by your doctor. 

Lack of evidence

Examples: 

In an April 2019 Journal of Sexual Medicine study, researchers reported that in 413 studies of sexual enhancement product ingredients, only 17% involved human subjects. 

Some people claim that a product called Zestra boosts sexual desire and improves orgasms in women. But the product has not been tested in men. 

Unreliable reviews

Example: 

In the Journal of Sexual Medicine study mentioned above, researchers used a tool called ReviewMeta to filter out suspicious reviews related to six erectile dysfunction supplements sold on Amazon.com. After using this software, almost half of the reviews were filtered out, suggesting that they were unreliable. 

“The removal of nearly one-half of all reviews associated with these products raises concerns about the veracity of comments linked to these products,” the authors wrote. 

(Learn more about sex health product reviews here.) 

The bottom line

If you’re coping with a sexual problem, your best bet is to talk to your doctor about it. Remember, doctors are there to help you, and chances are, they’ve had other patients go through what you’re experiencing now. They know your medical history and can guide you on what treatments are most appropriate for you. They might also suggest other ways you can improve your sexual health, like following a healthy diet, getting enough sleep, and staying fit. 

Also, some sexual health issues are signs of a more serious health condition. For instance, men with diabetes and heart disease often start having trouble with erections because of poor blood flow to the penis. With a thorough health checkup, your doctor can screen for such conditions and start treating you immediately. Sometimes, treatment for the underlying condition resolves the sexual problem. 

Doctors might also know about coupons and promotions that could keep your treatment costs down. It never hurts to ask. 

Don’t leave treatment for sex health problems to chance. Ask a board-certified physician about the best path for you. 

Resources

The Journal of Sexual Medicine

Balasubramanian, Adithya, BA, et al.

“An Analysis of Popular Online Erectile Dysfunction Supplements”

(Full-text. Published online: April 26, 2019)

https://www.jsm.jsexmed.org/article/S1743-6095(19)30731-3/fulltext 

Medscape.com

Harrison, Pam

“Supplements for Sex: What To Know”

(April 22, 2019)

https://www.medscape.com/viewarticle/911644



Source link

Sex Health Supplements: Are They Right for You?


We get it. When you have a sexual problem, you might not want to talk about it. Sex is a delicate, private subject, and lots of people don’t want to admit they’re having trouble.

Instead of seeing a doctor, many people turn to the internet and look for products that might help. But are supplements the answer?

Over-the-counter supplements don’t require a prescription, and you can easily get them in pharmacies, in health food stores, and over the internet. And buying them this way saves you a trip to the doctor.

Cost is another important factor. Sexual health treatments, such as pills for erectile dysfunction (ED) aren’t always covered by insurance, and they can carry a hefty price tag. The supplement route can be more affordable.

But before you add a sexual enhancement supplement to your cart, keep these points in mind:

Lack of regulation

  • Supplements aren’t regulated by agencies like the U.S. Food and Drug Administration (FDA). In fact, the FDA considers supplements to be foods, and manufacturers are not required to provide evidence of their products’ safety and effectiveness.

Buzzwords

  • Products are often marketed with terms that imply safety, like natural, homeopathic, and organic. These descriptions can be misleading. As Dr. Ryan Terlecki of Wake Forest University told Medscape.com, “Nothing falls from a tree in the shape of a pill or capsule.”

Unlisted ingredients

  • Supplements can contain ingredients that aren’t listed on the packaging label.

Examples:

Scientists have found supplements that contained prescription drugs for erectile dysfunction (sildenafil, tadalafil) or antidepressants (dapoxetine). Such ingredients may not be safe for everyone, and they aren’t always on the supplement label.

Men who take nitrates for conditions like heart disease and diabetes should never take ED drugs because the interaction can cause a serious drop in blood pressure.

Interactions and side effects

  • Supplement ingredients – whether declared or undeclared – can interact with other medications you take, which can be dangerous.

Examples:

Fenugreek, a common supplement ingredient, can interact with anticoagulants (medicines that help prevent blood clots).

