For some people, just getting a stronger deodorant just isn't enough to cover odors. There are many at home remedies for covering up odors effectively and/or getting rid of the issue all together buy cleansing your system of the odor causing problems.
The Lime Method INGREDIENTS: fresh lime juice. INSTRUCTIOS: Rub a lime under arms in the morning. It should last all day.
Baking Soda Method INGREDIENTS: baking soda INSTRUCTIONS: Put a little amount of baking soda, about a spoonful, in the palm of your hand, add little water to make a paste, apply to armpits, rinse. It works!
Drysol Method INGREDIENTS: Dial - antibacterial soap and Drysol (prescription only) INSTRUCTIONS: Dial soap w/ Drysol deodorant. Drysol is a prescription deodorant you apply it at night. The doctors recommend it if you sweat a lot.
Magnesium Method INGREDIENTS: Magnesium tablets INSTRUCTIONS: Many body odors are caused by a magnesium deficiency. Take one tablet a day.
Potato Method INGREDIENTS: 1 regular potato INSTRUCTIONS: Cut the potato into 4 slices. Make sure your underarm is clean and dry! Wipe the potato under each arm a few times,and wait for it to dry. After apply your regular deodorant. Works for all I've told about it.
Mineral Method INGREDIENTS: Thai Crystal deodorant stone INSTRUCTIONS: Just wet it and put it on like deodorant! All it is, is mineral salts that kill the bacteria that cause odor. Works like a charm.
Zinc Method INGREDIENTS: Zinc INSTRUCTIONS: Take two 50mg tablets twice a day for a week. Most of the time, one week works. If not take once a day after the first week till all strong orders are gone.
A man's dream is to be able to please any woman he wants. Some men are naturally blessed and can last for hours in bed during sex. Other men would give anything to be able to last longer in bed. This problem can cause incredible distress and lead to a extremely low level of self-confidence. Use the tips in this article to help yourself overcome premature ejaculation!
If your number one goal is to not suffer from premature ejaculation any longer, you must give kegeling exercises a try. If you have never heard of kegeling exercises, they are a terrific way to last longer in bed. One of the biggest reasons for ejaculating too early during sex is if a man has a weak PC muscle. Your PC muscle can be considered your ejaculatory muscle. If it is strong, you will be able to control your ejaculations without having to stop too soon.
Have you ever tried to stop yourself while urinating? The muscle you feel working while doing that is your PC muscle. At minimum, you should try tightening that muscle on and off to sort of work it out. Another way that is less appealing to most men is to use a glove, and insert a finger into your anus and squeeze the muscle repeatedly about 25 times 3 times a day. In time, your PC muscle will become strong, and really show results that will help you last longer during sex!
If you suffer from premature ejaculation, another way to try and hang on to a few extra minutes is to actually concentrate on things besides having sex. Even though you are having sex, try to really focus your attention on things around you to keep yourself from thinking about ejaculating. Though this sounds very elementary, it actually helps if you want to last longer during sex!
If you're looking for an article about sex tricks, you're in for a disappointment. This is a serious medical article about men's health. Specifically, about how a regular self-preformed testicle massage can improve a man's virility, fertility, and general health.
Regular massages help with the following health concerns:
Low Testosterone Erectile Dysfunction Sexual Performance Poor Fertility
How does it work??
First, it helps your testicles improve their testosterone production. Normal, healthy testicles generate about four to seven milligrams of testosterone a day. If you have a low testosterone count (only one or two milligrams a day), a daily massage may improve your testosterone production.
Second, a massage helps your testicles generate more sperm, increasing your sperm count and ejaculation volume. If you and your partner are having a difficult time conceiving, performing regular testicle massage may improve your chances.
Finally, increased blood flow to the testicles (combined with more testosterone) helps improve blood flow to the penis. If you are having trouble maintaining an erection, a e massage may help.
How Do I Perform a Testicle Massage?
First, wrap a hot towel around your testicle for a few minutes. This will relax and loosen your scrotum enough to perform the testicle massage.
Second, stretch out your testicle skin thoroughly.
Third, using your thumb and forefinger, grab around the base of you scrotum, right under the penis, and gently pull down and squeeze until your testicles are pressed tightly together at the bottom of your scrotum. This is basically to immobilize your testicles, so that they don't roll around while you're trying to massage them (which can be frustrating).
Fourth, with the palm of your other hand, apply gentle pressure on top of your testicles and massage them in a circular motion. While doing this, gently tug downward on your scrotum and testicles. If you feel any pain, reduce the pressure immediately. Continue with this massage, without stopping, for between three to five minutes.
When you are done with the massage, your testicles should appear stretched out and seem to be hanging lower than normal. They may also appear larger than usual. This is because they are slightly swollen due to the increased blood flow. This is nothing to worry about-in fact, it's a good sign. It means you achieved the goal of the testicle massage.
How Often Should I Massage My Testicles?
The average healthy man should perform a e massage about three times a week. If you are using testicle massage to combat physical ailments, such as erectile or fertility problems, then you should perform a testicle massage daily.
