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	<title>Viagra &#60;&#60; Your source for Men's health information</title>
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	<link>http://www.carionltd.com</link>
	<description>Men's Health at CarionLtd.com</description>
	<pubDate>Fri, 30 May 2008 07:47:05 +0000</pubDate>
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		<title>Lifestyle may play role in potential for impotence</title>
		<link>http://www.carionltd.com/lifestyle-may-play-role-in-potential-for-impotence/</link>
		<comments>http://www.carionltd.com/lifestyle-may-play-role-in-potential-for-impotence/#comments</comments>
		<pubDate>Fri, 30 May 2008 07:47:05 +0000</pubDate>
		<dc:creator>admin</dc:creator>
		
		<category><![CDATA[man's health]]></category>

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		<description><![CDATA[
ATLANTA (CNN) &#8212; Drinking, exercise and body type are factors that can affect whether or not a man will become impotent, according to new research being presented at the American Urological Association&#8217;s annual meeting in Atlanta.
The study, presented by Eric Rimm of the Harvard School of Public Health, included nearly 2,000 male subjects. Researchers found [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://web.archive.org/web/20000819115453/www.cnn.com/2000/HEALTH/men/05/03/impotence.risks/story.generic.men.2.jpg" alt="means health" width="220" height="164" /></p>
<p>ATLANTA (CNN) &#8212; Drinking, exercise and body type are factors that can affect whether or not a man will become impotent, according to new research being presented at the American Urological Association&#8217;s annual meeting in Atlanta.</p>
<p>The study, presented by Eric Rimm of the Harvard School of Public Health, included nearly 2,000 male subjects. Researchers found that any one of these conditions increased the likelihood of impotence: a large waist, too little exercise, not drinking any alcohol, or drinking too much alcohol.</p>
<p>Rimm says high cholesterol, which restricts blood flow, may be the common condition in these men.</p>
<p>&#8220;Much like factors that lead to atherosclerosis, or factors that impede blood flow to the heart, we think that similar factors may impede blood flow to the genital area,&#8221; Rimm said. Blood flow to the genital area is necessary for erection.</p>
<p>Studies have shown that people who have one or two drinks a day have lower cholesterol, and therefore better blood flow, than those who don&#8217;t drink at all, or those who drink to extreme.</p>
<p>Research has also shown that overweight people and sedentary people often have high cholesterol.</p>
<p>&#8220;I was somewhat surprised at the strength of the association, that individuals who exercised vigorously had such a substantial reduction in erectile dysfunction.&#8221; Rimm said.</p>
<p>Until now, not much has been known about the relationship between lifestyle and impotence. Rimm&#8217;s research points scientists in a new direction. Doctors hope these finding will help impotent men to make changes that may improve their sex lives.</p>
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		<title>Men&#8217;s Health Forums - A Valuable Resource for Mens Health Advice?</title>
		<link>http://www.carionltd.com/mens-health-forums-a-valuable-resource-for-mens-health-advice/</link>
		<comments>http://www.carionltd.com/mens-health-forums-a-valuable-resource-for-mens-health-advice/#comments</comments>
		<pubDate>Fri, 30 May 2008 07:38:45 +0000</pubDate>
		<dc:creator>admin</dc:creator>
		
