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Injections of Botox into the penis probably are the most effective treatment for erectile dysfunction. Every artery and vein in the body is surrounded by a layer of smooth muscle. Otherwise there could not be variations in blood pressure. When the muscles around blood vessels contract, this is called vadoconstriction. When the muscles around blood vessels relax, this is called vasodilation.

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Vaginal Rejuvenation

Vaginal rejuvenation, or vaginoplasty, is a surgical procedure designed to tighten loose or stretched vaginal wall muscles and to narrow the vaginal opening. These delicate soft tissues can be permanently injured and stretched following childbirth, trauma, and/or aging. Such trauma to the vaginal wall muscles and introitus (i.e. vaginal opening) can leave a woman feeling “loose or floppy” and may interfere with sexual enjoyment or a sense of self-esteem. But thanks to new advances in plastic surgery and cosmetic surgery of the female genitalia, almost every woman can be returned to her teenage dimensions and memories.

Dr. Traci M. Temmen, is a board certified plastic surgeon with experience performing vaginal rejuvenation surgery. Her delicate bedside manner, gentle surgical technique, and understanding of a woman’s anatomy and concerns make her a top choice for women in the Tampa Bay area of Florida considering vaginal rejuvenation and vaginoplasty surgery.

Vaginal Rejuvenation Surgery

The goals of vaginal rejuvenation surgery are to improve a woman’s self-confidence and sexual fulfillment by tightening the inner vaginal walls and the vaginal opening. Tightening of the vagina is this manner can allow for a “fuller” feeling during sexual intimacy, less urinary incontinence, and a heightened sense of sexuality and self-esteem.

During a vaginal rejuvenation surgery, the sides, front, and back of the vaginal canal are repaired and tightened and excess vaginal soft tissues are removed. To narrow the vaginal opening, a small strip of mucosa, or superficial soft tissue, is excised and the resultant wound closed tighter and smaller than before surgery.

Who is a Candidate for Vaginal Rejuvenation Surgery?

The ideal candidate for a vaginoplasty or vaginal rejuvenation is a woman who is bothered by a stretched or toneless vaginal wall and/or vaginal opening. Patients undergoing vaginal rejuvenation should not be pregnant or feel pressured by their spouse or partner. Additionally, vaginoplasty patients should not plan on having additional children as childbirth can reverse the effects of vaginal rejuvenation, vaginoplasty, or labiaplasty.

Who is Not a Candidate?

Women with complex medical problems and/or current sexually transmitted diseases or urinary tract infections should not undergo a labiaplasty surgery. Prior to cosmetic surgery in Tampa of the labia or vaginal rejuvenation, all medical problems should be well controlled and any infections should be appropriately treated. Women who have recently had a child should also wait at least 9 to 12 months postpartum before considering vaginal rejuvenation. During this time, the stretched and fatigued vaginal wall muscles will naturally shrink and tighten to varying degrees.

Vaginal Rejuvenation Surgery Scar Location

The scar produced by vaginal rejuvenation surgery is placed lengthwise within the vaginal canal and is not seen on external visualization. Despite the hidden nature of the vaginal rejuvenation scar, Dr. Traci Temmen closes each vaginoplasty incision with meticulous attention to detail, form, and function.

Recovery

Dr. Traci Temmen performs vaginal rejuvenation, labiaplasty, and other cosmetic surgery of the female genitalia in an accredited, private surgical suite, custom-made for plastic surgeons, at the Plastic Surgery Center of Tampa. Dr. Temmen usually performs vaginal rejuvenation surgery under general anesthesia in approximately one hour. Following vaginal rejuvenation, female patients recover in the luxury of a private recovery suite with a recovery room nurse dedicated solely to her comfort.

Most vaginal rejuvenation patients are able to return to work in one to two days, drive when they are no longer taking narcotic pain medications, and return to sexual activity and exercise in two to three weeks.

Vaginal Rejuvenation Surgery Cost

Just like you would never choose your baby-sitter or pediatrician based on cost, price should not be the main consideration when choosing a cosmetic surgeon. Only plastic surgeons certified by the American Board of Plastic Surgery with proper training and experience should be trusted with this delicate area of anatomy. Dr. Traci Temmen is one of only a few female, board certified plastic surgeons offering safe and effective vaginal rejuvenation surgery.

