enlargement manhattan pnis surgeon

Pumpkin is at the heart of Halloween festivities, and for many is the only experience they have of the squash all season. This is usually for the joys of pumpkin carving rather than cooking. When you discover just how healthy pumpkins are however, you'll realise that pumpkin recipes are just as worth getting excited about and that it would be foolish not to eat the remaining flesh left over from your pumpkin carving. (As a note, if you're rolling up your sleeves ready to tackle your orange fellow there are plenty of free pumpkin carving pattern ideas available on the internet). Pumpkin is a superfood indeed. In fact, it's not just the inner meat of a pumpkin that's virtuous but its seeds are super nutritous too and contain a wealth of health-promoting properties. Like melons, cucumber, and squash, pumpkins belong to the gourd family. They were much celebrated by Native American Indians who made use of their flesh and seeds for culinary and medicinal purposes. Pumpkin flesh is high in fibre and vitamins C and E, magnesium and potassium and a staggering quantity and variety of carotenoids, being one of the most abundant natural sources of these amazing phytonutrients. Dietary carotenoids correlate with lower a risk of numerous cancers, heart disease, cataracts and blindness. Pumpkin contains heaps of beta-carotene as well as a huge concentration of alpha-carotene, with just a quarter of a cup yielding the recommended daily amount. Alpha-carotene protects against certain cancers and cataracts, and has also been discovered to be a powerful ally against aging. Both alpha- and beta-carotene can be converted into vitamin A within the body, which plays an essential role in growth, development and immunity. Beta-carotene is a potent antioxidant and anti-inflammatory agent and prevents cholesterol build up in blood vessels that could lead to stroke or heart attack. The presence of magnesium, potassium and folate in pumpkin heightens its heart-friendly attributes. Beta-carotene works most effectively in combination with other carotenoids and has been found to reduce the risk of lung and colon cancer in particular. When exploring pumpkin recipes experiment with other squashes too. There are numerous types in all shapes and sizes with many similar nutritional values. One tasty alternative is the butternut squash. Pumpkins yield delicious and highly nutritious seeds. Known as pepitas, they are dark green and flat with a chewy texture and rich nutty flavour. These seeds are dense in minerals, with just a quarter of a cup providing approximately half the daily recommended dose for magnesium and iron, in addition to high doses of zinc, phosphorous, potassium, selenium, manganese and copper. They also contain the amino acid tryptophan known for anti-depressant qualities, and essential fatty acids. The dark green oil produced from pumpkin seeds has been used throughout history in India, Europe and America to fight parasites, aid the digestive tract and help with prostate and reproductive disorders. It has also been recommended for pregnant and lactating women because of its high content of essential fatty acids. Pumpkin seeds have been found to help prevent against prostate gland enlargement due to the chemical substances called cucurbitacins it contains. The essential fatty acids in pumpkin seeds are also necessary for prostate health, and zinc (which pumpkin seeds are especially high in) is great for the reproductive systems and has been shown to reduce prostate size. The L-tryptophan in pumpkin seeds is known to have anti-depressant properties, so it is suggested eating them can elevate your mood. Pumpkin seeds also contain omega-3 fatty acids known for their role in improving mental function, alleviating depression and aiding memory. Both the omega-3 and omega-6 essential fatty acids in pumpkin seeds have a broad range of health functions in the body. So, for a smashing pumpkin Halloween, as well enjoying carving pumpkins, check out some tasty pumpkin recipes so you can benefit from the super healthy flesh of your pumpkin carving remains, and throw a handful of pumpkin seeds on top for that extra nutritional boost! penis enhancement result vimax penis enlargement supplement penis enlagement excercises cheap penis enlargement pills real penis enhancement penis enlargement surgeries enlargment forum free matter penile size penis enlargment pump

enlargement manhattan pnis surgeon