		<category><![CDATA[man's health]]></category>

		<guid isPermaLink="false">http://www.carionltd.com/?p=9</guid>
		<description><![CDATA[
One of the most valuable resources a guy has today is online men health forums. Unlike the days before the internet, now if you have a question about your health you don&#8217;t need to ask your doctor first. This can be a real ego saver, since a lot of health questions can be embarrassing to [...]]]></description>
			<content:encoded><![CDATA[<div id="body">
<p>One of the most valuable resources a guy has today is online men health forums. Unlike the days before the internet, now if you have a question about your health you don&#8217;t need to ask your doctor first. This can be a real ego saver, since a lot of health questions can be embarrassing to ask. Nobody likes to talk face to face about their neither regions to a guy who is almost a complete stranger . Now, with the online health forums, you can ask people without them ever knowing who you are. There&#8217;s no embarrassment, no hassle and people are usually very friendly on the forums. They can be a great way to get more information about a particular topic from people who are familiar with it.</p>
<p>One of the drawbacks to using men health forums for information, as opposed to going to your doctor, is that you can never be absolutely sure if the information you&#8217;re getting is correct. For example, if you ask about the different treatments for foot fungus, you can get lots of suggestions that won&#8217;t help you at all. Even when people who reply to your thread claim to be a physician, you can never be positive that they really are. On the other had, if you go to your doctor you know the advice you&#8217;re getting is worth following.</p>
<p>All in all, when it comes to men health forums it&#8217;s a mixed bag. There are plenty of benefits, but if you don&#8217;t know what you&#8217;re getting into you can end up following bad advice. I suggest checking them out if you have a question that isn&#8217;t very serious in nature. For instance, you can ask about which exercises can help you build your triceps the fastest but I wouldn&#8217;t suggest relying on a forum to tell you how to treat cancer.</p>
</div>
<p>Learn about <a id="link_75" href="http://www.menshealthforums.com/f10/" target="_blank">prostate health</a> and more at the <a id="link_76" href="http://www.menshealthforums.com/" target="_blank">Mens Health Forum</a>. It&#8217;s free to join, so visit <a id="link_77" href="http://www.menshealthforums.com/" target="_new">http://www.MensHealthForums.com/</a> and become a member today!</p>
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		<title>Low Carb Diet Health Tips For Men</title>
		<link>http://www.carionltd.com/low-carb-diet-health-tips-for-men/</link>
		<comments>http://www.carionltd.com/low-carb-diet-health-tips-for-men/#comments</comments>
		<pubDate>Fri, 30 May 2008 07:37:53 +0000</pubDate>
		<dc:creator>admin</dc:creator>
		
		<category><![CDATA[man's health]]></category>

		<guid isPermaLink="false">http://www.carionltd.com/?p=8</guid>
		<description><![CDATA[
In this article we will look at a number of ways in which mens health and fitness can be improved.
Probably the most important tip of all is for a man to get regular daily exercise. Certainly you do not need to look far to find there is a wealth of information out there regarding fitness [...]]]></description>
			<content:encoded><![CDATA[<div id="body">
<p>In this article we will look at a number of ways in which mens health and fitness can be improved.</p>