For additional information on Testicle Massage, How To Increase The Size of Your Testicles, or How To Boost Your Low Testosterone
HEALTH IS WEALTH....................................NATURAL WAY IS THE BEST .....STOP SPENDING UR MONEY COS HEALTH IS FREE IN GURU'S FORUM.
Back stiffness is typically caused by an excessive load on the back muscles. About two hundred muscles in the back help maintain it's posture. The cause behind stress on back muscles may be the lifting of heavy weight, overexertion of the back muscles and a ungainly position. Your back muscles can also get affected because of an injury or old age.
Exercise, is one of the finest methods to keep the back healthy and strong and also stop aches and pains from troubling the back. Back exercises can be specified into stretching and bolstering exercises. While stretching workouts can be practiced each day, strengthening exercises should be restricted to about three times each week. Different Exercises to Relieve back pain :
Pelvic Tilt - Lie down with your back on the floor with knees bent and feet flat. Stiffen your abdomen and touch the smallest part of your back with the floor. Count for 5 seconds. Repeat the procedure for 5 to fifteen times.
Gluteal Stretch - Lie down with your back on the floor with knees bent and feet flat. Grip your right leg at the back of your thigh and move your knee towards your shoulder. Count for five seconds. Then do the same exercise on the the opposite side. Repeat the procedure five times.
Piriformis Stretch - Sit on a chair. Your left ankle should be placed over the knee and must be at a ninety degree angle of the right ankle. Bend forward and stay in that posture for half a minute. Keep swapping with both the legs.
Lower back stretch - Lie outstretched on the floor with your arms parallel to your body. Inhale, bend your knees and bring them towards your chest slowly. Exhale as you move your legs to the right hand side and touch the floor with your knees. Do at least five sets of this particular exercise.
Common back strengthening exercises:
The Bridge - lie flat on your back with feet flat on the floor. Bend your knees at an angle of 90 degrees. Stiffen your abs and raise your ass off the floor. Shoulder to knees should be in a line. Wait for 5 seconds. Slowly bring down your buttocks to the floor. Repeat the process 5 times.
Wall Slide - Stand in a way that you complete back absolutely touches the floor. Whilst you stick on to the wall, bend your knees in a manner that it makes a forty five degree angle. Stay in the same position for five seconds. Now straighten your knees and return to your normal position. You need to repeat this exercise thrice a day for most satisfactory results.
If you are regular with these back exercises then you'll be able to deal with back pain much better.
GURU IN THE HOUSE, LET GET CRACKING N STOP SPENDING MONEY COS IT REALLY WORKS. By now you would have realized how important your penis size is to better satisfy your woman in bed. And it is not just the length that matters - the width of your penis is sometimes more important to her. By doing some simple daily exercises to improve your penis size, you can be sure of achieving both...in just a matter of weeks!
Sure there are many other methods that can help you increase your penis size. Just walk into any pharmaceutical outlet and ask for supplement pills for penis enhancement, or order that penis enlarging pump you saw advertised on the Internet. But to naturally develop your penis size and make it permanent, without having any unwanted side effects, nothing beats exercising your penis.
It would only take you a few minutes each day to do these exercises to improve your penis size. Here is an example of one routine to show you how easy it takes to grow your manhood naturally through exercise:
1) Use the forefinger and thumb of one hand and hold your penis directly under the head. 2) Stretch out your penis the furthest you can without feeling any sort of pain for about 60 seconds. 3) Release and massage your penis to bring back blood circulation. 4) Repeat the process but this time stretch out your penis to the right, then to the left, and then upwards.
There you have it! No needs for gadgets or weights to do the exercises - just your bare hands will do. And the best part of it all, the whole procedure is natural and only stimulates your penis to develop in size.
And don't be surprised with how effective doing these exercises to improve your penis size can be. Your manhood has the potential to permanently grow by up to 3 inches more...and in just a few weeks time too!
So if you are troubled by your small penis size, there's no reason to be feeling down - there IS a proven way to make your manhood bigger through penis enlargement exercises.
I urge you to start with the penis growth exercises here at PenileSecrets.net today, and if you do, you'll be sure to add up to 3 inches to your penis size in just a few weeks time.
It is easy to get a solid erection when you were years younger. Without knowing it, you have taken this gift for granted. But when age starts to catch up, you will realize that your erections get a bit softer. Even if you manage to get your penis hard, it may not be sustainable.
When age catches up with you, it can be a painful experience. You will feel pain affecting your ego. Your male ego gets a beating because you can't perform in bed. But you don't have to throw in the towel. There is hope for you, yet.
Consider these 5 crucial tips:
1. Dump those tight briefs - it is a known medical fact that tight underwear can affect your erection strength badly. Blood simply can't flow well into your penis and you know how important blood flow is to a hard erection, don't you? Wear loose underwear or boxer shorts if you can.
2. Avoid smoking or drinking - studies indicate that hard drinks and smoking are both no no for your sex life.You will lose your libido as time goes by. Worse still, your erections may weaken and get softer too.
3. Bring out the running shoes- and exercise regularly. Although you may have heard or read this a thousand times, it still won't hurt to listen to it one more time. Exercises not only burn fats and calories but also improve blood flow and overall sexual health for you. Besides, being fit and healthy will make you look years younger and more attractive to women.
