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Dial 1-800/AIDSNYC Every Monday and Wednesday morning, promptly at 10 a.m., I leave behind my daily life and turn to volunteering as an AIDS Hotline counselor at New York City’s GMHC [Gay Men’s Health Crisis], the nation’s largest social service agency for AIDS. For the next four hours, my co-volunteers and I sit in front of a bank of constantly-ringing telephones, talking to men, women, and teens who call in from across the nation with urgent questions about AIDS, the ravaging disease that has left 13.9 million people dead worldwide. After almost 20 years, a whole generation, families are still facing the heartache of tending the sick, while scientists continue to be confounded by this stubborn, ravaging virus. Although the federal government currently spends$4 billion per year on AIDS research, and $15 billion worldwide, there is no cure in sight for the viral infection and no vaccine available. Small wonder that the GMHC AIDS Hotline, the nation’s first, is flooded with more than 40,000 calls each year. Listening to callers 8 hours each week, I often think the Hotline is actually a direct link to the soul of callers--an anonymous forum that allows each to reveal secrets and fears that they might otherwise never discuss with anyone. A Morning in May This is the way it began: “Good morning, GMHC AIDS Hotline, can I help you?” “Yes...I have a question...[hesitantly] My son...he’s 21...and he just found out...he’s HIV-positive [voice breaking] I’m.....alone, divorced. And I need some help...someone to talk to...” “Of course....happy to talk to you...it sounds like this has been devastating for you....” “It’s terrible. He told me two nights ago....he’s...he’s so young....I don’t want him to die. He’s my only child....why did this have to happen?” [crying] Her son, she explains, had sometimes neglected using condoms, convinced he wouldn’t contract HIV infection from his female partners. “How could he be so stupid?” she now asks angrily. “Why didn’t he know how to protect himself? I don’t understand. What am I going to do?” We talk for 35 minutes, and by the end of the conversation, I notice I’m barely breathing. The distraught woman’s anguish is palpable. Her situation is every mother’s worst nightmare.The life of her child is in jeopardy and she feels helpless and afraid. I can’t imagine anything worse. During the call, I do my best to employ the GMHC Hotline protocol of “active listening,” which involves using silence, empathy and gentle probing with open-ended questions. I’m also having my own emotional reaction to the panic in her voice, and I’m worried about whether I’m doing enough. Toward the end of the clal, when she exclaims: “I don’t want my baby to die,” my heart plummets: “I know....I understand that, but there is hope,” I tell her. I find myself on the verge of tears. The Bad News This mother’s story is too common. According to the Centers for Disease Control in Atlanta, Ga., 40,000 Americans (half of them under 25) are newly infected with the AIDS virus each year. Unprotected sex and intravenous drug use remain the principal modes of transmission. “Teenagers,” notes AIDS activist Elizabeth Taylor, “are being very hard hit.” She refers to the three million adolescents who contract a sexually-transmitted disease annually. “Heterosexual teenage football players who are healthy and drink milk can get it too!” says the 71-year-old actress, who has singlehandedly raised $150 million for AIDS research. “But teens are very ignorant and feel invincible. They believe there’s an invisible shield protecting them from the virus, when it’s actually aimed right at them.” Taylor believes in addressing the problem head-on: “Tell your teenage son: ‘Maybe a condom doesn’t feel as good, but if it saves your life, it’s better than being six feet under.’ Intelligence must replace random sex.” Although a new generation of AIDS-fighting medications is prolonging the lives of thousands, nearly half of the 900,000 people infected with HIV in the U.S. cannot afford these drugs. Since the virus was discovered in l981, 410,800 Americans have died from AIDS-related complications, and the disease has left 13.9 million dead worldwide. Who Calls a Hotline? Not long ago I took a call from a 15-year-old boy living in a small town who said he feels guilty about his sexual attraction to other boys and is scared to discuss this with his parents. I ask him if there’s a school counselor or relative he might talk to, but he says he’s too afraid to confide in anyone. Being a teenager is hard enough, I thought, without the pressure of keeping this kind of secret. I felt angry and saddened that this child can’t comfortably discuss his feelings with his own parents. I encourage him to call the Gay Community Center Youth Program in a nearby city. In the meantime, I assured him that he could call our Hotline anytime, that we’d be there for him. This call was typical of the many we get from teenagers,whispering from their parents’ homes, confiding their