<p>Probably the most important tip of all is for a man to get regular daily exercise. Certainly you do not need to look far to find there is a wealth of information out there regarding fitness and exercise plans.</p>
<p>Just doing a quick search of the internet will find you dozens of programs relating to mens health issues and fitness programs.</p>
<p>However, for many men the idea of setting up an exercise plan seems a little complex as well as being unappealing. But bringing it down to the basics what they need is a system where they work out for about 30 minutes three times each week. But what is even more important is that the exercise they do does not need to be a formal activity. In fact if they want they can build into their normal every day routines. For example they could walk briskly to work each day rather than just strolling, or they could take the stairs to their office rather than using the lift. Plus if they really want to keep their heart healthy then any aerobic exercise will do such as walking, running, jogging, swimming, cycling or a racket sport are just some that they could consider. It is important though that any exercise they do will cause them to break into a sweat but isn&#8217;t hard enough that they are unable to speak.</p>
<p>But for those men who are overweight before starting on any fitness program they should seek medical advice. Certainly the best way to get healthy and stay fit is not only to lose weight, but you need to combine this with exercise and a good diet. In order to do this you must reduce the amount of fat, sodium, sugar and calories that you consume, but also increase the amount of fiber that you eat. This can be achieved by eating plenty of fresh fruit and vegetables for those with body types that require high carbohydrates. However, for the Protein Types, eating more protein rich foods in a low carb diet which means staying away from carbohydrates can ensure the body will burn fat fast.</p>
<p>Unfortunately today, many men are pretty unaware of their bodies and how health and welfare work together. So for many men they actually have no idea of their current health status. They do not know how to measure it or where to turn to for advice if they need it.</p>
<p>So if you would like to learn more about mens health then I suggest you look around the internet and see what information you can find. There are many sites out there today which will offer you advice and help on &#8220;low carb diet&#8221; as well as how to get fit and stay fit.</p>
<p>The key to bear in mind when researching is to look for any information regarding &#8220;low carb diet,&#8221; which is by far the best and most appropriate diet programs that most men need nowadays.</p>
</div>
<p>Dr. Kang-pang Chan is a board-certified naturopathic physican by the American Naturopathic Medical Association and now based in Hong Kong. To read more about <a id="link_79" href="http://www.atkinsdietplanonline.com/r/richzen/home.html" target="_new">Low Carb Diet</a> please go to: <a id="link_80" href="http://www.atkinsdietplanonline.com/r/richzen/atkins10.html" target="_new">http://www.atkinsdietplanonline.com/r/richzen/atkins10.html</a></p>
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		<title>Men&#8217;s Health - Lose Your Man Boobs Now - Action and Reaction</title>
		<link>http://www.carionltd.com/mens-health-lose-your-man-boobs-now-action-and-reaction/</link>
		<comments>http://www.carionltd.com/mens-health-lose-your-man-boobs-now-action-and-reaction/#comments</comments>
		<pubDate>Fri, 30 May 2008 07:37:18 +0000</pubDate>
		<dc:creator>admin</dc:creator>
		
