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WHICH REMEDY FOR BALDNESS WORKS? With each remedy for baldness I have split up into two categories: "drugs" and "natural". Both remedies for baldness are said to work to a degree. The drugs (creams and pills) have had various clinical trials performed on them, but on the downside they are occasionally susceptible to unwanted side-effects. The natural remedies for baldness most often have had no clinical trials attached, merely word of mouth recommendations, but normally have fewer side-effects (at least less unwanted ones) reported. If you are unsure on which type to try, it is possible to try both (but please get advice from a physician before doing so). ALLOPATHIC REMEDIES FOR BALDNESS Before I start on any allopathic remedies for baldness, I have to explain the current thinking in science behind the causes of losing hair so that the mechanism and effectiveness of the drugs are easily understood. Men convert excess testosterone into a more potent form called DHT by the enzyme 5a reductase. The DHT is highly active on the hair follicle receptors, readily latching to them and restricting blood flow to the hair. This causes the hair to become thin and miniturized creating the "peach fuzz" look. There is apparantly a greater quantity of this enzyme in the scalp of men who are susceptible to male pattern baldness.[1] Women, however, have excess of the enzyme aromatase which converts their testosterone into a form of active estrogen called estradiol. The theory is that after women hit menopause, their levels of natural estrogen lowers letting the testosterone be converted into DHT which makes them more susceptible to losing hair post menopausal. However, that doesn't explain why post andropausal men lose hair when they become older and their testosterone levels die down.[1] Well, that's the theory, so now lets look at each remedy for baldness in turn and determine its effectiveness and availability as of July 2006. Below is a list of each remedy for baldness: Rogaine (Minoxidol) Propecia (Finasteride) ROGAINE Mechanism - unclear. Seems to open potassium availabilty to the hair. Effectiveness - average increase of hair per cm2 was 18.5% after 48 weeks. 1 to 3 months after stopping, hair condition returns to pre-treatment levels. Side-effects - Dizziness has been reported. Local irritation, itching, dryness, and erythema may occur with use of topical minoxidil, most likely caused by the vehicle formulation of alcohol and propylene glycol.[2] Availability - over the counter. Cost - $10 to $15 per bottle (one month). PROPECIA Mechanism - inhibits the 5a reductase enzyme responsible for DHT production. Effectiveness - A third study of 326 men with mild to moderate frontal hair loss found that after 1 year, finasteride treated men had statistically significantly higher hair counts on the frontal scalp. Approximately 50% of treatedmen and 30% of those who took placebo thought the appearance of their hair had improved. Hair regrowth was not reported in older men taking 5 mg finasteride. Side-effects - A decreased libido, erectile dysfunction, or a decreased volume of ejaculate have been reported in less than 2% of patients, which in reality is between 0.5% to 1% when compared with placebo.[2] Availability - was prescription only. Generic version now available. Cost - $69.95 for 3 months NATURAL REMEDIES FOR BALDNESS Most natural remedies for baldness also work by blocking DHT, either by inhibiting the enzyme or blocking the hair follicle receptor, or providing the nutrient for the hair follicle receptor which DHT blocks. There is also an alternative interpretation of the "DHT alone causes hair loss " theory. Some believe that it is too much active estrogen-like substances as well as too much DHT that is to blame for prostate cancer and losing hair, and not enough free testosterone in the body.[3] This sounds contradictory to the allopathic arguement, and concerning estrogen it is. Some naturopaths say that it is all about what blocks the hair follicle receptors. It is these protein receptors which attract nutrients to the hair. DHT and estrogen-like pollutants both block the receptor.[3] Apparently, certain bacteria which thrive on fat, produce estrogen-like substances[4], and there is excess of the aromatase enzyme (which turns testosterone into estrogen) present in fat cells of obese and balding men. Aging, a high fat diet and lack of exercise can create too much estrogen and too little testosterone. Even if testosterone is at normal levels, active estrogen levels can still be way too high.[3] Although this doesn't explain why women with high estrogen levels don't get male pattern baldness. Here is a list of each remedy for baldness and nutrient: Beta Sistosterol (from the herb: Saw Palmetol) Chrysin (from the herb: Passionflower) Vitamin D Vitamin B12 Biotin (vitamin B7) Iron and L-lysine (for women) Folligen (copper peptide) Soy Rooibos tea BETA SISTOSTEROL Mechanism - blocks DHT from the androgen receptors sites found on the hair follicles. Effectiveness - untested. Mixed reviews from people on health forums. Side-effects - None, but side-effects of the herb Saw Palmetol can be male breast enlargement.