blossoming sexual feelings and concerns. Our Hotline also receives calls from married men who phone from their offices, worried about extramarital sexual encounters; gay men suffering side effects from medications; mothers caring for a sick child or grieving for one lost to AIDS; even health care professionals themselves confused and requiring burnout support. One particular morning, I’m struck by the number of single women who turn to our hotline for help. At 10:15 a.m. a distraught young woman calls, explaining that she had been dating someone “very charismatic,” after a two- year period of sexual abstinence. “At first we used condoms and I was taking the pill to avoid pregnancy,” she says. But after her partner assured her he was HIV-negative, the couple began having unprotected sex. A few months into the relationship, she recounts, his behavior became “unpredictable,” until he finally admitted he was sleeping with other women and was addicted to heroin. Now she has to withstand the “terror” of waiting 3 months before getting an HIV antibody test. To help her cope, I give her the names of three terapists in her area. The call lasts 43 minutes. At 11:15 a.m. I take a call from a woman who is breathing heavily. She says that four months earlier she’d had a brief affair with a limousine driver, “not out of passion, but because I felt lonely. This was so totally unlike me,” she continues. “I come from a traditional Orthodox Jewish family...” Although they used condoms, and she has since tested negative for HIV, she feels deeply ashamed, and has stopped seeing him. And because she has both a persistent vaginal yeast infection and a rash on her neck, she’s convinced she must be infected by HIV. Although rashes, high fever, swollen lymph glands, heavy night sweats, sore throat, or other flu-like symptoms may indicate HIV, they can just as easily accompany the common cold or flu, or other type of infection. I encourage her to seek medical help and counseling, but the calls ends on a down note. “I must have it [AIDS],” she moans. I’m exasperated because it doesn’t sound that way to me, yet I can’t get through to her. The call lasts 22 minutes. It’s 11.38 a.m. when a well-spoken woman, who says she’s an attorney, calls from her office, asking for the names of anonymous testing sites. At first very businesslike, she calmly takes down all the information. I ask her why she’s considering a test. Total silence. Then she begins to cry: “I....I can’t talk....I’m sorry...you see, I have swollen lymph glands....[crying]....And my doctor wants to rule out HIV...I feel overwhelmed...” Then, abruptly: “Where can I send a donation?” She thanks me and hurries off the phone after just 3 minutes. These were one-time callers, but, as in any epidemic, an element of panic prevails, and our hotline also attracts an army of “chronic” or repeat callers who are intensely fearful no matter how benign their risk, many revealing continued misconceptions and paranoia about a disease that can be effectively prevented. We do our best to help them, but often they’re impervious to counseling. Most poignant are calls we get from AIDS patients, phoning from their hospital beds, attempting to navigate the exhausting labyrinth of insurance and health care matters. One man, in hospice care, said he craved companionship and missed the “good old days” when he was handsome and healthy. That call was a tough one for me as just the day before a close friend of mine, Joe, who had battled HIV for 16 years, had finally succumbed. Although at the end Joe was a mere skeleton, he was nonetheless at peace. “I’ve done what I wanted to,” he told me on our last visit. An avid gardener, he insisted on a final trip to his country house to see his garden one last time. For a moment the caller’s reality and the memory of my deceased friend blurred in my mind and I was overcome. Time for a break. Face to Face One of the most and unique services GMHC offers is called “A-Team Counseling,” a one-time, in-person session that’s free and anonymous. Recently, I was on an A-Team counselling a 26-year-old HIV-infected mother from the Midwest. She had traveled to Manhattan by bus to find her estranged boyfriend, who, she recounted tearfully, had kidnapped her 7-year- old son. Disheveled, painfully thin, the woman was a disturbing sight. She’s learned that the two had already returned home where the boyfriend was, and the child put in his grandmother’s custory. custody of his grandmother. Meanwhile she’d run out of money for the return trip, been refused a loan by her family, lost her ID, gone hungry and spent two nights on the street. Fortunately, this woman was registered at a local AIDS organization in her town. I telephoned her caseworker and persuaded him to buy her a one-way Greyhound bus ticket for $115.00. I also gave her subway tokens, a basket of food, juice and coffee. Smiling shyly, she thanked me for caring. Shaking hands good-bye with this woman was a bittersweet farewell. What will happen to her? I wondered will her health deteriorate or improve? Will she gain control of her life and be able to provide for her son? I’ll never know. One thing I do know: She’d appeared with the sorrow of a difficult life in her eyes, but when she left, she was elated at the thought of being reunited with her child. It seems that with faith and a helping hand, almost anything is possible. * * * * * 10 BIGGEST MISCONCEPTIONS ABOUT AIDS AND HIV (This list would probably be most effective when presented in a vertical chart, the misconception on the left, the correct answer on the right.) 