4. Eat only good, wholesome foods - this is a commandment. Unhealthy, junk food can never be good for your health Junk foods are bad for your sexual health. Get the drift? Healthful foods like lean meat, fruits, vegetables, etc ensure that your sexual system functions at its peak. This includes hard erections, sex stamina
5. Try herbal erection remedies- they are for your own good. These pills are made of FDA approved herbal ingredients and are a convenient way for you to strengthen your erections. What's more, you can even increase your semen volume with them
For your own sake, please take note of the above pointers. Having a weak erection is definitely an embarrassing thing. It is no good for your ego and self esteem, to say the least. So don't pretend it is nothing to worry about.
One reason's it's so hard to tell the difference is that even the worst diets will likely result in weight loss, at least initially. But it does little good to lose weight, experts say, if it comes right back.
"Don't be fooled into thinking it is because of some magical food, pill or potion. What causes weight loss is eating fewer calories than you burn," says Dawn Jackson-Blatner, RD, a spokesperson for the American Dietetic Association (ADA). "Crazy, unbalanced diets cause weight loss because they are basically low-calorie diets."
After a few weeks on an unrealistic diet, dieters usually become frustrated and give up. This leads to feelings of failure that can help send them right back to their unhealthy lifestyles.
"Fad diets not only fail to produce long-term weight loss, they can lead to deprivation, weight gain, and discouragement," says Michelle May, MD, author of Am I Hungry?What to Do When Diets Don't Work."In other words, you are often worse off than before you started."
The Worst Diets Ever
1. Diets that focus on only a few foods or food groups (like the cabbage soup diet, grapefruit diet, strict vegan diets, raw food diets, and many low-carb diets). Beware of any diet that rules out entire food groups. People need to eat from a variety of food groups to get all the nutrients they need, says ADA spokeswoman Andrea Giancoli, MPH, RD.
Yale University's David Katz, MD, author of The Flavor Point Diet, says that while restrictive diets do work initially, they fail over the long haul. You can lose weight on diets that focus on single foods (like cabbage soup), but how much cabbage soup can a person eat? Before long, you grow weary of eating the same foods every day, and cravings for favorite foods lead you back to your former eating behavior.
Keep in mind that all foods can fit into a healthy lifestyle in moderation -- even things like bacon, super-premium ice cream, and chips. And when diets forbid certain foods and dieters envision a life without their favorite treats, those diets usually fail. "Any time you restrict a certain food, it triggers cravings for the forbidden fruit and sets up a restriction-binge cycle," says Blatner. The Worst Diets Ever continued... And what about restrictive diets that offer a rewarding "cheat day"? May labels them "absurd."
"It just doesn't make sense to try to be perfect (whatever that is) on Sunday to Friday while obsessing about everything you are going to eat on Saturday," she says.
2. "Detox" diets (like Master Cleanse, the Hallelujah Diet, and The Martha's Vineyard Diet Detox). Extreme regimens calling for procedures like liver flushes, bodily cleanses, colonics, hormone injections, and more are highly suspect, experts say.
"All the flushes and cleanses are pure nonsense, unnecessary, and there is no scientific basis for these recommendations," says Pamela Peeke, MD, chief medical correspondent for the Discovery Health channel. "Your body is well equipped with organs, such as the liver and kidneys, and the immune system, to rid itself of potential toxins and does an excellent job of cleansing itself without needing flushes or cleanses."
3. Diets with 'miracle' foods or ingredients (like supplements, fructose water, bitter orange, green tea, apple cider vinegar). Dieters are always searching for the food, pill, or potion that will help them lose weight, but unfortunately, there are no such miracle ingredients. "No one single food or group of foods eaten together or at a certain time of day has any impact on weight loss," notes May.
Be leery of any plan that recommends a shelf full of supplements, enzymes, or potions (especially if you purchase them from the diet book author or company).
"You don't need expensive supplements," says Blatner. "If you want to take a once daily multivitamin for nutritional insurance, that is fine, but otherwise, we recommend you get your nutrients from food."
4. Fasting and very low-calorie diets (like the "Skinny" vegan diet, Hollywood Diet, and Master Cleanse). Fasting has been a cultural and religious tradition for centuries, and is fine for a day or so, but fasting for weight loss is counterproductive, Giancoli explains.
"When you ... consume too few calories, your body thinks it is starving and adjusts the metabolism," she says. "But when you go back to eating normally, your metabolism doesn't readjust and therefore you need fewer calories than before -- otherwise known as the yo-yo syndrome."
What's worse, weight loss during a fast is usually a combination of fat, fluid, and muscle, but the pounds regained will probably be all fat. Not convinced yet? Giancoli says you won't feel good, nor will you have much energy to be physically active while fasting.
And what about very low-calorie diets? Blatner say that diets promising losses of more than a half to 1 pound per week are simply not realistic.
"When you see diet books touting 5, 10 or 15 pounds in a short period of time, it is unrealistic," says Blatner. Depending on how much you have to lose, you may experience some initial water loss. But over time, weight loss averages out to around a pound per week, she says.