[2] Availability - over the counter. Cost - 90 Capsules 400mg $7.95. CHRYSIN Mechanism - increases free testosterone by inhibiting the conversion to estrodiol. Effectiveness - shown to be effective at stopping aromatase in the petridish, but not in the body. Not known if it helps with losing hair.[5] Not a proven remedy for baldness. Side-effects - none. Availability - over the counter. Cost - MRM, Chrysin 500, 30 Caps. $14.99. VITAMIN D Mechanism - binds to the many vitamin D receptors in the scalp and hair follicle. Effectiveness - shown to dramatically stimulate hair follicle growth in "nude" mice.[6] Side-effects - none, unless taken over 50 micrograms per day. Availability - over the counter. Cost - 400iu (10 micrograms) 60 capsules $4.99. VITAMIN B12 Mechanism - deficiency causes hair loss.[7] Effectiveness - 40% of Americans are deficient. Not proven to remedy hair loss if taken.[8] Side-effects - None, unless taken over 100 mcg daily. Availability - over the counter. Cost - 1000 mcg, Tablets $7.99. BIOTIN (VITAMIN B7) Mechanism - increases blood flow to the hair follicle.[9] Effectiveness - it can promote hair growth in high doses, although not a proven remedy for baldness. Side-effects - none. Availability - over the counter. Cost - 300mcg tablets $2.99. IRON AND L-LYSINE (for women) Mechanism - deficiencies in both these nutrients have been associated with losing hair in women.[10] Interacts with zinc and copper.[11] Effectiveness - proven effective remedy for baldness for women with losing hair.[10] Side-effects - none unless taken over 250 mg daily (iron). Availability - over the counter. Cost - 100 Tablets $7.29 FOLLIGEN (copper peptide) Mechanism - most effective blocker of the production of both types of 5a reductase enzyme.[12] Effectiveness - low copper and zinc enzyme levels caused hair loss in mice.[13] A topical copper peptide solution created near perfect hair rejuvenation in 6 months in a woman with 10% of her hair at the start.[14] No studies on the remedy for baldness Folligen itself, but some reports of success by women on forums. Side-effects - none. Availability - over the counter. Cost - 2 oz tube, $21.95. 2 months. SOY Mechanism - promotes the production of the good inactive estrogen. Blocks the receptor sites for active estrogen and inhibits 5a reductase.[3] Effectiveness - proven to inhibit the enzyme 5a reductase.[15] Side-effects - none. Availability - over the counter. A food substance, not a remedy for baldness. Cost - ? ROOIBOS TEA Mechanism - unclear. Effectiveness - in a 10% lotion called herbasol, 89% had increased speed of hair growth. 45% saw an increase in hair growth. 78% reported no further hair loss.[2] Side-effects - none. Availability - over the counter. A food substance, not a remedy for baldness except as above. Cost - ? I would personally recommend trying Beta Sistosterol with a powerful multi-vitamin and mineral supplement coupled with the Folligen solution as a good remedy for baldness. -------------------------------------------------------------------------------- [1] Have Scientists Accidentally Discovered the Answer to hair loss? http://www.emaxhealth.com/65/6131.html [2] Treatments for hair loss. http://www.hairlosstalk.com/download/sawaya1.pdf [3] Grow Young and Slim http://www.growyoungandslim.com/articles/Mens_Health_102a.pdf [4] Health Loss Education http://www.stuff4beauty.com/page/hairlosseducation.htm [5] Chrysin: Is It An Effective Aromatase Inhibitor? http://www.vrp.com/art/1208.asp [6] Vitamin D3 analogs stimulate hair growth in nude mice. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12399436&query_hl=41 [7] Diet and Nutrition - vitamin B12. http://www.internethealthlibrary.com/DietandNutrition/VitaminB12.htm [8] Do You Need B-12? http://thyroid.about.com/cs/newsinfo/l/blb12anemia.htm?terms=vitamin+B12+and+Tufts+ [9] Biotin and Hair Growth http://www.add-hair.com/Biotin-hair-loss.htm [10] Nutritional factors and hair loss. http://www.blackwell-synergy.com/links/doi/10.1046/j.1365-2230.2002.01076.x/abs/ [11] Interaction of iron, zinc and copper in the body of animals and humans http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2700243&dopt=Abstract [12] Folligen http://www.folligen.com/ [13] Age-related cochlear hair cell loss is enhanced in mice lacking copper/zinc superoxide dismutase http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10466888&dopt=Abstract [14] Have Scientists Accidentally Discovered the Answer to hair loss? http://www.emaxhealth.com/65/6131.html [15] Regulation of Male Sex Hormone Levels by Soy Isoflavones in Rats http://www.leaonline.com/doi/abs/10.1207/S15327914NC422_9;jsessionid=nFFp1FovOhX-OhcS3V?cookieSet=1&journalCode=nc penis enlagement pump penis enlargement supplement plastic surgery penis enargement truth about penis elargement pills vimax free penis enlargement penile enlargement technique prosolution pnis enlargement pills cheap vigrx pills