People who take antidepressants, blood pressure medications, or central nervous system stimulants should avoid yohimbine.

In addition to drug interactions, supplements can have other side effects and may affect lab test results ordered by your doctor.

Lack of evidence

  • There isn’t always scientific evidence to back up the claims made by supplement manufacturers.

Examples:

In an April 2019 Journal of Sexual Medicine study, researchers reported that in 413 studies of sexual enhancement product ingredients, only 17% involved human subjects.

Some people claim that a product called Zestra boosts sexual desire and improves orgasms in women. But the product has not been tested in men.

Unreliable reviews

  • You might think that a product with hundreds of 5-star reviews is an effective one. But some vendors post fake reviews or paid reviews, which are not always trustworthy.

Example:

In the Journal of Sexual Medicine study mentioned above, researchers used a tool called ReviewMeta to filter out suspicious reviews related to six erectile dysfunction supplements sold on Amazon.com. After using this software, almost half of the reviews were filtered out, suggesting that they were unreliable.

“The removal of nearly one-half of all reviews associated with these products raises concerns about the veracity of comments linked to these products,” the authors wrote.

(Learn more about sex health product reviews here.)

The bottom line

If you’re coping with a sexual problem, your best bet is to talk to your doctor about it. Remember, doctors are there to help you, and chances are, they’ve had other patients go through what you’re experiencing now. They know your medical history and can guide you on what treatments are most appropriate for you. They might also suggest other ways you can improve your sexual health, like following a healthy diet, getting enough sleep, and staying fit.

Also, some sexual health issues are signs of a more serious health condition. For instance, men with diabetes and heart disease often start having trouble with erections because of poor blood flow to the penis. With a thorough health checkup, your doctor can screen for such conditions and start treating you immediately. Sometimes, treatment for the underlying condition resolves the sexual problem.

Doctors might also know about coupons and promotions that could keep your treatment costs down. It never hurts to ask.

Don’t leave treatment for sex health problems to chance. Ask a board-certified physician about the best path for you.

Resources

The Journal of Sexual Medicine

Balasubramanian, Adithya, BA, et al.
“An Analysis of Popular Online Erectile Dysfunction Supplements”
(Full-text. Published online: April 26, 2019)
https://www.jsm.jsexmed.org/article/S1743-6095(19)30731-3/fulltext

Medscape.com

Harrison, Pam
“Supplements for Sex: What To Know”
(April 22, 2019)
https://www.medscape.com/viewarticle/911644



Source link

Most Men Like Their Penile Implants


Aug 04, 2019

Mention a penile implant to a man with erectile dysfunction (ED), and you might get a squeamish look. The idea of having surgery on his private parts is likely to make any man squirm. And, naturally, there are questions. Will the implant work? Will there be complications? Will sex feel the same? What do partners think?

These are all valid concerns. However, research over the years has found that implants have high satisfaction rates from men and their partners.

What is a penile implant?

A penile implant (sometimes called a penile prosthesis), is a device that allows a man to get an erection whenever he chooses. The implant is placed inside the body. No part of the implant is visible. Sexual sensations, ejaculation, and orgasm remain the same for most men.

In basic terms, implant surgeons remove the corpora cavernosa – two spongy chambers in the penis. Typically, these chambers fill with blood to form an erection. The tissue is replaced with implant materials, which form erections differently, depending on the type:

  • Malleable (semi-rigid, bendable) implants are rods placed in the shaft of the penis. When a man wants to have an erection, he simply lifts the penis into position. When he is done with sexual activity, he places it downward again.
  • Inflatable penile implants are a bit more complex. Instead of bendable rods, surgeons place two cylinders inside the penis shaft. These cylinders are connected to a pump that is surgically placed in the scrotum. To have an erection, the man activates the pump, which fills the cylinders with fluid, making the penis erect. After sex, he deactivates the pump, and the penis returns to its flaccid (not erect) state. Inflatable implants come in two varieties. Three-piece units include the pair of cylinders, the pump, and a fluid-containing reservoir. With two-piece units, the pump and reservoir are in the same unit.

Why get an implant?