1)The AIDS virus can be transmitted through saliva, sweat, tears, urine or feces; also through deep kissing. 1) HIV can ONLY be transmitted through four bodily fluids: blood, semen, vaginal secretions and breast milk--and can also be transmitted from a mother to her child before birth, during birth, or while breast feeding. The exchange of saliva through kissing is no-risk, unless the saliva has blood in it and both you and your partner are bleeding in the mouth simultaneously. 2) HIV may also be transmitted through casual contact with an infected person. 2) You can’t get infected from toilet seats, phones or water fountains. The virus can’t be transmitted in the air through sneezing or coughing. You can’t get HIV from sharing utensils or food or from touching, or hugging. HIV dies after being exposed to the air. Therefore, touching dried blood on a shaving blade, a toothbrush or a bathroom counter top is no risk. In any case, unbroken skin is impermeable, like a rubber raincoat, and cannot absorb the virus whether it’s alive or dead. Blood transfusions and medical procedures in the U.S. are safe. Giving blood is completely risk-free. The chance of getting HIV from dentists or other health care providers is too low even to measure.You can’t get it from mosquitoes or other insect or animal bites. 3) Oral sex is just as risky as vaginal or anal intercourse. 3) Although not 100% risk-free, oral sex is considered a low-risk activity,except if: you have bleeding gums, recent dental work, open sores such as a herpes lesion, any cut, blister, or burn in the mouth, or if you’ve just brushed or flossed your teeth. Also, oral sex with an infected woman is riskier if she is having her period, since menstrual blood can contain HIV. Overall, latex barriers, (such as condoms or dental dams) used during oral sex reduce the transmission of not just HIV, but other sexual transmitted diseases. 4) Animal skin, latex and polyurethane condoms are all equally effective in preventing HIV infection and you can use ANY lubrication on the condom desired. 4)Only latex or polyurethane condoms may be used, as HIV can pass through an animal skin condom. With latex condoms, only water-based lubricants--like K-Y jelly or H-R jelly--may be used. No lubricants with oil, alcohol, or grease are safe.Petroleum jelly,Vaseline, Crisco, mineral oil, baby oil, massage oil, butter and most hand creams can weaken the condom and cause it to split. However, with polyurethane condoms, petroleum-based lubricants can be used. 5) Women have to rely on men using condoms during intercourse to protect themselves against HIV. 5) Women may employ the “female condom,” a plastic sheath that can be inserted in their vaginas and used for protection against HIV. It can be inserted up to 8 hours before sex, has rings at both ends to hold it in place and can be lubricated with oil-based lubricants that stay wet longer. In addition, women can carry conventional condoms for their male partners’ use. 6) If a woman is HIV-positive, her offspring will automatically be born infected with HIV. 6) With no medical treatment taken, about 25% of HIV-positive women will give birth to infants who are also infected. However, the use of anti-HIV medications has resulted in a significant decrease of mother-to-child transmission of HIV in utero and during delivery to less than 5%. (NYT 10/19/ 99]. 7) AIDS is fundamentally a gay disease contracted by white males. 7) Recent data compiled by the Centers for Disease Control and Prevention indicate that young gay Hispanic and African-American men and heterosexual women are the fastest growing segment of the population being infected with HIV. Women now account for 43% of all HIV infected people over age 15. [NYT 11/24/98] African-American and Hispanic women account for more than 76% of AIDS cases among women in the U.S. 8) Heterosexual men are not really at risk for contracting HIV, even if they don’t use condoms. 8) The inside opening of the penis is composed of highly-absorbent, sponge- like mucous membrane tissues, which can provide a route for HIV-infected vaginal secretions or blood to enter the bloodstream. Proper condom use protects men from infection. 9) The AIDS epidemic is largely over because new AIDS medications like protease inhibitors and others have turned AIDS into a chronic, not a terminal disease. 9) In the U.S., AIDS is the fifth leading cause of death for people 25-44 years old. Roughly half of all those infected with HIV in the U.S. are not receiving any medications or medical care. AIDS now kills more people worldwide than any other infection, including malaria and tuberculosis.