Women's capacity for orgasm is awesome. They can come over and over again, and still be ready for more! This capacity seems almost limitless. They can experience clitoral orgasms, g-spot orgasms, vaginal orgasms, ejaculatory orgasms, blended orgasms, and not only one but multiples of any of these! They've even been blessed with a body part, the clitoris, whose only purpose is sexual pleasure. This may all seem a bit unfair to men who typically reach a precipice, fall over the edge, roll over and go to sleep! Why is it then that so many women are frustrated rather than satisfied? Why is it that for so many loving couples, the female orgasm remains an elusive dream; one in which she's perhaps become resigned to sex that's pleasurable but not truly satisfying, or even worse, faking it to salvage her partner's ego. If it is really bad perhaps she fakes orgasm just to get the sexual ordeal over with! Or he sadly wonders: What's wrong with me? Why can't I make her come despite stiff fingers and aching tongue? His sexual self-esteem is wounded, and he secretly feels less of a man believing he has failed her. The first step on the path to freeing a woman's orgasm is for both men and women to understand that men do not give women orgasms. Women allow themselves to have orgasms. Despite popular belief, no matter how good a lover you may be, unless your partner can give herself up to the pleasures of her body, she won't have orgasms. This realization alone can open the door to women becoming orgasmic. It takes the pressure to "perform" off of men, and it frees women to take responsibility for their own sexual fulfillment. This is very important. If your woman is blaming you, and you may also be blaming yourself for her not having orgasms, it is quite possible, even likely, that you are both looking in the wrong place to solve the problem. Mind you, an unskilled, selfish, or insensitive male lover can be a real problem, and at the very least is certainly a dull bore. And to say that a woman is responsible for her own sexual fulfillment does not mean you revert to a slam-bam-thank-you-ma'am approach to sex and let her fend for herself. After all, the more skilled and attentive a lover is the more pleasure he himself receives, and although you can't give her an orgasm you certainly can help her to have one, or even lots of them. So even though it's not entirely up to you, there is something you can do to help. The biggest barrier to orgasm for women is mental distraction - thoughts that float into her mind, catching her in her head, and taking her away from what's going on in her body. As soon as she starts thinking, she is out of the moment and will lose touch with her senses and her pleasure. Some of these thoughts may trigger feelings of shame or guilt about experiencing sexual pleasure, for no matter how liberated our attitudes toward sex seem to have become, there yet exists the perception that "good" girls don't! Even today women are divided into categories of "virgin" or "whore". Those who engage lustily in the delights of the body are somehow morally questionable. You can help your delectable partner move beyond these pleasure stifling attitudes by letting her know how much you respect, admire and cherish her fully female sensual self. Tell her often, especially when you're making love, that it thoroughly turns you on to see her let loose the passionate side of her nature. This is not always easy for men to do. They may have internalized an unconscious conditioning that leads them to accept the rather misogynist belief that women can't be good and pure, and also be fantastic lovers. If they believe this, they are placing themselves in a very unfortunate situation. This belief system inevitably leads to the man selecting one woman for a partner, spouse and mother, and a different partner for an affair or mistress. Adultery is about the only option left to a man who holds such a belief system. The resulting deceit and lying force a separation between the couple and the relationship ends soon enough, for example in breaking up or divorce. In this scenario, the man is at fault and the solution does lie with him. Only a change in his beliefs will solve this problem. Sexual abuse is a horror and curse that is unbelievably common in our society. Women that have been sexually abused often have great difficulty in allowing themselves to trust their lover, let go into the sensual moment, and surrender to sexual ecstasy. If your lady is having difficulty experiencing orgasm; if you are a reasonably skilled lover; and if you have communicated to her that you honestly wish her to fully awaken as a sexual partner, then the problem could be some psychological damage from sexual abuse. Ask her about this with the greatest tenderness and caring that you are capable of. Be aware that many women actually blame themselves for their own sexual abuse, so this can be the touchiest of all possible subjects for discussion. If sexual abuse is an issue, it is advisable to encourage her to seek professional counseling or some other form of help. Besides worrying about whether they are "bad" if they really enjoy and want sex "a lot", many women worry about enjoying sex the right way. They worry about how they look, smell and taste. They worry that the cellulite in their upper thighs or the slight bulge of tummy fat may quiver unattractively. They worry about being "clean down there". They worry about how long it takes to reach climax, how much time their man has to spend stroking, licking, and caressing to help them fly over the mountain. All of these thoughts take them out of lovemaking. To help her stay in the pleasures of her body tell her with