Penis Size and Penis Enlargement

Penile size differs between men of different ethnic backgrounds and large studies of penis girth and length have been conducted by condom manufacturers. What many men perceive as a short penis actually falls into normal range size. Based on many published charts, scientific articles, and self reported web based surveys, 95 % of caucasian men will fall into one of the following categories of size:

• Average length of flaccid penis is between 3.4 inches and 3.7 inches (8.6 cm and 9.3 cm)
• Average length of erect penis is between 5.1 inches and 5.7 inches (12.9 cm and 14.5 cm)
• Average circumference of an erect penis is between 3.5 inches and 3.9 inches (8.8 cm and 10.0 cm)

Shortening of the penis can be a result of weight gain and the deposition of fat pubic area. This results in the visual shortening of penis. Obesity increases the risk of erectile dysfunction and heavy men who complain of loss of length may simply have inadequate blood flow to achieve adequate rigidity.

Less common reasons for shortening of the penis are inborn defects in response to a male hormone (testosterone), congenital cordae (tethering of penis), chromosomal abnormalities (rare), or a scar from Peyronie's disease (development of scars – plaques in the penis). Penile length may slightly decrease with age because of atrophy related to a decrease in testosterone level and the decreased frequency of erections. Prostate surgery may also damage the nerves and result in shortening of the penis. Thus, men who are concerned about penile size should be fully evaluated by a urologist specializing in sexual medicine, to exclude medical reasons for a change in penile size.

From our experience, a majority of men who are concerned about penile size are younger men in their late teens, 20s and early 30s, and men older than 60.

There is no "one for all" approach to evaluate and manage men concerned about penile size. However, if penile size and a decrease in girth is caused by a variant of Peyronie's disease, a so called "hour glass deformity", it can be successfully treated in specialized centers. A decrease in length of the penis after prostate surgery is managed by increasing the frequency of sexual interactions, corrections of underlying hormonal problems, and supplementation with antioxidants as shortening of the penis after prostatectomy is believed to be secondary to "free radicals", an active damaging form of oxygen which is produced in any part of the body after nerve injury.

Surgical management of a short penis is limited to liposuction and transposition of scrotal skin in men with abnormal position of the penis. Cutting the suspensory ligament with a traction system has been used in some centers to elongate the penis, however it is not a commonly performed procedure as its effectiveness is questionable in most cases, and the effects depend on accurate patient selection and lack of any postoperative scarring. Fat injection, fat flaps, and silicon injections have all been tried to increase girth of penis. Fat injections last temporarily as most adipose (fat) cells dissolve. Fat flaps have been described as a successful method of increasing girth and is occasionally performed in reconstructive surgery. Injection of silicon has often been disastrous with an uneven, "bumpy" surface of the penis, erosion through skin, and scarring of subcutaneous tissue.

Three common "home" methods are used to elongate the penis without medical supervision or proof of effectiveness:

• penile tape (also used in foreskin restoration)
• penile weight system
• penile stretching using a controlled stretch device.

All are based on the assumption that by applying a pulling force on the penis, the penile tissues extend and men can achieve 0.25 to 0.75 cm increase in length.

The penile stretching using adjustable devices like Fastsize has been used in the treatment of Peyronie's disease (curvature of penis). Results of a study published in the Journal of Sexual Medicine showed a mild increase in penis length after daily use of Fastsize for treatment of Peyronie's disease. Subjectively, all men noted reduced curvature estimated at 10–40 degrees, increased penile length (1–2.5 cm), and enhanced girth in areas of indentation or narrowing. Objective measures demonstrated reduced curvature in all men from 10–45 degrees; average reduction for the group was 33% (51–34 degrees). There were no adverse events including skin changes, ulcerations, hypoesthesia, or diminished rigidity. When supervised by a urologist with a sexual medicine specialty, the stretching method using FastSize may be safe. However, the unsupervised stretching treatment has resulted in bruising of the penis, vein thrombosis, and damage to nerves of the penis, especially if weights are used.

Many web sites promote and sell devices, herbal preparations, and instructional DVDs for penile enlargement. We have reviewed some of the sites and it is almost universal that the pictures taken before treatment are taken with semi rigid penises. The trained eye of a sexual medicine specialist can recognize the arousal and rigidity of penises in pictures without much of difficulty, and we have not seen the convincing photographic documentation that those devices provide significant benefit.

The no-device self-exercise method recommends stretching the penis with the hand for extended times during day. However, no medical literature is available to suggest that this is an effective method of penile elongation.

Jelqing (jelq) is a type of exercise to increase girth of the penis by increasing positive pressure in the penis. By rolling the fingers from the base of the penis toward the head with the penis mostly rigid, the blood flow pushes on the side of penis and is supposed to stretch the tissues. This technique, in principle, is a modification of an old technique of the penile vacuum device (penile pump), where, by placing the cylinder on the penis and by creating negative pressure, the tissues get expanded. There are not medical studies evaluating the effectiveness of either jelqing or the penile pump to increase girth of the penis. The penile pump is occasionally used in our practice as part of the treatment of an hour glass deformity (narrowing of penis shaft). It is always combined with other medications and performed after an evaluation and training by a urologist.