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Nigerian government is advising its people to eat chocolate for enhancing their sexual pleasure instead of spending on high cost drugs like Viagra, Cialis and Levitra. After Goji berry, is that a new gimmick? Dr. Dora Akunyili has proved through her scientific tests that cocoa has libido enhancing qualities, is it not quite an old story? Actually there is a scientific reason behind the trend of gifting chocolate bars and candies to our lovers. It is said to stimulate the hormones that is responsible for the feelings related to love, because of a natural chemical present in chocolate, it works as an aphrodisiac. Now Nigeria's national committee for the development of cocoa is giving examples of marketing campaigns by the British trade association that talks about the sexual enhancement qualities of chocolates. Compared to Viagra, chocolate has no side effect, says Dr. Akunyili. It is a great anti-oxidant known to prevent heart attack, diabetes as well as hypertension. Of course chocolate would have been far better option compared to the PDE5 inhibitors if it was able to treat the erectile dysfunction. Because it tastes better, costs less with no side effect at all. But unfortunately, human mechanism is not so simple, neither is the anatomy of erection. Having high libido is not enough for a satisfactory sexual intercourse until a man can have a strong penis erection and hold it till the end. Do you agree? I think there is no other way to do it right when vaginal penetration is the question. Yet again, this is time to remind you that the terms like ‘low libido’ or ‘less’ or ‘no sexual drive’ do not mean a man has erectile dysfunction. At the same time, a man with ‘erectile dysfunction’ or ‘impotence’ may enjoy high libido or sexual excitement. Goji berry and cocoa may act as a natural aphrodisiac, enhancing a person’s sexual drive, PDE 5 inhibitors like Viagra treat the disease that causes inability to get an erection or sustain an erection even with good amount of sexual stimulation or high sexual drive. Viagra treatment is totally different! It relaxes the muscles in the penis and increases blood flow into it so that the blood engorges the penile section helping a man get a strong erection for a successful vaginal intercourse. Viagra is not an aphrodisiac, so it does not enhance your sexual drive. More importantly, you need sexual stimulation to get an erection after the oral administration of Viagra. Viagra is a treatment for the most common disorder erectile dysfunction in men that makes them ‘impotent’. There is no use comparing Goji berry or cocoa like natural substances with Viagra and other PDE5 inhibitors from sexual perspective. But of course they can be compared for their benefits in life threatening matters like preventing heart attack and pulmonary diseases. ___________________________________________________________________ penis enlarement stretcher penile enlargment supplement vimax penis enlargment vimax penis enlargement surgeries natural pennis enlargement exercise penis enhancement excercises buy penile enlargment pills magna rx results penis enlargment pills product

1. WHAT ARE SEXUALLY TRANSMITTED DISEASES (STDS)? Sexually transmitted diseases are diseases that can be passed from person to person through sexual contact. In this case sexual contact means penis-vagina penetration, oral sex which is sexual contact using the mouth, and insertion of the penis into the rectum which is anal sex. Some of these diseases may be transmitted by exchange of sexual fluids such as semen or vaginal discharge. Some of the STD's result in open sores, and it can be spread by contact with skin of someone else. There are also ways to transmit these diseases in a non sexual way, an infected pregnant woman can either give it to her baby during pregnancy, or when the baby is being delivered. Drug abusers can transmit the disease through sharing hypodermic needles that have been used by an infected person. The seriousness of STD's varies, some are cured easily by drugs, others need a combination of treatments and drugs, whilst others have no cure, and the only option is treatment. 2. WHAT ARE SEXUALLY TRANSMITTED IINFECTIONS (STI's)? Any infection that is usually passed through sexual contact. 