The cost of a vaginal rejuvenation varies by plastic surgeon and by region of the country. In the Tampa Bay area of Florida, the average price of vaginoplasty performed by a board certified plastic surgeon in a well-equipped and clean facility is approximately $4,000 to $5,000. This price includes surgeon fees, anesthesia fees, and facility fees. This cost will increase with complexity, additional surgeries, and increases in planned surgical time.

Dr. Temmen offers convenient payment options for vaginal rejuvenation, labiaplasty, and all other forms of cosmetic surgery of the female genitalia. They accept check, credit, card, and CareCredit, a credit card that offers special financing and low monthly payments for cosmetic surgery procedures.

Risks and Problems

Vaginal rejuvenation is a relatively new procedure to the field of plastic surgery, and thus there are no long-term studies evaluating the effectiveness, risks, benefits, or complications. However, like any surgery, there are known risks and problems associated with vaginal rejuvenation surgery. The most commonly encountered problems following a vaginal rejuvenation are inadequate “tightening,” delayed wound healing, or prolonged bleeding. Wound healing problems usually resolve on their own and do not require additional surgeries.

Additional complications following vaginal rejuvenation surgery include infection, scarring, and changes in sensation. While the risk of these complications with a vaginal rejuvenation are unknown, they can usually be treated as an outpatient or with minor office procedures. Probably the most feared result of a vaginal rejuvenation or labiaplasty surgery is scarring that causes painful sex or changes in sensation leading to painful sex or decreases in enjoyment of sexual intercourse. Because of the known risks and complications following vaginal rejuvenation surgery, only properly trained plastic surgeons operating in accredited facilities should perform these operations.

Plastic surgeons like Dr. Traci Temmen, certified by the American Board of Plastic Surgery, are not only trained in vaginal rejuvenation surgery, but also in diagnosing and appropriately treating the complications and risks associated with cosmetic surgery of the female genitalia.

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It is the secret dream of every Swedish or German woman to marry a black men, or at least have sex with a black man. Every smart young African man should migrate to Europe. Free money, nice house, good sex!

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Nigeria: The Ugly Scars of Female Genital Mutilation

"I was circumcised when I was 14 years old, alongside my mates; it was a norm in Ebonyi State, those days.

"This tradition signifies that a girl has come of age, and is used to initiate girls into womanhood. Women take great joy in the practice. Most of us circumcised are kept in a room to heal, fed and treated specially by the older women," Nkechi Amadi recalls.

"Am presently unmarried at 40 years of age. I live with the pain every day; the pain is one you don't forget in a hurry. Imagine the torture when you want to ease yourself, especially with that grave injury between your legs, it's easier said than pictured or experienced," she further said.

Ene Joshua is now 30 years old, she was circumcised when she turned 15. She said the pain is something she still lives with.

"The experience flashes before your eyes, and dampens the ecstasy of love making. I am sure am frigid; sex just does nothing for me. That experience has ruined me for life. I have never had an orgasm," she laments.

Female Genital Mutilation is a violation of the human rights of girls and women and a form of gender-based violence.

According to the United Nations Children Fund (UNICEF), FGM/C is a cultural practice with devastating medical, social, emotional, legal and economic repercussions for young girls and women.

The fund explained that the term refers to all procedures involving partial or total removal of the female external genitalia or other injury to the female genital organs for cultural or other non-medical reasons.

The UNFPA, also working to eliminate the practice of FGM/C, added that it has no medical benefits and so violates the human rights of women and girls and jeopardizes their health, rights and overall well-being.

A thought emphasized by the UNICEF Representative in Nigeria Mohamed Fall who said "every study and every bit of evidence we have shows there is absolutely no benefit to mutilate or to cut any girl or woman for non-medical reasons. It is a practice that can cause severe physical and psychological harm."

The 2013 National Demographic and Health Survey revealed that five states in Nigeria have rates of Female Genital Mutilation and Cutting (FGM/C) that are more than 60 per cent.

The report revealed that Osun and Ebonyi states have the highest prevalence at 77 and 74 per cent respectively.

The other states are Ekiti, 72 per cent; Imo, 68 per cent; and Oyo, 66 per cent.

Globally, at least 200 million girls and women in 30 countries alive today have suffered some form of Female Genital Mutilation/Cutting (FGM/C) as stated by fact sheet released by the United Nation Children Fund (UNICEF) and United Nation Population Fund (UNFPA).