words and sounds and looks that you adore her, you love to devour her with your tongue, you could keep on touching her forever, it's a delight to you to give her pleasure. And mean it, because if you haven't learned how to enjoy pleasuring your partner, pretty soon you won't have one! Once she's able to relax into the joys of lovemaking and focus on the exquisite sensations her body can feel rather than listening to the demon distractors her mind can conjure up, a woman's path to orgasm is much clearer. With particular loving skills of your own you can assist her to break that path wide open. Most men enjoy having their genitals touched at any time, whether they're sexually aroused or not. This isn't usually the case with women. Think of the vagina as a "potential" opening, a magical door that will happily open wide to receive you, but only after you've called ahead to ensure your welcome. Be certain she's eager for your genital explorations by focusing loving attention on other parts of her body first - lots of kissing, neck nuzzling, tender strokes on back, shoulders and arms, then adoring caresses of her breasts. Only after you sense she's ready, through signs like rapid breathing, flushed skin, hardened nipples or enticing moans should you move to her vagina. Once your hand or mouth is at her sweet honey pot begin to explore it from the outside inward - outer lips, clitoris, inner lips, vaginal canal. Generally women reach orgasm most easily through clitoral stimulation. The clitoris is extremely sensitive to touch of all kinds. Often the head of the clitoris, the pointed tip, is too sensitive for much direct pressure, so focus your attention on the sides. Touch around the clitoris instead of right on it, at least until her level of excitement increases. The skin tissue of your fingers is not nearly as sensitive as the tissue around her clitoris. But the tissue of your mouth and tongue is an almost perfect match in sensitivity. Unless you are more highly skilled in using your fingers, it is a much safer way to start by using your mouth for oral stimulation of the clitoris. Experiment with different pressures, strokes and speeds. Ask her which ones she likes best. A good way to do this is to try two different touches, then ask her if she likes "a" or "b" better. If she's willing, invite her to masturbate for you so you can learn exactly how she likes to be touched. Many women are shy to do this at first but with some gentle encouragement she may really show her wanton self. It can be a great turn-on for both of you. Many men are actually quite frightened by a woman who is fully sexually awakened. They may doubt their own ability as a man to keep up, or to be able to perform adequately. They may fear that if she is too much woman sexually for him, that she may go elsewhere and find what she wants. It may help you to overcome this fear if you remember that you are not responsible for giving your lady sexual satisfaction. She must do that for herself. But if this fear is very strong, you may seek counseling help to deal with it. When you do find a particular stroke or caress that is really driving her wild, keep doing it and keep doing it and keep doing it. Don't change anything about it. Don't go faster, slower, softer, harder, or switch direction. Keep doing exactly the same thing until she lets you know she wants a change either through words or body movement. This holds true whether you're pleasuring her clitorally or vaginally with your fingers or your mouth. Keep going even if your hands or mouth get really tired! It's a good idea to wait until she is very aroused before entering her vagina either with your fingers or your penis. Generally if she's not wet, she's not ready. It's as simple as that. If your lover doesn't have a lot of natural vaginal juices even when she is fully aroused be sure to use a good silicone or water-based lubricant. Nothing can be a quicker turn-off than rough, dry skin rubbing on soft vaginal tissues. Water-based or silicone lubricant is better because oil can clog the sensitive vaginal tissue. The most sensitive part of a woman's vaginal canal is the first inch to two inches. It's here that most of the nerve endings are located, so when you first enter her concentrate most of your attention there. The elusive g-spot can usually be found in this general area, on the top of the vaginal wall, a couple of inches in. Imagine a glass lying on the floor. If you reach your first two fingers into the glass at the top, i.e., toward the ceiling rather than the bottom towards the floor, you should find it. It is difficult to reach the g-spot through intercourse, so you will find it much easier with you fingers than with your penis. There are also some interesting dildos and vibrators with just the right shape to reach the G-spot. Move your index finger or your first two fingers in a "come hither" motion (as if you were asking someone from across the room to come over to where you are) and gently stroke her. When you touch her g-spot you may notice a more bumpy or raised area of