Penis size is an import issue for many men and men of all ages are concerned about length and thickness of their penises.

Penile growth and development is a complex process regulated by genes, hormones, and enviromental factors. As with any health concern, men who are worried about their penis size should consult with a urologist trained in sexual medicine.

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Gaining Weight The Healthy Way!

It's easy to gain weight, but it's not eat to gain muscle mass without a lot of fat gain. Plan your diet and training for weight gain without too much fat!

There are many reasons why a person may require weight gain due to being underweight. Genetics may play a major part in keeping a person lean. Some medical conditions may alter the way food is digested or have an effect on a person’s food intake. So the first port of call for any underweight individual would be to visit their doctor to rule out any hormonal imbalances and also medical conditions that may lead to inadequate absorption of nutrients.

Other problems like social pressures may contribute to being underweight, an example would be females who desire to be thin. A working environment which is very physical, yet has no time for meal breaks. Students, who might be constantly studying for exams may have a problem with constantly missing their meal times. Emotional problems may cause difficulties with food intake in that during periods of emotional crisis appetite may be increased due to comfort eating and in some people the opposite may occur with appetite being depressed, often for long periods. Another problem may be economic in which an individual may not be able to spend much money on foods due to having to make money available to meet other financial commitments.

Having a purpose for gaining weight.

Having an important reason for gaining bodyweight may give the drive required for weight gain.
One reason may be for an increased physical appearance for attracting partners. Self esteem may be another reason. The athlete who may want to increase power, strength, speed or muscle mass may also benefit for weight gain.
Whatever the reason that a person may have for gaining weight remember that weight gain may compromise speed if that is a main goal from weight gain.

Calorific Intake

This subject is a very important factor in weight gain and depends on a number of factors, age, bodyweight, sex, resting energy expenditure (REE), the thermic effect of feeding (TEF) and also a persons physical activity levels (PA).
REE is the amount of calories required by the body for a day at rest to stay alive (also known as BMR or basal metabolic rate). Most of the body's energy, about 60-70%, goes to supporting the ongoing metabolic work of the body's cells. This includes such activities as heart beat, respiration and maintaining body temperature. There are many formulas used in calculating REE or BMR depending on medical conditions, age, obesity and other factors. One of the most frequently used formulas for predicted energy expenditure is the Harris Benedict formula.

Harris-Benedict Equations (calories/day):
Male: (66.5 + 13.8 X weight) + (5.0 X height) - (6.8 X age)
Female: (665.1 + 9.6 X weight) + (1.8 X height) - (4.7 X age)
(weight in kilograms, height in centimetres, age in years)

TEF or Thermic effect of feeding; represents the increase of energy expenditure associated with digesting, absorbing and storing food. In most individuals it accounts for approx 10% of daily energy expenditure.
TEA or Thermic effect of activity; is the amount of energy expended in all non resting daily activities be they occupational, recreational or domestic, and contributes 20-30% to the body’s total energy output.
An easy way to calculate your calories required to maintain your bodyweight is to use Muscle&Strength's BMR Calculator.
We now know by use of the calculator above what calorie s we require per day to maintain our bodyweight. Our goal though is to “increase” our bodyweight, not maintaining it, but without the common gaining of large increases of bodyfat. The only way we can do this is by increasing bodyweight through resistance training, which in turn increases our muscle tissue. But to do this we have to increase our calorie intake.
Our muscle tissue consists of approx 70% water, 22% protein, and the remainder is fat, carbohydrates and minerals. By taking away the water content of the muscle which has no calorific value, the total caloric value of one pound of muscle tissue is only approx 700-800 cal. We already know that to add muscle tissue we have to add more calories than our body burns off to synthesise new muscle tissue.
Studies have shown that between 5 to 8 calories are required to support an additional 1 gram of new tissue during growth. With the recommended amount of weight gain per week of 1 lb (1 lb = 454 grams). This gives us an approximate requirement of 2300 – 3500 extra calories would be required per week. Which would give us a requirement of an extra 400 – 500 extra calories per day, above our normal calorific maintenance level.
Ok; we now know that we require extra calories, but where do we get them from? We can have extra fast food that would increase calories. This would also increase body fat; we have to increase the foods that the body requires if we are going to embark on a resistance training program to increase our lean body mass and also our total bodyweight. The foods that are required are proteins, carbohydrates and essential fats but how much?

Protein:

Protein Foods: Lean meats, Fish, Poultry, Eggs, Milk, Cheese, Yogurt, Peanut Butter, Beans, Tofu, Lentils, and other Legumes, Grains, including bread and pastas, Nuts, and Seeds
Protein Functions: Proteins that we eat are digested into amino acids and these are joined along side other amino acids produced by the body to constitute the amino acid pool. Tissues take the amino acids from the pool to synthesise specific proteins the body needs for muscle, hair, nails, hormones, enzymes etc. Proteins maintain fluid balance and buffer both acid and alkaline environments to maintain blood pH, transporter of vitamins and minerals, oxygen. Provide a source of carbon for energy yielding reactions by amino acid conversion to glucose and metabolised to provide ATP, while others can be stored as fat.