3. ARE THE TWO WORDS INTERCHANGEABLE? Fifteen years ago both these categories came under one name Venereal Disease (VD). To distinguish between them they were separated into infections (STI) and diseases(STD). Infection means that a germ, bacteria, parasite or virus is present in the body. An infected person does not necessarily have any symptoms, which means that they do not usually feel ill..A disease is any abnormal condition of the body or mind that causes discomfort, dysfunction, or distress, in other words your body tells you that you are unwell. This means that STI covers a wider range than the term STD. STD refers only to infections that are causing problems. Because most of the time, people don't know they are infected with an STI until they start showing symptoms of disease, the AIDS Resource Center uses the term STD, even though the term STI is also appropriate in many cases. Let's see if we can simply un-muddy the waters here. Genital herpes has two states when the blisters are present and when they are absent. When they are present they are causing symptoms, ie the blisters, at this stage it is an STD, and it is that this stage that the infection is most likely to be spread to another person.When the blisters are absent then there are no symptoms, and this is then an STI, and the likelihood of an infection is reduced. However HIV can be an infection, in the sense that there may be no symptoms, when they develop symptoms then they have AIDS which is an STD. However it is important to remember that HIV infection can be spread at any time. 4.WHAT IS THE RELATIONSHIP BETWEEN STD'S AND HIV? A person who is already infected with STD, has a higher risk of contracting HIV if they have unprotected sex, without a condom. This risk is greater if the STD causes open genital sores, as these wounds provide a break in the skin which enables the HIV infection to enter the blood stream. STDs that can cause genital ulcers include genital herpes, syphilis, chancre, gonorrhoea, trichomoniasis, and scabies. 5.WHY IS IT DIFFICULT TO RECOGNIZE THAT YOU MAY HAVE A STD? First of all the majority of the people with STD have no immediate symptoms and when they do have them it can be misleading to diagnose as the symptoms can be confused with non sexual diseases. Please note that this applies much more to women than men. 6. WHAT ARE THE MOST COMMON SYMPTOMS FOR WOMEN WHEN THEY ARE SUFFERING FROM AN STD? unusual or bad-smelling vaginal discharge, severe itching or burning in the genital area, unusual bleeding, pain in the pelvic region, pain during sex, rashes on the genitals, open sores or warts on the genital area, and/or recurrent urinary tract infections. 7. WHAT ARE THE MOST COMMON SYMPTOMS FOR MEN WHEN THEY ARE SUFFERING FROM AN STD? In men, the most common symptoms of STD are: pain when urinating, open sores or warts on the genital are genital rash discharge from the penis, and/or pain in the scrotum/testicles. 8. WHAT ARE THE OTHER SYMPTOMS NOT CONNECTED TO THE GENITALS? The following symptoms are present in both men and women: discharge from the anus, swelling of the groin, jaundice (yellowing of the skin and whites of the eyes), oral thrush (white tongue), arthritis, sores or bumps in and around the mouth, and generalized rashes. 9 CAN I CONTRACT STI AS A RESULT OF MUTUAL MASTERBATION? Yes you can and listed below are some examples: Bacterial Vaginosis Cytomegalovirus (CMV) Herpes Simplex Human Papilloma Virus (HPV, Warts) Pubic Lice Scabies 10. CAN I PREVENT GETTING STI or STD? The only foolproof way is abstinence from sex. A condom merely reduces the risk, and it must be used every time, before any sexual fluids are exchanged. enlargment free penile pills sample vimax penis enlargement supplement vimax patch penile enlargment forum vimax permanent penis enlargement penis enlarement photo penis enlargement review penis enhancement pump penis enlargment pills product

Do you know what Crohn’s disease is? It is a chronic inflammatory disorder that causes ulcerations in the small and large intestines. This happens when the body tissues are attacked by its own immune system. Recently a study published in The Lancet says that Crohn’s disease is caused by a weak immune response and Viagra can be of help in this condition. A group of researchers in the University College London, UK found out a new reason behind the inflammation in Crohn’s. They tested inflammatory response to bacteria by injecting harmless Escherichia Coli under the skin to measure local inflammatory and blood flow changes. Their investigation showed that the Crohn’s patients had very low blood flow producing lower quantities of neutrophils and inflammatory mediators. The problem with low blood flow, they suggest, can be treated with Sildenafil Citrate. According to Anthony Segal, the main researcher, in Crohn's disease, a constitutionally weak immune response predisposes to accumulation of intestinal contents that breach the mucosal barrier of the bowel wall, causing granuloma formation and chronic inflammation. An increased blood flow may increase the immune response in the body and help in treating the Crohn’s disease. The diamond shaped blue pill Viagra, with its main ingredient Sildenafil Citrate, till today, was well known for the treatment of erectile dysfunction. Later, we knew that Viagra can be a good