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Having issues with your dating lives and relationships? This the ideal place to be. We have solutions for all the issues that you will be facing in your relationships. Spend a few minutes, and we can assure you that you will be clear in a lot of things.
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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.

Casual Sex Relationships

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

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



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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.

FEATURED BRANDS AND OTHER OUTFIT DETAILS:

 

 

What should be the ingredients for your SEO pie for success?

While many websites are still recovering from the Google Hummingbird release and Penguin 2.1 update, we’re also starting out on an adventure of a brand new year. So far we know that high quality content, authority and keyword relevance play a significant role in link relevance. But how should you get ready for the year ahead of you? Here are some ingredients that will ensure your SEO strategy for 2014 isn’t half baked!

Google Updates

2013 was tough year for SEOs and we should be ready for any potential updates in the coming year. The demand for genuine and high quality content is more important than ever, and users exposed to useful, interesting and relevant web content will definitely be rewarded with a more satisfying user experience too.

Social Media

Recently Bing and Google have both said that they follow the links shared on Facebook and Twitter. This is a clear indication that social media is going to be a significant influence on SEO rankings. Social media websites has been a key area of interest for SEOs, ever since this announcement, and if you build a faithful following via social media you will likely boost your organic rankings.

Mobile SEO

SEO-SUCCESS
The amount of users who browse the internet through their mobile devices is soaring. Since most people now carry an internet enabled mobile device, mobile SEO is going to be a significant area to focus our attention on. Social plans like where to go out are frequently asked of friends via Facebook before going on a night out. If this trend is relevant to your brand you should give some priority for mobile internet users.

Schema Markups

This is a quick and easy way to improve the SERPs of any website with minimal effort. This surprisingly under-utilised useful tactic is expected to pick up steam this year. It is a common set of schemas created by the major search engines (Google, Bing and Yahoo) to understand the elements on a webpage and the brand. According to this schema the categorisation and identifying the information on a webpage is made easier, helping the page to stand out more prominently among the SERPs; understandably this could result in more clicks and better rankings.

Content Marketing

The traditional marketing methods are slowly losing their grip and content marketing is the way to go this year. It is the concept of communicating with your prospective clients (or existing clients in some cases) without any direct in-your-face traditional marketing methods. When relevant content is presented to a specific audience, the users will naturally embrace it and inadvertently lead to better brand recognition and greater sales and profits.

Are you well equipped for these trends and tactics for 2018? I hope this blog will help you to layout your SEO strategy for the challenging months ahead. There’s no time to waste; get planning now so you can battle hard against your competitors and win that bigger piece of the pie for your business!

Read more posts in our website.

Multiple Sclerosis: Be Open to Sexual Changes


May 28, 2019

Last year, scientists reported that almost two-thirds of people with multiple sclerosis (MS) experience sexual challenges, with the most common problems being loss of libido, orgasm difficulties, and trouble with arousal (vaginal lubrication and erections).

While this rate is high, it doesn’t mean that people with MS can’t enjoy intimacy. But understanding the challenges, staying patient, and making adjustments will go a long way in keeping sexual relationships strong.

Mechanisms

How does MS cause sexual problems? Here are some of the mechanisms:

  • Poor message transmission. MS is a central nervous system disorder that attacks the myelin sheath, the coating that protects nerve cells. The result is a disconnect between the brain and other body parts, including organs involved with sexual function. For example, a man with MS might receive sexual stimulation (such as an erotic image or touch), but his brain might not “get the message” to start an erection. Similarly, a woman’s vagina might not lubricate because it doesn’t “know” about sexual stimuli. For some people, MS leads to decreased – or increased – genital sensation. In some cases, touch might become painful.
  • Depression and anxiety. An illness like MS takes a toll on one’s mental health as well. It can be hard to plan for the future, and people may miss doing things they used to do. They might also worry about their partner’s feelings and reaction to the situation. Communication between partners can break down. Together, these factors can diminish libido and make it more difficult to become aroused.
  • Incontinence. Some people with MS feel nervous about having urinary accidents, especially during sex.
  • Fatigue. With MS, it’s not unusual to feel too tired for sex.
  • Spasticity and muscle weakness. Trouble controlling muscle movements or feeling weak in the muscles may make some sexual activities difficult.