 While less-invasive treatments for ED, such as pills, injections, and suppositories, help lots of men, they aren’t appropriate for everyone. Some men just don’t have success with these options. And others can’t use them. For example, men who take medications containing nitrates cannot take ED pills because drug interactions could cause a dangerous drop in blood pressure.

Are men satisfied?

Experts say yes, for the most part. Here is a brief summary of research conducted over the last two years:

  • In June 2018, BJU International published a study of 142 Italian men with implants. Men tended to be satisfied with their implants one year after surgery. More experienced surgeons were more likely to have satisfied patients.
  • A July 2018 Journal of Sexual Medicine study of 902 men with implants reported that 93% were highly satisfied six months after implantation. Those who experienced major complications were less satisfied.
  •  A November 2018 paper in Sexual Medicine Reviews reported that patient and partner satisfaction rates were over 85%.
  • Research published in the Journal of Sexual Medicine in May 2019 analyzed couples’ satisfaction with implants in a group of 883 men and their partners. About 90% of those with malleable implants said they were “somewhat” or “very” satisfied. Rates for these categories were 96% for men with two-piece inflatable implants and 99% for men with three-piece inflatable devices.Most of the couples said the implant met their expectations and that the device was easy to use. In addition, most said they felt confidence in their ability to engage in sexual activity. 

Implant advantages

Many men enjoy the spontaneity that implants offer. Instead of waiting for other treatments to take effect, they can create their erection in the moment. Some feel more masculine having their erectile function restored and more confident being able to please their partner.

Implant disadvantages

On the other hand, implants can have some drawbacks. As with any surgical procedure, there is a risk for infection. Device malfunctions are rare, but possible. There could be some shortening of the penis (although some men don’t notice). And some men don’t like the “artificial” aspect of a prosthesis.

A big decision

While most men and their partners are satisfied with their implants, only you and your partner can decide what is best for your personal situation. It’s important to be prepared and have realistic expectations. Also, keep in mind that implant procedures are not reversable. Once the corpora cavernosa are replaced, they cannot be restored.

Be sure to let your urologist know if you or your partner have any questions or concerns.

Resources

BJU International

Capogrosso, Paolo, et al.

“Satisfaction rate at 1year followup in patients treated with penile implants: data from the multicentre prospective registry INSISTED

(Abstract. First published: June 29, 2018)

https://onlinelibrary.wiley.com/doi/abs/10.1111/bju.14462

International Society for Sexual Medicine

“What if I don’t like the implant? Can the operation be reversed?”

What if I don’t like the implant? Can the operation be reversed?

“Will sex still feel the same with a prosthesis?”

Will sex still feel the same with a prosthesis?

Journal of Sexual Medicine

Carvalheira, Ana, PhD, et al.

“Why Are Men Satisfied or Dissatisfied with Penile Implants? A Mixed Method Study on Satisfaction with Penile Prosthesis Implantation”

(Full-text. December 2015)

http://www.jsm.jsexmed.org/article/S1743-6095(16)30020-0/fulltext

Çayan, Selahittin, MD, FECSM, et al.

“Comparison of Long-Term Results and Couples’ Satisfaction with Penile Implant Types and Brands: Lessons Learned From 883 Patients With Erectile Dysfunction Who Underwent Penile Prosthesis Implantation”

(Full-text. Published: May 30, 2019)

https://www.jsm.jsexmed.org/article/S1743-6095(19)31140-3/fulltext

Habous, Mohamad, MD, FEBU, FECSM, et al.

“Predictors of Satisfaction in Men After Penile Implant Surgery”

(Full-text. Published online: July 15, 2018)

https://www.jsm.jsexmed.org/article/S1743-6095(18)31002-6/fulltext

Mayo Clinic

“Two-piece penile implant”

https://www.mayoclinic.org/tests-procedures/penile-implants/multimedia/two-piece-penile-implant/img-20008851

Sexual Medicine Reviews

Barton, Gregory J., et al.