Carbohydrates:

Carbohydrate Foods: Rice, Pasta, Bread, Potatoes, Cereals, Fruits, Vegetables, Beans, Pulses, Yogurt, Milk.
Carbohydrate Functions: To provide energy and muscular fuel for body strength and building muscle. Carbohydrates are converted to stored energy as liver and muscle glycogen, sugars and starch acts as the perfect fuel to enable you to carry out your physical activities efficiently and effectively. Fiber is important in keeping bowel function going smooth. Carbohydrates aid in regulating blood glucose.

Fats:

Fat Foods: Nuts, Nut oils, flaxseeds, avocados, sunflower, rapeseed and olive oil and olive oil spreads, fish and fish oils.
Fat Functions: Essential fats (EFAs) are necessary fats that us as humans cannot synthesise and must be obtained though our diet. EFAs are long chain polyunsaturated fatty acids derived from linolenic, linoleic, and oleic acids. EFAs support the cardiovascular, reproductive, immune, and nervous systems.
The human body needs EFAs to manufacture and repair cell membranes, enabling the cells to obtain optimum nutrition and expel harmful waste products. An important function of EFAs is the production of prostaglandins, which regulate body functions such as heart rate, blood pressure, blood clotting, fertility, conception and play a large role of immune function by regulating inflammation and encouraging the body to fight infection.

Dietary Supplementation

For some people dietary supplementation is necessary to increase calorie intakes due to some restraints with regard to obtaining nutrient dense solid foods. Protein powders, carbohydrate powders like Maltodextrins or Dextrose, and essential fats, are all available to supplement a nutrition plan, but may be costly.

Creatine Supplementation.

Using creatine can increase bodyweight and can improve strength with high intensity resistance exercises with short term recovery. Weight gain at the start of using the supplement will be water weight, but an increased resistance training capacity may lead to muscle gains over time.

Weight Gain With Resistance Training

Resistance training places a heavy load on a muscle cell and creates an increase in protein synthesis in the muscle cells and the cells increasing in size by incorporating more protein. Secondly the myofibrils in each cell may multiply, which will increase the size of the muscle fiber. Thirdly the amount of connective tissue surrounding the muscle fiber and around each bundle of muscle may increase and thicken, again increasing the size of the muscle. Fourth, the cell may increase its content of enzymes and energy storage, particularly ATP (muscle energy) and muscle glycogen levels.
The increased muscle glycogen along with the increased muscle protein binds additional water which contributes to an increased bodyweight. Studies have also shown that resistance training exercises may increase bone mineral content, with the possible increase in muscle tension effects on the bone and which may also increase bodyweight slightly.
Resistance training may be effective in increasing muscle size and mass and as such help improve muscular strength and endurance and both are important in weight control programs. Females who perform resistance training normally do not experience the same amount of hypertrophy (muscle size) that males experience with the same amount of resistance training although they do experience gains in muscular strength and endurance.

Types of Resistance Training for Increasing Bodyweight.

There are many methods of resistance training. Isometric training involves a muscle contraction against an immovable object like trying to trying to pull a fence post out of a hole. If you managed to pull the fence post out of the ground then you would be performing isotonic type movement. Isotonic training involves two types of movement.
Firstly the concentric movement means shortening the muscle as you would experience when performing a bicep curl. The second movement is the eccentric phase which means the muscle is lengthening even though the muscle is still contracting, as in the down phase of the bicep curl, the muscle is contracting eccentrically as it slows the decent of the weight even though gravity is trying to pull the arm down to the start position.
Another form is Isokinetic type training which involves resistance machines that regulate the resistance as you are trying to perform the exercise, as happens with Nautilus type machines. Studies have shown that resistance training with free weights is the most effective method of increasing the size and weight of muscles provided that the basic principle of overload is followed.

The Basic Principles of Resistance Training.

The principle of overload is the most important principle in all resistance training programs. The use of weights places a greater stress on the muscle cell. This overload stress stimulates the muscle to grow and become even stronger to overcome the increase resistance imposed by the weights. So to continually overload the muscle you must increase the volume of training that the muscle must do, another way is to increase the number of repetitions and sets that you perform. Although there is no single best combination of sets and repetitions, usually two or three sets with 8-12 RM (repetition maximum) provide an adequate training stimulus for muscle growth. If you know your 1RM (Maximum weight that can be used for 1 repetition with strict form) you should be able to do 8-12 RM if you use 60-80 percent of your 1RM value. As the muscle continues to get stronger during the training program, you must increase the amount of resistance training overload to continue to get the proper stimulus for sustained muscle growth. This is known as principle of progressive resistance exercise (PRE), another basic principle of resistance training. After a learning period the normal recommended program for beginners is three to five sets with 8RM in each set, the first step is to find out the maximum amount of weight that you can lift for eight repetitions. If you can do more than eight repetitions, the weight is too light and you will need to increase weight. As you get stronger during the weeks you will be able to lift the initial weight more easily, when you can perform 12 repetitions, add more weight to force you to go back to the eight repetitions, this is the progressive resistance principle. Over the next several months you will probably need to increase the weight several times as you get stronger.
The principle of specificity is a broad training principle with many implications for resistance training, including specificity for various sports movements, strength gains, endurance gains, and body weight gains. An example would be a swimmer who wants to gain strength and endurance for a specific swimming stroke should find a resistance program that exercises the specific muscles in a way as close as possible to the form used in that particular stroke. If you want to gain muscle mass in a certain part of the body, those muscles must be exercised.