skin, but you may not. The best way to know you've found this highly intense love spot is by her reaction. Where you look is not quite as important as when you look. Unless she is excited through and through, perhaps from a clitoral orgasm beforehand, it can be difficult to find the g-spot. Stimulation of the g-spot can produce extraordinarily intense orgasms. As a woman is approaching a g-spot orgasm she may feel she has to urinate. This may immediately cause her to tighten up, stop, and pull back from the edge of bliss. If she can stay relaxed and keep going through that "have-to-pee" sensation it will pass and move on into deep waves of sexual delight. The woman should urinate before intercourse begins, so she can be more confident that the feeling that she has to urinate is a misleading feeling and can be safely ignored. For most women it is difficult to reach a climax through intercourse alone. This is because the sensitive clitoris isn't easily stimulated just by thrusting motions; the g-spot is difficult to reach with even a fully erect penis; and because often the male partner goes over the edge into ejaculatory orgasm before the woman has had enough action to bring her to the heights. If you touch her clitoris before and during intercourse, and if you've pleasured her vaginally by touching the g-spot with your fingers, the chances are much better that she will have a deep vaginal orgasm while your penis is inside her. Learn the strokes that turn her on. Tell her how fabulous it is that she's sensual and sexual. Let her know you adore her body and love to touch and kiss it for hours. Help her forget about trying to make orgasm happen and focus instead on thoroughly enjoying every moment of lovemaking. If you awaken your multi-orgasmic woman you are going to like it! penis enhancement photo vig rx side effects penis enlagement technique penis enlarement tip pnis enlargement drug pnis enlargement excercises enargement manhattan penis surgeon penile enlargement pills enlargement manhattan pnis surgeon

Stress is talked about a lot in the media and seems to be the cause of almost every disease imaginable. The most common symptoms of stress, according to the American psychological Association, are: - Emotional distress--some combination of anger or irritability, anxiety, and depression, the three stress emotions; - Muscular problems including tension headache, back pain, jaw pain, and the muscular tensions that lead to pulled muscles and tendon and ligament problems; - Stomach, gut and bowel problems such as heartburn, acidic stomach, flatulence, diarrhea, constipation, and irritable bowel syndrome; - Transient over arousal leads to elevation in blood pressure, rapid heartbeat, sweaty palms, heart palpitations, dizziness, migraine headaches, cold hands or feet, shortness of breath, and chest pain. Acute stress can crop up in anyone's life, and it is highly treatable and manageable. There are many common remedies for stress. Among them are meditation, yoga, gardening, deep breathing, and exercise, and of course various types of psychotherapy and medications. We know how we feel when we are under stress, but we don’t always understand why or how this is happening. Here is a short explanation according to the Traditional Chinese Medical model contrasting it with Traditional Maya Healing model. Let’s start with the basis of everything that exists, Energy or Qi. What is Qi? Qi is universal energy we connect with from our surroundings, also called source or God energy. This energy flows within us, around us and through us. We are this energy vibrating so fast that we appear to be a solid form of matter. Abdominal, Uterine and Prostate health is dependant on the smooth flow of Qi, Blood and fluids through the body/mind complex This Qi flows in vessels or channels called meridians, according to Chinese Medicine. There are 8 meridian/ organ complexes directly responsible for this balance. When in balance, all the systems in the body are working optimally. The meridian system runs contiguously with the nervous system, endocrine system, vascular system and circulatory system. This cycle runs through all the meridians in a cycle called the nutrient cycle; spending approximately 2 hours in each organ complex through the day and night. When the body is in perfect health this energy runs smoothly creating balance in all the physical organs. All movement of energy through the abdomen is dependant on the liver, spleen, stomach. • The Liver is responsible for the smooth flow of Qi, blood and fluids. It works to course the energy through the meridians and the blood through the arteries and veins. It is also responsible for the smooth and regular flow of menstrual blood. • The Spleen is responsible for making blood. Its energy is upward moving, which keeps the organs in their place. This includes the uterus and prostate. It is directly related to uterine and bladder prolapses. • The Stomach moves the energy down. This helps with the digestion and elimination of food. It works with the spleen to form the Central Pivot, a clockwise