		<category><![CDATA[man's health]]></category>

		<guid isPermaLink="false">http://www.carionltd.com/?p=7</guid>
		<description><![CDATA[
Have you suffered enough from the embarrassment of man boobs? It makes no difference whether it is gynecomastia (hormone imbalance) or pseudogynecomastia (overweight and fitness issues). Man boobs cause emotional trauma and severe embarrassment. Let&#8217;s take this emotional situation and analyze it from a scientific viewpoint.
A very important engineering principle was developed by Sir Isaac [...]]]></description>
			<content:encoded><![CDATA[<div id="body">
<p>Have you suffered enough from the embarrassment of man boobs? It makes no difference whether it is gynecomastia (hormone imbalance) or pseudogynecomastia (overweight and fitness issues). Man boobs cause emotional trauma and severe embarrassment. Let&#8217;s take this emotional situation and analyze it from a scientific viewpoint.</p>
<p>A very important engineering principle was developed by Sir Isaac Newton. Paraphrasing his law: For each and every action there is an equal and opposite reaction. This law applies to everything. More importantly, everything you do or don&#8217;t do is in Newton&#8217;s definition an &#8216;action&#8217;. In other words, by doing nothing you have made a choice and taken an action. This action will have an equal and opposite reaction. OK, OK, enough. Bottom line. If you want to lose your man boobs and change your appearance, you will need to do something.</p>
<p>Understand this, if you just sit and mope about it, nothing good is going to happen. You need to be proactive and do an &#8216;action&#8217; which results in a &#8216;reaction&#8217;. If you want to lose your man boobs now, then you must do something now. Wishing and hoping will not get it done. If you do something now to lose your man boobs, then the reaction will likely be a surge of self-confidence from the change in your physical appearance.</p>
<p>OK, what is the best action?</p>
<p>There are 4 main possibilities:</p>
<p>-surgery</p>
<p>-pharmaceutical for weight loss / hormone balancing</p>
<p>-exercise and diet</p>
<p>-natural supplements for weight loss/ hormone balancing</p>
<p>A fifth possibility would be a combination of the third and fourth strategies listed above.</p>
<p>Surgery as a treatment strategy for any health situation presents physical risks and excessive large expense. I cannot advocate surgery in anything but a life and death situation. If you suffer from an emotional trauma due to your man boobs and accordingly your appearance, then surgery may be an option. The best pro argument for surgery is speed. Unfortunately, not only are there the normal risks of a surgical procedure, in the case of man boobs, the possibility of scarring or an ineffective procedure also loom.</p>
<p>Pharmaceutical products can be effective. My personal mantra for pharmaceutical products is the same as I have already revealed for surgery: life and death situations only. This may seem a little harsh but the level of incompetence and unabashed greed in the medical and pharmaceutical industries is truly amazing.</p>
<p>Exercise, diet and natural supplements will deliver results for both gynecomastia and pseudogynecomastia. The specific exercise programs are necessary because you do not want to build up more breast tissue even if it is muscle. The point of the exercises is to reduce breast fat and tighten up the muscles to result in a more natural male chest appearance. Overweight issues and hormonal balance issues can be a very effective strategy if the regimen is maintained.</p>
</div>
<p>For more information and discussion about man boobs, how to lose them,<br />
and the treatment alternatives available, <a id="link_75" href="http://rbm-how-to-get-rid-of-man-boob.blogspot.com/" target="_new">click here</a></p>
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		<title>Premature Ejaculation? How to Last Longer Tonight!</title>
		<link>http://www.carionltd.com/premature-ejaculation-how-to-last-longer-tonight/</link>
		<comments>http://www.carionltd.com/premature-ejaculation-how-to-last-longer-tonight/#comments</comments>
		<pubDate>Thu, 15 May 2008 10:24:28 +0000</pubDate>
		<dc:creator>admin</dc:creator>
		