5. Diets that sound too good to be true (like The Weight Loss Cure 'They' Don't Want You to Know About.) If it sounds too good to be true, it probably is. Diet plans that claim to have a "secret," that make dramatic statements against respected health authorities, or make recommendations that contradict those of scientific organizations are suspect. Finding a Diet That Works There is no such thing as one size fits all when it comes to diet plans, and it's key to find one that fits your lifestyle. The best diet is one you can safely and realistically stick with for the long term, plain and simple.
"It should be flexible enough to fit into your real life and should encourage healthier eating by focusing on balance, variety, and moderation" says May. "I encourage my patients to enjoy eating the foods they love every day, mindfully and in moderation."
In fact, the best "diet" may not be a diet at all, says Katz.
"Forget about 'dieting' and instead, think about strategies to satisfy your hunger for fewer calories," he says. "Eating more fruits, vegetables, whole grains, and lean protein can help manage your appetite."
Blatner recommends using diet books as a loose template for tips, strategies, and behavioral ideas. Or save your money and follow the three-step approach she uses with her own weight loss clients:
Take inventory of what you're doing now and identify your "weakest link." "Most people know immediately where they are vulnerable -- 3 p.m. snacking, monster portions, too much alcohol, (an) insatiable sweet tooth, or snacking all day long," she says. Katz suggests trying to identify what led to your weight gain and address it. For example, if you overeat because of stress, consider a stress management course. Develop a strategy to address areas where you're vulnerable so you can set yourself up for success. Identify one to three small changes you can make right now in your diet and exercise habits. "Even though they want quick results, this method has proven to be safe, effective, and sustainable long term," Blatner says. Reassess in a few weeks to see whether your changes are working; then make a few more small changes. "It takes about 12 weeks for you to see progress, and that is about the time you should incorporate a few more changes so you keep pushing the bar," Blatner says. HEALTH IS WEALTH ..... STAY HEALTHY
GURUS IN THE HOUSE,, Erection Problem Checklist An occasional problem achieving an erection is nothing to worry about. But failure to do so more than 50% of the time at any age may indicate a condition that needs treatment. Are you at risk for erectile dysfunction (ED)? Take the following quiz and find out.
Are you overweight? Yes or No Do you have any of the following conditions? Diabetes High cholesterol Depression Atherosclerosis (hardening of the arteries from plaque) Kidney disease Do you: Smoke Drink alcohol Use recreational drugs How often do you exercise? Daily Once or twice a week A couple of times a month I never seem to get around to it How often do you feel stressed? Much of the time Sometimes Rarely Answers: Overweight men are more likely to have ED Common causes of ED include nerve diseases, psychological conditions and diseases that affect blood flow. A number of prescription drugs and over-the-counter drugs may also cause ED by affecting a man's hormones, nerves or blood circulation Tobacco, alcohol and recreational drugs can all damage a man's blood vessels and/or restrict blood flow to the penis, causing ED Regular exercise can reduce the risk of ED Stress and anxiety are leading causes of temporary ED Questions to Ask Your Doctor Does my erectile dysfunction stem from an underlying illness? Could any of my medicines be causing this problem or making it worse? Could stress or a psychological problem be to blame for my erection difficulties? Are there medications I can take?
Did You Know? Misinformation about erectile dysfunction includes the notion that ED, also called impotence, is an unavoidable consequence of aging. ED is not considered normal at any age, nor is it normal for a man to lose erectile function completely as a result of being older. Another myth is that tight underwear causes ED. While physical and psychological conditions can lead to ED, tight underwear is not to blame. Tight underwear may be a factor in producing a low sperm count. ED can be treated with oral medications, sex therapy, penile injections and surgery, such as penile implants. Intercavernous injection therapy is a medication injected directly into the penis to treat ED. Intraurethral therapy is a suppository medication that is inserted into the urethra to treat ED. Urologist is a doctor specially trained to treat problems of the male and female urinary systems, and the male sex organs. Know Your Numbers At least 20 million American men have some degree of erectile dysfunction, and about one in 10 adult males suffers from ED long-term. About 40% of men in their 40s report at least occasional problems getting and maintaining erections. So do more than half (52%) of men aged 40 to 70, and about 70% of men in their 70s. Failure to achieve an erection less than 20% of the time is not unusual; treatment is rarely needed. Atherosclerosis alone accounts for 50% to 60% of ED cases in men 60 and older. Between 35% and 50% of men with diabetes have ED, and ED may be a predictor for other vascular problems.
GOOD MRG, GURU IN THE HOUSE, WELCOME TO HEALTH IS WEALTH SEGMENT.......ENJOY. Ladies, be honest: when your sex life becomes a little humdrum, out comes the mental catalogue of all the ways your partner isn’t quite measuring up. Guys tend to get a bad rap when it comes to understanding women’s bodies and what turns us on, making them easy targets in the blame game when sexual satisfaction starts to wane. And sure, they make their fair share of bedroom errors. But as the saying goes, it takes two to tango. As it turns out, top sex and relationship experts say that women make plenty of sex mistakes of their own. Here’s what they have to say about the six most common mistakes women make in the bedroom and what you can do to get the satisfaction you so rightly deserve.