“Sexual Quality of Life and Satisfaction With Penile Prostheses”

(Full-text. Published online: November 29, 2018)

https://www.smr.jsexmed.org/article/S2050-0521(18)30113-6/fulltext

Urology Care Foundation

“What is Erectile Dysfunction?”

(Updated: June 2018)

https://www.urologyhealth.org/urologic-conditions/erectile-dysfunction#Treatment



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HVAC License Requirements and Regulations

While not every HVAC business requires its employees to have an HVAC license, many states have recently made it illegal to install or repair HVAC systems without proper licensing and certification ( see more in Apofraxeis Athina ). Even in those states that have not made this a legal issue, it is highly recommended for any HVAC technician or technician-in-training to apply for the necessary license, as this demonstrates responsibility and an investment in the job.

HVAC License Educational Requirements

Before an individual can receive his or her HVAC technician license, it is necessary to complete the required training and coursework. Many technical and vocational schools offer programs that are dedicated solely to HVAC technician instruction, which can be completed within approximately two years. These courses should be followed up with hands-on training. Apprenticeships—which offer classroom instruction and job training simultaneously—are another viable option. After completing of these programs, students can begin taking the steps to apply for their licenses.

HVAC License and Certification Exams

The air conditioning technician license certification process is not fulfilled solely through coursework and on the job HVAC training. After completing an apprenticeship or graduating from an accredited college program, students must pass a heating ventilation and air conditioning certification exam. These multiple-choice exams, designed by either the EPA or NATE (North American Technician Excellence), test technicians on the knowledge deemed essential by the HVAC industry. Both the EPA and NATE require technicians to take a core exam as well as one exam in the technician’s chosen specialty field.

Specialty HVAC Licenses

The specialty fields offered by the EPA are designated as Type I, Type II, or Type III certifications, which offer licenses to work on small appliances, medium to large appliances, and low pressure appliances, specifically. These licenses can be obtained separately, or a technician can opt to take exams for all three to achieve EPA universal certification. In addition to its core exam that provides technicians with a general HVAC license, NATE also offers over 20 different specialty exams in selected areas of expertise, which offer licensing in specific systems like air conditioning and gas heating.

State Prerequisites for HVAC Licensing

In addition to successfully passing the NATE or EPA certification exams, technicians may also be required to meet certain other specifications. Because the requirements for an HVAC technician license are monitored at the state as opposed to the national level, the prerequisites for obtaining these licenses can vary greatly. For example, to qualify for an HVAC license in Rhode Island, a technician must have at least four years of job experience, while Connecticut requires only two years, and Colorado has no set stipulations at all and allows HVAC businesses to determine the requirements.

The basic requirements and fees for obtaining an HVAC license will vary by state; in some places it may cost $100 to sit for the certification exam, while in others it may cost only $30. Additionally, some states allow technicians to take the exam online, while other places still require all licensing exams to be administered on paper at a designated testing site. Technicians should contact their state contracting board for details.

 

Restore Your Septic System: What Contractors Don’t Want You to Know

As a consumer, you don’t want spend a penny more than is absolutely necessary when restoring your septic system.  Your neighbors are not going to care whether you chose to replace your septic system with the Rolls Royce of septic systems, or whether you flushed 100 store-bought septic treatments and solved the problem.

As we are professional plumbers from Athens, Greece ( ydravlikos )we have to tell you the following tips.

All they care about is that the septic smell and back-up is gone, same as you.  There is no prestige and nothing gained by spending extra, unnecessary money.  Septic contractors are not going to tell you that, and they certainly are not going to let you know that there are literally thousands of less expensive septic treatments that have proven to be effective enough to restore your septic system.

You can’t really blame them, the contractors I mean, in a world where septic systems run well and don’t need fixing, a septic contractor is obsolete, at least outside of the new housing market.  It’s no wonder they don’t want you to realize that science has caught up with them, and their fat pay check days are coming to an end.

The problem for contractors is that the combination of slow economic times and the internet have combined to turn consumers against them.  Rather than quickly picking up the phone to call a contractor, who as a professional is above second guessing, consumers are now turning to the internet to seek out alternative options to restore their septic systems.