		<category><![CDATA[man's health]]></category>

		<category><![CDATA[Premature Ejaculation]]></category>

		<guid isPermaLink="false">http://www.carionltd.com/?p=6</guid>
		<description><![CDATA[There are different ways to prevent premature ejaculation. Unfortunately most of the &#8221;quick fix&#8221; short term methods are written off, and instead focus is placed on longer term solutions which require a lot of time to perfect. Now, ideally you&#8217;ll want to learn long term methods, and I list the best way to learn those [...]]]></description>
			<content:encoded><![CDATA[<p>There are different ways to prevent premature ejaculation. Unfortunately most of the &#8221;quick fix&#8221; short term methods are written off, and instead focus is placed on longer term solutions which require a lot of time to perfect. Now, ideally you&#8217;ll want to learn long term methods, and I list the best way to learn those methods below. But what about if you need to last longer, right now? You don&#8217;t have to isolate yourselves for weeks until you get your problem totally sorted out. Instead you can use a few techniques which will bring you results tonight. Here are two very doable options:</p>
<p>1. Creams/Ointments available at the grocery store or drugstore.</p>
<p>Most chain stores will carry creams or ointments specifically for premature ejaculation prevention purposes. Now, you need to go to the same section as where the condoms are stocked. You won&#8217;t find these type of creams in the petroleum jelly section.</p>
<p>What these creams do is essentially &#8220;desensitize&#8221; or numb, which allows you to not get excited too quickly. It will take you a while to really feel the sensations of intimacy, and hopefully by that time your partner will have reached climax herself. The drawback of course is that intimacy may not be enjoyed to the fullest extent possible (for you), but if you are worried about being able to last long enough immediately, this can be an option to consider.</p>
<p>2. Masturbation before hand.</p>
<p>This method does work, you just have to make sure the timing is right. Essentially what this entails is masturbating around 30-45 minutes before sexual intimacy is to take place. This time period will vary between individuals, the key is to find a time where you&#8217;ll be able to become excited again, but it will take some work to get there. And that is basically why this method works. It will take you longer to reach your normal ejaculatory point, because you already hit it a half hour ago. Therefore, during the real intimacy act, you will find that it will take much, much longer than usual, thus you are essentially lasting way longer than you normally would.</p>
<p>Ideally you will want to take a few weeks and learn some tried and true exercises that will allow you to avoid premature ejaculation permanently. That&#8217;s correct, there is a way to permanently avoid quick ejaculation, you just have to invest some time in learning and performing the necessary exercises which will train your body to last longer.</p>
<p>Here is the best exercise program for a permanent premature ejaculation cure - http://having-sex-longer.blogspot.com</p>
<p>This program offers the fastest route towards permanently stopping quick ejaculation, allowing you to essentially last as long as you desire. Check out - <a href="http://having-sex-longer.blogspot.com">http://having-sex-longer.blogspot.com</a></p>
<p>Article Source: <a href="http://EzineArticles.com/?expert=Chess_McDoogle">EzineArticles.com</a></p>
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		<title>10 Essential Men&#8217;s Health Tips</title>
		<link>http://www.carionltd.com/10-essential-mans-health-tips/</link>
		<comments>http://www.carionltd.com/10-essential-mans-health-tips/#comments</comments>
		<pubDate>Thu, 15 May 2008 09:55:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
		