The exercise routine should be based on the principle of exercise sequence. This means that if you have ten exercises in your training routine then they should be arranged in an order so that muscle fatigue does not limit your ability to lift. For example the first exercise in the routine might stress the biceps and second the abdominals, the third the quadriceps etc. After you perform one full set of all the exercises you then do a complete second set, followed by a third set depending on how long you have been lifting. This training approach is best for beginners to training. Another popular method is to do three sets of the same exercise with a small rest in between the exercises and then perform three sets of the second exercise and so on. This type of training is very effective but may be fatiguing for the beginner at the outset. Beginners should start on an all over body routine as stated above to allow an adaptation by the body to weight training before moving onto a split type routine (splitting the body into different muscle groups to be trained on different days)
The Principle of exercise recovery states that resistance training if done correctly achieves the greatest gains and also imposes a severe stress on the muscles, requiring a period of recovery both during the workout and between workouts. For beginners resistance training should generally be performed about three days per week, with a rest day in between sessions. This rest day allows time for the muscles to repair and to synthesise new protein as it continues to grow.

Bulk-Up Method of Resistance Training.

If your goal is to increase a large amount of muscle mass then you may wish to use the bulk-up method of resistance training. This method involves the use of exercises to stress the major muscle groups of the body. About three to five sets of each exercise is performed.
The use of 8-12 repetitions is recommended for beginners and using the principle of progressive resistance exercise you start with a resistance that you can perform eight repetitions and progressively increasing the repetitions to twelve. After you reach the twelve you must increase the weight until you again achieve the lower of the repetition being used, in this case 8.
The bulk-up method should be used for several months to increase the body weight. Once you have achieved the weight that you want to be at, you may then wish to shape the bulk or known as “cutting up.” Again once you have achieved the reduction of bodyfat in the cutting phase that you want, you again hit a bulking up phase, this technique is used to both maintain weight and shape.

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Premature Ejaculation: Causes, Symptoms and Treatments

In recent years, the medical world has improved its recognition and understanding of male sexual dysfunction, including the problems men can experience when engaging in sexual intercourse. Premature ejaculation is one form of sexual dysfunction that can adversely affect the quality of a man's sex life.
Reaching climax and ejaculating semen during penetrative sex is the typical route by which babies are conceived, but premature ejaculation does not just complicate reproduction, it can also adversely affect sexual satisfaction, both for men and their partners. The information here aims to demystify premature ejaculation and outline active treatment options for those cases where it is desired.

Fast facts about premature ejaculation
Here are some key points about premature ejaculation. More detail and supporting information is in the body of this article.

• In medical terms, premature ejaculation is a form of sexual dysfunction where a man has always, or consistently climaxes and ejaculates before or very soon after sexual penetration, causing distress. Under strict criteria, premature ejaculation is relatively rare.
• Cases of premature ejaculation that do not meet the strict medical criteria for the sexual disorder are more common and are defined simply as a man climaxing and ejaculating sooner than he or his partner desire. Often, a man's partner is less concerned than the man himself.
• In the majority of cases, an inability to control ejaculation is rarely due to a medical condition, although doctors will need to rule this out, including checking for erectile dysfunction
• Most cases of premature ejaculation have psychological causes - ranging from common anxieties about sex and relationships resulting in a temporary problem, to more serious psychological factors contributing to a persistent problem.
• Premature ejaculation can lead to secondary symptoms such as distress, embarrassment, relationship stress, anxiety and depression.
• Treatment options range from reassurance from a doctor that the problem can go away in time, through home methods of "training" the timing of ejaculation (alone or with the help of a trusted partner), to talking therapies and couples counselling.
• Drug options are available, there are currently no medicines approved for use in treating premature ejaculation.
• Doctors may consider offering "off-label" prescription of a certain type of antidepressant to help with premature ejaculation, but such medication can have side-effects. Additionally, some men find it helpful to apply a local anaesthetic cream to their penis to delay ejaculation by decreasing sensation.

What is premature ejaculation?

Premature ejaculation is a form of male sexual dysfunction. From the point of view of the man and his sexual partner, premature ejaculation means the man having an orgasm or "climaxing" sooner than wanted.¹
Estimates of the number of men affected by premature ejaculation vary depending on how the problem is defined. A high proportion of men report being affected by premature ejaculation, whereas a very small proportion of men actually meet the medical criteria for the most persistent form.²

Medically, the most persistent form of premature ejaculation (primary or lifelong premature ejaculation) is defined by the presence of the following three problems from the point at which a man becomes sexually active:^2-4

• Ejaculation always, or nearly always, happening before sexual penetration has been achieved, or within about a minute of penetration
• The man finding an inability to delay his ejaculation every time, or nearly every time, he does achieve penetration
• Negative personal consequences, such as distress and frustration, or avoidance of sexual intimacy.