Homeowners cannot just pull the trigger on 8, 9 and 10 thousand dollar repair bills the way they 5 or 7 years ago, it is not just an alternative homeowners seek; an affordable solution is the ultimate goal.

So what then can homeowners do to restore their septic system without spending thousands on replacement or expensive aeration systems, you ask?  It is simple.  Seek out a top of the line septic system “shock” treatment.  These high quality, highly concentrated doses of bacteria and enzymes rapidly restore the eco balance in your septic system to what it was when it was new.

We recommends this septic shock treatment to its readers.   This causes the rapid eating and digestion of solid waste.  While it may take 2-3 weeks to restore the full flow of your septic system, spending a few hundred dollars is a price that any household can afford, whereas 10,000 dollars to replace a system could stop many families in their tracks.

Restoring your septic system does not have to be a complicated drawn out process costing you and your loved ones years in retirement dollars or college funds.  If you can be a bit more patient and you choose the right septic product, restoring your septic system can be just weeks away.  Don’t make it more of a headache than it has to be.  Make the logical, financially sound choice to restore your system with septic treatments.

Other DIY Tips to Restore Septic System.

See more about sewage cleaning:

Testosterone Therapy Guidelines From the Endocrine Society


May 01, 2019

How do healthcare professionals make decisions when diagnosing and treating illnesses? Certainly, their continuing medical education helps, and most attend conferences and keep up with research in their field’s peer-reviewed journals.

But professionals also consult guidelines issued by medical societies, such as the International Society for Sexual Medicine (ISSM) or the American Urological Association (AUA). Society panels take a close look at the latest clinical trials and other studies and use that evidence to develop recommendations.

Over the last few years, testosterone replacement therapy has been a hot topic for medical societies. Back in August of last year, we covered new guidelines from the American Urological Society. Today, we’ll discuss a set of guidelines that were updated by the Endocrine Society, a professional group of over 18,000 hormone specialists.

Since testosterone is an important hormone for men, the list of guidelines can be an essential tool for sexual health specialists and primary care physicians who treat men with hypogonadism (low testosterone).

The Endocrine Society guidelines were originally issued in 2010 and updated in 2018.

(Note: For a primer on hypogonadism, please see the links at the bottom of this post.)

Why were the guidelines updated?

Scientists have conducted a great deal of research on testosterone therapy in recent years. The updated guidelines reflect new findings and address concerns.

In addition, more men are seeking help for issues related to testosterone deficiency nowadays, and “low t” gets a lot of media coverage. As a result, men are asking their doctors whether testosterone therapy could help them. It’s critical that prescribers fully understand the benefits and risks.

What do the updated guidelines say?

Highlights of the Endocrine Society’s updated guidelines on hypogonadism include the following points:

Diagnosis

  • In general, men shouldn’t be routinely screened for hypogonadism. However, a diagnosis of hypogonadism is recommended if a man has symptoms (such as low libido or fatigue), and a blood test reveals lower-than-normal testosterone levels.
  • Based on other hormonal measurements, men can be diagnosed with primary hypogonadism (caused by problems in the testes) or secondary hypogonadism (caused by problems in parts of the brain that trigger testosterone production).

Treatment

  • The recommended goals of testosterone therapy are to “induce and maintain” secondary sex characteristics that are driven by testosterone (such as facial hair and muscle mass) and to alleviate symptoms like low sex drive.
  • Testosterone therapy is not recommended for men who would like to father a child in the near future. Men with certain health problems (such as prostate cancer, breast cancer, untreated severe obstructive sleep apnea, and recent heart attack or stroke) should not take testosterone.
  • Testosterone therapy might not be appropriate for men between the ages of 55 and 69 who are expected to live at least another ten years. Doctors should discuss the benefits and risks with these patients.
  • Men over age 65 shouldn’t be prescribed testosterone routinely. Instead, doctors should consider each individual’s situation.
  • Men with HIV, low testosterone, and weight loss might undergo testosterone therapy to gain and maintain weight.
  • Men with diabetes and low testosterone should not use testosterone as a way to control their blood sugar.