Sex Mistake #1: Not Initiating Sex With Your Partner It’s 2009 and still, many of us worry about ladylike behavior. We don’t want to appear pushy or come on too strong for fear of being labeled aggressive. According to Les Parrot, professor of psychology at Seattle Pacific University and author of a new book called Crazy Good Sex, failing to initiate sex is one of the biggest mistakes women make.
“Most guys feel like they are always the initiator and that sets up disequilibrium on the passion scale in the relationship,” he says. Generally, men want to be pursued by their partners just as much as women do.
Holding onto outdated ideas about sex roles also inhibits satisfaction with our sexual relationships, says "Dr. Ruth," aka Ruth Westheimer, PhD, a psychosexual therapist, professor at New York University, and lecturer at Yale and Princeton universities. “They used to think that women are less interested in sexual activity and I don’t want to say that anymore. I think there are women who are as interested in sex [as men].”
Show your interest by taking the first step from time to time. Your partner will likely appreciate it, and you may find a new level of satisfaction in taking responsibility for your sexual experience, something Westheimer feels strongly women must do.
Sex Mistake #2: Worrying About What You Look Like
Thinking about how you look during sex stops you from enjoying yourself and ruins your chances of achieving an orgasm.
“Don’t think about the fat on your belly or the makeup on your face,” advises Westheimer. “Concentrate on the pleasure of the act. You must give yourself permission to have an orgasm.”
“Men want their wives to abandon themselves in sex play, and that’s not likely if she is anxious about her physical concerns,” Parrott says.
Helen Fisher, PhD, a cultural anthropologist at Rutgers University and author of a new book called Why Him, Why Her, says men don’t notice half the things women obsess about anyway. Sex Mistake #2: Worrying About What You Look Like continued... “It’s amazing what men don’t notice if you’re enthusiastic, energetic, interested in them, and flexible minded.”
According to Fisher, there is an evolutionary explanation for the selective blindness men show to our physical flaws. For Darwinian reasons, says Fisher, men are (unconsciously, of course) looking for women who are able to bear healthy babies. Starting millions of years ago, men who attracted fertile women and had a lot of children lived on. Those who couldn’t died out. Although maybe not as necessary today, Fisher says that primal survival mechanism lives on.
“Men are much more attracted to women who show signs of health and youth and fertility. Rather than worry about the shape of your waist and hips, worry about your energy level and enthusiasm and interest in him,” Fisher advises.
Sex Mistake #3: Assuming Sex Is Casual for a Man Westheimer believes we should all let go of old-fashioned notions, such as women are not sexual or that sex is just sex to men. “For some men, sex is a very important act. Don’t minimize it.”
The research, says Parrott, supports the idea that both men and women find sexual intimacy in the context of a committed relationship to be more satisfying.
“Numerous research studies make it very clear that the people who have the best quality and most frequent sex are married couples. That says a lot about the inadequacies of ‘casual sex,” Parrot says.
In a study being conducted by Fisher and her colleagues of university students engaging in one-night stands, the numbers show that men are just as serious about sex and relationships as women. In fact, more than 50% of women and 52% of men who went into a one-night stand, according to Fisher, reported that they did so hoping to create a longer relationship. One-third of them actually did so. What’s the lesson?
“Never assume that a man is not romantic,” Fisher says. “Two huge mistakes in this culture are that women are not sexual and that men are not as romantic [as women].”
Sex Mistake #4: Believing He’s Always Up for Sex
Sure, most teenage boys are ready and willing just about any time you ask, but not true for men. The pressures of everyday life -- family, work, bills -- can zap a man’s libido. This comes as a big surprise to many women, and often his lack of interest in sex is something we take personally.
“It comes as such a shock [to women] that they just don’t believe it,” Fisher says about the reaction many women have when their partner says they aren’t in the mood for sex. “They know themselves that they are not always interested in sex but they still love the man. But when they discover he doesn’t want to have sex, they think, ‘he doesn’t love me.’ Not true. He just doesn’t want to have sex.” Sex Mistake #5: Not Giving Him Guidance
Talking very directly about sex, what we like and don’t like can make us feel uncomfortable, even with a partner we’ve been with for a long time and otherwise feel close to, says Parrott. But it’s the only way to achieve a satisfying sexual relationship.
“A woman must take responsibility for her sexual encounter,” says Westheimer. “No man can bring a woman to orgasm if she doesn’t take responsibility for her sexual experience. Even the best lover can’t know what she needs without her letting him know.”
The good news, according to Fisher, is that men very much want to please women.
“If you can tell them in a way that doesn’t kill their ego, they will appreciate it,” says Fisher. She advises women to sandwich what they don’t like in between five things they do, because he’s listening. “You won’t find out until the next time you’re in bed with him. But men do listen, particularly if you’re quite clear about it.”
Sex Mistake #6: Getting Upset When He Suggests Something New
After a couple has been together for a while, it’s natural to want to spice things up with a little variety. Just because your man wants to try something new doesn’t mean he’s unhappy with you or your sex life. In short: Don’t take it personally.
Still, it’s important that you tune into your comfort zone says Parrott.