treatment for enlarged heart condition. There are a lot of diseases associated with blood flow and nitric oxide in human body. Viagra has sensed the need to have a control over human body fluid and have been able to control it when required. Viagra is a PDE5 inhibitor that inhibits the reduction of enzyme guanylate cyclase which is responsible for the penile erection. This is because the relaxed penile muscles induce increased blood flow to the corpus cavernosum and engorge the penile section with blood resulting in a firm and hardened penis. With Viagra, it becomes easy to attain and sustain a penile erection. The amazing fact about Viagra is, the compound was studied initially as a treatment of heart related diseases. It was by chance found very affective in improving the penis erectile functions. This mechanism of Sildenafil Citrate did what no other drug could do. It addressed the problem of mail impotence for the first time and proved that it is like any other physical condition which can be treated with medications. Slowly researchers from the different corners of the world have found out the potentials of the wonder drug. It can protect the heart from the damages of heart attack and stroke; it has been prescribed for the rare heart conditions, recommended for women with diabetes and even for stimulating brain function. Now the latest being Crohn’s disease, Sildenafil seems to be a magic pill created by Pfizer for the purpose of healing the human ailments. God bless Viagra and Viagra maker; long live the blessed human race! ___________________________________________________________________ vimax penis enlargement excercises enlargement free penis pills sample compare penis enlarement pills best penile enlargement pills pennis enlargement surgeries penis enlarement surgery photo vimax natural penis enlargement technique medical penis enhancement penis enlargment pills product

Looking at the psychology of impotence is a little like taking a trip down the Amazon during the wet season. It's a subject fraught with hidden currents, treacherous shallows and wide meanderings. There is no doubt that Viagra, the little blue pill that revolutionized the treatment of impotence has had a profound effect on men who have erectile dysfunction. But simply finding a "quick fix" for impotence doesn't overcome other problems that may have been there before treatment began. Overcoming impotence often gives men unrealistic expectations about their ability to immediately cure their emotional problems as well as their physical ones. The Psychology of Impotence Sadly it seems that for a large number of men, their ability to get an erection and have sex is viewed as an integral part of their masculinity and potency. So it's no wonder that the onset of impotence, even when triggered by an underlying physical condition, can produce psychological problems that further impact on the impotence. Performance anxiety is a very real issue for most men at one time or another. The fear of not being able to perform adequately, dissatisfaction with penis size, and self-consciousness about body appearance can all lead to the very thing that most men wish to avoid - failure to get an erection. So, when this anxiety is coupled with the knowledge there may have been an occasional episode of impotence in the past, or when erectile dysfunction has been in existence for a period of time, this anxiety is multiplied. From a strictly physiological viewpoint, anxiety can effectively prevent a man from becoming aroused and getting and maintaining an erection. And performance anxiety isn't the only issue men have to contend with. The highest risk category for the onset of impotence is the so-called "baby-boomers" - men born in the period from 1946 to 1964. Most of these men are in their peak performance years in terms of their job, status, family and financial success. And all these factors lead to an increase in stress levels and anxiety - one more reason for impotence to occur. Taking a pill may temporarily overcome the impotence, but relieving the self-doubt and mental stress, which may have been brooding for any number of years, is harder to alleviate. The ability to regain quality of life by restoring sexual function is viewed by some men as a near miracle and by others with fear and trepidation. It's important to honestly assess how you feel now and compare it to how you felt before the impotence treatment began. Easier said than done, but unless the negative feelings tied to the impotence can be viewed objectively, it's akin to the stories people who have gained a great deal of weight often say "I feel like a thin person trapped in a fat person's body". For men it's "I feel like an impotent man trapped in a body that now has full sexual function." The psychology of impotence is about viewing your new life - with sexual function - as a new beginning, complete with all the new emotions that may be experienced. There's