moving energy system that keeps the energy flowing in its correct direction. The central pivot is also called the Solar Plexus according to Ayurvedic medicine. In a state of balance you don’t realize any of this is happening, digestion is good and thoughts are clear. You are able to breathe deeply and bowels are regular. The Energy System in Oriental Medicine may seem complicated yet it is truly holistic, each area of the body is interrelated in a delicate weave that makes up the intricacies of its divine wisdom. Now let’s add stress to this picture. Stress is a very powerful culprit. In western medicine they have connected how stress can impair our immunity, effect our adrenals causing people to go into fight or flight mode and in extreme cases even post traumatic stress disorder. According to Dr. Rosita Arvigo, teacher of Maya Traditional Healing and Maya Abdominal Massage, many anxieties and emotions through life are stored in our body's tissues and organs. A very common place is in the organs of the digestive system. Those so called "butterflies in your stomach" can lead to constipation, indigestion, heartburn, gastritis, and eventually to Irritable Bowel Syndrome (IBS), Gastro-Esophageal Reflux (GERD), Crohn's disease and more. Stresses and emotions cause the small intestine and colon to be "twisted or kinked" leading the blockages in the flow of peristalsis. Surrounding fascia creates adhesions that mal- position organs and impede proper blood flow and enzyme secretions. According to Chinese medicine, because emotions are energy, they overwhelm the Liver, causing stagnation of Liver Qi in the lower rib, upper abdomen area. Stagnation of Liver Qi over a period of time will cause the Spleen and Stomach energy to reverse direction. This may cause or aggravate any or all of the following: (IBS) Irritable Bowel Syndrome, Colitis, Ulcers, Constipation, Diarrhea, (GERD) Gastro– Esophageal Reflux Disease, Leaky Gut Syndrome, Uterine Prolapse, Indigestion, as well as many other chronic diseases and disorders. According to Dr. Rosita Arvigo, individuals with digestive disorders benefit greatly from Maya Abdominal Massage. Many of our common disorders such as Irritable Bowel Syndrome, Indigestion, Constipation, and heartburn are usually treated with antacids, muscle relaxants, and a variety of other medications. These treatments address symptoms, not the causes. By using the techniques of Maya Abdominal Massage, the upper abdomen is also given a deep, thorough massage to loosen the tight muscles around the stomach and the arteries that feed the digestive and eliminative organs with their vital blood supply. The diaphragm is gently massaged allowing relaxation of tight musculature. Maya Abdominal Massage helps to break down fascial adhesions, scar tissue and removes any "kinks" in the digestive tract. Often there is a dramatic improvement after just one session when combined with proper diet and self-care According to Chinese medicine, the downward movement of the Maya Abdominal Massage helps keep the stomach energy flowing downward. This ensures proper digestion and elimination. It also works to unblock any possible stagnation of Liver Qi which is very common just below the ribs; this ensures the smooth flow of blood, Qi, and fluids through the abdominal cavity. Working on the belly in a clockwise motion keeps the central pivot flowing ensuring the flow of Spleen and stomach Qi. Qi does not flow through scar tissue. By breaking up old scar tissue this allows Qi to flow again where it was once blocked and stagnant. The Arvigo Techniques of Maya Abdominal Massage® are centered around the ancient Mayan techniques, which reposition organs that have dropped and restricted the flow of blood, lymph, and nerve and chi energy. As with any other natural healing, the Arvigo Techniques seek to restore the body to its natural balance. This technique aims to relieve obstruction to the flow of Qi, blood and lymph. Maya Abdominal Massage can help redirect this energy back to its healthy direction and move stagnation so the Qi flows freely through the abdomen creating health and balance. Gentle Self Healing Massage to move Qi in the Abdomen Find a massage oil or crème you like and apply a little to your upper abdomen. Begin by making large circular movements starting just below the ribs working your way down the left side across the lower abdomen and then up the right side; repeat 5 or 6 times. You may hear some movement. Now begin making smaller circles just above the navel in a clockwise direction, left, down, right, up. Do this 5 or 6 times.This will activate the central pivot we talked about earlier. Place your hands over your belly and say out loud the following: “Thank you so much for taking such good care of me all these years.” “You are so beautiful, and I love you.” This helps raise the vibration in the abdomen, allowing for better flow of Qi. Try this for a couple of weeks and see if your abdominal discomfort is better and your stress has dissipated.. Breathing Exercise to Move Qi in the Abdomen: • Place both your