Monitoring

  • Once testosterone therapy has begun, men should have regular checkups to make sure it is working well and there are no side effects.
  • During the first year of therapy, men with abnormal prostate cancer screening results should see a urologist.

What does this mean for patients?

While these guidelines are intended for healthcare professionals, they can be useful for men, too.

Understanding the guidelines for any treatment you receive helps you weigh the pros and cons of therapy as you make health decisions.

“The [updated Endocrine Society] guideline emphasizes the importance of patient engagement in a shared decision-making process, especially with respect to the choice of treatment regimens and prostate monitoring,” said Dr. Shalender Bhasin, head of the guideline development task force, in an interview with Endocrine News.

Learn more

For more information on hypogonadism and testosterone, please see these links:

Low Testosterone

Unpacking the Latest Testosterone Therapy Guidelines

What Should Men Know About Topical Testosterone?

Self-Injectable Testosterone Now Available

FDA Approves Testosterone in Pill Form

Resources

Endocrine News

“Q&A: Shalender Bhasin, MD”

(May 2018)

https://endocrinenews.endocrine.org/qa-shalendar-bhasin-md/

The Endocrine Society

“About the Endocrine Society”

https://www.endocrine.org/about-us

“Testosterone Therapy for Hypogonadism Guideline Resources”

https://www.endocrine.org/guidelines-and-clinical-practice/clinical-practice-guidelines/testosterone-therapy

The Journal of Clinical Endocrinology and Metabolism

Bhasin, Shalender, et al.

“Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline”

(Full-text. Published: March 17, 2018)

https://academic.oup.com/jcem/article/103/5/1715/4939465



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It’s about the FIT and the Accesories (women bags)

Ugh, where do I start from? I have so much to say in this post not only about the clothes, but so many things personal. It seems like I am coming back to my own blog after forever.
Due to a very teeny-tiny mistake, I almost lost my website and honestly I was  heartbroken because I am a very restless/anxious person, oops! But aren’t all of us the same? I mean it just took me a second and small ignorance towards a mail, and one fine morning I woke up losing my website.

It was my worst nightmare and it came true. Dreams can shatter in one second, but this just made me realize the value of my blog, and taught me a lesson for life.

And l bought my dream bag from 4bag!

I have been struggling in between my jobs from the past two months, rarely did I have the time to shoot or pay attention to what I really LOVE, and that is my BLOG. But I am very grateful that this incident happened and I realized what I should have, two months back. No matter what I do in my life to survive in this world and to be independent, I am never going to be careless about things I love and am passionate about, phew!

On a lighter note let’s get back to the post, yay!

I took up a challenge with Aeom Couture and decided to be an Aeom Boss Babe for an entire day. As a blogger more than often I see myself struggling to choose my outfits for everyday. We not only go to our respective jobs, but in between attend events and parties, of course. I chose three outfits from Aeom Couture and styled them from day to night, and there I was done for the day and slaying!

What I truly loved about AEOM Couture , is that its  USP ,i.e, custom fit to suit all body types. You can design your own outfits and not worry about the fit. From designing to size everything is in your hand, and this really has been the best part about choosing and designing my outfits from AEOM Couture.

Being Aeom’s Boss Babe has been crazy, and you can be it too, I am sure you don’t want to miss this.

LOOK 1 : Meet and Greet

I chose this outfit because I am the most comfortable in shorts and I can literally live in them forever. Running around errands and meetings with being on top of my style totally has been kickass. Rhinestone cold- shoulder top with bow shorts was my way to spend my afternoon in.
Check it out!

LOOK 2 : Cocktail/Party inspo!

I really believe in my curves, since I am not blessed with a good height, why not show off what you already have, haha. But honestly I like choosing outfits that compliment my body, and Since I could customize my outfits in Aeom Couture and choose the right fit, I chose a body con dress which can perfectly go for a cocktail party and looks amazing. Just like me, you can make the right choice with your body too, don’t hide your curves just be comfortable with them instead. No matter how your body is- skinny, healthy, curvy or anything you can always look your best in choosing the best!

So be a Queen, anyway.

See more in our website.

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