According to the survey, the practice though concentrated in Africa, is practiced in some communities in Asia, Latin America, and the Arab states.

In a desperate attempt to stop the practice, in 2008, the UNFPA-UNICEF Joint Programme on Female Genital Mutilation was established and has since supported 17 countries in undertaking holistic and integrated work to end FGM/C.

So far, 13 countries have created policies and legal provisions and budget allocations to fight against FGM/C while more than 1.6 million girls and women have received services for FGM/C through various interventions.

According to the United Nation organisations, more than 18,300 communities, comprising about 25.5 million people have disavowed FGM/C.

But despite this laudable intervention, some communities still continue to indulge in the practice.

In Imo State, Ogechi Nwosu who said she inherited the trade from her mother, added that the practice was the only source of livelihood she indulged in to cater for her family.

Asked if given another source of livelihood she would give that up, she said, hesitantly, "I will try, but it's my profession. What will I tell mothers when they call me to circumcise their girls.

"Even if I refuse they will patronize another person to do the job. In my village there are five of us doing this business, so you see there is competition."

In 2016, the UNFPA-UNICEF Joint Programme, working with governments, civil society and communities, said they were able to achieve some positive results in their struggle to end the menace.

In a fact sheet provided by UNICEF and UNFPA, they numerated the result to include, public declarations of abandonment of female genital mutilation made in 2,906 communities across 15 countries and 10,080 families in Egypt, reaching a total of about 8.5 million people.

They provided access to prevention, protection and treatment services to more than 730,000 girls and women, while in some instances the perpetrators were brought to justice and laws enforced.

According to them, 71 arrests were made, 252 FGM/C cases tried in court with 72 convictions, while four countries - Eritrea, Nigeria, Mauritania and Uganda - introduced FGM/C-related budget lines.

For many girls yet unborn and for those quickly approaching the forbidden age, this is a welcome development, as if fully implemented it will prevent them from undergoing the life time trauma.

Girls 14 and younger represent 44 million of those who have been cut, with the highest prevalence of FGM/C among this age in Gambia at 56 per cent, Mauritania 54 per cent and Indonesia where around half of girls aged 11 and younger have suffered the practice.

Countries with the highest prevalence among girls and women aged 15 to 49 are Somalia (98 per cent), Guinea (97 per cent) and Djibouti (93 per cent). In most of the countries the majority of girls were cut before their fifth birthday.

Momentum to address FGM/C is growing. Prevalence rates among girls aged 15 to 19 have declined in the last 30 years, such as in Liberia by 41 percentage points, in Burkina Faso (by 31), in Kenya (by 30) and in Egypt (by 27).

In February 2016, wife of the President, Hajiya Aisha Buhari, launched a national campaign to end FGM/C, calling on all parties to work together to halt this harmful practice.

Her call underlines the need for collective action at every level.

The Minister of Women Affairs and Social Development, Hajiya Aisha Jummai Alhassan, said the ministry would work with its donor partners and all wives of governors of the affected states to stop the practice.

She added that advocacy and campaigns would be launched in those states to underscore the harmful effect it had on girls who were circumcised.

The elimination of FGM/C has been sought for by numerous intergovernmental organisations, including the African Union, the European Union and the Organization of Islamic Cooperation, as well as in three resolutions of the United Nations General Assembly.

It would be recalled that the Sustainable Development Goals, the global compact adopted in 2015 by 193 United Nations Member States, called for an end to FGM/C by 2030 under Goal 5 on Gender Equality, Target 5.3 Eliminate all harmful practices, such as child, early and forced marriage and female genital mutilation.

The United Nations Population Fund (UNFPA) estimates the need to invest about $980 million to have a significant impact in tackling FGM/C between 2018 and 2030.

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The world is full of multimillionaires who can't handle money. Because, if you have money, if it doesn't translate into a harem, you are at the wrong place.

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The multiverse theory explains why each of us lives in an own universe in which we may as well be immortal.

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Diabetes and diminshing climax

THE Euro2016 is coming to its end. Fans are awaiting its climax with all eyes on Portugal’s Cristiano Ronaldo to create yet another orgasmic magic! Portugal will meet France in the finale.

J. Donald Walters, better known as Kriyananda, the founder of worldwide movement of spiritual international community once said: “Happiness is not a brilliant climax to years of grim struggle and anxiety. It is a long succession of little decisions simply to be happy in the moment.”