hands over your lower abdomen, approximately 2 inches below the navel • Now Breathe deeply • Watch and feel your hands move up and down with each inhalation and exhalation. Notice if you feel any more relaxed or if any thoughts come to mind • Do this at least 10 times to move and circulate your Qi • As this gets easier put a light book on your belly, 2 inches below the navel The benefits of this exercise are: • Increased lung capacity. • Better digestion • The ability to relax quickly during a stressful situation *Excerpts by Dr. Rosita Arvigo are taken from her website; www.Arvigomassage.com The Arvigo Techniques of Maya Abdominal Massage TM are founded on the ancient Mayan technique of abdominal massage which is an external non invasive manipulation that repositions internal organs that have shifted, thereby restricting the flow of blood, lymph, nerve and chi. Based on over thirty years of training and experience in massage, naprapathy, herbology, and spiritual healing, Dr. Rosita Arvigo developed these techniques which now bear her name. This modality incorporates a holistic approach to health care which includes massage, anatomy and physiology, herbology, nutrition, and emotional and spiritual healing. Dr. Arvigo believes that with any natural healing technique, these areas must be simultaneously addressed to promote optimal health. Dr. Arvigo learned these techniques from her mentor, Don Elijio Panti, the great Maya Shaman of Belize, Central America with whom she apprenticed for ten years. Don Elijio believed that a woman's center is her uterus. "If a woman's uterus is out of balance, so is she," he would say. Midwives and healers of Central America agree that most female troubles are caused by the wandering womb. Don Elijio passed away in 1996 at the age of 103. Rosita also studied with Hortence Robinson, a 73 year old herbal midwife of Belize who has been delivering babies since she was 13. The Arvigo Techniques of Maya Abdominal Massage TM address position and health of the pelvic and abdominal organs. The work is best known for the correction of the prolapsed, fallen, or tilted uterus and for the prevention and treatment of benign prostate enlargement in men, and for relief of many common digestive disorders. penis elargement before and after picture vigrx scam penis enlarement picture free penis enargement tip best penis elargement vimax penis enlargement technique vimax penis enlargement fact vimax patch enlargement manhattan pnis surgeon

Cardiomyopathy is a rare heart muscle disease over the world, but not in Africa where it is one of the major causes of heart failure, according to experts that reviewed all available cardiomyopathy studies performed in Africa, along with all the information about the causes and types of heart muscle disease in Africa, where 10 per cent of the world’s population lives. A 10 per cent to 17 per cent of cardiac problems found through autopsies in South Africa and Uganda, and 17 per cent to 48 per cent of heart failure diagnoses in many parts of Africa are due to dilated cardiomyopathy (DCM), which is an enlargement of the entire heart, explain researchers. In the United States, 4 to 8 per 100,000 people are affected by DCM, but African overall incidence is unknown, because the corresponding studies have not been made yet. Researchers’ findings show that Peripartum cardiomyopathy has a very high incidence throughout Africa and Nigeria. This illness can cause heart failure and it develops between the last month of pregnancy and the first five months after childbirth. Peripartum cardiomyopathy incidence in the US is 1 in 15,000 deliveries; meanwhile the incidence in South Africa is 1 in 1,000 cases. DCM is caused by various factors, under generally accepted African theory. These include untreated high blood pressure, infective and toxic agents, inappropriate immunologic reactions, nutritional deficiencies, and genetic factors. According to experts, it is important to do more research to understand the underlying reasons for Africa’s high cardiomyopathy rate, and prevent or reduce it. vimax penis enlargement before and after homemade penis enlargment pennis enlargement cream free penis enlarement technique pro solution pills penis enargement review vimax enlargement free penis pills sample truth about penis enhancement enlargement manhattan pnis surgeon