[NYT 11/24/98] In 1998 alone, 2.5 million people died of AIDS worldwide. 13.9 million people have died since the virus was discovered in 1981. 10) If you think you’ve been exposed to HIV through unprotected sex, you can take an HIV antibody test 2 weeks later and get an accurate result. 10) The standard “window” or waiting period remains a full 3 months. However, because the widely-used HIV antibody tests (The ELISA and Western Blot) have become so sensitive, about 95% of people will procure an accurate result 4-6 weeks after a possible exposure to the virus. * * * * [Note:The information stated above was reviewed for medical accuracy by Dr. Todd J. Yancey, an infectious disease specialist practicing in New York City and affiliated with New York Presbyterian Hospital, NY, Cornell Campus.] THE CHILD LIFE PROGRAM “Mommy takes a lot of medicine and Mommy’s really tired sometimes and she can’t take you to the park as much as she used to. It’s not that I don’t love you...and that I don’t want to...but Uncle Jack’s going to take you to the park today.” --A mother living with AIDS, a client at GMHC, talking to her 6-year- old son. In New York City alone, 28,000 children have been orphaned by AIDS since the epidemic began [NYT 12/13/98] GMHC’s unique Child Life Program serves HIV-infected parents and their children--who may, or may not, be infected with the virus. “We help families strengthen their ability to cope, relieve the pressure of parenting with support services, and teach parents how to talk to their kids,” says Child Life Program Coordinator Alison Ferst. “Unfortunately, should a parent or child be sick enough to be facing death, we also help them walk through it with grace and dignity---as opposed to feeling alone, isolated and frightened. “We also encourage sick parents to make stable legal plans for their children who may be left behind,” adds Ferst, “and to have disclosure conversations with the children in advance, so you don’t have a child standing at her mother’s funeral, not sure where she’s going next.” When an HIV-infected Mom arrives at GMHC to have lunch, attend a support group, consult with a lawyer, or access the acupuncture clinic, she can leave her children in a spacious playroom, decorated with fanciful murals and a giant tree hand-painted by the famed children’s story writer and illustrator, Maurice Sendak, who donated his art. [see photos] The program provides: child- sitting, nutrition services, a food pantry, art and magic classes, and recreational trips--church picnics, seasonal apple-pumpkin picking, amusement parks, zoos, museums, beaches. Also: homework help sessions, holiday parties, hospital visits, summer sports and weekly support groups for HIV- positive parents and their HIV-negative children. This unique program also features: Cooking classes for kids who sometimes prepare meals for sick parents; Pediatric Buddies, GMHC adult volunteers who play with sick children and also assist with family chores; Fun With Feelings Support Group, Friday Evening Family Time, Birthday parties, and a Holiday Gift Drive. “Children infected or affected by AIDS,” concludes Ferst, “want to be like other kids: They want to play with their friends, want to know that someone will always take care of them, want to know they’re not alone, and often wonder if it’s their fault when Mom or Dad gets sick.” These children need a helping hand and any of us can provide one. permanent penis enlarement herbal penis enlargement pill vimax free penis enlargement pennis enlargement information pnis enlargement program penis enlarement picture penis enhancement before and after photo cheap vigrx pills

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Breast augmentation mammoplasty is also known as a breast enlargement. This procedure improves the contours of the body of women who are unhappy with the size of their breasts. Correcting the loss of volume after a pregnancy, help in balancing the asymmetrical breast size or reconstructive technique after a breast surgery are all possible through breast augmentation. The procedure is done on an outpatient basis and carried out under general anesthesia. By making an incision, the surgeon will place a prosthesis or an implant under the muscle, under the breast tissue, or through an incision near the region of the belly button. The incision can also be made around the nipple, in the armpit or under the breast. The entire procedure will be finished in one or two hours. Saline (salt water) filled silicone sacks form part of the breast implant. The outer surface will look textured and smooth. Depending upon the individual need, the surgeon will select from implants that comes in various shapes and sizes. Breast enlargement is one of the results of the breast augmentation but the basic defects in the form or shape of the breast will not be altered by the surgery. There will not be total