“Nobody should ever feel obligated to do something they don’t want to do in the personal and intimate area of sexuality,” Parrott says. “If your man asks you about trying something that’s outside of your morals, make it clear that it’s off limits for you and explain why. Of course, do this in a loving way as best you can. If it is something that is not really a moral issue for you but you still don’t want to, again explain why. If it is a simply a startling request and you’re initially uneasy about it, try not to overreact. Instead, let him know you need some time to think about it.”
GURUS IN THE HOUSE, Sometimes, the pressure of caring for someone who is elderly or who has a chronic illness can lead to stress and a condition called "caregiver burnout." To prevent this, it's essential to know how to manage your caregiver stress.
What Is Caregiver Stress? Caregiver stress is a reaction to changes that overwhelm your emotional capacity and requires you to adjust or respond. Our bodies are designed to feel stress and react to it. Not always a bad thing, stress keeps us alert and ready to escape danger.
It's not always possible to avoid change or the situations that can cause stress; as a result, you can begin to feel overwhelmed and unable to cope. When it persists, stress can affect the body's immune system, leading to illness. The key to coping with stress is to identify the causes of stress in your life, then learn healthy ways to deal with them. It's important to remember that stress comes from how you respond to stressful events. Therefore, you have some control over stress and how it affects you.
What Causes Caregiver Stress? Caregiver stress can be caused by anything that requires you to adjust to a change in your environment. Your body reacts to these changes with physical, mental, and emotional responses. We all have our own ways of coping with change, so the causes of stress can be different for each person. Becoming a caregiver is a common source of stress for many people.
When you are not sure of the exact cause of your stress, it may be helpful to know the warning signs. Once you can identify these signs, you can learn how your body responds. Then you can take appropriate steps to reduce the stress.
What Are the Warning Signs of Caregiver Stress? Your body sends out physical, emotional, and behavioral warning signs of caregiver stress.
Emotional warning signs:
Anger Inability to concentrate Unproductive worry Sadness and periodic crying Frequent mood swings Physical warning signs:
Stooped posture Sweaty palms Tension headaches Neck pain Chronic back pain Chronic fatigue Weight gain or loss Problems with sleep Behavioral warning signs
Overreacting Acting on impulse Using alcohol or drugs Withdrawing from relationships Changing jobs often
What Can I Do to Reduce Caregiver Stress in My Life? Finding ways to reduce caregiver stress will help lessen the long-term emotional and physical toll. Tips for managing stress include:
Keep a positive attitude. Believe in yourself. Accept that there are events you cannot control. Be assertive instead of aggressive. "Assert" your feelings, opinions, or beliefs instead of becoming angry, combative, or passive. Learn to relax. Exercise regularly. Your body can fight stress better when it is fit. Stop smoking. Limit yourself to moderate alcohol and caffeine intake. Set realistic goals and expectations. Get enough rest and sleep. Your body needs time to recover from stressful events. Don't rely on alcohol or drugs to reduce stress. Learn to use stress management techniques and coping mechanisms, such as deep breathing or guided imagery. Tips for Coping With Caregiver Stress (continued) Relaxation Techniques for Caregiver Stress Most people don't have a plan for coping with caregiver stress. Fortunately, there are a number of relaxation techniques and coping mechanisms that you can use to help deal with stress, such as:
Two-minute relaxation. Switch your thoughts to yourself and your breathing. Take a few deep breaths, exhaling slowly. Mentally scan your body. Notice areas that feel tense or cramped. Quickly loosen up these areas. Let go of as much tension as you can. Rotate your head in a smooth, circular motion once or twice. (Stop any movements that cause pain.) Roll your shoulders forward and backward several times. Let all of your muscles completely relax. Recall a pleasant thought for a few seconds. Take another deep breath and exhale slowly. You should feel relaxed. Mind relaxation. Close your eyes. Breathe normally through your nose. As you exhale, silently say to yourself the word "one," a short word such as "peaceful," or a short phrase such as "I feel quiet." Continue for 10 minutes. If your mind wanders, gently remind yourself to think about your breathing and your chosen word or phrase. Let your breathing become slow and steady. Deep breathing relaxation. Imagine a spot just below your navel. Breathe into that spot, and fill your abdomen with air. Let the air fill you from the abdomen up, then let it out, like deflating a balloon. With every long, slow breath out, you should feel more relaxed. Guided imagery. Guided imagery is a meditative technique that involves focusing on a particular sensory image to create a specific physical reaction. Guided imagery (also called guided meditation) is a form of mind-body therapy that can bring about deep relaxation and positive focus, the state of mind and body most conducive to healing. Guided imagery also can be used to release tension, anxiety, and stress. Biofeedback. Biofeedback helps a person learn stress-reduction skills by providing precise, immediate information about muscle tension, heart rate, and other vital signs as a person attempts to relax. It is used to learn total body relaxation and also to gain control over certain physiological functions that cause tension and physical pain. Behavioral changes. Changing certain thought patterns and behaviors can help you better manage difficult situations and stress. Examples include checking your assumptions, sharing your expectations with others, being assertive, exercising and eating healthy, focusing on positive relationships, forgiving, communicating feelings, listening, and rewarding yourself and others. By recognizing your warning signs and taking steps to reduce the stress in your life, you should be able to cope more easily with the pressures of being a caregiver.