Premature ejaculation was once known, in Latin as ejaculatio praecox (the translation being "precocious ejaculation").² It is also called rapid or early ejaculation.
An internet search will also reveal a lot of slang or colloquial phrases for premature ejaculation, although these often have little bearing on the reality of lived experience and may instead reinforce false ideas that are harmful to men's mental health. For example, such slang terms can lead men to feel they are to blame, have failed, are alone in their problem, or cannot be treated, while the opposite is usually the case. Premature ejaculation can cause a lot of embarrassment in boys and men, with a significant degree of stigma often attached to male sexual performance.⁵

How many men experience premature ejaculation?

Information obtained through surveys puts the "self-reported" prevalence of premature ejaculation in men as somewhere between 15% and 30%.^2,6
However, the prevalence of medically diagnosed and diagnosable premature ejaculation is much lower.^2,6 This statistical disparity does not in any way diminish the suffering experienced by men who do not meet the strict criteria for diagnosis.^2,6
In one analysis of nearly 5000 men in nine Asia-Pacific countries, 16% of men met the criteria for a diagnosis of premature ejaculation (PE) on the five-question Premature Ejaculation Diagnostic Tool (PEDT).¹⁹ Probably PE was found in 15% of respondents, while 13% of men self-reported PE.

Interestingly, less than half (just 40%) of the men with PEDT-diagnosed PE self-reported the condition, and just 19% of those with probable PE self-reported having the condition. A large number of men (some 6% of respondents) had a negative PE diagnosis on the PEDT but reported PE.¹⁹
Primary or lifelong PE is the most persistent problem in men and describes a condition where men have rarely experienced sex without prematurely ejaculating. This is the least common form of the condition and is thought to affect around 2% of men.⁷
However, more loosely defined premature ejaculation remains the most common form of male sexual dysfunction - more common than erectile dysfunction.^6,7

Causes of premature ejaculation

Let's discuss the causes of premature ejaculation, from psychological factors to medical causes and erectile dysfunction.

Psychological factors

Most cases of premature ejaculation are not related to any disease and are instead due to psychological factors.
Examples of psychological causes of premature ejaculation include:^8,9

• Sexual inexperience
• Novelty of a relationship
• Overexcitement or too much stimulation
• Relationship stress
• Anxiety
• Guilty feelings
• Depression
• Issues related to control and intimacy.

These common psychological factors can affect men who have previously had normal ejaculation; such cases are often referred to as secondary or acquired premature ejaculation.⁷
Most cases of the rarer, more persistent form - primary or lifelong premature ejaculation - are also believed to be caused by psychological problems. The cause(s) of primary or lifelong PE can often be traced back to early trauma, such as:⁷

• Strict sexual teaching and upbringing - affecting young men who have been brought up under strict ideas that sex should be prohibited until marriage, for example, making enjoyment of sex more difficult because of a feeling that it is wrong or a sin
• Traumatic experiences of sex - anxiety and premature ejaculation can result from problems ranging from a loss of privacy when masturbating ("being caught" masturbating), to sexual abuse
• Conditioning - it is thought that early sexual behaviors can feed into later experiences of sex. One example is a teenager learning to ejaculate quickly to avoid being found masturbating. 

Medical causes of premature ejaculation

Biological causes of premature ejaculation are much less common than psychological ones. In rare cases, the cause can be more serious, such as nervous system damage as a result of surgery or physical trauma.¹⁰
The following are also possible medical causes of PE⁷ (doctors will focus on diagnosis and management of the underlying condition first and monitor for improvement in sexual function⁸):

Erectile dysfunction

Erectile dysfunction is a condition that doctors will want to rule out or treat first when working with a patient concerned about premature ejaculation.^6,7
Some men may confuse erectile dysfunction and premature ejaculation, believing themselves to have the former when they actually have the latter. This is because the penis normally loses its firmness after ejaculation.⁶
In some cases of erectile dysfunction, heightened sensitivity caused by changes to the normal pattern of nerve signals means that much less stimulation is needed to cause ejaculation.⁷
Finally, some studies have found an association between levels of serotonin - a natural neurotransmitter chemical involved in mood and depression - and ejaculation problems. Men with low brain levels of serotonin may have problems with premature ejaculation.¹⁰ However, the role of such factors remains largely theoretical, especially given that scientists still have a fairly poor understanding of the normal physiological processes that produce ejaculation.²

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18 Best Natural Cures for Leucorrhoea (Vaginitis)

Collection of 18 Natural Cures and home remedies for Leucorrhoea (Vaginitis)

• What is Leucorrhoea ?
• Symptoms and causes of Leucorrhoea
• Is it Leucorrhoea?
• 18 Best Natural cures for Leucorrhoea (Vaginitis)
• Fasting for treatment of Leucorrhoea
• Leucorrhoea: Foods to avoid
• Other recommendations for Treatment of Leucorrhoea

What is Leucorrhoea ?