correction of the asymmetrical breast but it will be improved by the surgery. The slight difference in shape or size is not abnormal and it is not a cause for worry. Only when the size of the breast or position of the nipple is very asymmetric then a further corrective procedure is needed. The majority of women achieve satisfactory results after breast augmentation. The other popular and common procedure is Liposuction, which, is designed to remove the fatty tissue also known as “cellulite”. When isolated areas in the body do not respond to diet or exercise for the reduction of excess fat, the surgeon will remove it by this elective procedure. Some of the areas involved in this procedure are neck, face, ankles, knees, abdomen, thighs and hips. People with good skin tone and who carry fatty deposits get satisfactory results from Liposuction. Obesity cannot be treated by this procedure. There is a limit on how much fatty tissue is removed at any given time, in order to maintain the procedural safety. As the swelling subsides, there will be a noticeable and improved result after this procedure. Within a day after the surgery the patient should be up and walking around. Complete activity can be resumed in two to four weeks time. Until all the bruising is subsided, exposure to sun should be avoided. magna rx pill truth about penis enlargement pills free penis enlarement pills easy enlagement free penis surgery way compare penis enlargement pill pennis enlargement exercise vimax review pennis enlargement excercises home pennis enlargement

Babies take a lot of attention and a lot of love it is time well spent. The loving is always easy. Who could not love little babies? The attention and care for babies may present a problem for anyone who is not use to being around little one’s. Eventually you will get the hang of baby care and it is really not as complicated as you might think. Let’s start with the baby’s bottom changing a diaper is one of the first things that you will want to learn. For a little girl lift her legs with one hand and remove any poop with a wet washcloth. It is normally alright to use wet wipes as well. You can use a washcloth to clean the derriere the first few weeks to prevent any rash that a wet wipe might cause. To clean the genital area, wipe from the vagina toward the rectum. Dry the baby’s bottom with a soft cloth applies ointment around the genitals and on the buttocks to prevent diaper rash. One big difference for little boys is the penis. Make sure that you keep it covered or you might get sprayed. The procedure is basically the same make sure that he is cleaned, dried, and an ointment is applied around the genitals and buttocks. The next important thing for babies is feeding time. Breast feeding in the beginning is usually most desired. The baby eats and eats nature has done a pretty good job of providing you and your baby with the right equipment. At first you will find the nipples will be hard enough but they quickly get to be sore. Before you feed the baby we suggest that you get a heating pad or warm wet wash cloth warm nipples help the milk to flow much easier. After the feeding then we suggest that you use a cold pack to help you with the soreness. Most young mothers normally start within the third or fourth week giving the baby a bottle a day this helps the baby to get use to formula. We all want normal perfect babies but unfortunately birth defects can and do happen. It is important that all parents are aware of the most common birth defects and what can be done to prevent or treat your baby. Congenital heart defects are among the most common birth defects. It is said that about 25,000 U.S. babies are born with heart defects. These defects can be mild showing no symptoms at birth. The defect can cause baby’s ability to circulate oxygenated blood through the body. Today the prognosis for babies with congenital heart defects has improved significantly now it It is a good thing to do the corrections or treatment as soon as possible. The next birth defect is Cerebral Palsy. Cerebral Palsy baby’s movement is affected and so is the posture. It is caused by the part of the brain that controls muscle movement. Cerebral Palsy usually is not diagnosed until the child has reached the age of 2 or 3 years old. Two children out of 1.000 over the age of 3 have cerebral palsy. Currently in the United States, 500,000 individuals both children and adults are diagnosed with cerebral palsy. There is no cure for cerebral palsy but with treatment and physical therapy most children can significantly improve over time. Spina Bifida is the most common of a group of birth defects called neural tube defects. Spina Bifida affects approximately one in 2,000 babies. Scientists believe that baby’s who have spina bifida got it from their parents, however, they have found that most cases have been found in Hispanics mostly but there are cases in African Americans and Asians. Depending on the condition of the child treatment can range from none to several surgeries. Babies