Sexual Addiction The term “sexual addiction” is used to describe the behavior of a person who has an unusually intense sex drive or an obsession with sex. Sex and the thought of sex tend to dominate the sex addict's thinking, making it difficult to work or engage in healthy personal relationships.
Sex addicts engage in distorted thinking, often rationalizing and justifying their behavior and blaming others for problems. They generally deny they have a problem and make excuses for their actions.
Sexual addiction also is associated with risk-taking. A person with a sex addiction engages in various forms of sexual activity, despite the potential for negative and/or dangerous consequences. In addition to damaging the addict's relationships and interfering with his or her work and social life, a sexual addiction also puts the person at risk for emotional and physical injury.
For some people, the sex addiction progresses to involve illegal activities, such as exhibitionism (exposing oneself in public), making obscene phone calls, or molestation. However, it should be noted that sex addicts do not necessarily become sex offenders.
Behaviors associated with sexual addiction include:
Compulsive masturbation (self-stimulation) Multiple affairs (extra-marital affairs) Multiple or anonymous sexual partners and/or one-night stands Consistent use of Unsafe sex Phone or computer sex (cybersex) Prostitution or use of prostitutes Exhibitionism Obsessive dating through personal ads Voyeurism (watching others) and/or stalking Sexual harassment Molestation/rape Generally, a person with a sex addiction gains little satisfaction from the sexual activity and forms no emotional bond with his or her sex partners. In addition, the problem of sex addiction often leads to feelings of guilt and shame. A sex addict also feels a lack of control over the behavior, despite negative consequences (financial, health, social, and emotional).
How Is Sexual Addiction Treated? Most sex addicts live in denial of their addiction, and treating an addiction is dependent on the person accepting and admitting that he or she has a problem. In many cases, it takes a significant event -- such as the loss of a job, the break-up of a marriage, an arrest, or health crisis -- to force the addict to admit to his or her problem.
Treatment of sexual addiction focuses on controlling the addictive behavior and helping the person develop a healthy sexuality. Treatment includes education about healthy sexuality, individual counseling, and marital and/or family therapy. Support groups and 12 step recovery programs for people with sexual addictions (like Sex Addicts Anonymous) also are available. In some cases, medications used to treat obsessive-compulsive disorder may be used to curb the compulsive nature of the sex addiction. These medications include Prozac and Anafranil.
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Key Points Staging describes the extent or severity of an individual’s cancer. Knowing the stage of the disease helps the doctor plan a person’s treatment and estimate prognosis (see Question 1). Staging systems for cancer have evolved over time and continue to change as scientists learn more about cancer (see Question 3). The TNM staging system is based on the extent of the tumor (T), spread to lymph nodes (N), and metastasis (spread to other parts of the body) (M) (see Question 4). Most cancers can be described as stage 0, stage I, stage II, stage III, or stage IV (see Question 4). Physical exams, imaging procedures, laboratory tests, pathology reports, and surgical reports provide information to determine the stage of the cancer (see Question 6).
What is staging? Staging describes the extent or severity of an individual’s cancer based on the extent of the original (primary) tumor and the extent of spread in the body. Staging is important:
Staging helps the doctor plan a person’s treatment. The stage can be used to estimate the person’s prognosis (likely outcome or course of the disease). Knowing the stage is important in identifying clinical trials (research studies) that may be suitable for a particular patient. Staging helps researchers and health care providers exchange information about patients. It also gives them a common language for evaluating the results of clinical trials and comparing the results of different trials.
What is the basis for staging? Staging is based on knowledge of the way cancer develops. Cancer cells divide and grow without control or order to form a mass of tissue, called a growth or tumor. As the tumor grows, it can invade nearby organs and tissues. Cancer cells can also break away from the tumor and enter the bloodstream or lymphatic system. By moving through the bloodstream or lymphatic system, cancer can spread from the primary site to form new tumors in other organs. The spread of cancer is called metastasis.
What are the common elements of staging systems? Staging systems for cancer have evolved over time. They continue to change as scientists learn more about cancer. Some staging systems cover many types of cancer; others focus on a particular type. The common elements considered in most staging systems are:
Location of the primary tumor, Tumor size and number of tumors, Lymph node involvement (spread of cancer into lymph nodes), Cell type and tumor grade* (how closely the cancer cells resemble normal tissue), and Presence or absence of metastasis. *Information about tumor grade is available in the NCI fact sheet Tumor Grade: Questions and Answers, which can be found at http://www.cancer.gov/cancertopics/factsheet/Detection/tumor-grade on the Internet.
What is the TNM system? The TNM system is one of the most commonly used staging systems. This system has been accepted by the International Union Against Cancer (UICC) and the American Joint Committee on Cancer (AJCC). Most medical facilities use the TNM system as their main method for cancer reporting. PDQ®, the NCI’s comprehensive cancer database, also uses the TNM system.
The TNM system is based on the extent of the tumor (T), the extent of spread to the lymph nodes (N), and the presence of metastasis (M). A number is added to each letter to indicate the size or extent of the tumor and the extent of spread.
