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  • Louren Helsh 1:52 pm on September 5, 2014 Permalink | Reply
    Tags: sildenafil citrate in Canada   

    The impact of infertility 

    No language to ask questions about fertility

    In the first group programme a young married woman of 21 with TS came and spoke to the participants about her own adolescence and young adulthood and how she worked through her issues. The group participants asked her questions about how it felt for her to be short and what it was like to be different. male-infertilityHowever, when the young woman moved on to describe her future plans for IVF this usually talkative group of teens, who had found it hard to form a prepared question on this topic, also found it hard to ask her a question spontaneously during the discussion time. When she described how she would ask her sister for an egg, one participant said softly:

    • It’s the same genes.
    • In the fourth group programme, fertility was introduced as a specific discussion topic. Deirdre (16) put the topic aside:
    • I don’t think about the future, like fertility, too much.

    And Yvonne (14) said:

    • It doesn’t mean a lot to me yet.

    Kerrie (13) had thought of possible solutions when she summed up her thoughts thus:

    • When I was ten, my friend and I decided she would have a baby for me.

    In these sessions, there was more interest in discussing current concerns; for example, how they were keeping up with other girls at school or whether someone at school was being nasty to them in some way.

    The loss of fertility may be too hard to imagine or to speak about as it is a loss that belongs to future experience. Furthermore, the teens in the group programmes seemed more preoccupied with the ‘observable’ body – what they saw as their physical difference from their peers.

    Physical difference

    Kelly from the same group programme as Katherine and Linette made a creative design about herself that seemed to reflect her perception that she sometimes felt different from others. In session one she selected and arranged a purple ribbon and other objects to make her design. She finally placed a small woollen lamb in the centre and covered it with a chiffon see-through scarf Sildenafil citrate online in Canada. She described her design:

    • The lamb underneath the scarf is like me – I’m the odd one out.

    She gave her design the title This is me?

    Her floor design in the fifth and final session was similar in style. Kelly said her design was about the:

    • …pretty things which are separated from those that are not so pretty.

    She continued looking at her design but chose to say no more about its meaning. She titled her design: Symbols. Four years later her creative designs still resonated for her. She said:

    • I have those photos at home. I look at them sometimes.
    • I really said a lot then, didn’t I? (Clinical notes)

    At the beginning of the third group programme the teenagers brought up their embarrassment and angst at their physical difficulties:

    • People stare at my hands; they are puffy. The other girls have pretty fingers. (Tammy referring to her lymphoedema)
    • My wrists don’t work for ballgames – I’m not an asset in the group. (Wendy’s skeletal problems)
    • I can’t roll in the gym. (Simone, difficulty in coordination)
    • People say I can’t run properly. (Tilly is overweight)

    Nancy summed up the way she felt different from her peers in what could be a sense of shame:

    • The spotlight is on you, I want to hide.

    These physical preoccupations, together with earlier teasing about their short stature, contribute to confusion and uncertainty about their body over and above the usual adolescent concerns. These preoccupations need to be named and addressed in various mediums before infertility, as a significant part of the social and emotional body, can begin to find a verbal expression.

     
  • Louren Helsh 2:23 pm on September 2, 2014 Permalink | Reply
    Tags: Canadian Viagra Online, Cildenafil citrate, Viagra in Canada   

    Physiology: The ups and downs of a mobile organ 

    Leydig cells are numerous in the newborn male and in men after puberty, but not in between. They secrete large amounts of testosterone. Interestingly, all testosterone is manufactured from the raw material of cholesterol. So you see, cholesterolsd is not all bad.

    At puberty, testosterone causes the penis Levitra super active, testes and scrotum to enlarge. It also stimulates the growth of body hair in a diamond shape over the genital area and lower abdomen, the growth of hair in the armpits and on the chest, and generally makes body hair elsewhere thicker and more profuse. Ironically, it also contributes to male pattern baldness!