		<category><![CDATA[man's health]]></category>

		<category><![CDATA[Health]]></category>

		<category><![CDATA[sexual health]]></category>

		<guid isPermaLink="false">http://www.carionltd.com/?p=5</guid>
		<description><![CDATA[by Vitacost




   






1
Move More
Make it a daily challenge to find ways to move your body.                          Climb stairs if given a choice between that and escalators    [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: 7.5pt; font-family: Verdana; color: black;">by Vitacost</span><span style="color: black;"><br />
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<td><span style="color: black;"> <script type="text/javascript"><!--
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<td width="4%" valign="top">1</td>
<td width="96%"><strong>Move More</strong><br />
Make it a daily challenge to find ways to move your body.                          Climb stairs if given a choice between that and escalators                          or elevators. Walk your dog; chase your kids; toss balls                          with friends, mow the lawn. Anything that moves your limbs                          is not only a fitness tool, it&#8217;s a stress buster. Think                          &#8216;move&#8217; in small increments of time. It doesn&#8217;t have to                          be an hour in the gym or a 45-minute aerobic dance class                          or tai chi or kickboxing. But that&#8217;s great when you&#8217;re                          up to it. Meanwhile, move more. Thought for the day: Cha,                          Cha, Cha…. Then do it!</td>
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<td><strong>Cut Fat</strong><br />
Avoid the obvious such as fried foods, burgers and other                          fatty meats (i.e. pork, bacon, ham, salami, ribs and sausage).                          Dairy products such as cheese, cottage cheese, milk and                          cream should be eaten in low fat versions. Nuts and sandwich                          meats, mayonnaise, margarine, butter and sauces should                          be eaten in limited amounts. Most are available in lower                          fat versions such as substitute butter, fat free cheeses                          and mayonnaise.</td>
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<td valign="top">3</td>
<td><strong>Quit Smoking </strong><br />
The jury is definitely in on this verdict. Ever since                          1960 when the Surgeon General announced that smoking was                          harmful to your health, Americans have been reducing their                          use of tobacco products that kill. Just recently, we&#8217;ve                          seen a surge in smoking in adolescents and teens. Could                          it be the Hollywood influence? It seems the stars in every                          movie of late smoke cigarettes. Beware. Warn your children                          of the false romance or &#8216;tough guy&#8217; stance of Hollywood                          smokers. Thought for the day: Give up just one cigarette….</td>
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<td valign="top">4</td>
<td><strong>Reduce Stress </strong><br />
Easier said than done, stress busters come in many forms.                          Some techniques recommended by experts are to think positive                          thoughts. Spend 30 minutes a day doing something you like.                          (i.e.,Soak in a hot tub; walk on the beach or in a park;                          read a good book; visit a friend; play with your dog;                          listen to soothing music; watch a funny movie. Get a massage,                          a facial or a haircut. Meditate. Count to ten before losing                          your temper or getting aggravated. Avoid difficult people                          when possible. Thought for the day: When seeing red, think                          pink clouds….then float on them.</td>
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<td valign="top">5</td>
<td><strong>Protect Yourself from Pollution </strong><br />
If you can&#8217;t live in a smog-free environment, at least                          avoid smoke-filled rooms, high traffic areas, breathing                          in highway fumes and exercising near busy thoroughfares.                          Exercise outside when the smog rating is low. Exercise                          indoors in air conditioning when air quality is good.                          Plant lots of shrubbery in your yard. It&#8217;s a good pollution                          and dirt from the street deterrent. Thought for the day:                          &#8216;Smoke gets in your eyes&#8217;…and your mouth, and your                          nose and your lungs as do pollutants….hum the tune                          daily.</td>
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<td valign="top">6</td>
<td><strong>Wear Your Seat Belt</strong><br />
Statistics show that seat belts add to longevity and help                          alleviate potential injuries in car crashes. Thought for                          the day: Buckle down and buckle up.</td>
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<td valign="top">7</td>
<td><strong>Floss Your Teeth</strong><br />
Recent studies make a direct connection between longevity                          and teeth flossing. Nobody knows exactly why. Perhaps                          it&#8217;s because people who floss tend to be more health conscious                          than people who don&#8217;t? Thought for the day: Floss and                          be your body&#8217;s boss.</td>
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<td valign="top">8</td>
<td><strong>Avoid Excessive Drinking </strong><br />
While recent studies show a glass of wine or one drink                          a day (two for men) can help protect against heart disease,                          more than that can cause other health problems such as                          liver and kidney disease and cancer. Thought for the day:                          A jug of wine should last a long time.</td>
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<td valign="top">9</td>
<td><strong>Keep a Positive Mental Outlook </strong><br />
There&#8217;s a definitive connection between living well and                          healthfully and having a cheerful outlook on life. Thought                          for the day: You can&#8217;t be unhappy when you&#8217;re smiling                          or singing.</td>
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<td valign="top">10</td>
<td><strong>Choose Your Parents Well </strong><br />
The link between genetics and health is a powerful one.                          But just because one or both of your parents died young                          in ill health doesn&#8217;t mean you cannot counteract the genetic                          pool handed you. Thought for the day: Follow these basic                          tips for healthy living and you can better control your                          own destiny.</p>
<p>from tips.com.my</td>
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		<title>Viagra sometimes fails, but there are alternatives</title>
		<link>http://www.carionltd.com/viagra-sometimes-fails-but-there-are-alternatives/</link>
		<comments>http://www.carionltd.com/viagra-sometimes-fails-but-there-are-alternatives/#comments</comments>
		<pubDate>Thu, 15 May 2008 08:36:30 +0000</pubDate>
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		<category><![CDATA[man's health]]></category>