Problems for Women

In November 2018, a study in the Journal of Sexual Medicine provided some insight on how extensive sexual dysfunction is among women with MS. Researchers looked at data from nine other studies on MS and female sexuality. Overall, almost 1,500 women – roughly half with MS – were involved.

In the analysis, women with MS were almost twice as likely to have sexual problems than women who didn’t have MS. Trouble with arousal, lubrication, desire, orgasm, and pain were more common in women with MS. They also tended to have lower sexual satisfaction.

Problems for Men

Erectile dysfunction (ED) is a common problem for men with MS. Erections might not be firm enough for sex, or they might not occur at all.

Fortunately, men with ED have a number of treatment options:

Men might also experience trouble with ejaculation.

Next Steps

If you or your partner is struggling with MS and intimacy, consider these options:

  • See your doctor. As about treatments for sexual issues. For example, the solution for poor vaginal lubrication might be an over-the-counter product. And as noted above, there are several ways to treat erectile dysfunction. Many people feel awkward discussing their sex life with their doctor. But remember, your doctor is there to help you.
  • Seek other professional help. Seeing a counselor or sex therapist, especially one who works with people with MS, can give you some new ideas to try in the bedroom. He or she can also help you cope with any depression, anxiety, or relationship conflict you might be experiencing. (Learn more about sex therapy here.)
  • Talk to your partner. Have an honest, open conversation with your partner about any changes in your sexual relationship and how you’re feeling about them. He or she might be feeling the same way but be hesitant to bring it up. Work as a team to keep your relationship on track, emotionally and sexually.
  • Plan for sex. For people with MS, it isn’t always possible to have sex at the spur of the moment. But you can plan for romance and intimacy. Figure out when you and your partner can have time to yourselves to relax and enjoy being together. It might not be as spontaneous, but having that time to look forward to can be just as exciting.
  • Take your time. If it takes you longer to become fully aroused or to climax, that’s okay. Just enjoy the journey and don’t worry about timetables.
  • Experiment. You might need to try other types of sexual stimulation because what worked for years might not be as effective. Now is a great time to try something new. That “something new” could be a new type of touch, different sexual positions, oral sex, the use of sex toys like vibrators, sex at a different time of day, or sex in a new location. Be open to new ideas.

Resources

EverydayHealth.com

Vann, Madeline R., MPH

“How to Have a Healthy Sex Life When You Have Multiple Sclerosis”

(Last updated: December 21, 2016)

https://www.everydayhealth.com/multiple-sclerosis/living-with/maintaining-a-healthy-sex-life-when-you-have-ms/

International Society for Sexual Medicine

“How might multiple sclerosis affect a person sexually?”

How might multiple sclerosis affect a person sexually?

The Journal of Sexual Medicine

Zhao, Shankun MD, et al.

“Association Between Multiple Sclerosis and Risk of Female Sexual Dysfunction: A Systematic Review and Meta-Analysis”

(Full-text. Published online: November 1, 2018)

https://www.jsm.jsexmed.org/article/S1743-6095(18)31215-3/fulltext

National Multiple Sclerosis Society

“Sexual Problems”

https://www.nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms/Sexual-Dysfunction

SexHealthMatters.org

“About Two-Third of MS Patients Have Sexual Problems”

https://www.sexhealthmatters.org/did-you-know/about-two-third-of-ms-patients-have-sexual-problems

WebMD

“Maintaining Intimacy With Multiple Sclerosis”

(Reviewed: April 24, 2016)

https://www.webmd.com/g00/multiple-sclerosis/multiple-sclerosis-maintaining-intimacy



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Marijuana and Male Fertility | SexHealthMatters.org


Jul 03, 2019

Marijuana (cannabis) use laws have been changing rapidly in North America. Last week, Illinois became the 11th U.S. state to legalize recreational marijuana, and such use became legal across Canada last October. Mexico might legalize recreational marijuana later this year.