Definition: Benign prostatic hypertrophy is swelling of Prostate gland. The prostate is a walnut sized gland that is only present in men. It is located just below the bladder and top of the penis. This gland surrounds the urethra (the tube through which urine flows from the bladder and out through the penis). It is a very astonishing fact to know that the condition BPH has been explained in ayurveda long back. The anatomical position of prostate gland, symptoms of BPH and its remedies are explained by Acharya Sushruta. The anatomical position of prostate gland is described in ayurvedic classics as follows... In Yogaratnakara it has been described as -- “ NAABHERADHASTHAATSANJAATAHA SANCHAARI YADI VAACHALAHA | ASHTEELAAVAD GHANO GRANTHIROODHWAR MAAYATA UNNATAHA || “ Which means “ Below umbilicus (NAABHI), there is a hard gland which is little bit bulged and changes its place some times and some times stays stationary. This gland is like “Ashteela” (A small stone used to sharpen swords). This gland when affected by vitiated vata causes a disease called “vataashteela” (or benign prostate hypertrophy) Sushruta explains the structure, anatomical position of prostate gland and symptoms of BPH as follows. “SHACRANMAARGASYA BASTHESHCHA VAAYURANTARAMAASHRITAHAI ASHTEELAAVADGHANAM GRANTHIMMOORDHVAMAAYATA MUNNATAM|| “ Which means - the place between rectum and bladder is occupied by vitiated vata it affects the easy flow of urine, stools and semen by enlarging the gland “ Ashteela”. The prostate gland enlarges in all men as age advances. BPH is very common and affects one third of men who are over 50. A person suffering from BPH does not have the increased risk of prostate cancer. Functions of Prostate gland. One of the main functions of the prostate is to produce a fluid, which contribute to the liquid portion of semen and this liquid allows the sperm to move freely. The gland is divided into peripheral, transitional and central zone. The overgrowth takes place in central zone which leads to BPH. Effects of BPH Prostate gland surrounds urethra. When prostate gland enlarges, it constricts the urethra reducing the urine flow. The emptying of bladder becomes very difficult because of this. Causes of BPH According to present medical concepts the actual cause of prostate enlargement is unknown. But the causes of BPH are very well explained In ayurveda which is based on tridosha theory.The causes of vataashteela or BPH are explained as follows. Causes for vataashteela according to dosha theory: vataashteela is caused by vitiated vayu and apaana vayu ( a subcategory of Vayu) (APAANA VAYU is located in two testicles, urinary bladder, phallus, umbilicus, thighs, groins, anus and colon. Functions of apana vaayu are Ejaculation of semen, voiding of urine, stools, elimination of menstrual blood and expulsion of fetus.) The vitiation of vayu and apaana vayu is caused by 1. Controlling the urge of urinatio 2. Controlling the urge of defecation 3. Over indulgence in sex 4. Consuming dry, very cold and less quantity of food 5. Old age 6. General weakness 7. Indigestion 8. Physical and mental overexertion Symptoms of BPH • Difficulty in starting to pass urine ( hesitancy ), • A weak stream of urine, • Dribbling after urinating • The need to strain to pass urine, • Incomplete emptying of bladder. • Difficulty to control the urination urge. • Having to get up several times in the night to pass urine, • Feeling a burning sensation when passing urine. • Passing urine mixed with blood (indication of infection) Symptoms of vatashteela are described as follows. “VINMUTRAANILA SANGASCHA TANNAADMAANAMCHA JAAYATE| VEDANAA CHA PARAA BASTOU VAATAASHTEELETI TAAM VIDUHU ||“ The vitiated ashteela gland when enlarged is called as “vatashteela”. This enlarged gland causes 1. Obstruction to easy flow of urine. 2. Obstruction to Easy passage of stools and gas 3. Bloating of Stomach. 4. Pain in bladder. When the above mentioned symptoms are noticed then one should seek proper medical advice. Diagnosis A digital rectal examination will be performed to examine the size of prostate by inserting a finger into the rectum. A distended bladder can be felt per abdomen. Ultra sound examination will be done to determine the amount of urine left in the bladder after urination. Routine urine test will be done to rule out infections. A prostate gland tissue may be collected using a needle to check for cancerous cells. Ayurveda tips for SELF-CARE If symptoms are mild, the following methods can be tried for relief: 1. Vata gets vitiated when natural urges are controlled. Hence do not control the natural urge of passing urine. Urinate when you first get the urge. 2. Go to the bathroom even if you do not have urge. 3. Alcohol, tobacco, coffee increase vata and vitiate it. Hence avoid alcohol, tobacco and coffee, especially after dinner. 4. Vata gets normalized and vitiation comes down when body is warm. This can be accomplished with regular exercises and keeping the body warm. 5. Mental exertion leads to increase of vata. Avoid mental exertion at work place and at home. 6. Avoid foods which cause constipation as constipation causes vitiation of vata. Other general tips 1. Avoid drinking fluids from two hours before going to bed. 2. Avoid cold and cough medications that contain decongestants or antihistamines. These medications can increase BPH symptoms. 3. Avoid drinking excess amount of liquids. Distribute the intake of fluids throughout day. Prevention BPH can be prevented by - 1. Consuming low fat diet 2. Including lots of fiber in diet ( fruits and vegetables which are rich in fiber). 3. Visiting your family physician as soon as you notice any symptoms while passing urine. Apart from these many effective herbal remedies have been mentioned in Sushruta samhita and Yogaratnakara.