are truly a wonderful gift from God and my prayer has always been for my family that all the children are born happy and healthy. It is very unfortunate that sometimes this is always not true. I have a cousin who was born with cerebral palsy, a nephew who has spina bifida, and a brother who was born with multiple birth defects. These children have all added a special gift to our families. We have learned much better to love through their eyes. We all understand suffering through the eyes of a small child and grow stronger each day because of them. It would be most wonderful thing if all babies were born healthy but whatever happens please note your child is still special and will be loved by everyone. penis enargement pic before and after pnis enlargement program penis enlarement before and after natural penis enlagement exercise do pennis enlargement pills work best pnis enlargement surgery penis elargement pills buy penis elargement pills home pennis enlargement

Human herpes virus is of eight types of which the two types are Herpes simplex virus 1 (HHV 1) & Herpes simplex virus 2 (HHV 2) Herpes labialis or cold sores involving the lips, and gingivostomatitis or the inflammation of the gums and oral cavity, oropharyngeal, cutaneous, and ocular lesions in the form of keratoconjunctivitis are produced by the (HSV-1) while (HSV-2) is known to cause genital herpes. Herpes simplex virus (HSV) in Males and Females. In males, balanoposthitis or inflammation of the glans penis is common whereas in females, vulvovaginitis is seen. However, each of viral types is capable of producing any of the manifestations. Effects of Herpes Simplex Virus 1 (HSV 1). HSV-1 mostly remains dormant within the trigeminal ganglion and has an affinity for the mucocutaneous junctions. Any drop in the immunity of the individual leads to recurrent herpes labialis. The eyes may get infected in the form of herpetic keratoconjunctivitis and the nailbed can get affected as herpetic whitlow. Effects of Herpes Simplex Virus 2 (HSV 2) The HSV-2 herpes virus is more virulent and tends to remain dormant in the sacral ganglia. It can also produce aseptic meningitis and neuralgias along the genitocrural, sciatic and obturator nerves due to radiculomyelopathy. The pain radiates from the hip downwards and forwards to the upper thighs and groins. In very severe cases and in immunocompromised individuals, the infection can produce encephalitis or hepatitis and eventually the patient can succumb to these pathologies. Other Effects of Herpes Simplex Virus This virus has been linked to cervical cancers too. In people indulging in anal sex, the anorectal region is also involved. The virus can be transmitted to the infant during delivery if the mother is having outbreaks at that time. Hence, in such cases, the caesarian section is usually adopted to prevent the spread of the infection from the mother to her baby. Herpes genital (HG) is a very common cause of genital ulceration. The vesicles [fluid filled eruptions] are inside the epidermis of the skin. Reticular degeneration of the epidermal cells with acantholysis can be seen on histopathological examination. The herpes viruses are known to produce cellular changes that cause infiltration of typical multinucleate giant cells within the lesions. Signs and symptoms of herpes simplex virus Primary genital herpes (PGH) The first attack of herpes genitalis is pretty violent, following which the virus remains dormant within the neuronal cells of the dorsal root ganglion and then gives rise to recurrent lesions but milder in intensity as compared to the primary attack. Primary genital herpes or PGH infection may have an incubation period of upto a fortnight after exposure to the virus through unprotected sexual intercourse with an infected partner. The manifestations are usually symptoms such as painful, itching, or burning vesicular i.e. fluid filled eruptions which may coalesce and then break open to form circumscribed ulcers. There may be concomitant fever with headache, malaise, lymphadenopathy, and dysuria. Remisssion takes place within a month and the lesions subside. Recurrent genital herpes (RGH) In the case of Recurrent genital herpes or RGH, constitutional signs and symptoms are seldom seen and the intensity and duration of progress is lesser than the primary attack. The vesicular eruptions are usually preceded by burning or tingling in the affected areas; however, the area involved is again lesser as compared to the primary lesions. On an average, a person can have outbreaks almost every two months but the remission time is about a week. The factors that tend to trigger the relapses are found to be stress, exertion, heat, hormonal fluctuations, other infections which tend to drop the immunity, etc. In our next article we are going to throw some light on the remedies and treatment of Herpes Simplex Virus. truth about penis elargement penis enlagement program pro solution pill side effects semenax vigrx free penis enlargment tip homemade penis enlagement herbal natural penile enlargement herbal penis enlagement pills home pennis enlargement