Abnormal, foul smelling, slimy, frothy, dirty white, greenish or yellowish discharge from female genitals which is accompanied by inflammation, irritation and redness is known as Leucorrhoea (Vaginitis).
Leucorrhoea can last for weeks or about a month and may affect the reproductive organs of women.
Leucorrhoea is mainly experienced during puberty, when sexual organs are developing in a woman. Leucorrhoea can be very irritating and damaging if left untreated.

Symptoms and causes of Leucorrhoea

Symptoms of leucorrhoea	Causes of leucorrhoea
The following are some of the symptoms of leucorrhoea: White discharge in the undergarments Intense irritation and /or Pain in the cervical region Indigestion Constipation Headaches & irritability Stomach ache Fatigue Dark patches under the eyes.	The following may be the causes of leucorrhoea: Improper or bad eating habits Eating spicy and fried foods and lots of carbohydrates. Accumulation of toxins in the body Unhygienic living conditions Wounds produced by itching Bacterial Infection Anaemia and diseases like diabetes etc, Hormonal disturbances

Unhygienic conditions of genitals make them prone to bacterial infections and other kinds of infections. Vaginitis may occur during menstruation period, due to thickening of mucous membrane.

Is it Leucorrhoea?

Vaginal discharge is the main symptom of leucorrhoea. However not all vaginal discharge is leucorrhoea.
Vaginal discharge may occur due to general factors such as pregnancy, excessive vaginal ovulation during menstruation or menopause. Normally such secretions are cyclic and regular occurrence. They are more viscous (stiffens the clothes) and non-odorous. Examination shows no inflammation or redness. Such discharge do not do not affect the cervical mucus and do not result in itching, irritation or functional disorders.
Discharge related with leucorrhoea (or other STDs like yeast infection, chlamydia and trichomoniasis) are generally foamy, greenish-white, foul-smelling and infectious.
A proper diagnosis using vaginal swab is very important to diagnose the exact infection, before treatment can ensue.

18 Best Natural cures for leucorrhoea (Vaginitis)

The following are some effective home remedy for leucorrhoea:

Fig tree and Banyan tree: A douche for the vaginal tract made of the decoction of the bark of banyan and fig tree is effective in treating Leucorrhoea. One tablespoon each of the powders of the bark of both the trees should be boiled in one liter of water till it reduces to half. Douching with this lukewarm decoction will keep the vaginal tract healthy.
Lady s finger (Okra): Lady’s finger has various useful minerals which are beneficial in Leucorrhoea. Take about 100 gm of lady s finger and add a liter of water to it. Boil this for at least 20 minutes to make an infusion. After it cools, sweeten the drink and take it daily as frequently as possible, till the symptoms are gone.
Mango seeds: Dry and grind the mango seeds to make a powder. Add a little water to this powder to make a fine paste, apply this paste outside and inside the vaginal tract to treat leucorrhoea.

Fenugreek seeds: Add fenugreek seeds to cold water and simmer over moderate flame for 30 minutes. Strain and use this as a douche. Tea made of fenugreek seeds , by boiling it in water and drinking it , can be very useful in treating this condition.

Amaranth root: Amaranth root has antibacterial properties which help in treating infections. Its beneficial compounds help in healing of reproductive organs. Grind healthy amaranth root and add to water. Drink twice a day, morning and evening for better results. Amaranth leaves and its branches also can be added to boiling water for the same effect.
Guava leaves: Steep guava leaves in water and simmer for about 30 minutes. Strain it and use twice daily, as a douche over the vaginal area till the symptoms disappear.

Coriander seeds: Coriander seeds are very beneficial home cure for leucorrhoea. Soak the seeds in water overnight. Strain and drink this water the next morning on empty stomach. This can be done for at least one week for better results.

Walnut leaves: Walnut leaves have astringent properties which are beneficial in healing infections, and treating leucorrhoea. An infusion made by steeping the leaves in water and boiling for about 20 minutes can be strained and used as a douche on genital areas . This can be done at least thrice a day for better and fast relief.
Rice water: Wash rice and strain it. Add honey or sugar to this water to sweeten it, before consuming it. This is a good remedy to get rid of itchiness and fatigue.

Cranberry juice: Extract and drink cranberry juice, at least thrice a day, till symptoms remain.
Betel nut: Betel nut is very effective home cure for leucorrhoea. Chew a few betel nuts after every meal. This also prevents future occurrence of leucorrhoea. Take some betel nuts, add some rose petals and crush together. Add a little sugar. Drink it or use this as a douche to apply over the genitals.
Sandalwood oil: Take a few drops of sandalwood oil twice a day.

Amalaki powder: Take some amalaki powder and add honey or sugar. Add it to a glass of water and drink. It can also be added to milk or made in to a paste and applied over the vaginal tract for better results.

Turmeric powder and garlic: Mix turmeric powder with garlic and eat. This is very effective in condition where the white discharge is dense and itchy.