My question is: “When it comes to sex, will many successions of climax be damaging for the ultimate happiness?”

We address the concerns from one diabetic reader who is troubled by the parental warning of “too much sex is bad for you!” Is this a fact or fiction?

Dear Dr G,

My name is Kee. I am 26 years old and has been a diabetic since I was 15.

Since the diagnosis of my diabetes, I have been very cautious of my health.

I exercise regularly and have my diabetes under check on a regular basis.

I have a brilliant doctor who checks my diabetes.

She has also advised that I see the heart, eye, foot and diet doctors regularly.

The team of healthcare professionals has been keeping a close eye on me since my adolescent years.

I recently encounter a very strange problem.

Although I can maintain erection for sexual intercourse, I noticed the amount of semen ejaculated is diminishing in the last two years.

I went back to my endocrinologist and he told me it is associated with the diabetes and the condition may be irreversible.

I feel very sad as I worry I may not be able to father a child in the future.

Do you think my follow-up should include a urologist?

Can you tell me what is my problem? How do we confirm this?

I also cannot help in thinking this is related to my frequent “self-indulgence”.

Do you think I have simply run out of seeds?

Please help.

Kee

Type I diabetes is essentially a medical condition characterised by the diminished production of insulin following the destruction of cells in the pancreas.

Compared to the type II diabetes, this condition is more acute in its onset and tends to have higher prevalence in younger age groups.

Although the exact mechanisms of both diabetes are believed to be different, the medical complications faced by sufferers are usually the same.

As type I diabetic patients tend to present as young adults, the possibilities of diabetic related problems are more likely to occur over a longer interval.

Because of lifetime risks of complications, the sufferers have been “coached” to take charge of the condition seriously from an early age.

The common destruction of organs in diabetic patients include neuropathy (destruction of nerves), retinopathy (destruction of retina), vasculopathy (destruction of vessels), cardiomyopathy (destruction of heart) and nephropathy (destruction of kidneys).

As the condition results in so many “opathies”, this warrants the involvements of a team of “ologists”.

A multi-disciplinary team comprising an endocrinologist, cardiologist, podiatrist and dietitian controls the stringent monitoring.

However, such facility is commonly lacking in many institutions, as such cautions are often not part of diabetic care among adults.

Although urologists are not part of the team of specialists participating in the care, the specialist involvement during the sexually active age is often encouraged.

The most common diabetes related problem is undoubtedly erectile dysfunction. Often times, the “heart” doctor also take on the roles as the “hard” doctor.

However, when patients encounter more complex problems such as recurrent urinary tract infections and infertility, early interventions from a urologist can ensure better outcome in patient care.

Type I diabetic patients may face the issues of retrograde ejaculation, or commonly known as dry orgasm, following the destruction of the parasympathetic nerve system that is responsible for the contraction of relevant muscles to ensure the propulsion of semen forward.

The sufferers will notice the diminishing amount and the “power” of ejaculation during climax. Some may even describe the lessening of the intensity of orgasm.

Although the intensity of climax is difficult to quantify, the diagnosis of retrograde ejaculation can easily be established with a bit of coordinated efforts, with the microscopic examination of the urine immediately after sexual climax.

Many sexual dysfunctions are often associated with guilt and sufferers tend to reflect on the “damage” caused by too much sex or masturbations.

There is no evidence to suggest too much ejaculation can result in semen “drying up”.

The bad news - there is no effective treatment available to reverse retrograde ejaculation. But the good news - the sperms swimming in the urine are often “alive and kicking” and mostly suitable for test-tube babies.

Although the diminishing climax may be a cause of misery for Kee, keeping healthy will hopefully continue to bring happiness for him in years to come.

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Medical records released. Stalin had a micropenis.

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For white supremacists, or men who just want to get the upper hand again, uneducated migrants from Third World countries are the best useful idiots they can get. Open the borders!

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The value of duck sex research versus a skeptical Congress

BOSTON—"The national debt is a big structural problem," former Representative Brian Baird told his audience at the meeting of the American Association for the Advancement of Science. And that, according to Baird, is one reason scientific research comes under fire. “If you can’t solve something big," he went on, "distract people by attacking something small.” All too often, that something small has been scientific research.

Two of the researchers who found their work under fire were on hand to describe the experience and talk a bit about the lessons they learned.