    Testosterone causes the voice to deepen and the skin to thicken and to become oilier because of increased secretion from the sebaceous glands. This is the cause of that scourge of adolescence—acne. For most, the skin later adapts and acne ceases to be a problem. Another effect is the bulking of muscle mass, leading to the typical male physique. Testosterone also has a building effect on bone, and boys’ bones become denser and grow quickly in puberty. We see this as the famed ‘growth spurt’.

    Less talked about, but just as real, is the effect testosterone has on a man’s sense of well-being. In recent years, it has been realised that the sex hormones act as powerful neurotransmitters in the brain, although we still have much to learn. Testosterone increases a man’s basal metabolic rate and hence his energy level; if his testosterone levels are low, his energy level will be affected, as well as his libido.

    Before finishing our discussion of normal functioning, we’ll just mention the subject of ‘nocturnal penile tumescence’ — basically, erections with Viagra in Canada occurring during sleep. This is a normal physiological event for all males from infancy to old age. In the healthy adult male, between two and five erections, each lasting for 25–35 minutes (yes, they’ve been intensively studied by scientists) and together accounting for up to 40 per cent of sleep time, will occur each night. With advancing age, the number and duration of night-time erections decreases. The ‘morning erection’ many men observe (and often act upon!) is really a night-time erection occurring just prior to waking and not, as is commonly supposed, due to a full bladder. It may, of course, be enhanced by a man finding his interested sexual partner lying beside him.

    Most night-time erections subside without the emission of semen. Around puberty though, and in the teenage years, nocturnal emissions frequently occur, and are completely normal.

     
  • Louren Helsh 9:25 am on July 4, 2014 Permalink | Reply  

    Dick: straight talk 

    Why on earth would two women be writing a book about the penis? The answer is quite simple. Viagra in Canada We are both doctors working in the field of women’s health, with more than 50 years’ experience between us. Every day, we have conversations with women about their most intimate problems, their anatomy and its functioning, and their relationships with their partners. Often we talk with those partners too. And, despite the fact that sex is now quite freely discussed, and that since the 1960s women’s sexuality has been liberated from the fear of unwanted pregnancy, we have been impressed by how often both women and men lack basic information about their bodies — about their own anatomy and how it functions. Misinformation abounds and there is certainly a dearth of good information about that most friendly male appendage, the penis – viagra online in Canada.

    The main thrust (ahem) of our argument is that, for most people, sex is inextricably linked with a penis — yet there is no accompanying guide book. The only source for needed information may be the media, and the information imparted — dare we say, inseminated? — may be inappropriate or even erroneous. Our correction of this lack of accurate information is not intended to be in any way disrespectful or salacious, but rather informative, fun and titillating. Whether in marriage or in long- or short-term relationships, everyone has a need to know about the possible difficulties they or their partners may experience with the penis, so that they can be sensitive to their partners’ needs, protect themselves from possible disease and know when they or their partners need professional help.

    Quite understandably, men are very fond of their penises, for which they have many slang names — including treasures (‘the family jewels’), military metaphors (bayonets and swords), terms of formal address (‘Captain!’), endearments (‘old chap’) and nicknames (Willie, Percy and Old Harry). And of course we mustn’t forget Dick, which we rather like, and which you’ll find popping up throughout our text – canadian viagra. However, many men are curiously reluctant to openly discuss their penises in an informational way, although they may be very quick with jokes. (Heard about the shipment of Viagra that went missing at the city docks? The police are looking for a band of hardened criminals . . . OK, we’ll stop right there, but you see what we mean.) Little boys (and girls) quickly learn slang names — dicky bird, teddy bear, worm, dewdrop — for the penis, although they know the correct words for all the other parts of the body, and they soon get the idea that talking about ‘that’ just isn’t ‘nice’.

    And after recently attending a showing of the paintings of Alice Neel, who has depicted several anatomically correct full-frontal nudes of men, as well as many other subjects, we found the men in our group were actually more impacted by the male nudes than were the women! (But then, wasn’t it men who put all those fig leaves on statues?)

    So this book has been written for everyone with an interest in the penis, from teenagers to nonagenarians . . .

     
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