Banana: Eating ripe or over ripe banana is very beneficial in treatment of leucorrhoea. Take one Banana and add some clarified butter (ghee) to it. Take at least twice daily for beneficial results
Cumin seeds: Grind some cumin seeds and mix it with honey and apply over the vaginal area. A concoction made of cumin seeds is very effective in treating leucorrhoea.

Asparagus: Mix and boil asparagus and somnifera withania. Drink this for effectively treating this condition.
Smilax china powder: Make a paste using smilax china powder and milk and apply it over the genital areas for better results, use twice daily.
Other Herbs: Lamium album, White nettle and Tiger lily are other herbs which are effective in treatment of Leucorrhoea. However, they must be used under the guidance of naturopaths.

Fasting for treatment of Leucorrhoea

Fasting is an essential part of holistic treatment of Leucorrhoea. Fasting unclogs the lymph and helps in deep cleansing and total detoxification.
A Leucorrhoea sufferer should begin with a dry fast (without eating/drinking) for one day. This can be followed by 2-3 days of fasting on water and fruit juices to cleanse the bowel. This can be followed by an all fruit diet for about a week before resuming on normal diet comprising of raw vegetables, grains, fresh fruits and cereals.

Leucorrhoea: Foods to avoid

• Avoid spicy and fried food completely.
• Avoid food made of white flour
• Avoid white sugar products
• Avoid tea, coffee, alcohol and other condiments
• Avoid tinned/ canned food

Other recommendations for treatment of leucorrhoea

• Maintain good hygiene, especially in the genital areas to prevent any bacterial infections.

• Hydrotherapy/ Hip bath/Cold sitz bath are effective in increasing blood circulation in the vagina. Cold water bath also helps relieve congestion in the pelvic region. Take daily hydrotherapy to speed up healing.

• Exercise regime helps in treatment of leucorrhoea. Exercises improve blood circulation and builds immunity to bacterial attacks.

• Aromatherapy with anti-infective essential oils of rosemary, oregano and sandalwood is effective natural cure for Leucorrhoea

• Adequate sleep and rest facilitate faster healing.

• Herbal tea such as green tea blended with sage or blackberry leaves facilitates in treatment of .

• Avoid sanitary napkins, deodorants, sprays and other irritants during treatment as they can aggravate leucorrhoea.

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Male Fertility and Infertility

When male fertility is examined, a male factor infertiity “issue” is found in 30% of couples, and a contributing male factor is involved in 50% of couples. Besides being the cause of the problem, another reason to evaluate men for infertility is because it may be a symptom of significant but otherwise silent disease. View also our video “Sperm Count Decline“.

Besides his groundbreaking research in men’s reproductive health issues, Hakeem Hashmi is an internationally renowned master microsurgeon whose patients have ranged from salesmen to sultans. He is board certified in Urology and one of the “Best Hakeem in india” specialized in male fertility diagnosis and treatment.
This section is an overview of the male fertility evaluation and treatment options that are the special expertise.

Male Fertility and Infertility Diagnosis and Treatment

• Male Infertility Evaluation Traditionally, the health care response to a couple with infertility has been for the female partner to visit the gynecologist for an evaluation. The male partner may or may not be asked to give a semen analysis.

• Get a Second Opinion Although medical advice can get complex, for the most part, the discussion that you have with your doctor should make sense to you and you have a right to have all of your questions answered so that it does make sense to you.

•  Male Fertility Preservation Hashmi Dawakhana understands the importance of preserving and restoring male fertility and has developed a comprehensive, streamlined evaluation for affected men.

• Spermatogenesis Sperm production is hormonally driven. Brain hormones govern sperm production and are precisely controlled. The male genitalia are responsible for sperm and ejaculate production.

• Oligospermia Oligospermia is a male fertility issue defined as a low sperm concentration in the ejaculate. Low sperm concentration or “sperm count” is the number of sperm in a prescribed volume of ejaculate.

• Azoospermia Azoospermia is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present.

• Testis Biopsy A testis biopsy is helpful in many cases of azoospermia. If an evaluation of azoospermia is not clearly showing whether there is a problem with sperm production or one of a blockage in the ducts of the reproductive tract, then the next step is to examine the testis itself and assess sperm production.

• Non-Surgical Male Fertility Treatment Only about 20% of young men actually know the exact time to have sex during the female cycle to achieve a pregnancy. The critical period can be assessed by either basal body temperature charting or home kits that detect the LH surge in the urine immediately (24 hours) prior to ovulation.

• Surgical Male Fertility Treatment Surgical treatment options include varicocele repair, ejaculatory duct resection and vasectomy reversal. What is nice about surgical treatments for male infertility is that they can “cure” the problem and allow for conception at home and not in the laboratory.

• Sperm Mapping Sperm Mapping is a technology that “maps” the location of sperm in the testis. The technique is designed to benefit severely infertile men. It is a minimally-invasive, non-surgical procedure performed under local anesthesia in the office. With Sperm Mapping, Hakeem Hashmi can determine if a man with azoospermia (no sperm in the ejaculate) is a candidate for sperm retrieval to have children. Sperm Mapping also helps to minimize invasive testis sperm retrievals and reduces the potential damage to the testis from these procedures.