Definition of Premature Ejaculation: Most men have experienced the problem of premature ejaculation at some time in their life. Premature ejaculation is one of the most common sexual problems. Premature ejaculation is explained as a condition where in a person is unable to delay ejaculation to a point when it is mutually desirable for both the partners. That means ejaculation occurs before a man wants it to happen. Some men ejaculate during foreplay while some do so at the very entry itself. But few men feel that 5 or 10 minutes time to have orgasm is not enough and they feel that this is also premature ejaculation. This suggests premature ejaculation is most likely psychological in origin than physiological. The exact cause of premature ejaculation is still unknown. Ayurveda has said Kshiprumunchati Shukram....... this means the person will have Premature ejaculation when vata in his body aggravates and leads to a very quick ejaculation of shukra (semen). The probable causes for premature ejaculation: • Anxiety during the first experience of sex. Some men will develop a longer-term anxiety toward sex, which can cause a prolonged experience with premature ejaculation. • A long period of abstinence from sex. • Younger men tend to ejaculate more quickly than older men, as experience seems to be associated with ejaculatory control. • Depression or anxiety about poor sexual performance • Anxiety due to anticipation of Rejection by partner. • Anticipation of failure to satisfy his partner • Anticipation of pain • Adverse experiences with sex in childhood • Religious beliefs • Financial burdens • Job stress • Relationship problems • Side effects of some prescription drugs Apart from psychological causes some physiological causes like inflammation of prostate gland or spinal chord problems may cause premature ejaculation. According to ayurveda when vayu gets vitiated it causes premature ejaculation. The following causes vitiates vata • Consuming stale, spicy, cold and junk food (Men who are away from home on business mostly consume this sort of food ) • staying up for long hours at night . • long gap between meals • Controlling natural urges (this happens during long corporate meetings) • Physical and mental exertion. • Under nourishment due to worries and grief • Sitting for long hours in uncomfortable chairs. • Traveling at high speeds. Prevention: • Seek psychotherapy to maintain a healthy attitude towards sex. • Do not blame yourself for premature ejaculation. Anybody can experience premature ejaculation. • Speak openly with your partners to avoid misunderstanding and miscommunication. • Use some relaxation techniques to reduce stress. • Have full knowledge about sex • Try to minimize the above said causative factors. Simple Remedies Many techniques are used to control premature ejaculation. “The squeeze technique” is popular and effective amongst all. Squeeze technique is a behavioral therapy. If a man senses that he is about to experience premature ejaculation, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers applying gentle pressure just below the head of the penis for 20 seconds. And then sexual relations can be resumed. The technique can be repeated as often as necessary. When this technique is successful, it enables the man to learn to delay ejaculation with the squeeze, and eventually, to gain control over ejaculation without the squeeze. The Masters & Johnson method: • The best way to combat premature ejaculation is by learning to control the sensations prior to orgasm. This method takes time and practice, but it is very effective. • First you need to bring yourself close to orgasm (this can be done via masturbation, without the involvement of your partner) and then stop and relax before recommencing. Each time you need to bring yourself closer to orgasm until finally you cannot control it. If you do this often enough, you will learn where your point of climax is. This is helpful when interacting with your partner. • You will need to practice reaching your climax point with your partner by engaging in non-penetrative sex so that when you feel it is near, you signal them to stop and you allow your erection to subside. This also needs to be repeated so that you and your partner are familiar with the procedure. • Once you feel you are ready for intercourse, it is best to start by lying on your back so that you can guide your partner during penetration. When you are near orgasm, give your partner a signal to stop and you should relax and start again. Once you get the hang of it (it may take several weeks or months), premature ejaculation shouldn’t be too much of a problem. • A variant of this method involves the partner squeezing the tip of the penis just before orgasm ("squeeze technique"). This pushes blood out of the penis and reduces the erection. This article is copy righted. The author Dr.Krishna.R.S is an Ayurvedic Physician and web master of http://www.ayurveda-increaselibido.com