no point in trying to "recapture" your life the way it was prior to impotence, regardless of whether that was only months ago or many years ago. Time moves on, and trying to live out life the way it used to be is a sure-fire bet for failure. The Psychology of Impotence in a Relationship Finding an effective treatment to restore erectile function is not a guarantee that you will find an effective treatment for a relationship in need of psychological, physical or emotional repair. And in most situations it's not a "cure" for intimacy, romance or monogamy. The restoration of erectile function can quickly and unexpectedly alter the dynamics of a relationship, particularly when impotence has been a long-term problem. A profound, and often immediate, change in male sexual function is no small matter, and cannot be dealt with in the time it takes to swallow a little pill. We live in an age of "quick fixes", and while it's true that impotence medications can quickly help overcome physiological problems, it's the couple who must resolve their relationship issues. And that takes dedication, effort - and time. The renewal of sexual function is viewed by a number of men as being given a "second chance". They don't take their restored function for granted and are usually willing and eager to explore their feelings and their relationship with renewed hope and vigor. Sadly, that's not always the case. Many men who have dealt with impotence for a long period of time find that being able to resume intercourse is not the solution for a disintegrating relationship. New and unfamiliar pressures can be exerted on both partners and it's often a time when a couple need to seriously evaluate the health of their relationship. Evaluating your relationship and your sex life in an honest and candid way can have an impact on both of you. THE MEANING OF SEX IN YOUR RELATIONSHIP It's no secret that men and women react differently to sex - before, during and afterwards. As part of the solid foundation between two people, it can bring intimacy, joy and trust to each partner. However, as the sole pillar in a faltering relationship, it can be the weak link. In between these two standards is an entire universe of emotions and experiences that are unique to each couple. Think about your feelings regarding your relationship: How happy are you with your partner? How satisfied are you with your sex life? How satisfied is your partner with your sex life? Is your relationship based on friendship, mutual understanding and trust, family commitments, or sex? How well do you both communicate your feelings about all aspects of your relationship? Remember that a mutually satisfying sex life is an integral part of a healthy relationship. When the physical aspects of your relationship are on track, you create an experience that is greater than the two of you, and one that adds to your overall mental and physical contentment. IDENTIFYING SEXUAL PROBLEMS AND ANXIETIES Close examination of your sexual partnership with a view to solving any problems that exist is an extremely delicate matter. Being able to openly and candidly express the things that make you uncomfortable, cause embarrassment, or deny you pleasure requires a great deal of tact and diplomacy. Communicating your desires, the things that bring you pleasure and what it takes to bring you sexual fulfillment can be equally embarrassing to express. Good communication is the key to a happy and healthy sexual relationship. Being able to speak frankly about what makes you happy and what doesn't requires courage and empathy - the ability to say how you feel and what you want without upsetting your partner or causing them to go on the defensive. In many cases, couples who have experienced communication problems often seek the help of a mediator or sex therapist to help them clearly and objectively state their case. Having a third party present in such situations can help diffuse tension and ease any difficulties partners may have communicating their feelings to each other. Some of the situations where sexual problems can arise include: When one partner desires sex more frequently than the other. When there is dissatisfaction or a lack of pleasure in your sex life. When one partner feels they give more than they receive. When there is guilt, fear or anxiety about sexual activity. When your preferred sexual activities are at odds with each other. The psychology of impotence is about sometimes stepping into uncharted waters. It requires confidence and the experience that comes with learning, understanding and embracing your own sexual desires and those of your partner. We're not all mind readers, so communicating openly and honestly, and defining what satisfies you sexually is the first step. Listening to your partner in an equally honest and open manner is just as important. Empathy, patience, perseverance and compromise are the markers of a highly successful sexual relationship.