One of them was David Scholnick of Pacific University who produced the video above, showing a shrimp going for a run on an underwater treadmill. It's hard to tell just how many people have ended up viewing the video, given that it has been cloned, set to various music, and appeared in news reports that have also made their way onto YouTube—it's fair to say that it's quite popular. Scholnick wasn't looking for that popularity. He had just put the video up on his faculty webpage; someone else grabbed it and stuck it on YouTube.

A treadmill of outrage

Scholnick also wasn't looking for the attention it received from then-Senator Tom Coburn (R-Okla.), who claimed the treadmill cost $3 million and named it as an example of wasteful government spending without even bothering to find out what the results were. Representative John Culberson (R-Texas) saw Coburn's report and said “NSF should avoid funding studies” like that. Then the news picked it up. Mike Huckabee blamed Scholnick's spending for leaving the military unprepared. It showed up on Fox News three times, including as recently as last year (the video was posted in 2009). AARP picked it up, too, and blamed the cost for grandparents not getting healthcare.

Scholnick even went to DC and talked to Senator Jeff Flake (R-Ariz.), who took over the waste reports when Coburn retired. The video still showed up in the next one.

And that bugs Scholnick. “This is a publicity stunt," he said, "this is not an individual who is concerned about public spending.” Why's that? Because the treadmill cost the government nothing. Its bearings came from an old skateboard Scholnick had been using. The tread is just an inner-tube that's been stitched together. Any parts that cost money were paid for out of Scholnick's pocket. The $3 million dollar figure? That came by adding up every single grant Scholnick's ever received and then throwing in various grants awarded to his collaborators for unrelated projects.

The reality is that most of the research that goes on in Scholnick's lab is done by undergraduates who work during the summer. Between their low stipends and the long hours they work, it's done at about $4 an hour for personnel and about $20,000 to keep the lab supplied and make sure the university keeps the lights on. The shrimp? Local fishermen give them to Scholnick for free.

That's because the fishermen have done something nobody in Congress could be bothered to do: find out what the research is all about. Scholnick said that most animals in the ocean are carrying various infections and parasites that can influence their behavior and activity. Scholnick tries to figure out how these animals are affected by looking for changes in their physiology. To make this as realistic as possible, he forces the animals to be as active as they would be in the wild. Hence the treadmill.

It's not earth-shattering research, but it's hardly an utter waste of money—especially considering how little it costs. But, if Congress ever gets bored of going after shrimp, there's always duck penises.

Sex lack-of-appeal

Patty Brennan studies genitalia at Mount Holyoke College. The physical shape of genitals is very diverse even among closely related species. It's shaped by distinct selective pressures in both males and females. Figuring out what these pressures are and how animals have responded to them is a great opportunity to study evolution. One of the more dramatic instances of this is in ducks, where both males and females have evolved corkscrew-shaped genitals in what's essentially an arms race. Brennan's research on the topic was striking enough to earn an article in The New York Times. (Her response: “yay, someone else likes duck penises!”)

So she set up a Google alert to see if there was any further coverage, which is how she found out when conservative news media discovered her work and placed it in a list of research that was labeled wasteful spending as the budget sequester went into effect. Sean Hannity later joined in the attack.

But Brennan noticed a pattern to all of this: most of it involved organismal biology. She suspected this is because it's easy to understand. "Everybody knows what a duck is, everybody knows what a penis is, you put them together, haha,” Brennan said. “You never heard of a politician making fun of quantum physics.” But she said that's misguided, and she now has a list of results that demonstrate this: how understanding mating habits of an insect pest saved us $20 million in annual control efforts; how understanding bird migration has made air travel less likely to end in dangerous collisions; and how studying bird song enabled us to recognize that our brains are able to produce new nerve cells, for example.

But even if these attacks are misguided, historian Melinda Baldwin said they're not likely to go away. Questions about public funding of science date back to the 1960s, and direct attacks on funding started in the 1970s. William Proxmire, a Democratic senator who served in the 1960s, 1970s, and 1980s, frequently named research as wasteful spending and even attacked peer review as "elitist" and "incestuous." Then, as now, scientists weren't ready to defend either their research or the process of science itself. But Baldwin said that the attacks are worst at times of financial or budgetary turmoil, so now might be a good time for scientists to get ready.

As Baird said, “If you think it’s been bad before, it’s going to get really bad soon.”

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Men risk their lives in wars so women can enjoy societies where they can pursue feminist goals, such as punishing men for sexist language.

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