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(WebMD) &#8212; In his early 40s, Ron Hanson was too young to be having trouble getting and sustaining erections. But like many men, he was too embarrassed at first to talk about the problem.
Hanson (not his real name) waited seven years to see a urologist. By the time he spoke up, erectile dysfunction had become [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.carionltd.com/wp-content/uploads/2008/05/storyviagra.jpg"><img class="alignnone size-medium wp-image-4" title="story viagra" src="http://www.carionltd.com/wp-content/uploads/2008/05/storyviagra.jpg" alt="man\'s health viagra" width="220" height="168" /></a></p>
<p>(WebMD) &#8212; In his early 40s, Ron Hanson was too young to be having trouble getting and sustaining erections. But like many men, he was too embarrassed at first to talk about the problem.</p>
<p>Hanson (not his real name) waited seven years to see a urologist. By the time he spoke up, erectile dysfunction had become a household word, thanks to the popularity of the drug Viagra. But the widely touted drug, Hanson soon learned, doesn&#8217;t work for everyone.</p>
<p>When Viagra (sildenafil) hit the market in 1998, some men thought it was the long-awaited answer to their problems. Many rushed to doctor&#8217;s offices to give it a try. According to the Grey Clinic in Indianapolis, which specializes in erectile dysfunction, 17 percent of men between 18 and 55 experience occasional impotence, while 6 percent have regular erectile difficulties. For men over 55, that number jumps to about one in three. Some common causes of impotence are diabetes, heart disease, and psychological problems. It also frequently occurs after prostate cancer surgery.</p>
<p>Because Viagra affects blood flow, however, it isn&#8217;t recommended for men who take nitrates for heart disease or those with certain other heart conditions. In some men it causes bad headaches. In others, it just plain doesn&#8217;t work.</p>
<p>During an erection, blood flows quickly into the penis, which increases its length, width, and firmness. If the &#8220;in&#8221; vessels (arteries) are too narrow or if blood drains too quickly through the &#8220;out&#8221; vessels (veins), men may have trouble achieving or maintaining an erection, says Arnold Aigen, M.D., a urologist with Camino Medical Group in Sunnyvale, California. Viagra, which increases inflow, may not be strong enough to work its magic if the arteries are too narrow.</p>
<p>Hanson tried Viagra, but he couldn&#8217;t tolerate the headaches it caused. Luckily, when Viagra fails, he discovered, there are several alternatives.</p>
<p>Alprostadil to the rescue</p>
<p>A drug called Alprostadil, either alone or sometimes in conjunction with others such as papaverine and/or phentolamine, can be injected directly into the penis to dilate the arteries, experts say. The drug produces an erection in about 10 minutes that can last up to an hour.</p>
<p>But there are several disadvantages, says Teresa Beam, M.D., a urologist with the Grey Clinic. Some patients are averse to using a needle, which is why many men abandon the therapy. Those who give it a try may experience pain at the injection site or priapism (a painful erection lasting too long).</p>
<p>As an alternative, Alprostadil is available as a pellet-like suppository that is inserted into the tip of the penis and absorbed through the lining of the urethra. This can help produce erections lasting for 30 to 60 minutes, according to the Impotence World Association (IWA). Unfortunately, the suppositories are less effective than injections and may cause pain and irritation, according to both Aigen and Beam.</p>
<p>Last November, a topical gel formulation of alprostadil was approved by the U.S. Food and Drug Administration. It is too soon to know if this form of alprostadil therapy will become widely used.</p>
<p>Mechanical help</p>
<p>With a vacuum constriction device, the penis is placed in a cylinder with an attached pump, creating a vacuum to draw blood into the penis. Firmness is sustained by a constriction band placed around the base of the penis. The IWA estimates the technique can produce erections for up to 30 minutes. Beam calls the alternative &#8220;a good way to go&#8221; because it has minimal side effects, but admits it is cumbersome and takes some practice.</p>
<p>Some men opt for penile implants, which involve the placement of tubes in the penis and a pump in the scrotal sac. The pump (usually the size and shape of a testicle) enables men to obtain an erection whenever and for as long as they desire by pumping a saline solution from a reservoir into the penis. Implants are a last resort, however, says Beam. &#8220;Once a prosthesis is implanted, a patient cannot respond to anything else because it alters the natural anatomy.&#8221;</p>
<p>Fortunately, Ron Hansen didn&#8217;t have to go that far. He has become used to injecting himself with Alprostadil, which produces a firmer erection than he experienced with Viagra, and one that lasts at least 30 minutes. It also doesn&#8217;t cause the headaches associated with Viagra. Hanson occasionally uses the suppositories, though they take longer to work.</p>
<p>For Hanson, admitting that he had a problem in the first place was the hardest part. &#8220;But when you don&#8217;t function as you should,&#8221; he says, &#8220;the therapy makes a big difference.&#8221;</p>
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