Primary Tumor (T) TX Primary tumor cannot be evaluated T0 No evidence of primary tumor Tis Carcinoma in situ (early cancer that has not spread to neighboring tissue) T1, T2, T3, T4 Size and/or extent of the primary tumor
Regional Lymph Nodes (N) NX Regional lymph nodes cannot be evaluated N0 No regional lymph node involvement (no cancer found in the lymph nodes) N1, N2, N3 Involvement of regional lymph nodes (number and/or extent of spread)
Distant Metastasis (M) MX Distant metastasis cannot be evaluated M0 No distant metastasis (cancer has not spread to other parts of the body) M1 Distant metastasis (cancer has spread to distant parts of the body)
For example, breast cancer T3 N2 M0 refers to a large tumor that has spread outside the breast to nearby lymph nodes, but not to other parts of the body. Prostate cancer T2 N0 M0 means that the tumor is located only in the prostate and has not spread to the lymph nodes or any other part of the body.
For many cancers, TNM combinations correspond to one of five stages. Criteria for stages differ for different types of cancer. For example, bladder cancer T3 N0 M0 is stage III; however, colon cancer T3 N0 M0 is stage II.
Stage Definition Stage 0 Carcinoma in situ (early cancer that is present only in the layer of cells in which it began). Stage I, Stage II, and Stage III Higher numbers indicate more extensive disease: greater tumor size, and/or spread of the cancer to nearby lymph nodes and/or organs adjacent to the primary tumor. Stage IV The cancer has spread to another organ.
Question 7 describes sources of additional information about staging for specific types of cancer.
Are all cancers staged with TNM classifications? Most types of cancer have TNM designations, but some do not. For example, cancers of the brain and spinal cord are classified according to their cell type and grade. Different staging systems are also used for many cancers of the blood or bone marrow, such as lymphoma. The Ann Arbor staging classification is commonly used to stage lymphomas and has been adopted by both the AJCC and the UICC. However, other cancers of the blood or bone marrow, including most types of leukemia, do not have a clear-cut staging system. Another staging system, developed by the International Federation of Gynecology and Obstetrics, is used to stage cancers of the cervix, uterus, ovary, vagina, and vulva. This system uses the TNM format. Additionally, childhood cancers are staged using either the TNM system or the staging criteria of the Children’s Oncology Group, a group that conducts pediatric clinical trials.
Many cancer registries, such as the NCI’s Surveillance, Epidemiology, and End Results Program (SEER), use summary staging. This system is used for all types of cancer. It groups cancer cases into five main categories:
In situ is early cancer that is present only in the layer of cells in which it began. Localized is cancer that is limited to the organ in which it began, without evidence of spread. Regional is cancer that has spread beyond the original (primary) site to nearby lymph nodes or organs and tissues. Distant is cancer that has spread from the primary site to distant organs or distant lymph nodes. Unknown is used to describe cases for which there is not enough information to indicate a stage.
What types of tests are used to determine stage? The types of tests used for staging depend on the type of cancer. Tests include the following:
Physical exams are used to gather information about the cancer. The doctor examines the body by looking, feeling, and listening for anything unusual. The physical exam may show the location and size of the tumor(s) and the spread of the cancer to the lymph nodes and/or to other organs.
Imaging studies produce pictures of areas inside the body. These studies are important tools in determining stage. Procedures such as x-rays, computed tomography (CT) scans, magnetic resonance imaging (MRI) scans, and positron emission tomography (PET) scans can show the location of the cancer, the size of the tumor, and whether the cancer has spread.
Laboratory tests are studies of blood, urine, other fluids, and tissues taken from the body. For example, tests for liver function and tumor markers (substances sometimes found in increased amounts if cancer is present) can provide information about the cancer.
Pathology reports may include information about the size of the tumor, the growth of the tumor into other tissues and organs, the type of cancer cells, and the grade of the tumor (how closely the cancer cells resemble normal tissue). A biopsy (the removal of cells or tissues for examination under a microscope) may be performed to provide information for the pathology report. Cytology reports also describe findings from the examination of cells in body fluids.
Surgical reports tell what is found during surgery. These reports describe the size and appearance of the tumor and often include observations about lymph nodes and nearby organs.
Lifestyle Tips for Better Sleep What's best, experts agree, is taking steps to reduce stress and create a good sleep environment.
Some tips for a good night's sleep:
Keep noise and light to a minimum. Use earplugs, window blinds, heavy curtains, or an eye mask. Small night-lights in your bedroom and bathroom are a good idea. Avoid large meals two hours before bedtime. A light snack is fine. Don't drink caffeine (including tea and soft drinks) four to six hours before bedtime. Regular exercise like walking will reduce stress hormones and help you sleep better. But don't exercise within two hours of bedtime. You may have more difficulty falling asleep. Don't nap late in the afternoon. Stop working on any task an hour before bedtime to calm your brain. Don't discuss emotional issues right before bedtime. Keep pets outside your sleeping area if you can. Make sure your bedroom is well ventilated and at a comfortable temperature. Learn a relaxation technique like meditation or progressive relaxation. Another idea: "If you can't sleep because of pain, I advise Tylenol before bedtime," Plank says. "Especially in the senior population, this can be helpful. Many people toss and turn from aches and pains."