With marijuana more freely available, people do have health concerns. In regard to sexual and reproductive health, both men and women should know the possible short-term and long-term effects of marijuana on their sexual performance and fertility.

In today’s post, we’ll discuss some recent research of interest to men and to couples who are interested in having children.

Past Research

Before we get started, let’s take a moment to consider past research on marijuana and male fertility. Back in 2011, we reported on ways marijuana might affect sperm cells:

When healthy sperm cells are released, they don’t start swimming toward the egg right away. Instead, they go with the flow of the semen until they are closer to the egg. Then the swimming starts in a process called hyperactivation.

But sperm under the influence of marijuana start swimming immediately. The result? Many tire themselves out and don’t reach the egg at all.

Those that do reach the egg are less likely to fertilize it. This is because THC [tetrahydrocannabinol – marijuana’s active ingredient) hinders their ability to release enzymes needed to pass through the egg cell’s wall.

What do scientists think of marijuana’s effects on sperm now? The answers are mixed.

Increased Sperm Concentrations

In February 2019, researchers reported that men who had smoked marijuana in the past had “significantly higher concentrations of sperm” than men who had never smoked it.

Between 2000 and 2017, researchers collected and analyzed 1,143 semen samples from 662 men who were patients at a fertility clinic. The men also answered questions about their marijuana use.

Over half the men said they’d smoked marijuana at some point in the past. Forty-four percent said their smoking days were behind them, but 11% said they still smoked. About 45% of the men said they had never smoked marijuana.

Semen sample analyses showed that men with a history of smoking marijuana had an average of 62.7 million sperm cells per milliliter of semen. For men who had never smoked, the average count was 45.4 million sperm per milliliter.

The researchers also looked at how many men had sperm concentrations below 15 million per milliliter, the “normal” benchmark set forth by the World Health Organization. Five percent of marijuana smokers fell into this category, but over twice as many – 12% – of the nonsmokers did.

Does this mean that marijuana leads to higher sperm concentrations? Not necessarily. The authors pointed out that the men may have mis-stated their marijuana use, since the drug was illegal for most of the study period.

Also, the results run counter to previous studies that have shown negative effects on sperm. So more research is needed.

“These unexpected findings highlight how little we know about the reproductive health effects of marijuana, and in fact of the health effects of marijuana in general,” said study co-author Jorge Chavarro of the Harvard Chan School of Public Health in a press release.

“Our results need to be interpreted with caution and they highlight the need to further study the health effects of marijuana use,” he added.

Negative Effects on Sperm

Another study, published in April 2019, had some discouraging news for hopeful fathers.

At the annual meeting of the American Urological Association, researchers reported that sperm quality declined in men who used marijuana.

Their study involved 622 men between the ages of 18 and 59. One hundred twenty-five of the participants were infertile, 144 men used tobacco, and 74 men used marijuana. Another 279 fertile men who did not use tobacco or marijuana served as a comparison group.

After analyzing the men’s semen samples, the researchers found poorer semen parameters among marijuana users compared to the men who used tobacco. The marijuana users had fewer sperm cells per milliliter. Their sperm also had worse motility (ability to swim to an egg cell for fertilization) and poorer morphology (defects in size and shape).

The Takeaway

We still have a lot to learn about marijuana’s effects on our general health, as well as our sexual health. In the meantime, couples who hope to become parents should be open about their marijuana use when talking to their doctors. They should also be up front about the use of any other substances that could reduce their chances of conceiving.

Even if you’re not thinking about having children, take a moment to consider your own marijuana use. Do you think it’s impacting your health, even in subtle ways? If so, don’t hesitate to bring this up with your doctor and take steps to get your use under control.