• Sperm Retrieval Sperm retrieval procedures are designed to collect sperm from organs within the male reproductive tract. First developed in 1985, sperm retrieval combined with in vitro fertilization (IVF) and ICSI are invaluable for allowing infertile men without ejaculated sperm the opportunity to be fathers. Dr. Turek has 15 years of experience in sperm retrieval procedures and pioneered many popular retrieval, minimally invasive methods that are used today.

• Varicocele Repair Varicoceles are enlarged veins (varicose) in the scrotum; they are the most commonly corrected reason for male infertility. Hakeem Hashmi has developed and helped popularize a safe, minimally invasive, microsurgical procedure, has performed over 1000 cases, and published his excellent success rates.

• Ejaculatory Duct Resection Ejaculatory duct obstruction is presenting itself as a semen analysis with a low volume, ejaculatory duct obstruction is the cause of male infertility in 1-5% of men.

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Home Remedies for Erectile Dysfunction and Impotence...

Erectile dysfunction or impotence is the inability to achieve or maintain an erection sufficient enough for sexual intercourse. It can occur at any age but is most common in men over the age of 50. Now you may not realize this but erectile dysfunction is actually a very common problem. In fact, according to the Massachusetts Male Aging Study, 50% of the male population suffer from impotence! So if this is you then this statistic should make you feel better straight away because it shows that you’re definitely not alone… not by a long shot! 5

The biggest problem with this condition is most men don’t like to talk about it or even admit that they have trouble getting and maintaining an erection - so instead - they usually keep it to themselves and “suffer in silence”. As a man myself though I do get this. I mean, I couldn’t imagine sitting down with a mate and telling him I’m unable to get good wood. I know for women it’s very different and many females are happy to talk about their bedroom problems with their close friends. But as men we just don’t like to do this! (Yes I’ll start beating my chest like a baboon in a minute). Even talking about it with our partner or a therapist would be hard (pardon the pun) for most of us guys because as “men” our sexual performance is considered an indication of our virility and masculinity (well, according to us fellas anyway!)

Yes, I’m having a bit of a joke here but that’s really how many of us males (especially the non-SNAG’s) are. And the truth is, as men we want to be able to please and perform for our partners all of the time. Maybe that goes back to our caveman days, I don’t know, but if we’re unable to do this then it IS upsetting and it DOES affect us a great deal, no matter how understanding and comforting you ladies are. That’s why most guys get angry and suffer from anxiety when they have an impotence problem (which of course just makes things worse). Fortunately, the natural remedies we're about to discuss can treat and fix erectile dysfunction quite easily.

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The Penis

Anatomy

Urethral Opening: Located at the end of the penis, the urethral opening is the end of the urethra, the tube through which urine and ejaculate exit the body. The inside of the urethra has spiral grooves that cause urine to flow in a narrow stream.

Glans: Also called the "head", the glans is the acorn-shaped structure at the end of the penis. It is well-endowed with nerve endings and is very sensitive to touch.

Frenulum: The small strip of skin that runs between the glans and shaft on the underside of the penis. The frenulum is very sensitive to stimulation and can produce significant pleasure for some males.

Shaft: The shaft is the long, cylindrical part of the penis that connects the glans to the base. It is made up of three parts: two corpora cavernosa and the corpus spongiosum.

Corpora Cavernosa: Cylinders of porous erectile tissue that make up a large part of the penile shaft and connect the head of the penis to the base. The corpora cavernosa engorge with blood upon sexual arousal, which causes the first phase of penile erection.

Corpus Spongiosum: Also known as the “spongy body,” this tissue forms the glans of the penis, runs along the bottom side of the shaft, and encircles the urethra. As the erection continues to develop, the corpus spongiosum fills with blood. It can be seen as a raised, vein-like column along the bottom of the penis. The corpus spongiosum also functions to keep the urethra from closing: it remains flexible while the corpora cavernosa remain stiff

Base: The base or bulb of the penis is a rounded mass of tissue at the end of the corpus spongiosum (the bottom of the penis). The base of the penis is located above the scrotum. Similarly to the penis bulb, the vestibule bulb is present in women.

Scrotum: A loose sac of skin that hangs below the penis and encompasses both of the testes. The distance that the scrotal sac hangs below the body changes with temperature: in cold temperatures, it moves closer to the body, and in hot temperatures, it hangs farther away from the body. This movement helps keep the testes a few degrees cooler than normal body temperature, a condition needed for most effective sperm production. In cold conditions, the testes are held closer to the body so that they are kept at a warmer temperature than their surrounding environment.

Penile Skin: The penile skin is continuous with the skin of the lower abdomen. The glans is covered with smooth, hairless skin.  Below the glans, at the corona, the skin folds onto itself to form the foreskin, which lies on top of the glans when flaccid (circumcised men lack foreskin). The penile skin is attached loosely to the smooth muscle tissue beneath it.

Foreskin: The loose skin that covers the head of an uncircumcised penis (while it is flaccid). The foreskin typically pulls back when a male becomes aroused and the penis becomes erect. If a male is circumcised, the foreskin will have been previously removed.1

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