Resources

CNN.com

Simon, Darran and Nicole Chavez

“Canada just legalized recreational pot. Here’s what you need to know”

(Updated: October 17, 2018)

https://www.cnn.com/2018/10/17/health/canada-legalizes-recreational-marijuana/index.html

Stracqualursi, Veronica

“Illinois becomes the 11th state to legalize recreational marijuana”

(June 25, 2019)

https://www.cnn.com/2019/06/25/politics/illinois-legal-marijuana/index.html

Harvard T.H. Chan School of Public Health

“Marijuana smoking linked with higher sperm concentrations”

(Press release. February 5, 2019)

Marijuana smoking linked with higher sperm concentrations

Human Reproduction

Nassan, Feiby L., et al.

“Marijuana smoking and markers of testicular function among men from a fertility centre”

(Full-text. February 5, 2019)

https://academic.oup.com/DocumentLibrary/humrep/PR_Papers/dez002.pdf

Journal of Urology

Hallak, Jorge, et al.

“MP75-09 Marijuana Consumption Has a Direct Deleterious Effect on Spermatozoa by Increasing Intracellular Reactive Oxygen Species Levels 20 Times More Than Tobacco Smoking: Reasons For Concern On Widespread Use”

(Abstract. Published: April 1, 2019)

https://www.auajournals.org/doi/10.1097/01.JU.0000557221.22634.47

Medical News Today

Nall, Rachel, MSN, CRNA

“Normal sperm count: Everything you need to know”

(Last reviewed: March 28, 2019)

https://www.medicalnewstoday.com/articles/324821.php

MedPageToday.com

Bankhead, Charles

“Studies: Weed Degrades Sperm, Spurs LUTS”

(May 5, 2019)

https://www.medpagetoday.com/meetingcoverage/aua/79630

The Motley Fool

Williams, Sean

“Mexico Aims to Legalize Recreational Marijuana Before October”

(April 28, 2019)

https://www.fool.com/investing/2019/04/28/mexico-aims-to-legalize-recreational-marijuana-bef.aspx

The Science Times

Inocando, Aileen

“Marijuana Use Found to Cause Infertility Among Men”

(May 6, 2019)

https://www.sciencetimes.com/articles/21304/20190506/marijuana-use-found-to-cause-infertility-among-men.htm

SexHealthMatters.org

“Marijuana and Male Sex Health”

(May 31, 2011)

https://www.sexhealthmatters.org/sex-health-blog/marijuana-and-male-sex-health



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Things You Can Do To Improve Your Relationship

Relationships are formed from communication and then are continued with mutual respect and efforts. If you have been in a relationship for more than six months and if you sense that you are losing the spark that you have and want to give your relationship another go then here are some ways you can improve your relationship

Communication

The critical factor for a successful relationship is communication. Ask your partner about his day but asking it every day will make it boring. Try putting effort into your question by being more specific. This approach will ensure that you avoid falling into a routine and you are having a more meaningful relationship.

Happy

A monthly date night

In this busy day and age, having a relationship and finding the time for each other is a mammoth task. Plan a date night every month dedicated to just you two this will help spice up your love life. Try going out instead of staying in as going to a date night will last only one night, but the happiness will stay much longer.

Express your appreciation

An act of kindness or just appreciating brings a lot of comfort into a relationship. A small gesture from your partner is will reinforce your partner to be more thoughtful and mindful of your feeling and will most often than not trying to do similar things to make you happy.

Remember the small thins

Add some meaning to your conversation by listening to your significant other talking about you or any events in the future. If your partner mentions something important remind him of that as this little things mean the most when and remembering these things is the best way to show your partner that you are putting some effort into your relationship.

 

Let go of the past

Past is gone, and it does not always stay. It is difficult to move forward after your relationship has taken a hit. Try to move out of it, as this might ruin your relationship. If you find that you still continue to look at the past and sob. Try to reconsider what is making you do so and find clarity within you and also your partner

Know your partner’s boundaries

Try to understand your partner’s space, by understanding their boundaries you can stop yourself from crossing them. Your partner’s way of holding his privacy is most likely to be different from your, and he might like to stay alone when he is upset or might not want to talk or text about the same, try respecting them and move away from the situation. This will ensure that you respect boundaries and also improve your relationship in the long run.

Stay Connected With Your Partner

It is important that you stay connected with your partner and follow our tips to make the most of it.
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